Adam John R, Nanjayan Shashi K T, Monga Puneet
The James Cook University Hospital, Middlesbrough, UK.
Wrightington Hospital, Wigan, UK.
J Clin Orthop Trauma. 2021 Apr 7;18:6-12. doi: 10.1016/j.jcot.2021.03.019. eCollection 2021 Jul.
The management of rotator cuff pathology has developed over hundreds of years. In this article, we take a journey from the early days, in order to understand how we have reached our modern-day practice. Initially our understanding of rotator cuff pathology was based on cadaveric anatomical findings and this has enhanced over the years by the development of radiological and surgical techniques. We discuss the historical debates over the pathogenesis of cuff dysfunction. This work describes the landmark publications by several clinicians who have made important contributions to our understanding of rotator cuff pathology and its management. We follow the trends of surgical management of rotator cuff tears, traditionally performed via an open technique, to an exponential rise in arthroscopic surgery in recent years. As new techniques emerge, a review of the historical rise and fall of techniques is a reminder for us to remain vigilant of surgical indications and rigorous outcome analysis.
肩袖病变的治疗方法历经数百年发展而来。在本文中，我们追溯早期历程，以了解我们是如何发展到现代治疗方法的。最初，我们对肩袖病变的认识基于尸体解剖结果，多年来随着放射学和外科技术的发展，这一认识不断深化。我们讨论了关于肩袖功能障碍发病机制的历史争论。本文介绍了几位临床医生的里程碑式著作，他们为我们理解肩袖病变及其治疗做出了重要贡献。我们追踪了肩袖撕裂手术治疗的趋势，传统上通过开放技术进行，近年来关节镜手术呈指数级增长。随着新技术的出现，回顾技术的历史兴衰提醒我们要时刻警惕手术适应症并进行严格的疗效分析。
