Itthipanichpong Thun, Thamrongskulsiri Napatpong, Limskul Danaithep, Tanpowpong Thanathep
Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.
Arthrosc Tech. 2022 May 21;11(6):e1071-e1075. doi: 10.1016/j.eats.2022.02.013. eCollection 2022 Jun.
PASTA (partial articular-sided supraspinatus tendon avulsion) lesions are supraspinatus tendon tears involved the articular surface. PASTA lesions are commonly repaired using trans-tendon repair or tendon takedown and repair. Systematic reviews have shown that both techniques can improve shoulder function similarly. The advantages of trans-tendon repair are the preservation of the intact tendon and superior biomechanical strength. However, there is a risk that the tendon will become overtensioned and that the technique will create tendon bunching on the bursal side, resulting in imbalanced tendon tension. This Technical Note describes an all-inside arthroscopic trans-tendon repair technique of PASTA lesion without bunching the tendon's bursal side.
部分关节面侧冈上肌腱撕脱（PASTA）损伤是累及关节面的冈上肌腱撕裂。PASTA损伤通常采用经肌腱修复或肌腱切断并修复的方法进行治疗。系统评价表明，这两种技术对改善肩部功能的效果相似。经肌腱修复的优点是保留完整的肌腱且生物力学强度更佳。然而，存在肌腱过度紧张以及该技术会在滑囊侧造成肌腱束状聚集，从而导致肌腱张力失衡的风险。本技术说明介绍了一种关节镜下全内技术经肌腱修复PASTA损伤，且不会使肌腱滑囊侧出现束状聚集。
