Andrews J R, Broussard T S, Carson W G
Arthroscopy. 1985;1(2):117-22. doi: 10.1016/s0749-8063(85)80041-4.
Thirty-six patients with partial tears of the supraspinatus portion of the rotator cuff underwent arthroscopic examination and debridement of the lesion. All patients, whose average age was 22 years, were involved in competitive athletics; 64% were baseball pitchers. The average duration of symptoms prior to arthroscopy was 12 months. The most common presenting complaint was pain felt in the shoulder during overhead activities. Associated pathology included tears of the glenoid labrum and partial tearing or tendinitis of the long head of the biceps tendon. Of the 34 patients available for follow-up, 26 (76%) had excellent results, three (9%) had good results, and five (15%) had poor results. Eighty-five percent of the patients returned satisfactorily to their preoperative athletic activity. Our preliminary experience with arthroscopy of the shoulder in the management of patients with partial rotator cuff tears is encouraging. Not only can a partial rotator cuff tear be debrided to initiate a healing response, but a definitive diagnosis can also be made and associated pathology identified, permitting the establishment of an appropriate rehabilitation program.
36例肩袖冈上肌部分撕裂患者接受了关节镜检查及病损清理术。所有患者平均年龄为22岁，均从事竞技体育活动；其中64%为棒球投手。关节镜检查前症状的平均持续时间为12个月。最常见的主诉是上肢过顶活动时肩部疼痛。相关病变包括盂唇撕裂和肱二头肌长头部分撕裂或肌腱炎。在可进行随访的34例患者中，26例（76%）效果极佳，3例（9%）效果良好，5例（15%）效果较差。85%的患者满意地恢复到术前的体育活动水平。我们在应用肩关节镜治疗部分肩袖撕裂患者方面的初步经验令人鼓舞。不仅可以清理部分肩袖撕裂以启动愈合反应，还能做出明确诊断并识别相关病变，从而制定合适的康复计划。
