Anterosuperiore Rotatorenmanschettenrupturen

Katthagen, J. Christoph; Müller, Timothy; Jensen, Gunnar; Voigt, C.; Lill, Helmut

doi:10.1007/s00113-012-2294-9

Cited by 7 publications

(6 citation statements)

References 32 publications

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“…Anterior and anterosuperior cuff tears have gained more attention in the past years [2,8,[20][21][22]. Since the subscapularis tendon is the anterior part of the transversal ''force couple'', it is important for a satisfactory shoulder function [4].…”

Section: Discussionmentioning

confidence: 99%

Recovery of subscapularis and shoulder function following arthroscopic treatment of isolated anterior and combined anterosuperior rotator cuff lesions

Gerhardt

Bärtl

Voigt³

et al. 2015

Arch Orthop Trauma Surg

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Section: Discussionmentioning

confidence: 99%

Recovery of subscapularis and shoulder function following arthroscopic treatment of isolated anterior and combined anterosuperior rotator cuff lesions

Gerhardt

Bärtl

Voigt³

et al. 2015

Arch Orthop Trauma Surg

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“…Lee et al [33] showed similar 24-month postoperative outcomes in 35 patients with a massive posterosuperior RC tear and associated partial SSC tendon tear treated with debridement only compared to that for patients with an intact SSC. Katthagen et al [28] reported on 25 patients with anterosuperior cuf tears and a debrided Lafosse I SSC tear who improved in both function and level of pain. The non-repair group of the current work presented has similar results.…”

Section: Discussionmentioning

confidence: 99%

“…Current literature reporting on the treatment of partial SSC tendon tears has mostly included either small patient numbers or a heterogeneous patient collective with variable outcomes [19, 28–30, 33, 39]. Kim et al [30] demonstrated improved shoulder function in a series of 29 patients each with a repaired isolated, articular‐sided partial cranial SSC tendon tear of at least 5 mm.…”

Section: Discussionmentioning

confidence: 99%

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Repair of Lafosse I subscapularis lesions brings no benefit in anterosuperior rotator cuff reconstruction

Wirth

Kunz

Schwyzer

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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Purpose Optimal management of partial anterosuperior rotator cuf tears is unknown. Our aim was to compare clinical and subjective outcomes of supraspinatus (SSP) repair patients treated with or without repair of an associated superior subscapularis (SSC) partial tear. Methods SSP repair patients with an associated partial (Lafosse I) tear of the superior SSC tendon were retrospectively examined. Baseline and operative data and the outcomes of shoulder range of motion (ROM), pain level, strength, Constant-Murley Score, complications at 6 months as well as patient-reported Oxford Shoulder Score, Subjective Shoulder Value, and satisfaction at 6-and 24-month post-surgery were compared between patients with and without a repaired SSC tear. Mixed models and propensity-score matching were used to adjust baseline group diferences. Results Of 75 eligible patients, 34 had an SSC repair and were younger with better baseline function. Non-repair surgeries were signiicantly shorter by 34 min (95% CI 23-45; p < 0.001). There were no group diferences in the clinical and patient-rated outcome scores at both follow-ups (n.s.) as well as in pain, muscle strength in abduction, ROM, the 6-month complication risk (risk diference − 1.9%), and satisfaction with postoperative shoulder condition (n.s.). ConclusionWe could not show a functional or subjective beneit of repairing cranial partial tears of the SSC tendon over debridement only in the setting of an SSP reconstruction with 24 months of follow-up. A longer operative duration is expected if a partial SSC tear repair is performed. Level of evidence III.

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“…This period is often missed, and later larger lesions need more invasive surgical procedures. It is known that most arthroscopic techniques are an alternative type of Bankarts' capsuloplasties that are successful in cases of physiological predisposition, bone lesions of the glenoidal edge, rotator cuff lesions and Hill-Sachs lesions -up to 15%-20% [6][7][8][9][10][11][12][13][14][15].…”

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confidence: 99%

Shoulder Instability - Combined Surgical Treatment

Dimitrov¹,

Matev²,

Georgiev³

et al. 2013

Proceeding BAS

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The goal of this study is to present the results after one-stage combined surgical treatment of the unstable shoulder joint by arthroscopic stabilization followed by operative technique of Matev. For the period from 2004 to 2009, we operated on fourteen patients: twelve with anterior and two with combined shoulder instability. Each of the patients had between ten and fifteen incidents. The period of follow-up was between 4 and 7 years. The results were evaluated radiographically and clinically. Functionally, the patients recovered according to a well-established protocol of physiotherapy and external rotation regained full range of motion. They were able to return to sports activity. The successful results in all patients warrant this combined operative technique to be the method of choice in the treatment of a greater number of dislocations of the shoulder, especially in people who want to quickly return to active sports.

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Anterosuperiore Rotatorenmanschettenrupturen

Cited by 7 publications

References 32 publications

Recovery of subscapularis and shoulder function following arthroscopic treatment of isolated anterior and combined anterosuperior rotator cuff lesions

Recovery of subscapularis and shoulder function following arthroscopic treatment of isolated anterior and combined anterosuperior rotator cuff lesions

Repair of Lafosse I subscapularis lesions brings no benefit in anterosuperior rotator cuff reconstruction

Shoulder Instability - Combined Surgical Treatment

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