All-inside technique versus in situ transtendon repair for Ellman Ⅲ partial articular supraspinatus tendon avulsion

Yuan, Tao; Yang, Shaoqiang; Qian, Hao; Lai, Chengteng; Jiang, Hui; Meng, Jiao; Zhao, Jianning; Bao, Nirong

doi:10.1016/j.jse.2022.06.018

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…4 Arthroscopic surgery has demonstrated favorable outcomes in patients with varying degrees of rotator cuff injury. 1,5 Numerous arthroscopic rotator cuff repair techniques have been proposed, with the double-row repair technique gaining popularity in the past decade. 6,7 The double-row repair technique has been shown to possess better tolerance and reduced risk of retearing compared to single-row riveting techniques.…”

Section: Introductionmentioning

confidence: 99%

“…Over the past two decades, surgeons have increasingly shown a preference for acromioplasty surgery over open surgery in the management of RCT, based on clinical practice and outcomes 4 . Arthroscopic surgery has demonstrated favorable outcomes in patients with varying degrees of rotator cuff injury 1,5 . Numerous arthroscopic rotator cuff repair techniques have been proposed, with the double‐row repair technique gaining popularity in the past decade 6,7 .…”

Section: Introductionmentioning

confidence: 99%

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Changes in the Lateral Acromion Angle in Rotator Cuff Tear Patients with Acromioplasty

Hong,

Kong,

Zhang

et al. 2023

Orthopaedic Surgery

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BackgroundArthroscopic surgery has been established as an efficacious intervention for the treatment of rotator cuff tears. The primary aim of this study was to analyze the modifications in the lateral acromial angle (LAA) subsequent to rotator cuff repair surgery using single‐row rivet fixation and double‐row rivet fixation techniques. Furthermore, we sought to investigate the influence of LAA on the prognosis of rotator cuff repair surgery.MethodThis observational study retrospectively enrolled 105 patients diagnosed with degenerative rotator cuff tears who underwent arthroscopic rotator cuff repair between 2016 and 2019. Following the exclusion of two patients with subscapularis or superior labrum anterior and posterior (SLAP) tears, as well as three patients who were lost to follow‐up, a cohort of 100 patients was included for clinical and imaging evaluation. Among these individuals, 50 were assigned to the double‐row repair group, whereas the remaining 50 comprised the single‐row repair group. Bilateral shoulder magnetic resonance imaging (MRI) scans were conducted no less than 24 months post‐surgery. Experienced arthroscopic surgeons, blinded to the LAA measurements, assessed the rotator interval (RI) using a control MRI. Functional assessment was performed using the University of California, Los Angeles (UCLA) quick disability of the shoulder and arm, shoulder and hand (qDASH) score. The Wilcoxon signed‐rank test for dependent samples was employed to compare data between the pre‐ and post‐intervention groups. Pearson correlation coefficients were calculated to evaluate the relationship between different parameters.ResultsThe study population consisted of 73 female patients and 27 male patients, with a mean age of 58.32 ± 5.29 years and a mean follow‐up duration of 25.88 ± 8.11 months. Preoperatively, the mean LAA was 75.81° ± 11.28°, RI was 4.78 ± 0.62, UCLA score was 17.54 ± 2.44, and qDASH score was 2.45 ± 0.25. The average tear size was 8.95 ± 2.11 mm. A statistically significant difference in LAA was observed between the preoperative and postoperative measurements, with the double‐row repair group exhibiting a greater LAA than the single‐row repair group. Finally, a significant correlation was identified between LAA, RI, and qDASH scores after a 24‐month follow‐up period.ConclusionAccording to our findings, the utilization of double‐row rivet fixation has a greater LAA angle than single‐row rivet fixation. Moreover, this preservation of LAA is significantly associated with the functional recovery of the shoulder joint.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changes in the Lateral Acromion Angle in Rotator Cuff Tear Patients with Acromioplasty

Hong,

Kong,

Zhang

et al. 2023

Orthopaedic Surgery

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Arthroscopic management of isolated partial‐thickness rotator cuff tears

Longo,

Marino,

Lalli

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe aim of the present study is to provide a comprehensive review on the surgical outcomes following arthroscopic treatments of partial‐thickness rotator cuff tears (PT‐RCTs) and to compare the postoperative American Shoulder and Elbow Surgeons (ASES) score following in situ transtendon repair and tear completion, followed by repair.MethodsMedline, EMBASE, Scopus, CINAHL and CENTRAL bibliographic databases were searched. Papers including patients with PT‐RCTs of any grade who underwent treatment using debridement, in situ transtendon repair, tear completion and repair or bioinductive collagen implants were reviewed. Primary PT‐RCTs were the sole indication for surgery. Primary postoperative outcomes assessed included the ASES score, the Absolute Constant–Murley score, the Simple Shoulder Test, the Visual Analogue Scale, the University of California‐Los Angeles Shoulder Scale, the Western Ontario Rotator Cuff Score, range of motion, complications and revisions. A meta‐analysis of comparative studies compared the postoperative ASES score between patients treated with in situ transtendon repair versus tear completion repair.ResultsTwenty‐eight studies were included. The ASES score was reported by four comparative studies with contrasting results. The heterogeneity was high (I2 = 86%), and effect sizes ranged from −0.49 in favour of the tear completion and repair technique to an effect size of +1.07 favouring in situ transtendon repair. The overall effect size of 0.02 suggests an equivalence between the two techniques in terms of the ASES score. Two studies with a total sample size of 111 patients reported on debridement, and four studies with a total sample size of 155 patients reported on bioinductive collagen implants.ConclusionDebridement alone is suitable for Ellman grades I‐II PT‐RCTs. In situ transtendon and tear completion repair techniques yield similar postoperative outcomes. Bioinductive collagen implants hold promise but lack long‐term efficacy data. High‐quality comparative studies are needed to determine the best treatment for PT‐RCTs.Level of EvidenceLevel IV.

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Long head of the biceps tendon versatility in reconstructive shoulder surgery: a narrative review of arthroscopic techniques and their biomechanical principles with video presentation

Neculau,

Avram,

Kwapisz

et al. 2024

International Orthopaedics (SICOT)

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All-inside technique versus in situ transtendon repair for Ellman Ⅲ partial articular supraspinatus tendon avulsion

Cited by 4 publications

References 27 publications

Changes in the Lateral Acromion Angle in Rotator Cuff Tear Patients with Acromioplasty

Changes in the Lateral Acromion Angle in Rotator Cuff Tear Patients with Acromioplasty

Arthroscopic management of isolated partial‐thickness rotator cuff tears

Long head of the biceps tendon versatility in reconstructive shoulder surgery: a narrative review of arthroscopic techniques and their biomechanical principles with video presentation

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