Arthroscopic Subacromial Spacer Implantation in Patients With Massive Irreparable Rotator Cuff Tears: Clinical and Radiographic Results of 39 Retrospectives Cases

Arthroscopic Subacromial Spacer Implantation in Patients With Massive Irreparable Rotator Cuff Tears: Clinical and Radiographic Results of 39 Retrospectives Cases—Is the Pain Relief Enough?

“…In these patients, the mean constant score increased from 48.4 points preoperatively to 67.6 points postoperatively. Specifically, the mean pain score improved from 3.4 to 11, a significantly better improvement than that reported by Deranlot et al 1 and also with relatively minimal intervention.…”

“…They reported that the arthroscopic lateral retinacular release of a symptomatic type III bipartite patella without excision of the accessory fragment allowed early return to sporting activities, with excellent symptom relief. 1 I congratulate the authors on their very good clinical outcome.…”

“…13. Sonnery-Cottet B, Saithna A, Cavalier M, et al 1 The authors concluded that "arthroscopic subacromial spacer implantation for irreparable rotator cuff tear leads to significant improvement in shoulder function at a minimum of 1 year postoperatively." However, they reported a preoperative constant score of 39 and a postoperative constant score of 64 at a 1-year followup.…”

“…I read with interest the article by Felli et al 1 entitled "Clinical Outcome of Arthroscopic Lateral Retinacular Release for Symptomatic Bipartite Patella in Athletes". They reported that the arthroscopic lateral retinacular release of a symptomatic type III bipartite patella without excision of the accessory fragment allowed early return to sporting activities, with excellent symptom relief.…”

“…Until now, subperiosteal detachment of the vastus lateralis insertion, 2 lateral retinacular release, 3 and vastus lateralis release 4 were devised based on the idea that a major cause of symptomatic bipartite patella is excessive traction force exerted by the vastus lateralis muscle and is aimed at reducing this traction force on the bipartite fragment. In their study, Felli et al 1 also described that arthroscopic lateral retinacular release was performed to reduce the compressive forces on the lateral patella-femoral joint. However, there is not sufficient evidence to support these hypothesis and their use for routine treatment of symptomatic bipartite patella.…”