Histopathology of the Residual Tendon in High-Grade Articular-Sided Partial-Thickness Rotator Cuff Tears (PASTA lesions) (SS-12)

Yamakado, Kotaro; Hayashi, Seigaku; Katsuo, Shinichi

doi:10.1016/j.arthro.2011.03.015

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Supporters of completing the injury claim that the transtendon repair is technically more difficult and that the tissue of intact fibers is always of poor quality 4, 5. Traditional repair is simpler and clinical results are favorable 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Supporters of completing the injury claim that the transtendon repair is technically more difficult and that the tissue of intact fibers is always of poor quality. 4 , 5 Traditional repair is simpler and clinical results are favorable. 2 The present author completes these lesions only in high-grade ruptures where less than 30% of the tendon is intact and the poor quality of the tissue initially seen in MRI is confirmed by arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

In situ repair of partial articular surface lesions of the supraspinatus tendon

Paim

2017

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

ObjectiveTo demonstrate the in situ repair technique of high-degree partial-thickness articular surface lesions of the supraspinatus tendon (SS). The procedure consists of the arthroscopic surgical repair of these lesions, without the need to complete the lesion, as occurs in traditional classical technique. A small incision is made in the longitudinal direction of the intact bursal fibers and where bone fixation anchors are introduced, which makes the procedure easier. These anchors are transferred to the tendon and thus enable the repair of the lesion.Methods48 shoulders were operated in the period 2010–2015. The minimum follow-up was 12 months and maximum 60 months. Ages ranged from 38 years to 75 years (mean 54 years). They were indicated for the repair of high-degree symptomatic lesions and at least 30% intact superior bursal fibers of good quality.ResultsPatients were evaluated according to the UCLA criteria, the results were: 69% excellent, 17% good, 7% fair, and 7% poor. Fair results occurred in three patients with associated symptoms of polyarthralgia who remained with residual pain. Three patients developed postoperative joint stiffness (7%).ConclusionThe procedure under study is safe and easy to reproduce. It shows high rates of positive results (86%). The opening made in the bursal side of the SS tendon allowed the arthroscope to remain in the subacromial space, making it easier to perform surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%