Preservation of bursal-sided tendon in partial-thickness articular-sided rotator cuff tears: a novel arthroscopic transtendon anatomic repair technique

Shin, Sang Jin; Jeong, Jae Hoon; Jeon, Young-Chan; Kim, Rag Gyu

doi:10.1007/s00402-016-2546-1

Cited by 13 publications

(10 citation statements)

References 18 publications

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“…Currently, tear completion repair and the in situ trans-tendon procedure are the two commonly adopted methods. Accumulating studies 4,16 –20 have compared these two procedures. The tear completion repair technique is a traditional method with satisfactory clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…3 The optimal treatment of PTRCTs, especially articular-sided tears, remains controversial, although surgical repair is suggested for symptomatic articular-sided tears exceeding 50% of thickness of the tendon to prevent tear enlargement. 4 Many surgical techniques can be applied to articularsided PTRCTs, including repair following full-thickness conversion and various in situ repairs. [4][5][6] According to a traditional method, the remnant cuff tissue is repaired to the original footprint after converting the PTRCTs to a fullthickness tear with remnant debridement.…”

Section: Introductionmentioning

confidence: 99%

“…4 Many surgical techniques can be applied to articularsided PTRCTs, including repair following full-thickness conversion and various in situ repairs. [4][5][6] According to a traditional method, the remnant cuff tissue is repaired to the original footprint after converting the PTRCTs to a fullthickness tear with remnant debridement. This tear completion repair technique is reported to be satisfactory with good visualization, strain characteristics, and healing rates.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Arthroscopic knotless single-row repair preserving full footprint versus tear completion repair for partial articular-sided rotator cuff tear

Liu

et al. 2018

J Orthop Surg (Hong Kong)

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Footprint-preserving knotless single-row repair obtains similar clinical results compared to tear completion repair in the treatment of articular-sided PTRCTs. Footprint-preserving knotless single-row repair may be a convenient choice for the treatment of articular-sided PTRCTs. Randomized controlled studies are needed to investigate whether the footprint-preserving knotless single-row repair yields better long-term outcomes through the protection of the bursal cuff and restoration of the healthy footprint.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Arthroscopic knotless single-row repair preserving full footprint versus tear completion repair for partial articular-sided rotator cuff tear

Liu

et al. 2018

J Orthop Surg (Hong Kong)

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“…Several surgical techniques of in-situ repair have been described [23][24][25][26][30][31][32] , however, with no superiority of one specific technique to the others (Figure 3). A proposed advantage of transtendinous repair techniques with preservation of the intact rotator cuff tendon integrity on the bursal side is the maintenance of the original footprint and therefore a more anatomic repair.…”

Section: In-situ Repair Versus Tear Completion Into Full-thickness Cumentioning

confidence: 99%

Surgical Treatment Options for Partial Rotator Cuff Tears: A Review of the Literature

Borbas

Hoy

2019

International Journal of Orthopaedics

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Partial-thickness rotator cuff tears (PTRCT) can be articularsided, bursal-sided or intratendinous. New research suggests that a considerable proportion (up to 30%) of cuff thickness on the articular side is taken up histologically by the superior joint capsule conjoined to the rotator cuff tissue. This means that newer reviews of the surgical options may be required to complement the Ellman classification which grades lesions as grade 1 (less than 25% of tendon thickness involved), grade 2 (25-50%) or grade 3 (greater than 50% of tendon thickness). If primary non-operative treatment fails, many surgical options can be considered. The surgical technique chosen has been based on depth of the tear and the tear location. Surgical treatment can be distinguished between debridement and repair of PTRCT's, as well as biologically active experimental techniques showing some promise. Debridement can be successfully performed for bursal-sided Ellman grade 1 tears and articular-sided grade 1 and 2 tears. All other techniques show better results with a repair technique, which can be either performed with an in-situ or trans-cuff repair technique (leaving the intact rotator cuff portion intact) or with tear conversion to a full-thickness cuff tear and subsequent repair. Successful functional and structural outcome after repair of Ellman grade 3 tears can be shown with both repair techniques. The current literature also suggests evidence for inferior outcomes and higher failure rates after arthroscopic debridement of bursal-sided partial-thickness rotator cuff tears compared to articularsided lesions, which may reflect the contribution of capsule to the tear. Articular-sided partial cuff tears are frequently seen in overhead athletes and should be treated non-operatively whenever possible. If conservative treatment fails, debridement seems to be a better surgical choice in most cases, as only a half of professional athletes return to the same level of play after repair of partial-thickness rotator cuff tears.

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The supraspinatus occupation ratios of both the ≥ 50% articular- and bursal-side partial-thickness rotator cuff tears were low and the infraspinatus occupation ratio of the ≥ 50% bursal-side partial-thickness rotator cuff tears was low

Yoo

Heo

Park

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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Purpose The purpose of this study was to analyze the relationship between the occupation ratio and partial-thickness rotator cuf tears. Methods The study included and retrospectively investigated 683 patients with partial-thickness rotator cuf tears between 2013 and 2017. Fifty patients with impingement syndrome were also enrolled as the control group for normal-population comparison. The participants were divided into ive groups: Group A, control group; Group B, < 50% articular-side tears; Group C, ≥ 50% articular-side tears; Group D, < 50% bursal-side tears; and Group E, ≥ 50% bursal-side tears. Muscle volume was evaluated by measurement of each occupation ratio of the supraspinatus and infraspinatus tendons on the most lateral view of the T1-weighted oblique-sagittal images in which the scapular spine remained in contact with the scapular body. Results Fifty patients were enrolled in Group A. A total of 683 patients with Partial thickness rotator cuf tear were divided and classiied into the following groups: 272 into Group B, 153 into Group C, 161 into Group D, and 97 into Group E. The supraspinatus occupation ratios of all partial-thickness rotator cuf tear groups were signiicantly lower than those of the control group. Furthermore, the supraspinatus occupation ratios of Groups C and E (≥ 50% partial-thickness rotator cuf tears) were signiicantly lower than those of Groups B and D (< 50% partial-thickness rotator cuf tears). However, the infraspinatus occupation ratio of only Group E was signiicantly lower than that of the other groups. ConclusionThe supraspinatus occupation ratios of both the ≥ 50% articular-and bursal-side partial-thickness rotator cuf tears were lower than those of the other partial-thickness rotator cuf tears. Conversely, the infraspinatus occupation ratio of only the ≥ 50% bursal-side partial-thickness rotator cuf tears was low. Level of evidence IV.

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Preservation of bursal-sided tendon in partial-thickness articular-sided rotator cuff tears: a novel arthroscopic transtendon anatomic repair technique

Cited by 13 publications

References 18 publications

Arthroscopic knotless single-row repair preserving full footprint versus tear completion repair for partial articular-sided rotator cuff tear

Arthroscopic knotless single-row repair preserving full footprint versus tear completion repair for partial articular-sided rotator cuff tear

Surgical Treatment Options for Partial Rotator Cuff Tears: A Review of the Literature

The supraspinatus occupation ratios of both the ≥ 50% articular- and bursal-side partial-thickness rotator cuff tears were low and the infraspinatus occupation ratio of the ≥ 50% bursal-side partial-thickness rotator cuff tears was low

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