Prospective Randomized Clinical Trial of Single- Versus Double-Row Suture Anchor Repair in 2- to 4-cm Rotator Cuff Tears: Clinical and Magnetic Resonance Imaging Results

Single-row versus double-row arthroscopic repair in the treatment of rotator cuff tears: a prospective randomized clinical study

“…Recent arthroscopic repair techniques for rotator cuff tears have emphasised the potential for a double-row repair to add strength to the repair and hopefully decrease the anatomical failure rate [1,11,13,14,24,25]. Several studies have indicated that results in cases of anatomical failure, although clinically improved, are not as good as those that are anatomically intact, especially if strength measurements are made [1,2].…”

“…Most studies have used a single row of anchors for attaching the rotator cuff tendon to bone when doing the repair with good results. However, the technique using a double row of anchors is reported to re-establish the normal rotator cuff footprint and increase the contact area for healing [8,13,23] making the anatomical and biomechanical outcomes are better than with the single-row technique [3,6,15,18]. Although a few studies have compared single-row repair and double-row repair with regard to clinical aspects [5,7,17,19,21,24], no articles have been published that support the superior clinical outcomes of double-row fixation over single-row fixation.…”

Terapia de juicio de lateralidad e imagineria del movimiento y ejercicios de activación muscular selectiva glenohumerales en sujetos con ruptura masiva del manguito rotador: serie de casos

“…Esto repercute directamente desde el punto de vista biomecánico, ya que disminuye la sobrecarga de los tejidos en la articulación, logrando minimizar la demanda mecánica y así evitar el desarrollo de la sintomatología clínica (44)(45)(46). Por lo tanto, con estos ejercicios selectivos se lograría trabajar libre de dolor y activando de manera inocua los músculos del manguito rotador, redistribuyendo su actividad muscular (47,48). Por otra parte, la aplicación clínica del ejercicio de depresión humeral se fundamenta biomecánicamente por el ascenso de la cabeza humeral producto del torque del deltoides, ya que un desgarro masivo del músculo supraespinoso, subescapular o infraespinoso genera una sobreactividad del dorsal ancho y pectoral mayor para modular y controlar el ascenso de la cabeza del humero (7,8).…”

Triple-Row Modification of the Suture-Bridge Technique for Arthroscopic Rotator Cuff Repair

“…Retear rates of 10% to 30% have been found in doublerow techniques with higher rates (40% to 64%) in those patients with large-to-massive tears. 3,4,6,[8][9][10][11] The triple-row modification of the suture bridge construct, using a third row of fixation placed between the typical medial and lateral rows, was developed to help improve the rotator cuff footprint contact area and pressure by anatomic positioning of the cuff before tying the medial anchors. Medial-row anchors are placed in a standard fashion and the sutures are passed through the cuff medially but are not tied.…”

“…[5][6][7] Furthermore, retear rates of 10% to 30% have been found in double-row techniques with higher rates (40% to 64%) in those patients with largeto-massive tears ( 3 cm). 3,4,6,[8][9][10][11] When using this technique for larger tears, it can be difficult to get the lateral portion of the rotator cuff into an anatomic position. There is concern that this results in limited rotator cuff footprint contact area.…”