Surgical management of rotator cuff disease

Pollock, Roger G.; Black, Arthur D.; Self, Edward B.; Flatow, Evan L.; Bigliani, Louis U.

doi:10.1016/s1058-2746(96)80197-2

Cited by 6 publications

(2 citation statements)

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“…Repair ratio was defined as the ratio of the length of the torn tendon edge and the length of the avulsed insertion site. It may be helpful in simultaneously assessing factors of retraction and size of rotator cuff tears, both known to affect outcome [ 8 , 10 , 45 – 49 ]. Greater retraction is associated with tears of increased size and also indicates there was more severe damage to the tendon.…”

Section: Discussionmentioning

confidence: 99%

Quantification of rotator cuff tear geometry: the repair ratio as a guide for surgical repair in crescent and U-shaped tears

Kandemir

Allaire

Debski

et al. 2009

Arch Orthop Trauma Surg

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IntroductionSurgical repair of symptomatic, retracted rotator cuff tears unresponsive to non-operative treatments requires closure of the tear without undue tension and reattaching the torn tendon to its former insertion site. In this study, the length of the torn tendon edge was hypothesized to be longer than the length of the humeral insertion site. The objective of this study was to quantify the discrepancy in length of the torn tendon edge and the length of the avulsed humeral insertion site.Materials and methodsFull thickness, rotator cuff tears that were found in twelve fresh frozen cadaver shoulders was studied. The length of the torn tendon edge, the length of the avulsed humeral insertion site and the retraction were measured using digital calipers.ResultsEach tear involved the supraspinatus and the infraspinatus was additionally torn in six. The size of the tear was medium in eight and large in four. The length of the torn tendon edge was always longer than the length of the avulsed humeral insertion site. Retraction was 29.9 ± 9.3 mm (range 21–48 mm). The repair ratio, defined as the ratio of length of torn tendon edge to the length of avulsed humeral insertion site, was 2.6 ± 0.4 (range 2.1–3.5).ConclusionAs only the length of the torn tendon edge equal to the length of the avulsed humeral insertion site can be repaired to bone, a repair ratio more than one precludes a simple repair and an additional repair technique such as margin convergence would be necessary for the remaining unapproximated torn tendon edge in rotator cuff tears. Repair ratio may aid in selection of the surgical repair technique of these rotator cuff tears.

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Section: Discussionmentioning

confidence: 99%

Quantification of rotator cuff tear geometry: the repair ratio as a guide for surgical repair in crescent and U-shaped tears

Kandemir

Allaire

Debski

et al. 2009

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

show abstract

“…10,23 Long-term results have been correlated with tear size, 3 and functional outcomes are less predictable with larger tears. 11,39 The repair of large and massive rotator cuff tears presents a more challenging problem. It is technically demanding and associated with a higher incidence of failure.…”

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confidence: 99%