Transtendon repair in partial articular supraspinatus tendon tear

Osti, Leonardo; Buda, Matteo; Andreotti, Mattia; Osti, Raffaella; Massari, Leo; Maffulli, Nicola

doi:10.1093/bmb/ldx023

Cited by 19 publications

(15 citation statements)

References 64 publications

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“…There has been much discussion about the outcomes of tear completion and repair compared to transtendinous repair, with most studies reporting similarly good outcomes with no significant difference in outcomes between the 2 techniques. [23][24][25][26] Jordan et al 27 published results of a systematic review of the outcomes of arthroscopic repair of partial-thickness articular-sided rotator cuff tears suggesting that transtendinous repairs are associated with more pain and worse function during the first 3 months postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Single Lateral Row Repair Technique for Small Rotator Cuff Tears

Cheow

Lie

2021

Arthroscopy Techniques

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Small symptomatic rotator cuff tears are a common problem seen by orthopaedic surgeons. Arthroscopic repair has been shown to have favorable outcomes for these lesions. There is as yet no consensus on the ideal technique for the arthroscopic repair of small rotator cuff tears. We present a single lateral row technique for the repair of such lesions, which we believe to be reproducible and effective, that achieves good approximation of the tear while reducing the chance of suture cutouts.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Single Lateral Row Repair Technique for Small Rotator Cuff Tears

Cheow

Lie

2021

Arthroscopy Techniques

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“…Repetitive contact between the articular side of the rotator cuff and the posterior-superior glenoid, commonly seen in overhead athletes, produces posterosuperior glenoid internal impingement, causing repetitive microtrauma on the articular cuff side. 6 , 7 The recommended initial management for the symptomatic shoulder is an extended conservative treatment period. If conservative care is unsuccessful, numerous surgical treatments have shown favorable results.…”

Section: Discussionmentioning

confidence: 99%

“…5 PASTA (partial articular supraspinatus tendon avulsion) lesions can be caused by multiple different mechanisms including acute trauma, repetitive microtrauma, age-related degeneration, and instability of the shoulder with internal impingement. 6,7 Conservative treatment with physical therapy, rest, and nonsteroidal anti-inflammatories should be considered a first option. If conservative treatment fails, different surgical treatment methods are available, such as arthroscopic debridement of the tear with or without acromioplasty, tear completion and repair, and transtendinous repair.…”

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confidence: 99%

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Repairing PASTA Lesions Without Violation of the Rotator Cuff

Bernazzani

McMartin

Garbis

2020

Arthroscopy Techniques

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Partial-thickness articular-sided rotator cuff tears are a common cause of shoulder pain in adults. Although partial rotator cuff tears have a high prevalence, there is still controversy over their proper surgical treatment. Different surgical procedures have been suggested when partial tears involve the articular side of the rotator cuff, such as arthroscopic debridement of the tear with or without acromioplasty, tear completion and repair, and transtendinous in situ repair. Although multiple repair techniques have been described, significant clinical data to definitively support one technique over the others are currently lacking. We describe an arthroscopic technique for repair of a partial articular supraspinatus tendon avulsion that avoids the transtendinous insertion of suture anchors to preserve the tendon integrity.

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“…The reason for differences in opinion may be that the natural history and aetiology of PASTA lesions is unclear. [5][6][7] Many studies have been performed over the last 15 years in an attempt to clarify the best way of managing this pathology. However, the current literature has been primarily focused upon techniques of repair, with almost nothing being written about the natural history and identifying those which may benefit from repair and how to differentiate them from those tears which are merely a radiological appearance and are a normal part of a mildly degenerative part in the tendon and which are static.…”

Section: Introductionmentioning

confidence: 99%

Partial articular supraspinatus tendon avulsion: Should we repair? A systematic review of the evidence

Tennent

Green

2019

Shoulder & Elbow

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Introduction Partial articular sided rotator cuff tears are described as being a common cause of shoulder pain and to have a significant impact of patient quality of life. The natural history of partial articular supraspinatus tendon avulsion lesions is not clearly defined and there is limited evidence to determine optimal management. Aims To perform a systematic review of the literature regarding the evidence for partial articular supraspinatus tendon avulsion repair and to determine whether there is any difference between operative and non-operatively managed patients. Methods Conventional and grey literature were searched with defined terms to identify studies in human adults concerning management of partial articular sided supraspinatus avulsions. Results Out of 86 papers identified by the search terms, 28 were deemed eligible for review including 1966 shoulders. 4/28 papers were of level I–II evidence but all were comparing techniques. 4/28 papers were biomechanical cadaveric studies, assessing strength of repair and effect on stability. The remaining 20 studies were level IV–V evidence and consisted of case series and technical notes identifying varying techniques of repair and their outcomes. Conclusion Current literature suggests that all techniques used to repair partial articular supraspinatus tendon avulsion lesions give increased functional scores and reduced pain. However, this represents a heterogeneous group of patients with variable degrees of tear and is not reproducible. There are limited controlled studies to determine whether partial articular supraspinatus tendon avulsion lesions require repair. Current classification systems represent a single plane and are open to user variation. No evidence exists to determine which tears are stable and which may progress.

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Transtendon repair in partial articular supraspinatus tendon tear

Abstract: IV.

Cited by 19 publications

References 64 publications

Arthroscopic Single Lateral Row Repair Technique for Small Rotator Cuff Tears

Arthroscopic Single Lateral Row Repair Technique for Small Rotator Cuff Tears

Repairing PASTA Lesions Without Violation of the Rotator Cuff

Partial articular supraspinatus tendon avulsion: Should we repair? A systematic review of the evidence

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