The Arthroscopic Management of Partial-Thickness Rotator Cuff Tears: A Systematic Review of the Literature

摘要: Purpose There is currently limited information available in the orthopaedic surgery literature regarding appropriate management of symptomatic partial-thickness rotator cuff tears. Methods A systematic search was performed PubMed, EMBASE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane Central Register Controlled Trials all published pertaining arthroscopic Inclusion criteria were studies that reported clinical outcomes after treatment both articular-sided bursal-sided lesions using a validated outcome scoring system minimum 12 months follow-up. Data abstracted from selected included tear type location (articular v bursal sided), approach, postoperative rehabilitation protocol, scores, patient satisfaction, imaging results. Results Sixteen met inclusion for final analysis. Seven treated tears with debridement or without an associated subacromial decompression, 3 takedown repair, 5 used transtendon repair technique, 1 transosseous method. Among 16 reviewed, excellent 28.7% 93% patients treated. In preoperative baseline data, resulted significant improvement shoulder symptoms function. For high-grade lesions, data support repairs, techniques providing high percentage Debridement less than 50% tendon's thickness concomitant acromioplasty also results good surgical outcomes; however, 6.5% 34.6% incidence progression full-thickness present. Conclusions This review showed variation present obtained What can be supported by involve tendon formal acromioplasty, although subsequent may occur. When greater 50%, intervention focusing on has been successful. no evidence suggest differential completion versus these because methods have shown result favorable outcomes. Level Evidence IV, IV studies.