الفهرس | Only 14 pages are availabe for public view |
Abstract P artial-thickness rotator cuff tears (PTRCTs) are a common source of shoulder pain and dysfunction. There is no real consensus in the literature on the threshold of tendon injuries that require repair or on the best treatment approach for bursal-side PTRCTs.[33] Arthroscopic Repair in situ and tear completion then repair remain reliable commonly used procedures in management of bursal side PTRCTs. Repair in situ preserves intact articular-sided tendon footprint, uses fewer suture anchors with less failure rates, yet it is more technically demanding procedure than tear completion. Tear completion then repair is a simple, less technically demanding technique. Our search included 11 studies, 5 tear completion, 4 repair in situ and 2 were comparative of both techniques. It seems obvious that both techniques (repair in situ and repair after tear completion) yielded comparable good results as regards pain reduction, improving range of motion, shoulder function and tendon healing. We recommend that further studies should be performed with in-depth assessment of improvement criteria and long-term follow up. |