The partial-thickness rotator cuff tear: Is acromioplasty without repair sufficient?
The partial-thickness rotator cuff tear: Is acromioplasty without repair sufficient?
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DOI：
10.1177/03635465020300021801
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发表时间：
2002-03-01
影响因子：
4.8
通讯作者：
Warren, RF
中科院分区：
文献类型：
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作者：
Cordasco, FA;Backer, M;Warren, RF
我们评估了162例有正常肩袖、1级（肌腱磨损）部分厚度撕裂或2级（肌腱小于50%）部分厚度撕裂的患者的关节镜肩峰成形术和清创的临床结果。105例（107例）患者从手术到对L'Insalata结果问卷做出反应的平均时间为52.7个月（4.5年）。平均得分为90分；8名患者（8%）得分低于70分（范围，30至65.5），他们的治疗早期失败。213级（法氏囊）部分厚度肩袖撕裂的患者失败率明显更高（38%）。虽然肩袖部分厚度撕裂小于50%肌腱（1级和2级）的患者的临床结果与没有部分肩袖撕裂的患者没有显著差异，但213级部分撕裂的患者亚组的失败率在统计学上显著更高，可能更适合进行初级修复。经过10年的随访，没有证据表明经关节镜前肩峰成形术治疗的部分厚度撕裂患者的临床相关或症状性内旋袖病理状况有进展。
We evaluated the clinical outcome of arthroscopic acromioplasty and debridement in 162 patients who had either normal rotator cuffs, grade 1 (frayed tendon) partial-thickness tears, or grade 2 (less than 50% of the tendon) partial-thickness tears. The mean time from surgery to the response to the L'Insalata outcome questionnaire was 52.7 months (4.5 years) among the 105 respondents (107 shoulders). The mean score was 90 points; eight patients (8%) scored less than 70 points (range, 30 to 65.5), and their treatment failed early on. The patients with grade 213 (bursal) partial-thickness rotator cuff tears had a significantly higher failure rate (38%). Although the clinical outcome of patients with partial-thickness tears of the rotator cuff comprising less than 50% of the tendon (grade 1 and 2) was not significantly different from that of patients without partial rotator cuff tears, the subgroup of patients with grade 213 partial tears had a statistically significantly higher failure rate and may have been better served with primary repair. With follow-up to 10 years, there was no evidence that clinically relevant or symptomatic intrinsic rotator cuff pathologic conditions progress in those patients with partial-thickness tears treated with arthroscopic anterior acromioplasty.