|Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears|
|Xiao, Jian; Cui, Guoqing|
|关键词||Shoulder rotator cuff partial-thickness tear bursal-side tear arthroscopic repair preservation of intact tissue|
|刊名||JOURNAL OF SHOULDER AND ELBOW SURGERY|
|WOS标题词||Science & Technology|
|类目[WOS]||Orthopedics ; Sport Sciences ; Surgery|
|研究领域[WOS]||Orthopedics ; Sport Sciences ; Surgery|
|关键词[WOS]||SUPRASPINATUS TENDON ; ACROMIOPLASTY ; INTEGRITY ; SHOULDER ; FEATURES|
Background: There have been few studies using magnetic resonance imaging (MRI) to evaluate the clinical outcomes and structural results after arthroscopic repair of bursal-side partial-thickness rotator cuff tears (PTRCTs).
Methods: From 2009 to 2012, 73 consecutive patients with bursal-side PTRCTs underwent arthroscopic repair. Fifty-nine of them were retrospectively evaluated as Ellman classification grade 2 (group A, n = 11) or grade 3 (group B, n = 48). All repairs were performed with a technique that preserved the intact articular fibers and repaired the avulsed bursal flap. The University of California-Los Angeles (UCLA) score and Constant score were assessed before the operation and at the final follow-up. Postoperative cuff integrity was determined with MRI following Sugaya′s classification.
Results: At the 2-year follow-up, the average UCLA score increased from 17.3 +/- 3.7 to 33.3 +/- 2.2, and the Constant score increased from 65.3 +/- 12.9 to 93.9 +/- 5.1 (P < .001). Forty-nine patients received follow-up MRI examinations at an average of 10.3 months after surgery. Of these 49 patients, 41 patients (83.7%) had a healed tendon and 8 patients had partial tears. Neither the clinical scores nor the retear rates on follow-up MRI were significantly different between the 2 groups.
Conclusions: Arthroscopic repair of bursal-side PTRCTs achieved good functional and structural outcomes at a minimum of 2 years after surgery. (C) 2015 Journal of Shoulder and Elbow Surgery Board of Trustees.
|作者单位||Peking Univ, Hosp 3, Inst Sports Med, Beijing 100191, Peoples R China|
|Xiao, Jian,Cui, Guoqing. Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears[J]. JOURNAL OF SHOULDER AND ELBOW SURGERY,2015,24(2):E41-E46.|
|APA||Xiao, Jian,&Cui, Guoqing.(2015).Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears.JOURNAL OF SHOULDER AND ELBOW SURGERY,24(2),E41-E46.|
|MLA||Xiao, Jian,et al."Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears".JOURNAL OF SHOULDER AND ELBOW SURGERY 24.2(2015):E41-E46.|