Yıl: 2020 Cilt: 54 Sayı: 2 Sayfa Aralığı: 196 - 201 Metin Dili: İngilizce DOI: 10.5152/j.aott.2020.02.486 İndeks Tarihi: 27-10-2020

Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique

Öz:
Objective: Patients who underwent arthroscopic repair for partial rotator cuff tears were evaluated retrospectively. This study purposed to assess the postoperative clinical results of arthroscopic treatment of intratendinous rotator cuff tears and to investigate theeffect of the tear type on the postoperative clinical outcomes.Methods: Overall, 60 patients [36 women and 24 men; mean age: 48.6±12.2 years (range 33–67 years)] who underwent arthroscopic repair of Ellman stage 3 partial rotator cuff tear were evaluated retrospectively. These patients were grouped into the followingthree groups: articular-sided tears, bursal-sided tears, and intratendinous tears, with 20 patients included in each group. Subacromial decompression, acromioplasty, and tear repair without transforming to full-thickness tear were applied to the bursal-sidedtears. The same technique was performed for intratendinous ruptures, with the only technical difference was that the capsulartissue was preserved during debridement of intratendinous tears. The articular-sided tears were transformed to complete tears andrepaired arthroscopically. The preoperative and postoperative ASES scores and range of motion improvements were evaluated inall patients. The mean follow-up time was 44±6.5 months (range: 36–62 months).Results: No significant intergroup differences were observed concerning the age and the mean follow-up duration (p=0.524,p=0.665). A similar increase in ASES scores was observed for all three types of tears (bursal-sided tears: 31.09–82.65; articular-sided tears: 35.50–-84.00; intratendinous tears: 34.01–83.49). Statistically, no significant intergroup difference was observed concerning ASES score improvement (p=0.585). An increase in mean forward flexion, abduction, and external rotation were observed,especially, a statistically significant increase in flexion (p=0.001) and abduction (p=0.001) in all three types of tears. No patientexperienced any intraoperative or postoperative complications.Conclusion: The results of arthroscopic treatment of intratendinous tears were similar to the other types of partial tears, and the results of arthroscopic treatment of grade 3 partial rotator cuff tears revealed satisfactory outcomes, regardless of the type of the tear
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
  • 1. Ellman H. Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 1990; 254: 64-74. [CrossRef]
  • 2. Banas MP, Miller RJ, Totterman S. Relationship between the lateral acromion angle and rotator cuff disease. J Shoulder Elbow Surg 1995; 4: 454-61. [CrossRef]
  • 3. McConville OR, Iannotti JP. Partial-thickness tears of the rotator cuff: Evaluation and management. J Am Acad Orthop Surg 1999; 7: 32-43. [CrossRef]
  • 4. Strauss EJ, Salata MJ, Kercher J, et al. Multimedia article. The arthroscopic management of partial thickness rotator cuff tears: A systematic review of the literature. Arthroscopy 2011; 27: 568-80. [CrossRef]
  • 5. Yang S, Park HS, Flores S, et al. Biomechanical analysis of bursal-sided partial thickness rotator cuff tears. J Shoulder Elbow Surg 2009; 18: 379-385. [CrossRef]
  • 6. Finnan RP, Crosby LA. Partial-thickness rotator cuff tears. J Shoulder Elbow Surg 2010; 19: 609-16. [CrossRef]
  • 7. Ozer M, Ataoğlu MB, Çetinkaya M, Ayanoğlu T, Kaptan AY, Kanatlı U. Do intra-articular pathologies accompanying symptomatic acromioclavicular joint degeneration vary across age groups? Eklem Hastalik Cerrahisi 2019; 30: 2-9. [CrossRef]
  • 8. Ozaki J, Fujimoto S, Nakagawa Y, Masuhara K, Tamai S. Tears of the rotator cuff of the shoulder associated with pathological changes in the acromion. A study in cadavera. J Bone Joint Surg Am 1988; 70: 1224-30. [CrossRef]
  • 9. Ayanoglu T, Ataoglu B, Ozer M, Cetinkaya M, Kaptan AY, Kanatlı U. Is routine coracoplasty necessary in isolated subscapularis tears? Eklem Hastalik Cerrahisi 2019; 30: 112-6. [CrossRef]
  • 10. Fukuda H. The management of partial-thicknes stears of the rotator cuff. J Bone Joint Surg Br 2003; 85: 3-11. [CrossRef]
  • 11. Pedowitz RA, Yamaguchi K, Ahmad CS, Burks RT, Flatow EL, Green A, et al. Optimizing the management of rotator cuff problems. J Am Acad Orthop Surg 2011; 19: 368-79. [CrossRef]
  • 12. Shams A, El-Sayed M, Gamal O, Ewes W. Subacromial injection of autologous platelet-rich plasma versus corticosteroid for the treatment of symptomatic partial rotator cuff tears. Eur J Orthop Surg Traumatol 2016; 26: 837-42. [CrossRef]
  • 13. Çift H, Özkan FÜ, Tolu S, Şeker A, Mahiroğulları M. Comparison of subacromial tenoxicam and steroid injections in the treatment of impingement syndrome. Eklem Hastalik Cerrahisi 2015; 26: 16-20. [CrossRef]
  • 14. Lee WH, Do HK, Lee JH, et al. Clinical outcomes of conservative treatment and arthroscopic repair of rotator cuff tears: A retrospective observational study. Ann Rehabil Med 2016; 40: 252-62. [CrossRef]
  • 15. Clavert P, Le Coniat Y, Kempf JF, Walch G. Intratendinous rupture of the supraspinatus: Anatomical and functional results of 24 operative cases. Eur J Orthop Surg Traumatol 2016; 26: 133-8. [CrossRef]
  • 16. Park SE, Panchal K, Jeong JJ, et al. Intratendinous rotator cuff tears: Prevalence and clinical and radiological outcomes of arthroscopically confirmed intratendinous tears at midterm follow-up. Am J Sports Med 2015; 43: 415-22. [CrossRef]
  • 17. Donohue NK, Nickel BT, Grindel SI. High-grade articular, bursal, and intratendinous partial-thickness rotator cuff tears: A retrospective study comparing functional outcomes after completion and repair. Am J Orthop 2016; 45: 254-60.
  • 18. Maman E, Harris C, White L, Tomlinson G, Shashank M, Boynton E. Outcome of nonoperative treatment of symptomatic rotator cuff tears monitored by magnetic resonance imaging. J Bone Joint Surg Am 2009; 91: 1898-906. [CrossRef]
  • 19. Uchiyama Y, Hamada K, Khruekarnchana P, et al. Surgical treatment of confirmed intratendinous rotator cuff tears: Retrospective analysis after an average of eight years of follow-up. J Shoulder Elbow Surg 2010; 19: 837-46. [CrossRef]
  • 20. Xiao J, Cui GQ. Clinical and magnetic resonance imaging results of arthroscopic repair of intratendinous partial thickness rotator cuff tears. Chin Med J (Engl) 2015; 128: 1496-501. [CrossRef]
  • 21. Kim SJ, Kim SH, Lim SH, Chun YM. Use of magnetic resonance arthrography to compare clinical features and structural integrity after arthroscopic repair of bursal versus articular side partial-thickness rotator cuff tears. Am J Sports Med 2013; 41: 2041-7. [CrossRef]
  • 22. Koh KH, Shon MS, Lim TK, Yoo JC. Clinical and magnetic resonance imaging results of arthroscopic full-layer repair of bursal-side partial-thickness rotator cuff tears. Am J Sports Med 2011; 39: 1660- 7. [CrossRef]
  • 23. Millstein ES, Snyder SJ. Arthroscopic management of partial, full-thickness, and complex rotator cuff tears: Indications, techniques, and complications. Arthroscopy 2003; 19 (Suppl 1): 189-99. [CrossRef]
  • 24. Kim KC, Shin HD, Cha SM, Park JY. Repair integrity and functional outcome after arthroscopic conversion to a full-thickness rotator cuff tear: Articular- versus bursal-side partial tears. Am J Sports Med 2014; 42: 451-6. [CrossRef]
  • 25. Castagna A, Borroni M, Garofalo R, et al. Deep partial rotator cuff tear: Transtendon repair or tear completion and repair? A randomized clinical trial. Knee Surg Sports Traumatol Arthrosc 2015; 23: 460-3. [CrossRef]
  • 26. Yamakado K. Histopathology of residual tendon in high-grade articular-sided partial-thickness rotator cuff tears (PASTA lesions). Arthroscopy 2012; 28: 474-80. [CrossRef]
  • 27. Kanatli U, Ayanoğlu T, Aktaş E, Ataoğlu M, Özer M, Çetinkaya M. Grade of coracoacromial ligament degeneration as a predictive factor for impingement syndrome and type of partial rotator cuff tear. J Shoulder Elbow Surg 2016; 25: 1824-8. [CrossRef]
APA Kanatlı U, Ayanoğlu T, ATAOĞLU M, özer m, Cetinkaya M, Eren T (2020). Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. , 196 - 201. 10.5152/j.aott.2020.02.486
Chicago Kanatlı Ulunay,Ayanoğlu Tacettin,ATAOĞLU Muhammet Baybars,özer mustafa,Cetinkaya Mehmet,Eren Toygun Kağan Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. (2020): 196 - 201. 10.5152/j.aott.2020.02.486
MLA Kanatlı Ulunay,Ayanoğlu Tacettin,ATAOĞLU Muhammet Baybars,özer mustafa,Cetinkaya Mehmet,Eren Toygun Kağan Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. , 2020, ss.196 - 201. 10.5152/j.aott.2020.02.486
AMA Kanatlı U,Ayanoğlu T,ATAOĞLU M,özer m,Cetinkaya M,Eren T Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. . 2020; 196 - 201. 10.5152/j.aott.2020.02.486
Vancouver Kanatlı U,Ayanoğlu T,ATAOĞLU M,özer m,Cetinkaya M,Eren T Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. . 2020; 196 - 201. 10.5152/j.aott.2020.02.486
IEEE Kanatlı U,Ayanoğlu T,ATAOĞLU M,özer m,Cetinkaya M,Eren T "Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique." , ss.196 - 201, 2020. 10.5152/j.aott.2020.02.486
ISNAD Kanatlı, Ulunay vd. "Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique". (2020), 196-201. https://doi.org/10.5152/j.aott.2020.02.486
APA Kanatlı U, Ayanoğlu T, ATAOĞLU M, özer m, Cetinkaya M, Eren T (2020). Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. Acta Orthopaedica et Traumatologica Turcica, 54(2), 196 - 201. 10.5152/j.aott.2020.02.486
Chicago Kanatlı Ulunay,Ayanoğlu Tacettin,ATAOĞLU Muhammet Baybars,özer mustafa,Cetinkaya Mehmet,Eren Toygun Kağan Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. Acta Orthopaedica et Traumatologica Turcica 54, no.2 (2020): 196 - 201. 10.5152/j.aott.2020.02.486
MLA Kanatlı Ulunay,Ayanoğlu Tacettin,ATAOĞLU Muhammet Baybars,özer mustafa,Cetinkaya Mehmet,Eren Toygun Kağan Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. Acta Orthopaedica et Traumatologica Turcica, vol.54, no.2, 2020, ss.196 - 201. 10.5152/j.aott.2020.02.486
AMA Kanatlı U,Ayanoğlu T,ATAOĞLU M,özer m,Cetinkaya M,Eren T Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(2): 196 - 201. 10.5152/j.aott.2020.02.486
Vancouver Kanatlı U,Ayanoğlu T,ATAOĞLU M,özer m,Cetinkaya M,Eren T Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(2): 196 - 201. 10.5152/j.aott.2020.02.486
IEEE Kanatlı U,Ayanoğlu T,ATAOĞLU M,özer m,Cetinkaya M,Eren T "Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique." Acta Orthopaedica et Traumatologica Turcica, 54, ss.196 - 201, 2020. 10.5152/j.aott.2020.02.486
ISNAD Kanatlı, Ulunay vd. "Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique". Acta Orthopaedica et Traumatologica Turcica 54/2 (2020), 196-201. https://doi.org/10.5152/j.aott.2020.02.486