Abstract

Diagnosis and Management of Partial Thickness Rotator Cuff Tears

Highlights

  • Shoulder pain is a common cause of morbidity in the society with surveys showing that 9-26% of the adult population being affected at a point in time [1]

  • In the subtype of rotator cuff disease, rotator cuff tendinopathy, subacromial bursitis, partialthickness rotator cuff tears (PTRCT) and full thickness tears are the common causes of pain and disability

  • This was in contrast to another study with acromioplasty and debridement which reported that only 6.5% repairs progressed into full thickness tears in patients with a mean age of 59.2 years [56]

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Summary

Introduction

Shoulder pain is a common cause of morbidity in the society with surveys showing that 9-26% of the adult population being affected at a point in time [1]. The cable is a deep extension of the coracohumeral ligament and made of fibrous tissue This surrounds a thinner tissue area, consisting of the distal portions of supraspinatus and infraspinatus, called the crescent region that has its insertion at the greater tuberosity. Partial thickness rotator cuff tears can be classified on three different bases - where they are located (articular, bursal or intratendinous), which tendon of the rotator cuff has been affected (supraspinatus, infraspinatus, teres minor or subscapularis) and the size of the tendon tear, calculated as a percentage of the thickness of the tendon [9]. Habermayer proposed a new arthroscopic classification of articular-sided supraspinatus tears which includes determining the tear size, like the older classifications, this includes classification of the size and location of the tear in the sagittal and coronal plane This system does not include bursal sided and intratendinous tears [11,12].

Does not include classification of intratendinous tears
Ultrasound and MRI scan
Treatment Conservative Management
Surgical treatment
Tear Conversion Followed by Repair
In situ Repair
Castagna et al Waibl and Buess
Intratendinous Tears
Findings
Conclusion

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