ARTHROSCOPIC TREATMENT OF FULL-THICKNESS ROTATOR CUFF TEARS - 2-YEAR TO 7-YEAR FOLLOW-UP-STUDY

被引：136

作者：

ELLMAN, H

KAY, SP

WIRTH, M

机构：

[1] University of California at Los Angeles, Los Angeles, California

[2] University of Texas (M.W.), San Antonio, San Antonio, Texas

来源：

ARTHROSCOPY | 1993年 / 9卷 / 02期

关键词：

SHOULDER; ROTATOR CUFF SURGERY; SHOULDER SURGERY;

D O I：

10.1016/S0749-8063(05)80374-3

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study analyzes the midterm follow-up results of 40 full-thickness rotator cuff tears treated by arthroscopic subacromial decompression and debridement. Patients were selected for this prospective study based on a variety of factors, including physiologic age, handedness, activity level in occupation or avocation, and preoperative estimate of repairability. Patients were divided into three groups based on the size of the tear as measured during surgery; results were evaluated on the UCLA shoulder rating scale. This study emphasizes the importance of patient selection when applying arthroscopic treatment for full-thickness rotator cuff tears. Small (0-2 cm) tears (n = 10) in older individuals not involved in strenuous activities did well (90% satisfactory). Patients with larger (2-4 cm) repairable tears (n = 8) did poorly (50% satisfactory) in comparison with our previous study of the results of open repair (84% satisfactory). Arthroscopic treatment in patients with massive, irreparable tears (n = 22) did not restore lost strength or range of motion, but there was significant pain relief, and 86% were satisfied with the results on a limited-goals basis. The study concludes that with proper patient selection, arthroscopic treatment has a valuable, but limited, role in the treatment of full-thickness rotator cuff tears.

引用

页码：195 / 200

页数：6

共 13 条

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