In situ repair of partial-thickness rotator cuff tears: a critical analysis review

ROSSI, LUCIANO A.; RANALLETTA, MAXIMILIANO

EFORT Open Reviews

The British Editorial Society of Bone & Joint Surgery

Año: 2020 vol. 5 p. 138 - 144

2396-7544

After failed conservative management, operative interventionis typically indicated for patients with partial-thicknessrotator cuff tears (PTRCTs) with persistent pain and disabilitysymptoms.?? For PTRCTs involving < 50% of the tendon thickness,debridement with or without acromioplasty resulted infavourable outcomes in most studies.?? For PTRCTs involving > 50% of the tendon thickness, insitu repair has proven to significantly improve pain andfunctional outcomes for articular and bursal PTRCTs.?? The few available comparative studies in the literatureshowed similar functional and structural outcomesbetween in situ repair and repair after conversion to fullthicknesstear for PTRCTs.?? Most non-overhead athletes return to sports at the samelevel as previous to the injury after in situ repair of PTRCTs.However, rates of return to preinjury level of competitionfor overhead athletes have been generally poor regardlessof the utilized technique.?? During long-term follow-up, arthroscopic in situ repair ofarticular and bursal PTRCTs produced excellent functionaloutcomes in most patients, with a low rate of revision.