PARTIAL-THICKNESS ROTATOR CUFF TEARS UPDATE PATHOGENESIS, DIAGNOSIS AND TREATMENT

  • Fukuda Hiroaki (Department of Orthopaedic Surgery, Tokai University School of Medicine) ;
  • Hamada Kazutoshi (Department of Orthopaedic Surgery, Tokai University School of Medicine) ;
  • Nakajima Tomotaka (Department of Orthopaedic Surgery, Tokai University School of Medicine) ;
  • Kobayashi Kunihiko (Department of Orthopaedic Surgery, Tokai University School of Medicine) ;
  • Uchiyama Yoshiyasu (Department of Orthopaedic Surgery, Tokai University School of Medicine)
  • 발행 : 2001.03.01

초록

1. Partial cuff tears are common and incapacitate active people in the 5th to 6th decades. 2. The pathogenesis appears multifactorial. 3. The pain is proportional to the degree of concomitant subacromial bursitis, not to the size of the cuff tear. 4. The diagnosis is made by several imagings, arthroscopy and/or trial tenotomy. 5. The spontaneous healing is unlikely and progression to complete tears is frequent. 6. The intratendinous extension poses therapeutic problem but satisfactory results are obtained by open surgery in approximately $90\% of cases.

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