Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(06): 726-732
DOI: 10.1055/s-0041-1729583
Artigo Original
Ombro e Cotovelo

Comparative Clinical Evaluation of Two Techniques of Arthroscopic Treatment of Partial Articular Rotator Cuff Tears[*]

Article in several languages: português | English
Guilherme do Val Sella 
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Luciana Andrade da Silva 
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Caio Santos Checchia
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Hector Carmona Marmille
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Cláudio Santili
2   Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Alberto Naoki Miyazaki
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
› Author Affiliations Financial Support There was no financial support from public, commercial, or non-profit sources.
› Further Information
   Permissions and Reprints

Abstract

Objectives To evaluate the clinical results of patients submitted to arthroscopic treatment of partial lesion of the articular part of the rotator cuff by transtendon suture techniques and after completing the lesion and to compare the postoperative recovery time of the two techniques.

Method Retrospective study based on the identification of all cases with partial lesion of the articular part of the rotator cuff submitted to arthroscopic treatment from October 1999 to December 2016 at the Shoulder and Elbow Group of our institution. Thirty-nine patients were included and divided into two groups: those who underwent the transtendon technique and those in whom the lesion was completed. The two groups were statistically similar. The respective medical records were analyzed as well as the identification of the applied technique, the postoperative results, and the related complications. The functional evaluation was performed using the score of the University of California at Los Angeles (UCLA).

Results There was no statistically relevant difference between the groups, with a mean UCLA score of 32, and no difference in the time required for rehabilitation.

Conclusion There was no difference between the clinical outcome of the patients, regardless of the technique used to repair the partial lesions of the articular part of the rotator cuff, with satisfactory results in 93% of the cases.

Keywords

rotator cuff - arthroscopy - treatment

* Study carried out in the Shoulder and Elbow Surgery Group of the Department of Orthopedics and Traumatology of the Faculty of Medical Sciences of Santa Casa de São Paulo, "Pavilhão Fernandinho Simonsen" (DOT - FCMSCSP) (Director: Professor Maria Fernanda Silber Caffaro), São Paulo/SP, Brazil.




Publication History

Received: 06 June 2019

Accepted: 01 December 2020

Article published online:
07 December 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Stuart KD, Karzel RP, Ganjianpour M, Snyder SJ. Long-term outcome for arthroscopic repair of partial articular-sided supraspinatus tendon avulsion. Arthroscopy 2013; 29 (05) 818-823
    CrossrefPubMedGoogle Scholar
  • 2 Loehr JF, Uhthoff HK. The pathogenesis of degenerative rotator cuff tears. Orthop Trans 1987; 11: 237-243
    Google Scholar
  • 3 Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 1995; 77 (01) 10-15
    CrossrefPubMedGoogle Scholar
  • 4 Hawi N, Liodakis E, Garving C, Habermeyer P, Tauber M. Pulley lesions in rotator cuff tears: prevalence, etiology, and concomitant pathologies. Arch Orthop Trauma Surg 2017; 137 (08) 1097-1105
    CrossrefPubMedGoogle Scholar
  • 5 Fukuda H. Partial-thickness rotator cuff tears: a modern view on Codman's classic. J Shoulder Elbow Surg 2000; 9 (02) 163-168
    CrossrefPubMedGoogle Scholar
  • 6 Ellman H. Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 1990; (254) 64-74
    PubMedGoogle Scholar
  • 7 Finnan RP, Crosby LA. Partial-thickness rotator cuff tears. J Shoulder Elbow Surg 2010; 19 (04) 609-616
    CrossrefPubMedGoogle Scholar
  • 8 Weinreb JH, Sheth C, Apostolakos J. et al. Tendon structure, disease, and imaging. Muscles Ligaments Tendons J 2014; 4 (01) 66-73
    CrossrefPubMedGoogle Scholar
  • 9 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 (08) 1224-1230
    CrossrefPubMedGoogle Scholar
  • 10 Carvalho CD, Cohen C, Belangero PS. et al. Lesão parcial do manguito rotador no atleta – bursal ou articular?. Rev Bras Ortop 2015; 50 (04) 416-421
    CrossrefPubMedGoogle Scholar
  • 11 Kim YS, Lee HJ, Bae SH, Jin H, Song HS. Outcome comparison between in situ repair versus tear completion repair for partial thickness rotator cuff tears. Arthroscopy 2015; 31 (11) 2191-2198
    CrossrefPubMedGoogle Scholar
  • 12 Mall NA, Kim HM, Keener JD. et al. Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables. J Bone Joint Surg Am 2010; 92 (16) 2623-2633
    CrossrefPubMedGoogle Scholar
  • 13 Stuart KD, Karzel RP, Ganjianpour M, Snyder SJ. Long-term outcome for arthroscopic repair of partial articular-sided supraspinatus tendon avulsion. Arthroscopy 2013; 29 (05) 818-823
    CrossrefPubMedGoogle Scholar
  • 14 Veado MAC, Bertolini FM, Almeida Filho IA. Eficácia do desbridamento artroscópico nas lesões parciais do manguito rotador. Rev Bras Ortop 2006; 41 (1/2): 22-28
    Google Scholar
  • 15 Snyder SJ. Arthroscopic repair of partial articular supraespinatus tendo avulsion: Pasta lesion of the rotator cuff tendon. In: Shoulder arthoscopy. Philadelphia: Lippincott Williams & Wilkins; 2003: 219-229
    Google Scholar
  • 16 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 (02) 460-463
    CrossrefPubMedGoogle Scholar
  • 17 Ellman H, Hanker G, Bayer M. Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 1986; 68 (08) 1136-1144
    CrossrefPubMedGoogle Scholar
  • 18 Checchia SL, Fregoneze M, Miyazaki AN. et al. Tratamento da capsulite adesiva com bloqueios seriados do nervo supra-escapular. Rev Bras Ortop 2006; 41 (07) 245-252
    Google Scholar
  • 19 Mazzocca AD, Rincon LM, O'Connor RW. et al. Intra-articular partial-thickness rotator cuff tears: analysis of injured and repaired strain behavior. Am J Sports Med 2008; 36 (01) 110-116
    CrossrefPubMedGoogle Scholar
  • 20 Sethi PM, Rajaram A, Obopilwe E, Mazzocca AD. Partial articular-sided rotator cuff tears: in situ repair versus tear completion prior to repair. Orthopedics 2013; 36 (06) 771-777
    CrossrefPubMedGoogle Scholar
  • 21 Mihata T, McGarry MH, Ishihara Y. et al. Biomechanical analysis of articular-sided partial-thickness rotator cuff tear and repair. Am J Sports Med 2015; 43 (02) 439-446
    CrossrefPubMedGoogle Scholar
  • 22 Shin SJ. A comparison of 2 repair techniques for partial-thickness articular-sided rotator cuff tears. Arthroscopy 2012; 28 (01) 25-33
    CrossrefPubMedGoogle Scholar
  • 23 Godinho GG, França FO, Freitas JMA. et al. Avaliação funcional a longo prazo do tratamento videoartroscópico das lesões parciais do manguito rotador. Rev Bras Ortop 2015; 50 (02) 200-205
    CrossrefPubMedGoogle Scholar
  • 24 Ono Y, Woodmass JM, Bois AJ, Boorman RS, Thornton GM, Lo IK. Arthroscopic Repair of Articular Surface Partial-Thickness Rotator Cuff Tears: Transtendon Technique versus Repair after Completion of the Tear-A Meta-Analysis. Adv Orthop 2016; 2016: 7468054
    PubMedGoogle Scholar