Arthroscopic evaluation and treatment of the rotator cuff.
Arthroscopy has improved our diagnostic assessment of rotator cuff disease, especially in understanding patterns of articular surface partial-thickness tears. Arthroscopic subacromial decompression is a proven and reliable alternative to open acromioplasty. Despite continued controversy, most partial-thickness rotator cuff tears may be satisfactorily treated by arthroscopic debridement and decompression. The role for debridement and decompression without repair for full-thickness rotator cuff tears seems less than initially suggested, as several recent independent studies have documented results inferior to open repair. Arthroscopically assisted mini-open repair of small, full-thickness rotator cuff tears is a reliable procedure. Arthroscopic repair appears promising, but is not yet well enough documented to be considered a standard treatment.
Yamaguchi
K
K
Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, USA.
Flatow
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EL
D001182:Arthroscopy / Q000379:methods; D004724:Endoscopy / Q000379:methods; D006801:Humans; D017006:Rotator Cuff / Q000473:pathology* / Q000601:surgery; D000070636:Rotator Cuff Injuries; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery