Failed surgical management of partial thickness rotator cuff tears.
Some authors have recommended that rotator cuff tears <50% of tendon thickness be debrided and those involving >50% of the tendon be treated with miniopen repair. We hypothesize that if indications for selecting between simple debridement and tendon repair were appropriate, then both groups should have comparable outcomes. Thirty-nine patients with partial rotator cuff tears met inclusion criteria and were available for retrospective analysis. Twenty-six percent of patients who underwent debridement and 12.5% of patients who had mini-open repair had unsatisfactory results according to Neer's criteria.
Miller
Suzanne L
SL
Leni and Peter May Department of Orthopedics, The Mount Sinai Hospital, New York, NY 10029, USA.
Hazrati
Yassamin
Y
Cornwall
Roger
R
Hayes
Patrick
P
Gothelf
Todd
T
Gladstone
James L
JL
Flatow
Evan L
EL
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D019637:Orthopedic Procedures / Q000379:methods; D011336:Probability; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D018570:Risk Assessment; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D012737:Sex Factors; D000070599:Shoulder Injuries; D013180:Sprains and Strains / Q000175:diagnosis / Q000601:surgery*; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*; D017211:Treatment Failure; D016896:Treatment Outcome