REVERSED ARTHROSC OPIC SUBACROMIAL DEC OMPRESSION FOR TREATMENT OF ROTATOR CUFF TEARS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

SUNChao ,  PANZhaoxun , YANGXiaoming , DUBencai

Department of Joint Surgery, the 89th Hospital of Chinese PLA, Weifang Shandong, 261021, P. R. China;

Corresponding author：

PANZhaoxun, Email: guke89@126.com

Keywords：

Arthroscopy; Reversed subacromial decompression; Rotator cuff tear; Greater tuberosity

DOI：

10.7507/1002-1892.20160191

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the effectiveness of reversed arthroscopic subacromial decompression in the treatment of rotator cuff tears. Methods Between November 2012 and January 2015, 53 patients with rotator cuff tears were treated with reversed arthroscopic subacromial decompression and rotator cuff repair. Of 53 patients, 38 were male and 15 were female, with the age of 47-61 years (mean, 53.4 years). The injury was caused by falling in 36 cases and other in 17 cases without an obvious history of trauma. All patients had shoulder pain and limited shoulder movement before operation. Visual analogue scale (VAS) was 6.4±0.9, and University of California at Los Angeles (UCLA) score was 16.3±1.9. MRI showed that distal supraspinatus tear was observed in 41 cases and distal infraspinatus tear in 12 cases; partial-thickness rotator cuff tear was observed in 9 cases and full-thickness tear in 44 cases. And the tear size was from 1 to 3 cm (mean, 1.9 cm). Combined injuries included tendinitis of long head of biceps brachii in 31 cases, Bankart lesion in 5 cases, and superior labrum anterior and posterior lesion in 2 cases. Results Incision healed by first intention in all patients; no infection or nerve injury occurred. Forty-nine cases were followed up from 12 to 35 months (mean, 22.8 months). After operation, shoulder pain relief was achieved in 42 cases; 7 cases had anterior shoulder pain at 3 months after operation, which was relieved after symptomatic treatment. At last follow-up, VAS score was significantly decreased to 0.5±0.6 (t=40.565, P=0.000). UCLA score was significantly increased to 33.8±1.7 (t=-79.799, P=0.000). The results were excellent in 42 cases, good in 6 cases, and fair in 1 case; the excellent and good rate was 98.0%. Conclusion Reversed arthroscopic subacromial decompression can avoid coracoacromial arch injury and achieve good recovery of joint function, so it can be used in rotator cuff tears procedure.

Citation： SUNChao, PANZhaoxun, YANGXiaoming, DUBencai. REVERSED ARTHROSC OPIC SUBACROMIAL DEC OMPRESSION FOR TREATMENT OF ROTATOR CUFF TEARS. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(8): 943-946. doi: 10.7507/1002-1892.20160191 Copy

1.	Herrmann SJ, Izadpanah K, Südkamp NP, et al. Tears of the rotator cuff. Causes-diagnosis-treatment. Acta Chir Orthop Traumatol Cech, 2014, 81(4):256-266.
2.	Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder:a preliminary report. J Bone Joint Surg (Am), 1972, 54(1):41-50.
3.	张春刚, 王卫明, 赵德伟, 等.肩袖部分撕裂的关节镜治疗.中国骨与关节损伤杂志, 2010, 25(7):586-588.
4.	李小飞, 谢文瑾, 盛路新.肩关节镜下肩袖修复术治疗肩袖损伤的临床效果观察.山东医药, 2015, 55(37):90-91.
5.	黄成龙, 潘界恩, 蔡震海, 等.关节镜下缝线桥技术治疗老年创伤性肩关节脱位合并肩袖损伤的疗效评价.中国内镜杂志, 2016, 22(6):35-39.
6.	Fenlin JM Jr, Chase JM, Rushton SA, et al. Tuberoplasty:creation of an acromiohumeral articulation-a treatment option for massive, irreparable rotator cuff tears. J Shoulder Elbow Surg, 2002, 11(2): 136-142.
7.	Abrams GD, Gupta AK, Hussey KE, et al. Arthroscopic repair of full-thickness rotator cuff tears with and without acromioplasty: randomized prospective trial with 2-year follow-up. Am J Sports Med, 2014, 42(6):1296-1303.
8.	Filippo F, Alan GZ, Bruno I, et al. Is acromioplasty necessary in the setting of full-thickness rotator cuff tears? A systematic review. J Orthopaed Traumatol, 2015, 16(3):167-174.
9.	Mihata T, McGarry MH, Kahn T, et al. Biomechanical effects of acromioplasty on superior capsule reconstruction for irreparable supraspinatus tendon tears. Am J Sports Med, 2016, 44(1):191-197.
10.	王勇, 徐友高.关节镜下肩峰成形术治疗肩峰撞击征.中国骨与关节损伤杂志, 2014, 29(11):1157-1158.
11.	刘晓潭, 田林强, 贾金岭, 等.关节镜下改良前肩峰成形术治疗肩峰撞击综合征的疗效观察.中国内镜杂志, 2015, 21(2):203-206.
12.	Park SE, Panchal K, Jeong JJ, et al. Intratendinous rotator cuff tears:prevalence and clinical and radiological outcomes of arthroscopically confirmed intratendinous tears at midterm followup. Am J Sports Med, 2015, 43(2):415-422.
13.	刘平, 敖英芳.关节镜下缝合桥技术与双排缝合技术治疗肩袖部分损伤21例回顾性研究.中国运动医学杂志, 2016, 35(2):137-140.
14.	Kim KC, Shin HD, Cha SM, et al. Repair integrity and functional outcome after arthroscopic conversion to a full-thickness rotator cuff tear:articular-versus bursal-side partial tears. Am J Sports Med, 2014, 42(2):451-456.
15.	Shin SJ, Kook SH, Rao N, et al. Clinical outcomes of modified Mason-Allen single-row repair for bursal-sided partial-thickness rotator cuff tears:comparison with the double-row suture-bridge technique. Am J Sports Med, 2015, 43(8):1976-1982.
16.	Xiao J, Cui G. Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears. J Shoulder Elbow Surg, 2015, 24(2):e41-46.
17.	庄泽, 卢华定, 陈郁鲜, 等.肩袖损伤后单排与双排缝合方法比较的Meta分析.中国组织工程研究, 2014, 18(29):4742-4751.
18.	黄祖辉, 谭志超, 李征, 等.肩关节镜下双排缝线桥技术治疗肩袖损伤.深圳中西医结合杂志, 2015, 25(20):100-101.
19.	李小飞, 谢文瑾, 盛路新.老年退变性肩袖损伤的肩关节镜治疗.实用骨科杂志, 2016, 22(2):107-110.

1. Herrmann SJ, Izadpanah K, Südkamp NP, et al. Tears of the rotator cuff. Causes-diagnosis-treatment. Acta Chir Orthop Traumatol Cech, 2014, 81(4):256-266.
2. Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder:a preliminary report. J Bone Joint Surg (Am), 1972, 54(1):41-50.
3. 张春刚, 王卫明, 赵德伟, 等.肩袖部分撕裂的关节镜治疗.中国骨与关节损伤杂志, 2010, 25(7):586-588.
4. 李小飞, 谢文瑾, 盛路新.肩关节镜下肩袖修复术治疗肩袖损伤的临床效果观察.山东医药, 2015, 55(37):90-91.
5. 黄成龙, 潘界恩, 蔡震海, 等.关节镜下缝线桥技术治疗老年创伤性肩关节脱位合并肩袖损伤的疗效评价.中国内镜杂志, 2016, 22(6):35-39.
6. Fenlin JM Jr, Chase JM, Rushton SA, et al. Tuberoplasty:creation of an acromiohumeral articulation-a treatment option for massive, irreparable rotator cuff tears. J Shoulder Elbow Surg, 2002, 11(2): 136-142.
7. Abrams GD, Gupta AK, Hussey KE, et al. Arthroscopic repair of full-thickness rotator cuff tears with and without acromioplasty: randomized prospective trial with 2-year follow-up. Am J Sports Med, 2014, 42(6):1296-1303.
8. Filippo F, Alan GZ, Bruno I, et al. Is acromioplasty necessary in the setting of full-thickness rotator cuff tears? A systematic review. J Orthopaed Traumatol, 2015, 16(3):167-174.
9. Mihata T, McGarry MH, Kahn T, et al. Biomechanical effects of acromioplasty on superior capsule reconstruction for irreparable supraspinatus tendon tears. Am J Sports Med, 2016, 44(1):191-197.
10. 王勇, 徐友高.关节镜下肩峰成形术治疗肩峰撞击征.中国骨与关节损伤杂志, 2014, 29(11):1157-1158.
11. 刘晓潭, 田林强, 贾金岭, 等.关节镜下改良前肩峰成形术治疗肩峰撞击综合征的疗效观察.中国内镜杂志, 2015, 21(2):203-206.
12. Park SE, Panchal K, Jeong JJ, et al. Intratendinous rotator cuff tears:prevalence and clinical and radiological outcomes of arthroscopically confirmed intratendinous tears at midterm followup. Am J Sports Med, 2015, 43(2):415-422.
13. 刘平, 敖英芳.关节镜下缝合桥技术与双排缝合技术治疗肩袖部分损伤21例回顾性研究.中国运动医学杂志, 2016, 35(2):137-140.
14. Kim KC, Shin HD, Cha SM, et al. Repair integrity and functional outcome after arthroscopic conversion to a full-thickness rotator cuff tear:articular-versus bursal-side partial tears. Am J Sports Med, 2014, 42(2):451-456.
15. Shin SJ, Kook SH, Rao N, et al. Clinical outcomes of modified Mason-Allen single-row repair for bursal-sided partial-thickness rotator cuff tears:comparison with the double-row suture-bridge technique. Am J Sports Med, 2015, 43(8):1976-1982.
16. Xiao J, Cui G. Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears. J Shoulder Elbow Surg, 2015, 24(2):e41-46.
17. 庄泽, 卢华定, 陈郁鲜, 等.肩袖损伤后单排与双排缝合方法比较的Meta分析.中国组织工程研究, 2014, 18(29):4742-4751.
18. 黄祖辉, 谭志超, 李征, 等.肩关节镜下双排缝线桥技术治疗肩袖损伤.深圳中西医结合杂志, 2015, 25(20):100-101.
19. 李小飞, 谢文瑾, 盛路新.老年退变性肩袖损伤的肩关节镜治疗.实用骨科杂志, 2016, 22(2):107-110.

Chinese Journal of Reparative and Reconstructive Surgery

REVERSED ARTHROSC OPIC SUBACROMIAL DEC OMPRESSION FOR TREATMENT OF ROTATOR CUFF TEARS

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content