1. Arthroscopic repair of partial articular supraspinatus tendon avulsion lesions by conversion to full-thickness tears through a small incision
- Author
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Jian-Wei Liang, Jian-Jun Chen, Zhan Ye, and You-Jia Xu
- Subjects
Adult ,Male ,musculoskeletal diseases ,medicine.medical_specialty ,Shoulder surgery ,medicine.medical_treatment ,Elbow ,Arthroscopy ,Rotator Cuff ,03 medical and health sciences ,0302 clinical medicine ,Suture (anatomy) ,Tendon Injuries ,medicine ,Humans ,Orthopedics and Sports Medicine ,Rotator cuff ,Range of Motion, Articular ,Retrospective Studies ,lcsh:R5-920 ,030222 orthopedics ,medicine.diagnostic_test ,business.industry ,Tear conversion and repair ,Suture Techniques ,030208 emergency & critical care medicine ,Middle Aged ,Partial articular supraspinatus tendon avulsion lesion ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Tears ,Female ,Original Article ,Shoulder joint ,Supraspinatus tendon avulsion ,lcsh:Medicine (General) ,business ,Range of motion ,Follow-Up Studies - Abstract
Purpose: To assess the clinical efficacy of converting partial articular supraspinatus tendon avulsion (PASTA) lesions to full-thickness tears through a small local incision of the bursal-side supraspinatus tendon followed by repair. Methods: We retrospectively analyzed 41 patients with Ellman grade 3 PASTA lesions and an average age of (54.7 ± 11.4) years from March 2013 to July 2017. Patients without regular conservative treatment and concomitant with other shoulder pathologies or previous shoulder surgery were excluded from the study. The tears were confirmed via arthroscopy, and a polydioxanone suture was placed to indicate the position of each tear. A small incision of approximately 6 mm was made using a plasma scalpel on the bursal-side supraspinatus tendon around the positioned suture to convert the partial tear into a full-thickness tear. The torn rotator cuff was sutured through the full thickness using a suture passer after inserting a 4.5-mm double-loaded suture anchor. Data were analyzed using a paired Student’s t-test with statistical significance defined as p
- Published
- 2020