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Background: Intratendinous tears of the rotator cuff are rare, and little has been written about them.Purpose: To investigate the prevalence and clinical and radiological outcomes of arthroscopically confirmed intratendinous tearstreated with transtendon suture bridge repair.Study Design: Case series; Level of evidence, 4.Methods: Included in the study were 33 patients (16 male, 17 female; mean age, 53.4 years) with arthroscopically confirmed intratendinoustears treated with transtendon suture bridge repair from March 2006 to July 2012. A history of trauma was found in 10cases (30.3%). The dominant arm was involved in 26 cases (78.8%). The mean follow-up duration was 56 months. Preoperatively,a thorough physical examination was performed; at final follow-up, shoulder range of motion (ROM) in forward flexion, abduction,external rotation (ER) at the side, and internal rotation (IR) at the back was noted, and clinical outcomes (American Shoulder andElbow Surgeons [ASES] score; University of California, Los Angeles [UCLA] score; visual analog scale [VAS] for pain; and SimpleShoulder Test [SST]) were recorded and compared with the preoperative data. Postoperative magnetic resonance imaging (MRI)was performed at 6 months to investigate rotator cuff healing status and repair integrity.Results: The prevalence of arthroscopically confirmed intratendinous tears was 4.7% among all arthroscopically treated partialthicknessrotator cuff tears. Impingement signs were positive in most of the patients (positive Hawkins-Kennedy test result in78.8%, positive Neer sign in 66.7%, and either positive Hawkins-Kennedy test result or Neer sign in 84.8%). At final follow-up,mean ASES, UCLA, VAS, and SST scores improved significantly from a preoperative mean of 51.4, 18.9, 6.0, and 5.4, respectively,to a postoperative mean of 90.6, 32.9, 1.4, and 10.8, respectively (P\.001). According to the UCLA rating scale, outcomeswere excellent in 17, good in 13, and fair in 3 cases. Shoulder ROM in forward flexion, abduction, ER at the side, and IR at theback improved from a preoperative mean of 135, 129, 25, and L2, respectively, to a postoperative mean of 161, 160, 29, andT10, respectively (P \ .001 for all except ER). As per the Sugaya classification, on postoperative MRI, type I healing status wasfound in 10 (30.3%), type II in 18 (54.5%), and type III in 2 (6.1%) cases. None of the patients showed any evidence of retears.Conclusion: Transtendon suture bridge repair yielded satisfactory clinical and radiological outcomes in patients with intratendinousrotator cuff tears. [ABSTRACT FROM AUTHOR]

The article evaluates the results of arthroscopic repair for bony Bankart lesions managed with different repair techniques based on their size. It describes a bony Bankart lesion as an avulsion fracture of the anterior glenoid rim. It is found that bony Bankart lesions with a size of less than 25 percent were managed by different arthroscopic repair techniques. For medium lesions, the reconstruction of the osseous architecture of the glenoid is suggested for increased functional improvement.