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KMID : 0828620050090010034
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Journal of Korean Arthroscopy Society
2005 Volume.9 No. 1 p.34 ~ p.39
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Partial thickness tear: Debris vs. Repair
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Oh Jeong-Hwan
Park Jin-Young
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Abstract
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Partial thickness rotator cuff tears (PTRCTs) are now a well-established clinical entity, yet there is no consensus in regards to surgical management. Recommended treatment varies widely from simple debridement of the torn tendon to subacromial decompression to excision of the degenerative tendon and repair. Surgery may be performed using an open, arthroscopically assisted (miniopen), or entirely arthroscopic procedure. The advantages and disadvantages of open and arthroscopic procedures may lie in the balance between precision and morbidity. Visualization of both the articular and bursal surfaces is mandatory to determine the level of rotator cuff disease and formulate a treatment strategy. Because these tear often are secondary finding, recognition of the primary pathology is critical. Treatment of the primary problem usually remedies the partial tear. However, when there is significant PTRCT, an arthroscopic or open repair of the
diseased tendon will give the most consistent results.
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KEYWORD
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Partial thickness rotator cuff tear, Pathophysiology, Diagnosis, Treatment, Shoulder
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