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KMID : 0828620090130010077
Journal of Korean Arthroscopy Society
2009 Volume.13 No. 1 p.77 ~ p.81
Intrasubstance Complete Rotator Cuff Tear with more than 1 cm of Remnant Attached to the Greater Tuberosity: 2 Case Reports
Cho Su-Hyun

Cho Hyung-Lae
Lee Choon-Key
Wang Tae-Hyun
Hwang Tae-Hyok
Abstract
In patients with full-thickness tears of the rotator cuff, the tendon is usually detached from its bony insertion in the greater or lesser tuberosity. We experienced an unusual pattern of rotator cuff tear in two cases, in which complete rotator cuff tears occurred at the tendinous portion (i.e., intrasubstance tears) with more than a 1cm remnant attached to the greater tuberosity. Arthroscopic tendon-totendon repair was performed without remnant removal in both cases. Follow-up MRI at 6 months showed re-tear of the rotator cuff at the previous tear site in both of our patients. To prove the availability of arthroscopic tendon-to-tendon repair in such cases, a larger case follw-up and biomechanical studies are required.
KEYWORD
Shoulder, Rotator cuff intrasubstance tear, End-to-end re
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