PubMed · 7149174
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D A McGuire, R Brudenell, J D Frost, M H Newman. Arthroscopy: a perspective.. https://pubmed.ncbi.nlm.nih.gov/7149174/
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Treatment options for partial-thickness rotator cuff tears have included debridement and acromioplasty or open repair. The outcome of these two treatments has been difficult to assess from the literature. The results of a retrospective review of arthroscopic versus open treatment are reviewed with recommendations for a treatment algorithm.
Arthroscopic repair of rotator cuff tears is an option for a surgeon with advanced arthroscopic skills and a thorough knowledge of open repair technique. Surgical indications and a detailed description of operative technique are presented. Arthroscopic rotator cuff repair offers theoretical advantages over open repair, but long-term studies are needed to demonstrate its effectiveness.
Successful surgical treatment of single-tendon tears, which involve the supraspinatus or the subscapularis requires careful attention to technical details. In supraspinatus tears, careful mobilization and secure repair of the tendon will usually give a good outcome. In subscapularis tears, the diagnosis is not difficult if one carefully evaluates the patient for the classic pathognomonic findings of such a tear. If the tear is confirmed by CT or MR imaging and an acute repair is performed, the outcome is usually satisfactory.