Arthroscopic Treatment for Articular Side Partial-Thickness Tears of the Rotator Cuff - Comparison Between Simple Debridement and Additional Acromioplasty - |
Young Lae Moon, Tae Hyun Yoon, Joon Kwang Park, Seo Jin Oh |
Department of Orthopedic Surgery, Seonam University, Namkwang Hospital |
회전근개 관절내 부분 파열 환자의 관절경적 처치 -변연 절제술 단독과 견봉하 감압술 병용시와의 비교- |
문영래 , 윤태현, 박준광, 오서진 |
서남대학교 부속 남광병원 정형외과학교실 |
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Abstract |
Objective s : To evaluate the effects of arthroscopic acromioplasty and debridement for
partial thickness articular side rotator cuff tears. Methods : We divided 97 patients into 2 groups according to treatment protocol, with
both groups having confirmed intra-articular partial tears of the rotator cuff. In groupⅠ,
we debrided the frayed and fibrotic cuff margin while in groupⅡ, we performed
subacromial decompression in addition to debridement. After the surgery we checked all
the patients with the modified UCLA shoulder rating scale. Results : The follow-up observation 12 months after surgery revealed that 44 patients
in groupⅠ, were rated as excellent in 32 cases, good in 10 cases, fair in 1 case, and
poor in one case, while 53 patients in groupⅡ, were rated as excellent in 38 cases, good
in 17 cases, and fair in 2 cases. Twenty-four month after surgery we observed that
patients in groupⅠwere rated as excellent in 23 cases, good in 16 cases, fair in 4 cases,
and poor in 1 case, while patients in groupⅡwere rated as excellent in 34 cases, good
in 17 cases, and fair in 6 cases. Conclusion : The use of acromioplasty on partial thickness tears of rotator cuff, even
in the cases of intra-articular nature, is preferable to the procedure performed without it. |
Key Words:
Rotator cuff, Intraarticular, Partial-thickness tear, Debridement, Acromioplasty, Arthroscopy, |
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