Partial-Thickness Rotator Cuff Tears: Current Concepts.
| Autor: | Bi AS; Division of Sports Medicine, NYU Langone Health, New York, New York., Morgan AM; Division of Sports Medicine, NYU Langone Health, New York, New York., O'Brien M; Division of Shoulder and Elbow, Tulane University School of Medicine, New Orleans, Louisiana., Waterman BR; Division of Sports Medicine, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina., Strauss EJ; Division of Sports Medicine, NYU Langone Health, New York, New York., Golant A; Division of Sports Medicine, NYU Langone Health, New York, New York. |
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| Jazyk: | angličtina |
| Zdroj: | JBJS reviews [JBJS Rev] 2024 Aug 26; Vol. 12 (8). Date of Electronic Publication: 2024 Aug 26 (Print Publication: 2024). |
| DOI: | e24.00063 |
| Abstrakt: | » Partial-thickness rotator cuff tears (PTRCTs) are a common pathology with a likely high asymptomatic incidence rate, particularly in the overhead athlete.» The anatomy, 5-layer histology, and relationship to Ellman's classification of PTRCTs have been well studied, with recent interest in radiographic predictors such as the critical shoulder angle and acromial index.» Depending on the definition of tear progression, rates of PTRCT progression range from 4% to 44% and appear related to symptomatology and work/activity level.» Nearly all PTRCTs should be managed conservatively initially, particularly in overhead athletes, with those that fail nonoperative management undergoing arthroscopic debridement ± acromioplasty if <50% thickness or arthroscopic conversion repair or in situ repair if >50% thickness.» Augmentation of PTRCTs is promising, with leukocyte-poor platelet-rich plasma having the most robust body of supportive data. Mesenchymal signaling cell biologics and the variety of scaffold onlay augments require more rigorous studies before regular usage. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/B121). (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
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