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Clin Shoulder Elbow > Volume 11(2); 2008 > Article
Journal of the Korean Shoulder and Elbow Society 2008;11(2):112-117.
DOI: https://doi.org/10.5397/CiSE.2008.11.2.112    Published online December 31, 2008.
Short-term Outcomes of Arthroscopic Transtendinous Repair in Partial Articular Side Tears of the Rotator Cuff
Sung Ryong Shin, Yon Sik Yoo, Do Young Kim, Sang Soo Lee, Un Seob Jeong, Hyun Seok Choi
Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine, Chuncheon, Korea. ybw1999@gmail.com
회전근 개 부분 관절측 파열에 대한 관절경적 경 건 봉합술의 단기 결과
신성룡·유연식*·김도영·이상수·정운섭·최현석
한림대학교 의과대학 춘천성심병원 정형외과학교실
Abstract
PURPOSE
This study prospectively evaluated the outcome of arthroscopic transtendinous repair as a treatment for partial articular side tears of the rotator cuff. MATERIALS AND METHODS: Fifteen patients with symptomatic, partial articular side tears of the rotator cuff underwent modified transtendinous repair. The patient's mean age was 52.5 years and the mean duration of symptoms was 33.7 weeks. The visual analogue scale (VAS), the ASES score, the active ROM of the shoulder and the patient's satisfaction were evaluated both preoperatively and postoperatively. The clinical results were analyzed using the Wilcoxon's signed rank test.
RESULTS
The mean VAS was 6.6+/-1.1 before treatment and 0.4+/-0.6 at 6 month, and the ASES scores for all the patients were significantly better over the six-month period of follow-up (p<0.05). The mean active ROM in abduction was 94.3+/-22.3 before treatment, 108.7+/-16.3 at 1 month (p=0.0041) and 164.3+/-5.3 at six months (p=0.0006). In flexion, it was 105.0+/-23.8 before treatment, 119.0+/-17.4 at 1 month (p=0.0075) and 174.3+/-5.3 at six months (p=0.0006). At the final follow-up, 94% of patients were satisfied or very satisfied after operation.
CONCLUSION
We experienced satisfactory clinical results after a short-term follow-up of arthroscopic transtendinous repair, and we believed this to be an effective procedure for patients with partial articular side tears of the rotator cuff.
Key Words: Rotator cuff; Partial articular side tear; Arthroscopy; Transtendinous repair


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