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Partial-thickness rotator cuff tears.

Matthew J Matava1, Derek B Purcell, Jonas R Rudzki

  • 1Suite 11300 West Pavilion, One Barnes-Jewish Hospital Drive, St. Louis, MO 63110, USA. Matavam@msnotes.wustl.edu

The American Journal of Sports Medicine
|August 30, 2005
PubMed
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Partial-thickness rotator cuff tears are increasingly diagnosed. Active athletes benefit from aggressive surgical treatment due to poor natural history and successful surgical algorithms.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Shoulder Surgery

Background:

  • Partial-thickness rotator cuff tears are diagnosed more frequently due to increased awareness and better diagnostics.
  • Research on causes, natural history, and optimal treatment lags behind full-thickness tears.
  • Despite literature limitations, experts advocate aggressive treatment for active athletes with these tears.

Purpose of the Study:

  • To review theories on the origins of partial-thickness rotator cuff tears.
  • To discuss the diagnostic accuracy of accepted techniques.
  • To summarize operative repair indications, methods, and outcomes.

Main Methods:

  • Literature review of existing studies on partial-thickness rotator cuff tears.
  • Analysis of diagnostic accuracy for various imaging and clinical tests.

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  • Synthesis of surgical approaches and outcomes reported in the literature.
  • Main Results:

    • Increased frequency of diagnosis attributed to clinical awareness and improved diagnostic tools.
    • Expert consensus supports aggressive surgical treatment for active athletes.
    • Review highlights the need for further research into etiology and natural history.

    Conclusions:

    • Partial-thickness rotator cuff tears in athletes warrant aggressive management.
    • Surgical algorithms offer successful treatment outcomes.
    • Further research is needed to fully understand these injuries and optimize treatment.