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Partial-thickness rotator cuff tears.

Andrew B Wolff1, Paul Sethi, Karen M Sutton

  • 1Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT 06520, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|December 7, 2006
PubMed
Summary
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Partial-thickness rotator cuff tears vary widely and can be disabling. Diagnosis combines patient symptoms and MRI, with most cases successfully treated conservatively, while surgery is reserved for severe, persistent symptoms.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Musculoskeletal Imaging

Background:

  • Partial-thickness rotator cuff tears represent a spectrum of conditions, not a single entity.
  • Tears can range from asymptomatic to significantly disabling, impacting various patient populations.
  • Overhead athletes with tears differ in etiology and treatment from older patients with degenerative tears.

Purpose of the Study:

  • To delineate the varied nature of partial-thickness rotator cuff tears.
  • To differentiate tear characteristics and management in athletes versus non-athletes.
  • To review diagnostic and treatment strategies for these tears.

Main Methods:

  • Review of existing literature on partial-thickness rotator cuff tears.
  • Analysis of factors contributing to tear pathogenesis (intrinsic and extrinsic).

Related Experiment Videos

  • Correlation of patient symptoms with magnetic resonance imaging (MRI) findings.

    • Main Results:

    • Partial-thickness rotator cuff tears are heterogeneous, with multifactorial pathogenesis.
    • Diagnosis relies on correlating clinical presentation with MRI.
    • Conservative management is effective for most patients.

    Conclusions:

    • Partial-thickness rotator cuff tears require individualized assessment due to their spectrum of severity.
    • Conservative treatment should be the primary approach.
    • Surgical intervention, including acromioplasty, is considered for persistent or severe cases with identified extrinsic factors.