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[PASTA-lesions--debridement versus repair]
D Liem1, G Gosheger2, T Vogler2
1Klinik und Poliklinik für Allgemeine Orthopädie und Tumororthopädie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149, Münster, Deutschland. dl@dennisliem.de.
Der Orthopade
|January 23, 2016
Summary
Diagnosing and treating partial articular supraspinatus tendon avulsions (PASTA) lesions is complex. Arthroscopic evaluation is crucial, and repair is generally preferred over debridement for PASTA lesions.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Partial articular supraspinatus tendon avulsions (PASTA) lesions present diagnostic and therapeutic challenges.
- Preoperative imaging is often insufficient for definitive treatment decisions in PASTA lesions.
Purpose of the Study:
- To review diagnostic and treatment strategies for PASTA lesions.
- To compare debridement versus repair techniques for PASTA lesions.
Main Methods:
- Arthroscopic evaluation is the gold standard for diagnosing PASTA lesions.
- Treatment options include debridement for small tears (<50% thickness) and various repair techniques.
- Two primary repair methods are transtendon repair and repair after tear completion.
Main Results:
- Current literature does not indicate a superior repair technique for PASTA lesions.
- Prospective randomized trials comparing debridement and repair are scarce.
- Tear completion and subsequent repair appear technically more reproducible.
Conclusions:
- Arthroscopic assessment is essential for PASTA lesion diagnosis.
- Surgical repair is generally favored over debridement for PASTA lesions.
- Further research, particularly randomized controlled trials, is needed to compare repair techniques and debridement efficacy.
