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Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment
1Department of Orthopedic Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Clinics in Shoulder and Elbow
|December 17, 2020
Summary
Delaminated rotator cuff tears involve horizontal tendon splits. Despite being a poor prognostic factor, surgical repair techniques show promising clinical outcomes for this common rotator cuff injury.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Research
- Sports Medicine
Background:
- Delaminated rotator cuff tears, characterized by horizontal tendon splitting, occur in 38%–92% of cases.
- Pathogenesis may involve varied strain intensities and shear stress between bursal and articular layers.
- These tears present complex retraction patterns and intrasubstance cleavage, complicating surgical repair.
Purpose of the Study:
- To review the characteristics and management of delaminated rotator cuff tears.
- To evaluate the prognostic implications and recent surgical outcomes for delaminated rotator cuff tears.
Main Methods:
- Review of existing literature on delaminated rotator cuff tears.
- Analysis of tear characteristics, pathogenesis, and surgical repair techniques.
- Evaluation of clinical outcomes reported in recent studies.
Main Results:
- Delaminated rotator cuff tears are common, with diverse presentation and retraction.
- Historically considered a poor prognostic factor for rotator cuff repair.
- Recent surgical techniques demonstrate good clinical outcomes.
Conclusions:
- Careful evaluation of tear characteristics is crucial for successful delaminated rotator cuff repair.
- Despite challenges, modern surgical interventions offer favorable results.
- Further research into optimal repair strategies for delaminated tears is warranted.