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Related Experiment Videos

Incomplete thickness rotator cuff tears diagnosed by subacromial bursography.

H Fukuda1, M Mikasa, K Yamanaka

  • 1Department of Orthopaedic Surgery, Tokai University Oiso Hospital, Japan.

Clinical Orthopaedics and Related Research
|October 1, 1987
PubMed
Summary

Subacromial bursography effectively diagnoses incomplete thickness rotator cuff tears (ITRCT) near the bursal sac. Surgical repair using wedge resection and shoelace suture yields satisfactory outcomes for these specific rotator cuff injuries.

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Area of Science:

  • Orthopedic Surgery
  • Diagnostic Imaging

Background:

  • Incomplete thickness rotator cuff tears (ITRCT) adjacent to the bursal sac present diagnostic challenges.
  • Subacromial impingement syndrome can involve these specific tear types.

Purpose of the Study:

  • To evaluate the diagnostic utility of subacromial bursography for ITCRTs.
  • To assess the efficacy of surgical intervention for ITCRTs.

Main Methods:

  • Subacromial bursography was used for preoperative diagnosis in six patients.
  • Surgical treatment involved anterior acromioplasty and tendon suture (wedge resection and shoelace repair).
  • A cadaver survey identified the prevalence of bursal-adherent ITCRTs.

Main Results:

  • Subacromial bursography accurately identified ITCRTs in all six patients.

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  • All patients experienced satisfactory outcomes following surgical repair.
  • ITCRTs adherent to the bursal sac were found in 2.4% of cadavers.

    • Conclusions:

    • Subacromial bursography is a valuable diagnostic tool for bursal-adherent ITCRTs.
    • Surgical repair provides satisfactory results for this condition.
    • This specific rotator cuff tear entity is a recognized finding in subacromial impingement syndrome.