Bursal And Articular Rotator Cuff Tear

Rotator cuff injuries in athletes have been described in several studies in the literature recently.4, 6, 7, 12, 14, 15 However, the athletes most studied have been those involved in ball-throwing sports. The present study observed a pattern of partial tears of the rotator cuff both in these athletes and in those practicing muscle-building. After intra-articular debridement, the site of the partial thickness tear is tagged with a PDS suture allowing for assessment of the bursal surface of the rotator cuff in the subacromial space. a bit of a stretch. The multiplanar capability afforded by MRI allows assessment of the articular, bursal, and intratendinous components of the tear. Because many partial-thickness rotator cuff tears occur at or near the cuff insertion, utilizing the concept of the rotator cuff footprint allows a more accurate determination of the thickness of the tear. ing physician to recognize that rotator cuff injury is a spec-trum of disease spanning from the partial-thickness tear to the massive cuff tear. Footprint Anatomy The insertion site of the rotator cuff tendon at the greater tuberosity is often referred to as the footprint. Dugas et al 20 examined 20 normal cadaveric rotator cuff specimens and Partial tears can be further classified as articular-sided or bursal . is placed through the medially retracted articular tear. . thickness rotator cuff tears and SLAP . Dr. Ebraheim’s educational animated video describes the shoulder rotator cuff muscles tear classification. Is the rotator cuff tear a partial thickness tear or a full thickness tear? • Full . subacromial decompression and rotator cuff debridement alone. indications. select patients with a low-grade partial articular sided rotator cuff tear ; rotator cuff repair (arthroscopic or mini-open) indications acute full-thickness tears; bursal-sided tears >3 mm (>25%) in depth Objective: To study the clinical features and diagnosis of bursal‐side partial‐thickness rotator cuff tears. Methods: From August 1999 to June 2006, 38 patients with bursal‐side partial‐thickness rotator cuff tear were evaluated. Twenty‐eight men and ten women of average age 45.7 years (range, 18–69 years) with 11 left and 27 right shoulders were studied. Rotator cuff tears may be partial or full thickness tears. They may occur as part of a degenerative process where the tendon progressively becomes weaker and wears out or they may be precipitated by impingement. . Home Shoulders Shoulder Injuries & Conditions Rotator Cuff Tear. Rotator Cuff Tear. 元 英語 表記. Partial-thickness articular surface rotator cuff tears in patients over the age of 35: Etiology and intra-articular associations. . As only two patients had an associated bursal-sided partial tear,it is unlikely that extrinsic abrasion by the acromion has contributed either. Rotator cuff tears are a common orthopedic problem, and often these tears are so-called partial tears of the rotator cuff.   A partial tear of the rotator cuff is an area of damage to the rotator cuff tendons, where the tear does not go all the way through the tendons.

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Evaluation and Management of Partial Thickness Rotator ...

After intra-articular debridement, the site of the partial thickness tear is tagged with a PDS suture allowing for assessment of the bursal surface of the rotator cuff in the subacromial space. The AAOS reports that elderly patients are at an increased risk of a rotator cuff tear. This occurs because wear-and-tear use of the shoulder over time can weaken the rotator cuff tendons and make them more likely to fray or tear in the future. Rehabilitation Guidelines for Type I and Type II Rotator Cuff Repair and Isolated Subscapularis Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to that of a golf ball on a tee. This is because the articular surface of the round humeral head is approximately four times greater than that of the

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Partial rotator cuff tears: When is surgery indicated?

Partial tears can be further classified as articular-sided or bursal ... is placed through the medially retracted articular tear. ... thickness rotator cuff tears and SLAP ... Articular surface partial-thickness rotator cuff tears (PTRCTs) are commonly repaired using two different surgical techniques: transtendon repair or repair after completion of the tear. Although a number of studies have demonstrated excellent clinical outcomes, it is unclear which technique may provide superior clinical outcomes and tendon healing. The purpose was to evaluate and compare the ... Rotator Cuff: Evaluation with US and MR Imaging. ... the rotator cuff is typically manifested as either a hyperintense defect or a tendinous avulsion that extends from the bursal to the articular side of the cuff. ... and there is a large bursal effusion (*). A partial-thickness bursal-sided tear of the rotator cuff was verified at surgery ...

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Partial rotator cuff injury in athletes: bursal or articular?

Rotator cuff injuries in athletes have been described in several studies in the literature recently.4, 6, 7, 12, 14, 15 However, the athletes most studied have been those involved in ball-throwing sports. The present study observed a pattern of partial tears of the rotator cuff both in these athletes and in those practicing muscle-building. Partial rotator cuff tears are a common cause of shoulder pain. It is not uncommon for most people to have an MRI report that mentions a partial rotator cuff tear. That tend to leads to a lot of fear… At arthroscopy, no tear was visible from the articular or bursal sides of the cuff. The infraspinatus tendon was then opened from the bursal side and the retracted stump (arrows) was readily identified and subsequently repaired. Operative photo courtesy of Allen F. Anderson, MD, Tennessee Orthopaedic Alliance, Nashville, TN.

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Partial-Thickness Rotator Cuff Tears - wosm.com

ing physician to recognize that rotator cuff injury is a spec-trum of disease spanning from the partial-thickness tear to the massive cuff tear. Footprint Anatomy The insertion site of the rotator cuff tendon at the greater tuberosity is often referred to as the footprint. Dugas et al 20 examined 20 normal cadaveric rotator cuff specimens and Being a part of the rotator cuff, the supraspinatus muscle also stabilizes the head of the arm bone (humerus) in the shoulder joint thereby preventing it from slipping upwards during shoulder movements. Supraspinatus Tendinitis, Tendinosis and Tear – Mechanism and Symptoms A cadaveric study was conducted to create three partial-thickness tear patterns—articular surface, bursal surface, and midsubstance. 12 Finite element analysis demonstrated that in all three types of tears, as tension was placed on the cuff muscles, a high stress concentration appeared at the articular surface and at the site of the tear.

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of the Rotator Cuff Tears | Musculoskeletal Key

Ellman [] suggests exploring the cuff from the posterior arthroscopic portal in order to correctly identify the lesion and to perform a complete bursectomy (Fig. 2a, b).The “thin strap” tear of the supraspinatus tendon was described by Codman as a multi-stratum lesion whose tendon laminae were parallel to the articular surface. mum treatment of partial-thickness rotator cuff tears. In part, this is be-cause of the emerging concept that partial-thickness rotator cuff tears are not a single entity with a single etiology. Similarly, treatment of symptomatic partial-thickness rota-tor cuff tears should be based on the patient’s goals, injury site, and cause of the tear ...

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Rotator Cuff Tear Classification - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the shoulder rotator cuff muscles tear classification. Is the rotator cuff tear a partial thickness tear or a full thickness tear? • Full ... the articular surface of the cuff is relatively hypovascular compared with the bursal cuff surface.18 This finding has been suggested as a factor in the tendency for partial tears to occur more frequently on the articular surface of the cuff. Histologic studies of cadaveric19 and clinical20 specimens have de-fined the rotator cuff microstruc-ture. Full-thickness rotator cuff tears are a type of rotator cuff tear that extend from the bursal surface to the articular surface.. Radiographic features Ultrasound. They usually appear as hypoechoic or anechoic defects where fluid occupies the area of the torn tendon.

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High-grade bursal-side partial rotator cuff tears ...

Partial-thickness rotator cuff tears (PTRCTs) are one of the leading causes of shoulder dysfunction. Successful results have been reported with different treatment techniques, but the long-term consequences of these procedures are not yet clearly known. The purposes of this study were to evaluate and compare the mid- and long-term clinical outcomes of arthroscopically repaired bursal-side ... What would you suggest about having partial rotator cuff surgery and is this tear a high risk of increasing? I've more What would you suggest about having partial rotator cuff surgery and is this tear a high risk of increasing? I've just been diagnosis with a partial focal tear of the supraspinatus at insertion with most anchor fiber intact.

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Rotator Cuff Tears - Shoulder & Elbow - Orthobullets

subacromial decompression and rotator cuff debridement alone. indications. select patients with a low-grade partial articular sided rotator cuff tear ; rotator cuff repair (arthroscopic or mini-open) indications acute full-thickness tears; bursal-sided tears >3 mm (>25%) in depth and repairing the full thickness defect. The transtendinous techniques can be associated with stiffness, and completing the tear takes down normal intact tissue. Therefore, a technique was developed that repairs the articular side partial-thickness rotator cuff tears with an all-inside approach that does not violate the intact bursal tissue and does not complete the tear.... An abnormality of the rotator cuff is considered a full thickness tear if it results in a connection between the articular and bursal surfaces of the cuff tendon. The most specific sign of a full thickness RC tear is visualization of a complete defect in the tendon, extending from the articular surface completely through to the bursal surface.

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Comparison of Surgical Outcome Between Bursal and ...

Abstract. Abstract. Surgical outcomes after arthroscopic subacromial decompression and debridement in bursal and articular partial thickness rotator cuff tears with a tear depth of <50% were compared. Partial-thickness Articular Surface Rotator Cuff ... Methods Twenty patients with partial-thickness articular rotator cuff tears greater than 50 ... cuff tear through the intact bursal portion of ...

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Diagnosis of bursal‐side partial‐thickness rotator cuff ...

Objective: To study the clinical features and diagnosis of bursal‐side partial‐thickness rotator cuff tears. Methods: From August 1999 to June 2006, 38 patients with bursal‐side partial‐thickness rotator cuff tear were evaluated. Twenty‐eight men and ten women of average age 45.7 years (range, 18–69 years) with 11 left and 27 right shoulders were studied. A rotator cuff tear is an injury of one or more of the tendons or muscles of the rotator cuff of the shoulder. Symptoms may include shoulder pain, which is often worse with movement, or weakness. This may limit people’s ability to brush their hair or put on clothing. Clicking may also occur with movement of the arm. Rotator cuff pathology is a common cause of shoulder pain in the athletic and general population. Partial-thickness rotator cuff tears (PTRCT) are commonly encountered and can be bursal-sided, articular-sided, or intratendinous. Various techniques exist for the repair of bursal-sided PTRCTs. The 2 main distinctions when addressing these lesions include tear completion versus preservation of ...

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Partial-thickness articular surface rotator cuff tears in ...

Partial-thickness articular surface rotator cuff tears in patients over the age of 35: Etiology and intra-articular associations. ... As only two patients had an associated bursal-sided partial tear,it is unlikely that extrinsic abrasion by the acromion has contributed either. Partial rotator cuff injury in athletes: Bursal or articular? Article (PDF Available) in Revista Brasileira de Ortopedia 17(4) · July 2015 with 66 Reads How we measure 'reads'

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Partial Rotator Cuff Tear Diagnosis and Treatment

Rotator cuff tears are a common orthopedic problem, and often these tears are so-called partial tears of the rotator cuff.   A partial tear of the rotator cuff is an area of damage to the rotator cuff tendons, where the tear does not go all the way through the tendons. Fig.1 Normal rotator cuff attachment around the humeral head Fig. 2 Rotator cuff viewed from above Fig. 3 Supraspinatus tear of the rotator cuff Fig. 4. Small tear involving the supraspinatus tendon only Fig. 5. Large tear involving the supraspinatus and infraspinatus Fig. 6. Large rotator cuff tear with poor quality tissue Fig. 7. Large rotator cuff tear with early loss of the cartilage of ...

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Bursal Acromial Reconstruction for Irreparable Rotator Cuff Tears

Mr. Matt Ravenscroft, MBBS, FRCS (Stockport, United Kingdom), discusses a new innovative technique, bursal acromial reconstruction (BAR), for irreparable rotator cuff tears. He uses the BAR ... Partial Cuff Tear The average thickness of the normal tendon of the rotator cuff is 10 to 12 mm. 3 subtypes 1) a bursal-side tear (BT) 2) an intratendinous tear (IT) 3) a joint-side tear (JT) JT is 3 times common than bursal side. IT is less common Ellman Depth as measured arthroscopically by a probe with a 3 mm bent arm.

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Arthroscopic Fixation of Bursal-Sided Rotator Cuff Tears ...

We describe an arthroscopic procedure to repair partial-thickness bursal-sided rotator cuff tears without converting to a full-thickness tear in patients with a normal articular-sided rotator cuff and an A0B2 or A0B3 pattern of tear (minimum thickness of 25% to 75%). Rotator cuff injuries in athletes have been described in several studies in the literature recently. 4 6 7 12 14 and 15 However, the athletes most studied have been those involved in ball-throwing sports. The present study observed a pattern of partial tears of the rotator cuff both in these athletes and in those practicing muscle-building.

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Partial rotator cuff injury in athletes: bursal or articular?

Rotator cuff injuries in athletes have been described in several studies in the literature recently.4, 6, 7, 12, 14, 15 However, the athletes most studied have been those involved in ball-throwing sports. The present study observed a pattern of partial tears of the rotator cuff both in these athletes and in those practicing muscle-building. Rotator Cuff Tear. Diagnosis ... Tears can be partial (involve only the articular or bursal surface), full thickness (extend from the articular to the bursal surface), or intrasubstance (without articular or bursal extension) Supraspinatus tears are most common; Imaging Findings.

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Partial Rotator Cuff Tears - Radsource

The multiplanar capability afforded by MRI allows assessment of the articular, bursal, and intratendinous components of the tear. Because many partial-thickness rotator cuff tears occur at or near the cuff insertion, utilizing the concept of the rotator cuff footprint allows a more accurate determination of the thickness of the tear. The spectrum of rotator cuff pathology ranges from tendinopathy and fraying to partial- or full-thickness tearing. Partial-thickness tears may be classified further as occurring on the articular or bursal surface of the tendon.A third type of partial-thickness tear is the intrasubstance tear, which occurs within the substance of the tendon without extending to the tendon surface. A soft tissue subacromial decompression and acromioplasty is done as described in previous chapters. Care is taken to preserve as much of the CA as possible. The primary indication for an acromioplasty in a patient with a full-thickness or bursal rotator cuff tear is for a type 2 or 3 acromion with a frayed CA ligament attachment.

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Partial Thickness Rotator Cuff Tears: Current Concepts

Partial thickness rotator cuff tears are a common cause of pain in the adult shoulder. Despite their high prevalence, the diagnosis and treatment of partial thickness rotator cuff tears remains controversial. While recent studies have helped to elucidate the anatomy and natural history of disease progression, the optimal treatment, both nonoperative and operative, is unclear. Although the ... Bursal-side rotator cuff tears are a common source of shoulder pain and disability. The complex microanatomy and load distribution may contribute to their development. Symptoms and physical exam are similar to other rotator cuff syndromes. MRI is usually diagnostic. Non-operative treatment is rarely successful.

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Which is the best repair of articular-sided rotator cuff ...

Tear conversion followed by repair and trans-tendon techniques have been widely used for partial-thickness rotator cuff tears. Both of them showed favorable results with regard to the management of articular-sided partial-thickness rotator cuff tears (PTRCTs) of more than 50 % thickness. However, controversy continues with the best management. Treatment of partial-thickness articular surface rotator cuff tears varies from simple débridement with or without an acromioplasty to various repair techniques. These repair techniques have included in situ transtendinous methods, as well as completion of the tear and repairing the full-thickness defect.

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Rotator cuff tear | Radiology Reference Article ...

Rotator cuff tears are one of the most common causes of shoulder pain mostly in older patients. Clinical presentation Prevalence of tear increases with age. Most significant findings are impingement and "arc of pain" sign (pain during descent o... In cases of any partial-thickness tear (articular side, bursal side, or interstitial) that requires repair, we first locate it by analyzing magnetic resonance imaging followed by the search of any suspicious fraying on the intra-articular side of the rotator cuff tendons with the arthroscope.

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Rotator Cuff Tear - Shoulder Clinic

Rotator cuff tears may be partial or full thickness tears. They may occur as part of a degenerative process where the tendon progressively becomes weaker and wears out or they may be precipitated by impingement. ... Home Shoulders Shoulder Injuries & Conditions Rotator Cuff Tear. Rotator Cuff Tear. Technical Note Arthroscopic Fixation of Bursal-Sided Rotator Cuff Tears Andrew B. Wolff, David P. Magit, Seth R. Miller, Jeff Wyman, and Paul M. Sethi Abstract: Subacromial decompression and debridement of partial-thickness bursal-sided rotator cuff tears are often reported with a high rate of unsatisfactory outcomes. We describe an arthroscopic Diagnosis and Management of Partial Thickness Rotator Cuff Tears ... The location being articular, bursal or a complete tear. PTRCTs were then further sub-classified as normal, grade 1, 2, 3 or 4. ... rotator cuff tear that contains a sizeable flap tear and more than one tendon

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