| Reversed arthroscopic subacromial decompression for massive rotator cuff tears. | |
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MedLine Citation:
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PMID: 15111896 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This prospective study evaluates the results of a procedure for massive rotator cuff tears that we term reversed arthroscopic subacromial decompression (ASD). The procedure includes an arthroscopic debridement of the subacromial space and glenohumeral joint, an arthroscopic tuberoplasty, and depending on the pathologic condition of the long head of the biceps, a biceps tendon tenotomy. Reversed ASD avoids a classic acromioplasty in order to preserve the integrity of the coracoacromial arch. Twenty-three patients with a mean age of 69 years underwent this procedure. After a mean follow-up of 40 months, the age-adjusted Constant score increased significantly, from 65.9% to 90.6% (P <.001), with 14 excellent, 5 good, 2 satisfactory, and 1 poor result. Preexisting osteoarthritic changes increased significantly but had no impact on the final clinical results. The acromiohumeral distance decreased from 5.1 to 4.5 mm (P =.004). There were no complications directly related to the surgical procedure. When compared with classic ASD studies for massive rotator cuff tears, we obtained similar midterm results with regard to pain relief, functional recovery, and patient satisfaction. We, therefore, conclude that reversed ASD with tenotomy of the long head of the biceps tendon offers a less invasive treatment strategy for massive rotator cuff tears while preserving the integrity of the coracoacromial arch. |
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Authors:
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Markus Scheibel; Sven Lichtenberg; Peter Habermeyer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] Volume: 13 ISSN: 1058-2746 ISO Abbreviation: J Shoulder Elbow Surg Publication Date: 2004 May-Jun |
Date Detail:
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Created Date: 2004-04-27 Completed Date: 2004-09-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9206499 Medline TA: J Shoulder Elbow Surg Country: United States |
Other Details:
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Languages: eng Pagination: 272-8 Citation Subset: IM |
Affiliation:
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Department of Shoulder and Elbow Surgery, ATOS-Clinic Heidelberg, Germany. scheibel91@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Arthroscopy / methods* Debridement / methods Female Humans Male Middle Aged Prospective Studies Rotator Cuff / physiopathology, surgery* Shoulder Joint / physiopathology, surgery* Tendon Injuries / physiopathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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