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Clin Shoulder Elbow > Volume 7(1); 2004 > Article
Journal of the Korean Shoulder and Elbow Society 2004;7(1):23-29.
DOI: https://doi.org/10.5397/CiSE.2004.7.1.023    Published online June 30, 2004.
Treatment of Anterosuperior Rotator Cuff Tear
Gi Hyuk Moon, M.D, Gil Young Ahn, M.D., Jae Wook Lee, M.D., Yon Sik Yoo, M.D.
Department of Orthopaedic Surgery
Pohang St. Mary’s Hospital, Korea
전 상방 회전근 개 파열의 치료
문기혁·안길영·이재욱·유연식
포항성모병원 정형외과학교실
Abstract
It has been reported that rotator cuff tear have good response to arthroscopic or open repair even if the range being so wide. However, the majority of this literature regarding the diagnosis and treatment of tear focused on lesion of the supraspinatus and infraspinatus tendons. But involvement of the subscapularis tendon with rotator cuff tear should be thought to be less common and poorer to open operative repair. Furthermore, some europian author have stated that the rotator cuff tear including the subscapularis tendon are sufficiently distinct in their clinical presentation and prognosis as to merit separate consideration of their diagnosis and treatment. The purpose of this study is to evaluate result of arthroscopic or open repair in patient with rotator cuff tear that include the subscapularis tendon. Of the 128 rotator cuff repairs performed from 1998 through 2003, 12 had a tear that include the subscapularis tendon in combination with the supraspinatus (8 cases) and infraspinatus (4 cases). Mean duration of symptoms before surgical treatment was 6 months (range 3 to 12 months). All 12 patient demonstrated a positive lift off sign. Shoulder function was assessed using the Constant- Murley score, which ranges from 30 to 58. Pain was assessed using a linear visual analogue scale range from 0 to 10. Postoperative Constant score range from 40 to 64 (average 47.8). Pain score improved from 5.5 to 8.5, but there are postoperative pain improvement on nothing in 5 patient. The overall result for 2 patient were satisfy in 2, fair in 5 and dissatisfy in 5. Therefore satisfactory result were noted only in 16 % of this overall group. In conclusion, we have failed to make good result in patient with rotator cuff tear that included the subscapularis tendon. At the result, outcome after surgical repair of this type of rotator tear is comparatively inferior to the result of operative repair of rotator cuff not involved the subscapularis tendon.


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