Arthroscopic assessment of full-thickness rotator cuff tears

To evaluate the reliability of the arthroscopic assessment of full-thickness rotator cuff tears, 117 cases were prospectively investigated by imaging, arthroscopy, and open surgery. The confidence of the surgeon, his accuracy, and the surgeon-dependent character of arthroscopic assessment were evalu...

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Veröffentlicht in:Arthroscopy 2000-05, Vol.16 (4), p.367-372
Hauptverfasser: Thomazeau, Hervé, Gleyze, Pascal, Lafosse, Laurent, Walch, Gilles, Kelbérine, François, Coudane, Henri, French Arthroscopy Society
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container_end_page 372
container_issue 4
container_start_page 367
container_title Arthroscopy
container_volume 16
creator Thomazeau, Hervé
Gleyze, Pascal
Lafosse, Laurent
Walch, Gilles
Kelbérine, François
Coudane, Henri
French Arthroscopy Society
description To evaluate the reliability of the arthroscopic assessment of full-thickness rotator cuff tears, 117 cases were prospectively investigated by imaging, arthroscopy, and open surgery. The confidence of the surgeon, his accuracy, and the surgeon-dependent character of arthroscopic assessment were evaluated in terms of the description of the main anatomic parameters. The surgeons were confident and accurate in diagnosing a full-thickness tear of the supraspinatus, but they underestimated its coronal and sagittal extent and its reducibility to the greater tuberosity. Conversely, the technique appeared very accurate in describing the rotator interval. Endoscopic assessment was particularly operator-dependent in the anteroposterior analysis of the tear. This study shows the limits of endoscopic assessment of full-thickness rotator cuff tears. It illustrates the need for an adequate arthroscopic technique with a thorough knowledge of normal and pathological anatomy of the rotator cuff.
doi_str_mv 10.1016/S0749-8063(00)90080-X
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subjects Arthroscopic rotator cuff assessment
Arthroscopy
Full-thickness tear
Humans
Prospective Studies
Rotator Cuff Injuries
Tendon Injuries - diagnosis
Tendon Injuries - epidemiology
title Arthroscopic assessment of full-thickness rotator cuff tears
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