Research progress in diagnosis and treatment of partial thickness rotator cuff tears
10.3760/cma.j.cn115396-20230810-00027
- VernacularTitle:肩袖部分撕裂的诊治研究进展
- Author:
Shuchang LI
1
;
Peng GAO
;
Xintong CHEN
;
Jing WANG
Author Information
1. 湖南师范大学附属第一医院(湖南省人民医院)关节与运动医学科,长沙 410005
- Keywords:
Lacerations;
Arthroscopy;
Diagnosis;
Rotator cuff tears;
Pathogenic factor;
Therapy
- From:
International Journal of Surgery
2023;50(11):770-776
- CountryChina
- Language:Chinese
-
Abstract:
Partial thickness rotator cuff tears(PTRCTs) are a common cause of shoulder pain and dysfunction in adults, which are seen in middle-aged and older adults and young adults in over-the-shoulder sports(throwing sports are the most common). PTRCTs include partial tears on the articular side, partial tears on the bursal side, and intratendinous tears. Tears on the articular side are 2-3 times more likely than on the bursal side, but intratendinous tears are the most common type. The treatment of PTRCTs consists of both conservative and surgical treatments. Conservative treatment is suitable for most patients with PTRCTs, and recommended as the primary treatment for PTRCTs because of its good clinical efficacy and patients′ willingness to accept it. However, there is no genaral consensus on the best treatment and the results reported in the literature are controversial. In this paper, the anatomy, epidemiology, pathogenic factor, diagnosis and treatment progress of PTRCTs are summarized in light of relevant domestic and international studies in recent years to provide reference for clinical diagnosis and treatment.