Author/Authors :
BAŞAR, Hakan Sakarya Eğitim ve Araştırma Hastahanesi - Ortopedi ve Traumatoloji Kliniği, Türkiye , BAŞAR, Betül Sakarya Akyazı Devlet Hastanesi - Fizik Tedavi ve Rehabilitasyon Kliniği, Türkiye , İNANMAZ, Mustafa Erkan Sakarya Eğitim ve Araştırma Hastahanesi - Ortopedi ve Traumatoloji Kliniği, Türkiye , KAPLAN, Tolga Sakarya Eğitim ve Araştırma Hastahanesi - Ortopedi ve Traumatoloji Kliniği, Türkiye , BAŞCI, Onur Pendik Şifa Hastanesi - Ortopedi ve Traumatoloji Kliniği, Türkiye
Abstract :
Objectives: The aim of our study was to determine whether results of arthroscopic treatment for partial and total thickness rotator cuff tears are as successful as results of arthroscopic treatment for subacromial impingement syndrome. Patients and Methods: Forty-three patients (29 women,14 men;mean age 46.3±11.3 years) operated arthroscopically were recruited to the study between January 2010 and January 2012. Subacromial decompression and acromioplasty were used for the subacromial impingement syndrome. In addition to that surgical procedure, a debridement was used for the partial-thickness tear of the rotator cuff, and a repair was made with suture-anchors for the full-thickness tear of the rotator cuff. The patients were evaluated according to the Constant-Murley score and on the basis of active shoulder motions. Results: Mean follow-up was 13.5±2.7 months.No significant difference was found between all groups with regard to the preoperative Constant-Murley score.The final Constant-Murley score and the active shoulder motions were significantly better than preoperative results in the subacromial impingement syndrome, fullthickness and 50%partial-thickness tears of the rotator cuff. However, the improvement was not found in partial tears ( 50% of the thickness) of the rotator cuff . Conclusion: Arthroscopic subacromial decompression and acromioplasty give successful results for subacromial impingements and for partial tears ( 50% of the thicknes) of the rotator cuff. However, that treatment does not give a successful result for tears 50% of the thickness of the rotator cuff.The arthroscopic repair of a tear of the rotator cuff and acromioplasty give successful results of tears of the full-thickness of the rotator cuff.
