AJSM signin
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Payne, L. Z.
Right arrow Articles by Warren, R. F.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Payne, L. Z.
Right arrow Articles by Warren, R. F.
The American Journal of Sports Medicine 25:299-305 (1997)
© 1997 SAGE Publications

Arthroscopic Treatment of Partial Rotator Cuff Tears in Young Athletes

A Preliminary Report

Loel Z. Payne, MD

Hospital for Special Surgery, New York, New York

David W. Altchek, MD

Hospital for Special Surgery, New York, New York

Edward V. Craig, MD

Hospital for Special Surgery, New York, New York

Russell F. Warren, MD

Hospital for Special Surgery, New York, New York

Forty-three athletes under age 40, more than half of which were collegiate or professional, with partial rota tor cuff tears were treated arthroscopically and ob served for a minimum of 24 months. By history and mechanism of injury, two main groups were identified. Group A had 14 patients with acute, traumatic injuries. All 14 had inflamed subacromial bursas, but increased glenohumeral translation and labral lesions were un common. Twelve patients (86%) had satisfactory post operative results and nine (64%) returned to preinjury sports after arthroscopic subacromial decompression and tear debridement. Group B had 29 overhead ath letes with insidious, atraumatic shoulder pain. They were not as successful with debridement (19 [66%] satisfactory and 13 [45%] return to preinjury sports). Within Group B, three subgroups were identified based on the examination under anesthesia and subacromial inflammation. Group B1 (8 patients) had normal-ap pearing subacromial spaces and often increased ante rior glenohumeral translation with posterior labral tears. These patients did poorly after arthroscopic tear debridement (3 [38%] satisfactory and 2 [25%] return to sports). Group B2 (12 patients) had inflamed sub acromial bursas and increased glenohumeral transla tion. This group had marginal results with debridement (7 [58%] satisfactory and 6 [50%] return to sports). Group B3 (9 patients) with subacromial inflammation, yet without increased glenohumeral translation, had excellent pain relief (100%) but less than half (4) re turned to preinjury sports.




This article has been cited by other articles:


Home page
Am J Sports MedHome page
A. D. Mazzocca, L. M. Rincon, R. W. O'Connor, E. Obopilwe, M. Andersen, L. Geaney, and R. A. Arciero
Intra-articular Partial-Thickness Rotator Cuff Tears: Analysis of Injured and Repaired Strain Behavior
Am. J. Sports Med., January 1, 2008; 36(1): 110 - 116.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
J. E. Voos, A. D. Pearle, C. J. Mattern, F. A. Cordasco, A. A. Allen, and R. F. Warren
Outcomes of Combined Arthroscopic Rotator Cuff and Labral Repair
Am. J. Sports Med., July 1, 2007; 35(7): 1174 - 1179.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
S. B. Cohen, J. D. Towers, and J. P. Bradley
Rotator Cuff Contusions of the Shoulder in Professional Football Players: Epidemiology and Magnetic Resonance Imaging Findings
Am. J. Sports Med., March 1, 2007; 35(3): 442 - 447.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Roentgenol.Home page
E. L. Giaroli, N. M. Major, and L. D. Higgins
MRI of Internal Impingement of the Shoulder
Am. J. Roentgenol., October 1, 2005; 185(4): 925 - 929.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
M. J. Matava, D. B. Purcell, and J. R. Rudzki
Partial-Thickness Rotator Cuff Tears
Am. J. Sports Med., September 1, 2005; 33(9): 1405 - 1417.
[Abstract] [Full Text] [PDF]


Home page
J Am Acad Orthop SurgHome page
F. S. Chen, V. A. Diaz, M. Loebenberg, and J. E. Rosen
Shoulder and Elbow Injuries in the Skeletally Immature Athlete
J. Am. Acad. Ortho. Surg., May 1, 2005; 13(3): 172 - 185.
[Abstract] [Full Text] [PDF]


Home page
RadiologyHome page
S. Y. Lee and J. K. Lee
Horizontal Component of Partial-Thickness Tears of Rotator Cuff: Imaging Characteristics and Comparison of ABER View with Oblique Coronal View at MR Arthrography— Initial Results
Radiology, August 1, 2002; 224(2): 470 - 476.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
B. Sonnery-Cottet, T. B. Edwards, E. Noel, and G. Walch
Rotator Cuff Tears in Middle-Aged Tennis Players: Results of Surgical Treatment
Am. J. Sports Med., July 1, 2002; 30(4): 558 - 564.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
F. A. Cordasco, M. Backer, E. V. Craig, D. Klein, and R. F. Warren
The Partial-Thickness Rotator Cuff Tear: Is Acromioplasty Without Repair Sufficient?
Am. J. Sports Med., March 1, 2002; 30(2): 257 - 260.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
K. Meister
Injuries to the Shoulder in the Throwing Athlete: Part Two: Evaluation/Treatment
Am. J. Sports Med., July 1, 2000; 28(4): 587 - 601.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
K. Meister, J. R. Andrews, J. Batts, K. Wilk, and T. Baumgartner
Symptomatic Thrower's Exostosis: Arthroscopic Evaluation and Treatment
Am. J. Sports Med., March 1, 1999; 27(2): 133 - 136.
[Abstract] [Full Text] [PDF]


Home page
JBJSHome page
J. E. BUDOFF, R. P. NIRSCHL, and E. J. GUIDI
Current Concepts Review - Debridement of Partial-Thickness Tears of the Rotator Cuff without Acromioplasty. Long-Term Follow-up and Review of the Literature
J. Bone Joint Surg. Am., May 1, 1998; 80(5): 733 - 48.
[Full Text]




HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1997 by the American Orthopaedic Society for Sports Medicine.