Arthroscopic advancement of the supraspinatus muscle and tendon for posterosuperior massive rotator cuff tears - 01/11/23
Abstract |
The tension-free repair of retracted supraspinatus tears with the open muscle and tendon advancement technique first described by Debeyre in 1965 gave satisfactory clinical results. The purpose of this anatomical study was to test the feasibility of an arthroscopic supraspinatus advancement technique. A total of 10 cadaveric shoulders were operated. We assessed the feasibility, measured the slide distance, and recorded the position of the suprascapular nerve (SSN) for each shoulder. Reattachment of the tendon to its native footprint was achieved in all cases. The mean slide distance was 38.8 mm ± 3.6 (33–44). The SSN was released and tension-free in all shoulders. Arthroscopic advancement of the supraspinatus muscle and tendon enables complete rotator cuff repair in irreparable retracted posterosuperior tears and is a noteworthy alternative to the other techniques. Level of Evidence: IV.
Le texte complet de cet article est disponible en PDF.Keywords : Supraspinatus advancement, Supraspinatus slide, Complete arthroscopic repair, Massive rotator cuff tears, Partial arthroscopic repair, Superior capsule reconstruction, Irreparable
Plan
Vol 109 - N° 7
Article 103536- novembre 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.