Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2005, 149(2):277-280 | DOI: 10.5507/bp.2005.041

ARTHROSCOPIC TREATMENT OF RUPTURES OF THE ROTATOR CUFF

Radomír Holibka, Radim Kalina, Miroslav Pach, Katherine Růžičková
Clinic of Orthopaedics, Teaching Hospital, Palacký University, I. P. Pavlova 6, 775 20 Olomouc, Czech Republic

566 patients with shoulder disease were treated at the Clinic of Orthopaedics at the University Hospital Olomouc. Of these, 181 were operated for ruptures of the rotator cuff (RC). They were categorised according to the Gschwend classification, age and gender1. Laterality of the operated limb was also evaluated. Patients with ruptures larger than 4 cm were treated by open operation. 84 shoulders with ruptures classified as Gschwend I, II and IIIa -52 males and 32 females-were treated arthroscopically. The age of the operated patients ranged from 40-60 years. In both genders, the right shoulder was more often affected. Two operating techniques were used: 1) Transosseal refixation of the RC muscle tendons, using RC MITEK anchor implants, 2) "End to end" sutures, without implants2-4. Operating time was reduced to 30-40 min. The operating results were evaluated according to the UCLA criteria- University of California Shoulder Rating Score2. 45 patients achieved excellent results (53 %), 35 patients had good results (42 %), and 4 patients (5 %) obtained satisfactory results. None of the patients obtained poor results- a score of less than 20 was poor. Patients felt comfortable following the operation and none had any post-operational complications. The author is convinced, along with others, that arthroscopic suturing of RC ruptures classified I-IIIa allows for rupture treatment that in the past had to be treated by open technique2-5. The deltoid muscle is not affected by arthroscopy. There is normalisation of the patient's movement, pain, force, and rotational stability is comparable to the healthy limb. Treatment time is reduced to a minimum and the patient may soon return to normal daily life.

Keywords: Muscles of the rotator cuff, Rupture etiology, Arthroscopic treatment

Received: May 2, 2005; Accepted: November 11, 2005; Published: December 1, 2005  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Holibka, R., Kalina, R., Pach, M., & Růžičková, K. (2005). ARTHROSCOPIC TREATMENT OF RUPTURES OF THE ROTATOR CUFF. Biomedical papers, 149(2), 277-280. doi: 10.5507/bp.2005.041
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Gschwend N, Bloch HR, Bischov A. (1991) Langzeitergebnisse der operierte Rotatorenmanschettenruptur. Ortopädie 20, 255-261
    2. Wolf E. (1998) In: Current techniques in arthroscopy. Ed. 3. New York. Time 1998.
    3. Wolf E, Pennington W, T , Agrawal V. (2004) Arthroscopic rotator cuff repair. Arthroscopy 20, 2-12. Go to original source...
    4. Yamaguchi K, Ball C, M, Galatz L, M. (2001) Arthroscopic rotator cuff repair: transition from mini - open to all arthroscopic. Clin Orthop 390, 83-94. Go to original source... Go to PubMed...
    5. Neer C, S, ll, Flatow E, L, Lech O. (1988) Tears of the rotator cuff: Long term results of anterior acromioplasty and repair. Orthop Trans 12, 735-737.
    6. Neer C, S, ll. (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder: A preliminary report. Journal of Bone and Joint Surgery 54, 41-50. Go to original source... Go to PubMed...
    7. Codman E, A. (1911) Complete Rupture of the Supraspinatus Tendon - Operative Treatment with Report of Two Successful Cases. (1911) Boston Med Surg J 164, 708-710. Go to original source...
    8. Holibka R, Ditmar D.(2001) Arthroscopic Treatment of the Rotator cuff - two years results. Artroskopické dny s mezinárodní účastí ČSOT , Poděbrady, ISBN 80-7262-122-X, 41.
    9. Holibka R, Ditmar R, Holibkova A, Laichman S, Ruzickova K.(2003) Isolated ruptures of the supraspinatus muscle. Biomed Papers 147, 227-232. Go to original source...
    10. Holibka R, Holibkova A, Laichman S, Ruzickova K. (2003) Some peculiarties of the rotator cuff muscles. Biomed Papers 142, 227- 232. Go to original source...
    11. Holibka R, Laichman S, Holibkova A, Ruzickova K. (2004) The signifikance of the supraspinatus muscle in surgery of the shoulder joint. Abstracts to the 42nd Congress of the Slovak Anatomical Society with International Participation. Edicne stredisko UPJS, Kosice 2004, s. 52. ISBN 80-7097-554-7.
    12. Holibka R. (2004) Arthroskopická léčba ruptur manžety rotátorů. Dizertační práce, Ortopedická klinika FN v Olomouci.
    13. Podškubka A, Staša M, Dvořák V, Vaculík J. (2000) Artroskopická subakromiální dekomprese. Acta Chir Ortop Traum Čech 67, 175- 180.
    14. Schroder J, van Dijk CN, Wielinga A, Kerkhoffs GM, Marti RK. (2001) Open versus arthroscopic treatment of chronic rotator cuff impingement. Archive of orthopedic and trauma surgery 121, 241-244. Go to original source... Go to PubMed...
    15. Chomiak J. (1997) Nové zkušenosti s rekonstrukčními operacemi u ruptur rotátorové manžety. Acta Chir Ortop Traum Čech 64, 176-182.

    Return to the content