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Journal of the Korean Shoulder and Elbow Society 1999;2(2):120-125.
Published online December 30, 1999.
Arthroscopic Treatment for Articular Side Partial-Thickness Tears of the Rotator Cuff - Comparison Between Simple Debridement and Additional Acromioplasty -
Young Lae Moon, Tae Hyun Yoon, Joon Kwang Park, Seo Jin Oh
Department of Orthopedic Surgery, Seonam University, Namkwang Hospital
회전근개 관절내 부분 파열 환자의 관절경적 처치 -변연 절제술 단독과 견봉하 감압술 병용시와의 비교-
문영래 , 윤태현, 박준광, 오서진
서남대학교 부속 남광병원 정형외과학교실
Abstract
Objective
s : To evaluate the effects of arthroscopic acromioplasty and debridement for partial thickness articular side rotator cuff tears.
Methods
: We divided 97 patients into 2 groups according to treatment protocol, with both groups having confirmed intra-articular partial tears of the rotator cuff. In groupⅠ, we debrided the frayed and fibrotic cuff margin while in groupⅡ, we performed subacromial decompression in addition to debridement. After the surgery we checked all the patients with the modified UCLA shoulder rating scale.
Results
: The follow-up observation 12 months after surgery revealed that 44 patients in groupⅠ, were rated as excellent in 32 cases, good in 10 cases, fair in 1 case, and poor in one case, while 53 patients in groupⅡ, were rated as excellent in 38 cases, good in 17 cases, and fair in 2 cases. Twenty-four month after surgery we observed that patients in groupⅠwere rated as excellent in 23 cases, good in 16 cases, fair in 4 cases, and poor in 1 case, while patients in groupⅡwere rated as excellent in 34 cases, good in 17 cases, and fair in 6 cases.
Conclusion
: The use of acromioplasty on partial thickness tears of rotator cuff, even in the cases of intra-articular nature, is preferable to the procedure performed without it.
Key Words: Rotator cuff, Intraarticular, Partial-thickness tear, Debridement, Acromioplasty, Arthroscopy,


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