Hầu hết các nghiên cứu về sửa chữa rotator cuff báo cáo tỷ lệ thành công cao. Tuy nhiên, đa số của Những nghiên cứu này kết hợp các kết quả của phẫu thuật quản lý của nước mắt rotator cuff các kích cỡ khác nhau; các báo cáo được công bố cụ thể FEW Đánh giá việc quản lý của nước mắt mãn tính lớn. | Chronic Massive Rotator Cuff Tears Evaluation and Management Andrew Green MD Abstract Most studies of rotator cuff repairs report high success rates. However the majority of these studies combine the results of surgical management of rotator cuff tears of various sizes few published reports speci cally evaluate the management of chronic massive tears. Chronic massive rotator cuff tears may be acute traumatic chronic atraumatic or acute-on-chronic. A detailed history and thorough physical examination often are sufficient to establish the diagnosis. Radiographic evaluation can reveal osseous changes suggestive of pathology. Magnetic resonance imaging can determine the size of rotator cuff tears and status of the muscles but generally is not necessary for patients who are not candidates for surgery. Chronic massive rotator cuff tears without glenohumeral arthritis can be managed nonsurgically or with subacromial debridement rotator cuff repair or rotator cuff reconstruction. However treatment of these patients is challenging and results are comparatively inferior to those of treating patients with smaller rotator cuff tears. J Am Acad Orthop Surg 2003 11 321-331 Codman1 accurately described rotator cuff pathology in 1934 subsequently others reported on the technical aspects of rotator cuff repair and methods of addressing acromial impingement. Recognizing that individuals with rotator cuff tears could be asymptomatic McLaugh-lin2 stated that surgery for rotator cuff disorders was indicated not by the diagnosis but by pain and disability. Early reports3 4 of surgical management showed only a 50 to 60 success rate whereas more recent studies have shown successful outcomes ie good pain relief and functional restoration in 80 to 90 of Harryman et al8 used ultrasound to evaluate the effect of rotator cuff tear size and repair integrity on the outcome of surgical management. Although tear size and repair integrity did not correlate with pain relief the authors .
