Arthroscopic RTC without Acromioplasty:

- Controversies: Is Acromioplasty required with Arthroscopic RTC Repair?
    - rotator cuff tear tear: (arthroscopic RTC) (acromioplasty)
          - as pointed out by Gartsman, et al, in a group of patients with partial thickness rotator tears, there was 33 satisfactory and 7 unsatisfactory results;
          - as pointed out by Gartsman, et al, in a group of patients with full thickness rotator tears, there was 14 satisfactory and eleven satisfactory results;
                 - in this same group, 6 out of 7 patients that underwent subsequent rotator cuff repair had a satisfactory result;
                 - ref: Arthroscopic acromioplasty for lesions of the rotator cuff.
          - from Altchek et al, 6 of 10 patients w/ a full thickness RTC, had a good or excellent result;
          - these patients should generally expect some pain relief but no improvement in function from the arthroscopic acromioplasty;
          - references: for rotator cuff repair without acromioplasty
                   - Improvement in Comfort and Function After Cuff Repair Without Acromioplasty 
                   - Open rotator cuff repair without acromioplasty. 
                   - Arthroscopic rotator cuff repair with and without arthroscopic subacromial decompression: a prospective, randomized study of one-year outcomes.
                   - Débridement of partial-thickness tears of the rotator cuff without acromioplasty. Long-term follow-up and review of the literature.
                   - Arthroscopic decompression with acromioplasty and structured exercise was no more effective and was more expensive than exercise alone.
                   - Arthroscopic rotator cuff debridement without decompression for the treatment of tendinosis. 
                   - Arthroscopic rotator cuff repair with and without acromioplasty in the treatment of full-thickness rotator cuff tears: a multicenter, randomized controlled trial.
                   - The efficacy of acromioplasty in the arthroscopic repair of small- to medium-sized rotator cuff tears without acromial spur: prospective comparative study.
                   - Arthroscopic Repair of Full-Thickness Rotator Cuff Tears With and Without Acromioplasty: Randomized Prospective Trial With 2-Year Follow-up.

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, January 23, 2015 1:10 pm