Standardized Rotator Cuff Repair. Classification of Fundación Santa Fe de Bogotá
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Published:
Aug 17, 2023
Keywords:
Rotator cuff repair, arthroscopy, classification, surgery
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Abstract
Rotator cuff surgery has become more popular in recent years, transitioning from an open technique to arthroscopic surgery. Although multiple techniques for bone fixation have been described, the steps to perform this repair have not been standardized, leading to inconsistencies and heterogeneity in the outcomes. This article proposes a new classification of rotator cuff injuries that will help surgeons make decisions during arthroscopic rotator cuff repair surgery.
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How to Cite
Fierro, G., Salas, M., Jiménez, A., Rojas, J., & González, J. C. (2023). Standardized Rotator Cuff Repair. Classification of Fundación Santa Fe de Bogotá. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 88(4), 457-463. https://doi.org/10.15417/issn.1852-7434.2023.88.4.1595
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Artículo Especial
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References
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2. Burkhart SS, Lo IKY. Arthroscopic rotator cuff repair. J Am Acad Orthop Surg 2006;14(6):333-46.
https://doi.org/10.5435/00124635-200606000-00003
3. Cole BJ, ElAttrache NS, Anbari A. Arthroscopic rotator cuff repairs: An anatomic and biomechanical rationale for different suture-anchor repair configurations. Arthroscopy 2007;23(6):662-9. https://doi.org/ 10.1016/j.arthro.2007.02.018
4. Garrigues GE, Lazarus MD. Arthroscopic bone tunnel augmentation for rotator cuff repair. Orthopedics 2012;35(5):392-7. https://doi.org/10.3928/01477447-20120426-04
5. Chillemi C, Mantovani M. Arthroscopic trans-osseous rotator cuff repair. Muscles Ligaments Tendons J 2017;7(1):19-25. https://doi.org/10.11138/mltj/2017.7.1.019
6. Lädermann A, Burkhart SS, Hoffmeyer P, Neyton L, Collin P, Yates E, et al. Classification of full-thickness rotator
cuff lesions: A review. EFORT Open Rev 2016;1(12):420-30. https://doi.org/10.1302/2058-5241.1.160005
7. Patte D. Classification of rotator cuff lesions. Clin Orthop Relat Res 1990;(254):81-6. PMID: 2323151
8. Somerson JS, Hsu JE, Gorbaty JD, Gee AO. Classifications in brief: Goutallier classification of fatty infiltration of
the rotator cuff musculature. Clin Orthop Relat Res 2016;474(5):1328-32. https://doi.org/10.1007/s11999-015-4630-1
9. Brolin TJ, Updegrove GF, Horneff JG. Classifications in brief: Hamada classification of massive rotator cuff tears. Clin Orthop Relat Res 2017;475(11):2819-23. https://doi.org/10.1007/s11999-017-5340-7
10. Malavolta EA, Assunção JH, de Araujo AO, Seito CA, Gracitelli MEC, Bordalo-Rodrigues M, et al. Full-thickness
supraspinatus tendon tears: correlation of findings by arthroscopy and magnetic resonance imaging. Int Orthop
2015;39(2):227-32. https://doi.org/10.1007/s00264-014-2490-z
11. Lafosse L, Jost B, Reiland Y, Audebert S, Toussaint B, Gobezie R. Structural integrity and clinical outcomes after arthroscopic repair of isolated subscapularis tears. J Bone Joint Surg Am 2007;89(6):1184-93. https://doi.org/10.2106/JBJS.F.00007
12. Gumina S, Borroni M. Classifications of the rotator cuff tears. En: Gumina S. Rotator cuff tear: pathogenesis,
evaluation and treatment. Springer Cham; 2016, pp. 123-31.
13. Calvo E, Guardado CR, Morcillo D, Arce G. Diagnosis and classification of rotator cuff tears. En: Imhoff AB,
Savoie FH (eds.). Rotator cuff across the life span. ISAKOS Consensus Book. Heidelberg: Springer Berlin; 2019, pp. 3-10.
14. Nimura A, Kato A, Yamaguchi K, Mochizuki T, Okawa A, Sugaya H, et al. The superior capsule of the shoulder
joint complements the insertion of the rotator cuff. J Shoulder Elbow Surg 2012;21(7):867-72. https://doi.org/10.1016/j.jse.2011.04.034
15. Cha SW, Lee CK, Sugaya H, Kim T, Lee SC. Retraction pattern of delaminated rotator cuff tears: Dual-layer rotator cuff repair. J Orthop Surg Res 2016;11(1):1-10. https://doi.org/10.1186/s13018-016-0407-9
16. Kim SJ, Jung M, Lee JH, Kim C, Chun YM. Arthroscopic repair of anterosuperior rotator cuff tears: In continuity
technique vs. disruption of subscapularis supraspinatus tear margin comparison of clinical outcomes and structural integrity between the two techniques. J Bone Joint Surg Am 2014;96(24):2056-61. https://doi.org/10.2106/JBJS.N.00293
17. Zalneraitis BH, Milam BP, Turner EK, Gasbarro G, Galvin JW. Biceps squeeze tenotomy: Technique to improve
efficiency of arthroscopic biceps tenotomy. Arthrosc Tech 2020;9(11):e1851-3. https://doi.org/10.1016/j.eats.2020.08.009
18. Belk JW, Kraeutler MJ, Houck DA, Chrisman AN, Scillia AJ, McCarty EC. Biceps tenodesis versus tenotomy: a
systematic review and meta-analysis of level I randomized controlled trials. J Shoulder Elbow Surg 2021;30(5):951-60. https://doi.org/10.1016/j.jse.2020.11.012
19. Haupt ET, O’Keefe K, Farmer K. Arthroscopic all-inside biceps tenodesis: Technique and outcomes. Arthrosc Tech 2019;8(12):e1485-9. https://doi.org/10.1016/j.eats.2019.07.034
20. Tauro JC. Arthroscopic rotator cuff repair with interval release for contracted rotator cuff tears. En: Abrams J, Bell LH (eds.). Arthroscopy rotator cuff surgery. New York: Springer; 2008, pp: 208-17.
21. Tan Z, Hendy BA, Zmistowski B, Camp RS, Getz CL, Abboud JA, et al. Glenohumeral synovitis score predicts
early shoulder stiffness following arthroscopic rotator cuff repair. J Orthop 2020;22:17-21. https://doi.org/10.1016/j.jor.2020.03.050
22. Giuseffi S, Field LD, Giel TV, Brislin BT, Savoie FH. Arthroscopic rotator cuff repair with concomitant capsular
release. Arthrosc Tech 2016;5(4):e833-7. https://doi.org/10.1016/j.eats.2016.04.002
23. Nam JH, Park S, Lee HR, Kim SH. Outcomes after limited or extensive bursectomy during rotator cuff repair:
Randomized controlled trial. Arthroscopy 2018;34(12):3167-74. https://doi.org/10.1016/j.arthro.2018.06.056
24. Sun Z, Fu W, Tang X, Chen G, Li J. Systematic review and meta-analysis on acromioplasty in arthroscopic repair of full-thickness rotator cuff tears. Acta Orthop Belg 2018;84:54-61. PMID: 30457500
25. Toro F, Pinochet F, Ruiz F, Moraga C, Pozo R, Oliva JP, et al. Functional and radiologic results of the crimson duvet procedure in rotator cuff treatment: a randomized controlled clinical trial. J Shoulder Elbow Surg 2022;31(6):1200-7. https://doi.org/10.1016/j.jse.2021.12.004
26. Gallinet D, Barth J, Labattut L, Collin P, Metais P, Bonnevialle N, et al. Benefits of distal clavicle resection during rotator cuff repair: Prospective randomized single-blind study. Orthop Traumatol Surg Res 2020;106(8):S207-11. https://doi.org/10.1016/j.otsr.2020.08.006
27. Sahu D, Phadnis A. Revisiting the rotator cuff footprint. J Clin Orthop Trauma 2021;21:101514. https://doi.org/10.1016/j.jcot.2021.101514
Shoulder Elbow Surg 2013;22(12):1628-32. https://doi.org/10.1016/j.jse.2013.01.006
2. Burkhart SS, Lo IKY. Arthroscopic rotator cuff repair. J Am Acad Orthop Surg 2006;14(6):333-46.
https://doi.org/10.5435/00124635-200606000-00003
3. Cole BJ, ElAttrache NS, Anbari A. Arthroscopic rotator cuff repairs: An anatomic and biomechanical rationale for different suture-anchor repair configurations. Arthroscopy 2007;23(6):662-9. https://doi.org/ 10.1016/j.arthro.2007.02.018
4. Garrigues GE, Lazarus MD. Arthroscopic bone tunnel augmentation for rotator cuff repair. Orthopedics 2012;35(5):392-7. https://doi.org/10.3928/01477447-20120426-04
5. Chillemi C, Mantovani M. Arthroscopic trans-osseous rotator cuff repair. Muscles Ligaments Tendons J 2017;7(1):19-25. https://doi.org/10.11138/mltj/2017.7.1.019
6. Lädermann A, Burkhart SS, Hoffmeyer P, Neyton L, Collin P, Yates E, et al. Classification of full-thickness rotator
cuff lesions: A review. EFORT Open Rev 2016;1(12):420-30. https://doi.org/10.1302/2058-5241.1.160005
7. Patte D. Classification of rotator cuff lesions. Clin Orthop Relat Res 1990;(254):81-6. PMID: 2323151
8. Somerson JS, Hsu JE, Gorbaty JD, Gee AO. Classifications in brief: Goutallier classification of fatty infiltration of
the rotator cuff musculature. Clin Orthop Relat Res 2016;474(5):1328-32. https://doi.org/10.1007/s11999-015-4630-1
9. Brolin TJ, Updegrove GF, Horneff JG. Classifications in brief: Hamada classification of massive rotator cuff tears. Clin Orthop Relat Res 2017;475(11):2819-23. https://doi.org/10.1007/s11999-017-5340-7
10. Malavolta EA, Assunção JH, de Araujo AO, Seito CA, Gracitelli MEC, Bordalo-Rodrigues M, et al. Full-thickness
supraspinatus tendon tears: correlation of findings by arthroscopy and magnetic resonance imaging. Int Orthop
2015;39(2):227-32. https://doi.org/10.1007/s00264-014-2490-z
11. Lafosse L, Jost B, Reiland Y, Audebert S, Toussaint B, Gobezie R. Structural integrity and clinical outcomes after arthroscopic repair of isolated subscapularis tears. J Bone Joint Surg Am 2007;89(6):1184-93. https://doi.org/10.2106/JBJS.F.00007
12. Gumina S, Borroni M. Classifications of the rotator cuff tears. En: Gumina S. Rotator cuff tear: pathogenesis,
evaluation and treatment. Springer Cham; 2016, pp. 123-31.
13. Calvo E, Guardado CR, Morcillo D, Arce G. Diagnosis and classification of rotator cuff tears. En: Imhoff AB,
Savoie FH (eds.). Rotator cuff across the life span. ISAKOS Consensus Book. Heidelberg: Springer Berlin; 2019, pp. 3-10.
14. Nimura A, Kato A, Yamaguchi K, Mochizuki T, Okawa A, Sugaya H, et al. The superior capsule of the shoulder
joint complements the insertion of the rotator cuff. J Shoulder Elbow Surg 2012;21(7):867-72. https://doi.org/10.1016/j.jse.2011.04.034
15. Cha SW, Lee CK, Sugaya H, Kim T, Lee SC. Retraction pattern of delaminated rotator cuff tears: Dual-layer rotator cuff repair. J Orthop Surg Res 2016;11(1):1-10. https://doi.org/10.1186/s13018-016-0407-9
16. Kim SJ, Jung M, Lee JH, Kim C, Chun YM. Arthroscopic repair of anterosuperior rotator cuff tears: In continuity
technique vs. disruption of subscapularis supraspinatus tear margin comparison of clinical outcomes and structural integrity between the two techniques. J Bone Joint Surg Am 2014;96(24):2056-61. https://doi.org/10.2106/JBJS.N.00293
17. Zalneraitis BH, Milam BP, Turner EK, Gasbarro G, Galvin JW. Biceps squeeze tenotomy: Technique to improve
efficiency of arthroscopic biceps tenotomy. Arthrosc Tech 2020;9(11):e1851-3. https://doi.org/10.1016/j.eats.2020.08.009
18. Belk JW, Kraeutler MJ, Houck DA, Chrisman AN, Scillia AJ, McCarty EC. Biceps tenodesis versus tenotomy: a
systematic review and meta-analysis of level I randomized controlled trials. J Shoulder Elbow Surg 2021;30(5):951-60. https://doi.org/10.1016/j.jse.2020.11.012
19. Haupt ET, O’Keefe K, Farmer K. Arthroscopic all-inside biceps tenodesis: Technique and outcomes. Arthrosc Tech 2019;8(12):e1485-9. https://doi.org/10.1016/j.eats.2019.07.034
20. Tauro JC. Arthroscopic rotator cuff repair with interval release for contracted rotator cuff tears. En: Abrams J, Bell LH (eds.). Arthroscopy rotator cuff surgery. New York: Springer; 2008, pp: 208-17.
21. Tan Z, Hendy BA, Zmistowski B, Camp RS, Getz CL, Abboud JA, et al. Glenohumeral synovitis score predicts
early shoulder stiffness following arthroscopic rotator cuff repair. J Orthop 2020;22:17-21. https://doi.org/10.1016/j.jor.2020.03.050
22. Giuseffi S, Field LD, Giel TV, Brislin BT, Savoie FH. Arthroscopic rotator cuff repair with concomitant capsular
release. Arthrosc Tech 2016;5(4):e833-7. https://doi.org/10.1016/j.eats.2016.04.002
23. Nam JH, Park S, Lee HR, Kim SH. Outcomes after limited or extensive bursectomy during rotator cuff repair:
Randomized controlled trial. Arthroscopy 2018;34(12):3167-74. https://doi.org/10.1016/j.arthro.2018.06.056
24. Sun Z, Fu W, Tang X, Chen G, Li J. Systematic review and meta-analysis on acromioplasty in arthroscopic repair of full-thickness rotator cuff tears. Acta Orthop Belg 2018;84:54-61. PMID: 30457500
25. Toro F, Pinochet F, Ruiz F, Moraga C, Pozo R, Oliva JP, et al. Functional and radiologic results of the crimson duvet procedure in rotator cuff treatment: a randomized controlled clinical trial. J Shoulder Elbow Surg 2022;31(6):1200-7. https://doi.org/10.1016/j.jse.2021.12.004
26. Gallinet D, Barth J, Labattut L, Collin P, Metais P, Bonnevialle N, et al. Benefits of distal clavicle resection during rotator cuff repair: Prospective randomized single-blind study. Orthop Traumatol Surg Res 2020;106(8):S207-11. https://doi.org/10.1016/j.otsr.2020.08.006
27. Sahu D, Phadnis A. Revisiting the rotator cuff footprint. J Clin Orthop Trauma 2021;21:101514. https://doi.org/10.1016/j.jcot.2021.101514