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The Journal of Bone and Joint Surgery 80:733-48 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Current Concepts Review - Débridement of Partial-Thickness Tears of the Rotator Cuff without Acromioplasty. Long-Term Follow-up and Review of the Literature*

JEFFREY E. BUDOFF, M.D.{dagger}, ROBERT P. NIRSCHL, M.D.{ddagger} and ERIC J. GUIDI, M.D.{ddagger}, ARLINGTON, VIRGINIA

Investigation performed at Nirschl Orthopedic and Sportsmedicine Clinic, Arlington


   Introduction
 
The rotator cuff, a musculotendinous unit that acts in combination with the deltoid to allow elevation of the shoulder, is a frequent source of pain and disability. In addition, the rotator cuff maintains the humeral head centered on the glenoid and opposes the superior translatory and shearing force of the deltoid by compressing the humeral head in the glenoid concavity as well as by imparting an inferiorly directed force vector to the proximal aspect of the humerus.

The term impingement syndrome has been used to describe symptoms related to the rotator cuff in the absence of a full-thickness tear of the cuff. The abnormality of the rotator cuff may range in severity from an acute strain or tendinitis to frank tearing. In all but the most acute situations, the lesion is one of chronic tendinopathy or angiofibroblastic hyperplasia rather than tendinitis. We recommend the use of the term tendinosis in . . . [Full Text of this Article]


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