Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment

  • Kim, Jung-Han (Department of Orthopedic Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) ;
  • Jung, Soo-Hwan (Department of Orthopedic Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine)
  • Received : 2019.02.15
  • Accepted : 2019.05.06
  • Published : 2019.09.01
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Abstract

Delaminated rotator cuff tear pertains to the horizontal split of the tendon substance. As reported previously, the presence of a delaminated tear and incidence of delaminated rotator cuff tear ranges from 38% to 92%. The different strain intensities applied across the rotator cuff tendon, and the shear stress between the bursal and articular layers seem to play a role in its pathogenesis. In a delaminated rotator cuff tear, the degree and direction of retraction between two layers differ, with accompanying intrasubstance cleavage. A surgeon therefore needs to consider and carefully evaluate the tear characteristics when repairing delaminated rotator cuff tear. Delaminated rotator cuff tear is considered to be a poor prognostic factor after rotator cuff repair, but numerous surgical repair techniques have been introduced and applied to resolve this problem. Recent literature has reported good clinical outcomes after delaminated rotator cuff repair.

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References

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