Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment

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 s...

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Main Authors: Jung-Han Kim, Soo-Hwan Jung
Format: Article
Language:English
Published: Korean Shoulder and Elbow Society 2019-09-01
Series:Clinics in Shoulder and Elbow
Subjects:
Online Access:http://www.cisejournal.org/upload/pdf/cise-2019-22-3-159.pdf
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author Jung-Han Kim
Soo-Hwan Jung
author_facet Jung-Han Kim
Soo-Hwan Jung
author_sort Jung-Han Kim
collection DOAJ
description 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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spelling doaj.art-80f165db0f2e4f099509e18302acbf8b2024-02-02T17:29:42ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212019-09-0122315917010.5397/cise.2019.22.3.15920Delaminated Rotator Cuff Tear: Concurrent Concept and TreatmentJung-Han Kim0Soo-Hwan Jung Department of Orthopedic Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, KoreaDelaminated 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.http://www.cisejournal.org/upload/pdf/cise-2019-22-3-159.pdfdelaminatedrotator cuff tearshoulderarthroscopic repairprognostic factor
spellingShingle Jung-Han Kim
Soo-Hwan Jung
Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment
Clinics in Shoulder and Elbow
delaminated
rotator cuff tear
shoulder
arthroscopic repair
prognostic factor
title Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment
title_full Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment
title_fullStr Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment
title_full_unstemmed Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment
title_short Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment
title_sort delaminated rotator cuff tear concurrent concept and treatment
topic delaminated
rotator cuff tear
shoulder
arthroscopic repair
prognostic factor
url http://www.cisejournal.org/upload/pdf/cise-2019-22-3-159.pdf
work_keys_str_mv AT junghankim delaminatedrotatorcufftearconcurrentconceptandtreatment
AT soohwanjung delaminatedrotatorcufftearconcurrentconceptandtreatment