ArticleAsia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology2026
Clinical outcomes of arthroscopic suture-bridge repair for intratendinous rotator cuff tears converted to full-thickness tears.
Article in Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The aim of this study was to evaluate the clinical outcomes of arthroscopic rotator cuff repair (ARCR) in which intratendinous tears (ITTs) were converted to full-thickness tears and repaired via the suture-bridge technique. Methods: Partial-thickness ITTs that were refractory for more than 6 months to conservative treatment were surgically treated using a radiofrequency device to convert the ITTs into full-thickness tears, which were subsequently repaired via the suture-bridge technique. The evaluation parameters included shoulder range of motion (forward elevation and external rotation), Japanese Orthopaedic Association (JOA) scores, Constant-Murley scores, University of California at Los Angeles (UCLA) scores, American Shoulder and Elbow Surgeons (ASES) scores, and retear rates (Sugaya classifications IV and V). Results: Twenty-one patients (8 males, 13 females; mean age: 55.3 ± 14.7 years) out of 25 diagnosed with isolated ITT completed at least 12 months of follow-up after surgery. Significant improvements were observed in the shoulder range of motion (139.5 ± 31.4° preoperatively to 164.5 ± 12.8° postoperatively), external rotation (45.8 ± 15.1° to 54.1 ± 14.7°), and clinical scores including the JOA score (64.4 ± 15.0 to 91.9 ± 7.2), Constant-Murley score (49.1 ± 18.7 to 81.9 ± 16.6), UCLA score (18.1 ± 5.2 to 30.4 ± 6.1), and ASES score (46.9 ± 28.8 to 91.3 ± 9.8). No re-tears were observed (0%). Conclusions: There is no consensus on the optimal surgical approach for ITT. This study demonstrated the favorable clinical outcomes of ARCR via the suture-bridge technique after conversion of ITT to full-thickness tears. Level of evidence: Level Ⅳ, retrospective cohort study.
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