Arthroscopic treatment of XXXX of the rotator cuff.

@entity1 @entity397 @entity66 @entity158
566 @entity1 with @entity66 were treated at the Clinic of Orthopaedics at the University Hospital Olomouc. Of these, 181 were operated for @entity397 of the rotator cuff (RC). They were categorised according to the Gschwend classification, age and gender(1). Laterality of the operated limb was also evaluated. @entity1 with @entity397 larger than 4 cm were treated by open operation. 84 shoulders with @entity397 classified as Gschwend I, II and IIIa -52 males and 32 females-were treated arthroscopically. The age of the operated @entity1 ranged from 40-60 years. In both genders, the right shoulder was more often affected. Two operating techniques were used: 1) Transosseal refixation of the RC muscle tendons, using RC MITEK anchor implants, 2) "End to end" sutures, without implants(2-4). Operating time was reduced to 30-40 min. The operating results were evaluated according to the UCLA criteria- University of California Shoulder Rating Score(2). 45 @entity1 achieved excellent results (53 %), 35 @entity1 had good results (42 %), and 4 @entity1 (5 %) obtained satisfactory results. None of the @entity1 obtained poor results- a score of less than 20 was poor. @entity1 felt comfortable following the operation and none had any post-operational complications. The author is convinced, along with others, that arthroscopic suturing of RC @entity397 classified I-IIIa allows for @entity397 treatment that in the past had to be treated by open technique(2-5). The deltoid muscle is not affected by arthroscopy. There is normalisation of the @entity1 's movement, @entity158 , force, and rotational stability is comparable to the healthy limb. Treatment time is reduced to a minimum and the @entity1 may soon return to normal daily life.
