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      Diagnosis and Management of Partial Thickness Rotator Cuff Tears: A Comprehensive Review.

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          Abstract

          Partial thickness rotator cuff tears (PRCTs) are a challenging disease entity. Optimal management of PRCTs continues to be controversial. Although advances in magnetic resonance imaging and ultrasonography have aided in early diagnosis, arthroscopic evaluation remains the benchmark for diagnosis. Conservative treatment is often the first line of management for most patients; however, evidence suggests that surgical intervention may limit tear progression and the long-term sequelae. Surgical decision making is driven by factors such as age, arm dominance, etiology, activity level, tear thickness, and tear location. Many surgical options have been described in the literature to treat PRCTs including arthroscopic débridement, transosseous, in situ repair techniques, and tear completion and repair. Biologic supplements have also become an attractive alternative to aid in healing; however, the long-term efficacy of these modalities is largely unknown. This article will provide a detailed review of the etiology and natural history of PRCTs, as well as diagnosis, and current management to guide clinical decision-making and formulate an algorithm for management of PRCTs for the orthopaedic surgeon.

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          Author and article information

          Journal
          J Am Acad Orthop Surg
          The Journal of the American Academy of Orthopaedic Surgeons
          Ovid Technologies (Wolters Kluwer Health)
          1940-5480
          1067-151X
          Dec 15 2021
          : 29
          : 24
          Affiliations
          [1 ] From the Department of Orthopaedic Surgery, Albert Einstein College of Medicine, New York, NY (Plancher), the Orthopaedic Surgery, Weill Cornell Medical College, New York, NY (Plancher), the Plancher Orthopaedics & Sports Medicine, New York, NY (Plancher and Shanmugam), and the Orthopaedic Foundation Stamford, CT (Plancher, Shanmugam, Briggs, and Petterson).
          Article
          00124635-990000000-00235
          10.5435/JAAOS-D-20-01092
          34520444
          0d5b3f98-ee8d-462d-99cf-68fbfb4110a6
          Copyright © 2021 by the American Academy of Orthopaedic Surgeons.
          History

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