POSTER ABSTRACTS - ISAKOS

The mean VAS-score for pain during the procedure
was 2, 63.
There were no complications .
CONCLUSION:
The US-guided needling procedure for calcific
tendinitis of the shoulder is an effective and well
tolerated method of treatment and avoids the
need of an operative removal in 77% of the cases.
In cases where no complete dissolution is
achieved re-needling can be performed.
E-poster #922
Long Head of Biceps Tendon Lesion Associated
with Full Thickness Rotator Cuff Tear
Young-Kyu Kim, Inchon, KOREA, Presenter
Gachon Medical School, Gil Medical Center,
Inchon, KOREA
Introduction: The aims of this study were to
evaluate the pathologic patterns and to assess the
outcomes of the treatment of a long head of
biceps tendon lesion associated with a fullthickness
rotator cuff tear.
Materials and Methods: Eighty-Two patients, who
were treated for FTRCT and in whom the biceps
tendon lesion could be observed with
arthroscopy, were retrospectively reviewed with
minimum 1 year follow-up between 1997 and
2002. There were 13 patients with a small RCT , 26
with a medium RCT, 22 with a large RCT, and 21
with a massive tear. 12 had associated partial
thickness tears of the deep surface of the
subscapularis tendon. The pathologic spectrum of
the biceps tendon was classified into the
following 4 types ; tenosynovitis, degenerative
change, tear, and subluxation or dislocation. All
but 4 patients with a massive cuff tear were
repaired. The biceps tendon lesions were treated
with a debridement in 29, a tenotomy in 7, a
tenodesis in 4, recentering 3, and no treatment 20.
Results: 63 patients (77%) had a biceps tendon
lesion. 18 patients (22%) had either tenosynovitis
or tendinitis, 20 (24%) had fraying or flattening, 14
(17%) had a partial tear, 4 (5%) had a complete
tear, 4 (5%) had subluxation, and 3 (4%) had a
dislocation. According the involvement of the
RCT, a biceps tendon lesion was observed in 62%
of the small RCT, 73% of the medium RCT, 82% of
the large RCT, and 86% of the massive RCT. In 12
cases with the associated subscapularis partial
tear, 11 (92%) had a biceps tendon lesion and 4
out of the 11 cases had either a subluxation or
dislocation. The outcomes according to the
pathology of the biceps lesion were a pain score
of 8.4 and UCLA score of 29.6 in the absent biceps
lesion, and a pain score of 8.0 and UCLA score of
28.3 in the present biceps lesion. In 3 cases with
recentering, the pain score was 7.7 and UCLA
score was 27.7. In 9 cases of either tenotomy or
tenodesis with a reparable RCT, the pain score
was 8.2 and UCLA score was 28.2.
Conclusion: There was a higher incidence and
severity of a biceps tendon lesion with a larger
RCT. Therefore, the cause of a biceps tendon
lesion might be related to the cause of the RCT. A
biceps tendon subluxation or dislocation had a
higher incidence in the RCT associated with a
subscapularis tear. It is possible that a tenotomy
or tenodesis may be more effective in providing
pain relief and restoring the function among the
several surgical options for biceps lesion than
recentering.
E-poster #924
The Arthroscopic Rotator Cuff Repair of the
Partial Rotator Cuff Tear
Kentarou Hiratsuka, Chino, JAPAN,
Hiroshi Asano, Tino, Nagano, JAPAN
Tsutomu Komi, Chino, Nagano, JAPAN
Kazuo Kusano, Chino, Nagao, JAPAN
Hirotaka Haro, Chino, Nagano, JAPAN
Suwa Central Hospital, Chino, Nagano, JAPAN
Purpose:We evaluated the clinical outcome of
arthroscopic rotator cuff repair (ARCR) in eight
patients who had partial rotator cuff tear (PRCT)
involved more than 50% depth of the tendon.
Materials:8 patients who underwent ARCR from
2000 to 2003 were followed up over one year
(15.1±9.3 months). There were 4 males and 4
females with an average age of 64.4 years at the
time of surgery. All tears were involved more than
50% depth of the rotator cuff. Tow cases were
bursal side tears, one case was intratendinous
tear, and five cases were articular side tears. All
patients received acromioplasty and rotator cuff
repair under the arthroscopy. Three cases who
suffered from shoulder stiffness were underwent
arthroscopic capsular release. The results were
graded on the UCLA Shoulder Rating Scale.
Results:At one-year follow up, the average
postoperative UCLA Shoulder Rating Scale score
increased by an average of 14.5 points to 18.3. The
pain scores improved from 2.1points
preoperatively to 9.8 points at the time of follow
up. The function scores improved from 4.5 to 8.8.
Forward flexion scores improved from 3.5 to 4.8.
Strength scores improved from 4.4 to 5.0.