Rotator Cuff Disease
GM Gartsman (Univ of Texas, Houston)
Arthroscopic Management of Rotator Cuff Disease.
J Am Acad Orthop Surg 6: 259-266, 1998.
The indications for arthroscopic treatment are the same as for open surgery viz pain and weakness, which interferes with daily activities and does not respond to conservative treatment.
Arthroscopy helps in diagnosis of stage 2 impingement syndrome and conditions that mimic it. It permits complete visual inspection of the glenohumeral joint. It can diagnose the presence and size of a tear in patients with false negative arthrography and can help to determine the best course of treatment.
The value of arthroscopy in the repair of complete tears is controversial – most surgeons prefer open surgery.
Prospective controlled clinical studies are needed to evaluate the outcome of surgery in a large patient population.