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Partial Articular Supraspinatus Tendon Avulsion Repair in a Competitive Wrestler

March 01, 2020

Contributors: Christopher S Ahmad, MD, FAAOS; Justin Hellwinkel, MD, MSc; Rami Alrabaa

Partial articular supraspinatus tendon avulsion lesions may lead to considerable pain and disability. First-line nonsurgical management includes NSAIDs and physical therapy. Surgical management includes arthroscopic débridement alone or arthroscopic repair. Arthroscopic débridement typically is advocated for patients with a tear involving less than one-half of the tendon, whereas arthroscopic repair generally is recommended for patients with a tear involving more than one-half of the tendon. Partial tears can be repaired after débridement or can be completed into a full-thickness tear and repaired back to its footprint. No repair technique has demonstrated superior outcomes over another, and several case series have reported favorable outcomes after partial articular supraspinatus tendon avulsion repair. This video shows the trans-tendon repair technique of a partial articular supraspinatus tendon avulsion lesion in a collegiate wrestler.

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