Clinical Outcome of Transtendon Repair of Partial Articular Supraspinatus Tendon Avulsion Tear

Partial articular supraspinatus tendon avulsion (PASTA) tears are common. However, there is no consensus on the optimal surgical technique for the management of grade 3 tears (>50%). The authors report a retrospective consecutive case series of 64 patients with grade 3 PASTA lesions. the patients were treated by 2 surgeons from 2 centers with the same transtendon repair technique and implant system. the preoperative Oxford Shoulder Score (OSS) was compared with the postoperative OSS at final follow-up (mean, 28 months ) . Significant improvement in mean OSS occurred from 19.2 (SD, 7.5) preoperatively to 39.8 (SD 7.8) postoperatively (P=.0001), and patient satisfaction rates were high (88%). the authors believe that transtendon repair of PASTA lesions of 50% or more is beneficial. High-quality randomized controlled trials are required to compare the benefit of repair vs debridement alone.