Adress correspondence and reprint requests to Hyun Seok Song, M.D. Department of Orthopedic Surgery, St.Paul s Hospital, The Catholic University of

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1 Adress correspondence and reprint requests to Hyun Seok Song, M.D. Department of Orthopedic Surgery, St.Paul s Hospital, The Catholic University of Korea Jeonnong-dong, Dongdaemun-gu, Seoul, Korea Tel: , Fax: hssongmd@yahoo.com 29

2 A B Fig. 1. Suspension bridge model. (From Burkhart SS: Clin Orthop 284:144, 1992) 30

3 31 Fig. 2.Superior and posterior projections of the rotator cable and crescent. (From Burkhart SS: Arthroscopy 9(6):614, 1993)

4 REFERENCES 01) Aoki M, Okamura K, Fukushima S, Takahashi T and Ogino T: Transfer of latissimus dorsi for irreparable rotator-cuff tears. J Bone Joint Surg Br, 78: , ) Banas MP, Miller RJ and Totterman S: Relationship between the lateral acromion angle and rotator cuff disease. J Shoulder Elbow Surg, 4: , ) Bigliani LU, D Alessandro DF, Duralde XA and McIlveen SJ: Anterior acromioplasty for subacromial impingement in patients younger than 40 years of age. Clin Orthop, 246: , ) Burkhart SS: Fluoroscopic comparison of kinematic patterns in massive rotator cuff tears. A suspension bridge model. Clin Orthop, 284: , ) Burkhart SS: Arthroscopic debridement and decompression for selected rotator cuff tears. Clinical results, pathomechanics, and patient selection based on biomechanical parameters. Orthop Clin North Am, 24: , ) Burkhart SS: Reconciling the paradox of rotator cuff repair versus debridement: A unified biomechanical rationale for the treatment of rotator cuff tears. A r t h r o s c o p y, 10:4-19, ) Edelson JG and Taitz C: Anatomy of the coraco-acromial arch. Relation to degeneration of the acromion. J Bone Joint Surg Br, 74: , ) Ellman H, Hanker G and Bayer M: Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am, 68: , ) Fukuda H, Hamada K, Nakajima T and Tomonaga A: Pathology and pathogenesis of the intratendinous tearing of the rotator cuff viewed from en bloc histologic sections. Clin Orthop, 304:60-67, ) Fukuda H: Partial-thickness rotator cuff tears: A modern view on codman s classic. J Shoulder Elbow Surg, 9: , ) Fukuda H: The management of partial-thickness tears of the rotator cuff. J Bone Joint Surg Br, 85:3-11, ) Gartsman GM and Milne JC: Articular surface partialthickness rotator cuff tears. J Shoulder Elbow Surg, 4: , ) Gotoh M, Hamada K, Yamakawa H, Inoue A and Fukuda H: Increased substance p in subacromial bursa and shoulder pain in rotator cuff diseases. J Orthop Res, 16: , ) Hamada K, Tomonaga A, Gotoh M, Yamakawa H and Fukuda H: Intrinsic healing capacity and tearing process of torn supraspinatus tendons: In situ hybridization study of alpha 1 (i) procollagen mrna. J Orthop Res, 1 5 : , ) Iannotti JP, Williams, G.R.: Disorders of the shoulder : Diagnosis and management. Philadelphia, L I P P I N C O T T WILLIAMS & WILKINS: ) Jacobson SR, Speer KP, Moor JT, et al.: Reliability of radiographic assessment of acromial morphology. J Shoulder Elbow Surg, 4: , ) Lohr JF and Uhthoff HK: The microvascular pattern of the supraspinatus tendon. Clin Orthop, 254:35-38, ) Milgrom C, Schaffler M, Gilbert S and van Holsbeeck M: Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br, 77: , ) Neer CS, 2nd: Anterior acromioplasty for the chronic impingement syndrome in the shoulder: A preliminary report. J Bone Joint Surg Am, 54:41-50, ) Nicholson GP, Goodman DA, Flatow EL and Bigliani LU: The acromion: Morphologic condition and age-related changes. A study of 420 scapulas. J Shoulder Elbow Surg, 5:1-11, ) Ogata S and Uhthoff HK: Acromial enthesopathy and rotator cuff tear. A radiologic and histologic postmortem investigation of the coracoacromial arch. Clin Orthop, 254:39-48, ) Ozaki J, Fujimoto S, Nakagawa Y, Masuhara K and Tamai S: Tears of the rotator cuff of the shoulder associated with pathological changes in the acromion. A study in cadavera. J Bone Joint Surg Am, 70: , ) Rothman RH and Parke WW: The vascular anatomy of the rotator cuff. Clin Orthop, 41: , ) Sher JS, Uribe JW, Posada A, Murphy BJ and Zlatkin MB: Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am, 77:10-15, ) Snyder SJ : Shoulder arthroscopy. L I P P I N C O T T WILLIAMS & WILKINS: ) Toivonen DA, Tuite MJ and Orwin JF: Acromial structure and tears of the rotator cuff. J Shoulder Elbow Surg, 4: , ) Weber SC: Arthroscopic debridement and acromioplasty versus mini-open repair in the management of significant partial-thickness tears of the rotator cuff. Orthop Clin North Am, 28:79-82,

5 28) Worland RL, Lee D, Orozco CG, SozaRex F and Keenan J : Correlation of age, acromial morphology, and rotator cuff tear pathology diagnosed by ultrasound in asymptomatic patients. J South Orthop Assoc, 1 2 : , ) Yamaguchi K, Sher JS, Andersen WK, et al.: Glenohumeral motion in patients with rotator cuff tears: A comparison of asymptomatic and symptomatic shoulders. J Shoulder Elbow Surg, 9:6-11, ) Yamaguchi K, Tetro AM, Blam O, Evanoff BA, Teefey SA and Middleton WD: Natural history of asymptomatic rotator cuff tears: A longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg, 10: , ) Yamanaka K and Matsumoto T: The joint side tear of the rotator cuff. A followup study by arthrography. C l i n Orthop, 304:68-73,

The Results of Rotator Cuff Disease Treated by Arthroscopic Subacromial Decompression

Abstract The Results of Rotator Cuff Disease Treated by Arthroscopic Subacromial Decompression Jae-Hwa Kim, M.D., Seung-Kwan Han, M.D., and Duck-Yun Cho, M.D. Department of Orthopedic Surgery, National