All-Inside Arthroscopic Partial Articular-Sided Supraspinatus Tendon Avulsion (PASTA) Repair Without Bunching of the Bursal Side of the Tendon

Thun Itthipanichpong; Napatpong Thamrongskulsiri; Danaithep Limskul; Thanathep Tanpowpong

doi:10.1016/j.eats.2022.02.013

All-Inside Arthroscopic Partial Articular-Sided Supraspinatus Tendon Avulsion (PASTA) Repair Without Bunching of the Bursal Side of the Tendon

Arthrosc Tech. 2022 May 21;11(6):e1071-e1075. doi: 10.1016/j.eats.2022.02.013. eCollection 2022 Jun.

Authors

Thun Itthipanichpong¹, Napatpong Thamrongskulsiri¹, Danaithep Limskul¹, Thanathep Tanpowpong¹

Affiliation

¹ Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.

Abstract

PASTA (partial articular-sided supraspinatus tendon avulsion) lesions are supraspinatus tendon tears involved the articular surface. PASTA lesions are commonly repaired using trans-tendon repair or tendon takedown and repair. Systematic reviews have shown that both techniques can improve shoulder function similarly. The advantages of trans-tendon repair are the preservation of the intact tendon and superior biomechanical strength. However, there is a risk that the tendon will become overtensioned and that the technique will create tendon bunching on the bursal side, resulting in imbalanced tendon tension. This Technical Note describes an all-inside arthroscopic trans-tendon repair technique of PASTA lesion without bunching the tendon's bursal side.