![]() The glenohumeral is a delicate ball-and-socket joint. Therefore, the purpose of this clinical commentary is to provide an overview on the PASTA lesion, discuss the common treatment approaches adopted to date and to propose a rehabilitation program based on the available scientific evidence. However, significant variations exist between surgical options and rehabilitation protocols. 15 Both surgical techniques and postoperative rehabilitation are essential to optimize recovery. 14 Although the natural history of PASTA lesions remains unclear, this variety of tendon disruption is generally associated with pain and disability and it has been shown that 53% of PASTA lesions tend to enlarge. PASTA lesions are commonly found in overhead athletes, younger people 12, 13 and patients who smoke. ![]() 7- 11 According to Gratsman and Milne 13 PASTA lesions comprise 91% of all PTRCTs. The partial articular supraspinatus tendon avulsion (PASTA) lesion is a type of PTRCT and is far more common than bursal-sided or intratendinous partial tears. PTRCTs are generally classified according to their location and arthroscopic appearance. ![]() 1, 5 PTRCTs were difficult to diagnose before magnetic resonance imaging (MRI) and shoulder arthroscopy, therefore most scientific research has focused on full-thickness rotator cuff tears (FTRCTs). 1, 2 It has been reported that the incidence of PTRCTs is between 17% and 37% in the population 3, 4 and up to 80% in patients in their eighth decade of life. Partial-thickness rotator cuff tears (PTRCTs) are a common cause of shoulder pain, limitations in activities of daily living (ADL), and time off from work.
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