PASTA Lesion and Repair

PASTA Lesion and Repair
July 4, 2016

pasta-repair-2-728“Every case is unique and needs a personal touch to it for complete recovery and that is where the skill and expertise of the surgeon comes in. PASTA Lesion, a partial tear of the supraspinatus tendon on the articular side is a debilitating condition in the rotator cuff “, asserts Dr. Gupta.

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More than 6000 surgeries and 25 years of experience from AIIMS, Medanta and at present Max Healthcare have made Dr. Vikas Gupta one of the best Hand and Shoulder specialists in India today. He has been acclaimed by the medical department and the government for his professional ethics and skill innumerable times by being awarded for the same with prestigious awards.

“It needs to be understood here that PASTA Lesion can either be caused by a traumatic fall or ageing or mostly by some action that causes a twist or forceful pull in the arm. Immense pain and weakness during lifting the arm overhead, throwing or in an outward gesture signifies the presence of Pasta Lesion”, emphatically speaks Dr. Gupta.

The patient should consult our medical team >> click here for appointment

“We usually seek conclusive proof from an ultrasound scan or MRI scan but only after we have determined its presence by two physical tests Empty Can Test or La Fosse Test. After determining the same, we treat it by starting with oral medication and steroid injections and then effectively implement surgery either by open technique or arthroscopy.”

Famous for his well versed lectures and papers, Dr. Gupta is a well known personality amongst his assistant faculty and peers. His methodical reasoning and deft deliverance with an easy going attitude has made patients trust him with any debilitating condition in the upper extremity.

FAQ – PASTA Lesion and Repair

The full form of PASTA clinically is Partial Articular Supraspinatus Tendon Avulsion. For understanding what it refers to, it is essential to understand each term separately.

Partial: it signifies that the tendon has not torn completely.

Articular: The inner side of the tendon is known as Articular. The other surface being known as Bursal.

Supraspinatus Tendon: network of tendons and muscles that form the rotator cuff and help in moving and stabilizing the arm at the shoulder.

Avulsion: Traumatic injury caused by a heavy force. Thus, PASTA Lesion is an injury that is caused as a partial tear to the supraspinatus tendon in the rotator cuff.
It usually occurs in athletes who are under 45 and involved in contact or throw sports.
The main cause of PASTA Lesion is an injury sustained by the shoulder while any twisting or pulling action performed by it. It can also be caused by any traumatic and forceful fall or ageing.
Intense pain while lifting the arm overhead, outward or in a throwing gesture and weakness in the shoulder after performing activities that involve overhead lifting repeatedly are the common signs that signify PASTA Lesion.
To determine the presence of PASTA Lesion, the doctor/surgeon conducts two physical tests known as Empty Can Test or La Fosse Test to examine the pain. Besides these tests, the doctor prescribes an ultrasound and MRI Scan to ascertain it. The most significant diagnostic test is Arthroscopy.
After taking into account the size of the tear and the age of the patient, PASTA Lesion may be effectively treated by surgical techniques and given some relief by non surgical techniques. Non-Surgical Techniques comprise of rest to the shoulder, avoidance of all activities that may inflame the pain, anti inflammatory medicines, steroid injections and physical therapy. Surgical Techniques include

Arthroscopic Repair (keyhole surgery): with very small incisions in your shoulder joint the surgeon inserts a fibre optic camera to view the damage and then special tools to repair the tear.

Mini Open Repair: Under this technique the surgeon completes the arthroscopic diagnosing through camera and then exposes the supraspinatus tendon to be surgically repaired.
Every case is different and so is the recovery after surgery. Surgery and rehabilitation program can together be effectively implemented to restore full range of mobility to the shoulder. It takes almost a year to regain complete strength and mobility.
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