Irreparable rotator cuff tears: A novel classification system

被引：6

作者：

Castricini R. ^{[1
]}

De Benedetto M. ^{[1
]}

Orlando N. ^{[1
]}

Gervasi E. ^{[2
]}

Castagna A. ^{[3
]}

机构：

[1] Department of Orthopaedic and Trauma Surgery, Fermo, Casa di Cura Villa Verde

[2] Department of Orthopaedic and Trauma Surgery, Ospedale Civile, Latisana

[3] Unit of Shoulder Surgery, Istituto Clinico Humanitas, Rozzano

来源：

MUSCULOSKELETAL SURGERY | 2014年 / 98卷 / Suppl 1期

关键词：

Fatty infiltration; Irreparable rotator cuff tear; Rotator cuff tear;

D O I：

10.1007/s12306-014-0320-5

中图分类号：

学科分类号：

摘要：

Background: Irreparable rotator cuff tears can be managed by several approaches. However, current tear classifications fail to reflect the wide variety of their presentation, which has important clinical and prognostic implications. Methods: We describe a novel classification system based on preoperative imaging findings and intraoperative observation where each cuff tendon (numbered sequentially: 1-supraspinatus, 2-infraspinatus, 3-teres minor, and 4-subscapularis) is assessed intraoperatively for reducibility to the footprint; tendons with reparable lesions are assessed for fatty degeneration (which predicts healing potential) and given a plus if degeneration is <50 % (Fuchs stage I-II/Goutallier stage 0-II) or a minus if it is 50 % (Fuchs stage III/Goutallier stage III-IV). Results: The proposed system (1) allows more consistent and reproducible classification of cuff tears where at least one tendon is irreparable; (2) results in more accurate diagnosis; (3) guides in treatment selection; and (4) ensures better outcomes and realistic patient expectations. Conclusions: The novel classification system can contribute to develop increasingly exhaustive and reproducible classification models. © 2014 Istituto Ortopedico Rizzoli.

引用

页码：S49 / S53

页数：4

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