Background Irreparable rotator cuff tears can be man- aged by several approaches. However, current tear classi- fications 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 sequen- tially: 1-supraspinatus, 2-infraspinatus, 3-teres minor, and 4-subscapularis) is assessed intraoperatively for reducibil- ity 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 C50 % (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. R. Castricini (&) M. De Benedetto N. Orlando Department of Orthopaedic and Trauma Surgery, Casa di Cura Villa Verde, Fermo, Italy e-mail: email@example.com E. Gervasi Department of Orthopaedic and Trauma Surgery, Ospedale Civile, Latisana, Italy A. Castagna Unit of Shoulder Surgery, Istituto Clinico Humanitas, Rozzano, Italy Conclusions The novel classification system can con- tribute to develop increasingly exhaustive and reproducible classification models.
|Titolo:||Irreparable rotator cuff tears: a novel classification system.|
|Data di pubblicazione:||2014|
|Appare nelle tipologie:||1.1 Articolo in rivista|