Document Detail

A symptom-based classification for shoulders with massive rotator cuff defects.
MedLine Citation:
PMID:  19214508     Owner:  NLM     Status:  MEDLINE    
The aim of this prospective study was to propose a classification for shoulders with massive rotator cuff defects based on patients' clinical symptoms. A total of 100 shoulders with massive rotator cuff tears were evaluated clinically using the Constant score (CS) and with radiographs in two planes. Three types were defined and correlated with radiographic findings: (1) the arthritic type (type I), (2) the non-reactive type (type II) and (3) the necrotic type (type III). Significant differences in the overall CS (type I: 28.6 points, range: 4 - 61; type II: 18.8 points, range: 6 - 52; type III: 15.5 points, range: 6 - 31) and its subgroups and in shoulder motion were found between types I and II and between types I and III (p < 0.05). This classification may be helpful for the decision-making process with regard to the appropriate form of shoulder replacement surgery in patients with massive rotator cuff defects.
Markus Loew; Patric Raiss
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-02-13
Journal Detail:
Title:  International orthopaedics     Volume:  34     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-05     Completed Date:  2010-03-25     Revised Date:  2011-07-19    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  63-9     Citation Subset:  IM    
Division of Shoulder and Elbow Surgery, Department of Orthopaedics, University of Heidelberg, Schlierbacher Landstrasse 200 A, 69118 Heidelberg, Germany.
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MeSH Terms
Aged, 80 and over
Middle Aged
Prospective Studies
Range of Motion, Articular
Rotator Cuff / injuries*,  radiography
Rupture / classification,  diagnosis*,  physiopathology
Shoulder Joint / pathology*,  physiopathology
Trauma Severity Indices*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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