Journal
EFORT OPEN REVIEWS
Volume 1, Issue 12, Pages 420-430Publisher
BRITISH EDITORIAL SOC BONE & JOINT SURGERY
DOI: 10.1302/2058-5241.1.160005
Keywords
rotator cuff lesion; repair; tear pattern; classification; massive rotator cuff tear; repairable and non-repairable; shoulder imaging
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Rotator cuff lesions (RCL) have considerable variability in location, tear pattern, functional impairment, and repairability. Historical classifications for differentiating these lesions have been based upon factors such as the size and shape of the tear, and the degree of atrophy and fatty infiltration. Additional recent descriptions include bipolar rotator cuff insufficiency, 'Fosbury flop tears', and musculotendinous lesions. Recommended treatment is based on the location of the lesion, patient factors and associated pathology, and often includes personal experience and data from case series. Development of a more comprehensive classification which integrates historical and newer descriptions of RCLs may help to guide treatment further.
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