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http://dx.doi.org/10.5397/CiSE.2010.13.2.223

The Correlation Between Clinical Features and Radiographic Grades in Massive Rotator Cuff Tear Patients  

Moon, Eun-Sun (Department of Orthopaedic Surgery, Chonnam National University School of Medicine)
Kim, Myung-Sun (Department of Orthopaedic Surgery, Chonnam National University School of Medicine)
Choi, Min-Sun (Department of Orthopaedic Surgery, Chonnam National University School of Medicine)
Kim, Hyung-Won (Department of Orthopaedic Surgery, Chonnam National University School of Medicine)
Lim, Keun-Young (Department of Orthopaedic Surgery, Chonnam National University School of Medicine)
Publication Information
Clinics in Shoulder and Elbow / v.13, no.2, 2010 , pp. 223-229 More about this Journal
Abstract
Purpose: The purpose of this study was to determine the correlation between the radiographic and clinical findings of massive rotator cuff tears. Materials and Methods: Forty-five diagnosed cases (35 patients) of massive rotator cuff tears were investigated in this study. Grade of arthritis in the massive rotator cuff tears was classified based on plain radiographs using the method of Hamada et al.. And we clinically evaluated cases using the UCLA scoring system. Results: No statistically significant correlation ($r_s$=0.220, p=0.151) was found between arthritis grades in massive rotator cuff tears and clinical features. Dominant arm involvement appeared to be related to a higher rate of surgical treatment and a lower UCLA score. Conclusion: In massive rotator cuff tear patients, radiographic findings of arthritis may not always correspond to clinical features relevant in daily life. Therefore, we suggest that treatment strategies should be carefully considered when considering treatment modalities.
Keywords
Massive rotator cuff tear; Radiographic finding; Clinical feature;
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