Note: To access the video accompanying this report, visit the March issue of Arthroscopy at www.arthroscopyjournal.org.
Arthroscopy: The Journal of Arthroscopic & Related Surgery
Current Concepts With Video IllustrationThe Geometric Classification of Rotator Cuff Tears: A System Linking Tear Pattern to Treatment and Prognosis
Section snippets
Rotator Cuff Geometric Tear Patterns, Methods of Repair, and Prognosis
The geometric classification has 4 types (Table 2). Type 1, crescent-shaped tears are relatively short and wide.5, 6, 7, 8 The medial-to-lateral length of these tears is less than the anterior-to-posterior width. Type 1 tears are typically mobile from medial to lateral and can usually be repaired by fixing the tendon end directly to the bone bed on the greater humeral tuberosity (Fig 1). It has been shown that repair of crescent-shaped tears with end-to-bone techniques results in good to
Discussion
The geometric classification of rotator cuff tears will help orthopaedic surgeons communicate about tears of the supraspinatus, infraspinatus, and teres minor based on tear pattern recognition (Video 1, available at www.arthroscopyjournal.org). It provides important guidance for treatment and prognosis for each type of tear. The previous studies providing the foundation for this classification were performed by the same surgeon (S.S.B.) and assessed results by means of the same modified UCLA
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The authors report no conflict of interest.