Table 3.
Definition of irreparable rotator cuff tears in prospective surgical therapeutic trials
| Classification | Characteristics | Detail | Number of articles | Reference |
|---|---|---|---|---|
| Symptoms | Duration of symptoms | ≥ 6 months | 13 | [38, 43, 44, 46–48, 51, 56, 60, 63, 69, 70, 72] |
| ≥ 3 months | 2 | [50, 54] | ||
| Pseudoparalysis | 1 | [73] | ||
| Images | Tendon retraction | Retraction ≥ 5 cm | 9 | [36, 37, 43, 46, 50, 56, 70, 72, 76] |
| Retraction ≥ 3 cm | 5 | [51, 60, 63, 68, 71] | ||
| ≥ Patte grade 3 | 6 | [40, 45, 48, 53, 61, 67] | ||
| ≥ Patte grade 2 | 2 | [39, 42] | ||
| Fatty infiltration | ≥ Goutallier grade 3 (or infiltration ≥ 50%) | 11 | [39, 40, 45, 51–54, 60, 61, 63, 67] | |
| ≥ Goutallier grade 2 (or ≥ Fuchs grade 2) | 5 | [41, 42, 48, 58, 73] | ||
| Goutallier grade 1–3 | 1 | [70] | ||
| Goutallier grade 4 | 2 | [56, 66] | ||
| Ruptured tendon number or width of the defect in sagittal plain | ≥ 2 tendons | 12 | [36, 37, 41, 42, 46, 48, 50, 58, 67, 68, 70, 76] | |
| Anterior to posterior defect ≥ 5 cm | 1 | [39] | ||
| Anterior to posterior defect ≥ 3 cm | 3 | [51, 60, 63] | ||
| ≥ Bayne and Bateman grade 3 | 1 | [40] | ||
| Muscle atrophy | ≥ Thomazeau grade 3 | 2 | [39, 53] | |
| Positive tangent sign | 1 | [54] | ||
| Other – Defect area | Davidson group 3 | 1 | [42] | |
| Other – AH interval | ≤ 6 mm AHD | 1 | [52] | |
| Intraoperative finding | Irreparable after mobilization | Act as final conform | 18 | [36, 37, 40, 43, 46, 47, 50, 52, 53, 55, 59–61, 68–70, 75, 76] |
| Part of the criteria | 5 | [54, 58, 63, 67, 72] | ||
| Poor tendon quality | Part of the criteria | 1 | [39] |
AHD, acromial humeral distance