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. 2023 Dec 8;24:952. doi: 10.1186/s12891-023-07067-5

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, 4648, 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, 5154, 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, 5961, 6870, 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