Table II.
Massive rotator cuff tear criteria
| Treatment | No. Papers | Tear Size | Tendon No. | Tendon Retraction (Patte) | Goutallier Fatty Infiltration (SITS) | AHI (mm) or Hamada Classification |
|---|---|---|---|---|---|---|
| Physical Therapy | 3 | NR | ≥2 (3) | Stage 3(1) | Grade 4(1) Grade 3–4 (2) |
AHI Preop 8.2 (1), Postop 5.6 (1) Hamada Stage 1–2 (1) |
| Debridement | 7 | ≥5cm (5) | ≥2 (5) | Stage 2 (1) Stage 3 (1) 4–5cm (1) “Unable to Reattach” (1) |
Grade 3–4 (1) 19 (1) | AHI Preop <5 (1), Preop 5.1 (1) |
| Partial Repair | 7 | ≥5cm (3) | ≥2 (5) ≥3 (2) |
Stage 2(1) | Grade 3–4 (1) Grade 1.9 (1.5–2.2) (2) |
AHI Preop <7 (1) AHI Preop 8.8 (1) Hamada Stage 1 (1) Hamada Stage 1–2 (1) |
| Graft Interposition | 3 | ≥5cm (2) ≥4cm (1) |
≥2 (2) | NR | Grade 3.75 (1) | AHI Preop 7.7 (1), Postop 8.6 (1) |
| Tendon Transfer | 11 | ≥5cm (5) | ≥2 (7) | Stage 2–3 (2) Stage 3 (5) “Excessive” (2) |
Grade 3–4 (11) |
AHI Preop 4.2 (2.3–5.9) (4), Postop 5.1 (4.7–5.7) (3) AHI Preop <5 (1) AHI Preop <7 (1) AHI decreased by 1.5 (1) Hamada Preop 1.7 (0–2) (2), Postop 2.2 (1–5) (2) Hamada Preop Grade 1–2 (1) Hamada Postop Grade 2–3 (1) |
| AA | 4 | ≥5cm (1) | ≥2 (2) | Stage 2–3 (2) Stage 3(1) |
Grade 3–4 (4) |
AHI Preop 3.13 (1), Postop 5.7 (1) AHI Preop <5 (1) Hamada Preop Grade 1–3 (1) |
| Open | 7 | ≥5cm (4) | ≥2 (5) | Stage 3 (4) “Excessive” (2) |
Grade 3–4 (7) |
AHI Preop 4.6 (2.3–5.9) (3), Postop 4.8 (4.7–4.9) (2) AHI Preop <7 (1) AHI decreased by 1.5 (1) Hamada Preop 1.7 (0–2) (3), Postop 2.2 (1–5) (3) Hamada Preop Grade 1–2 (1) Hamada Postop Grade 2–3 (1) |
| SCR | 4 | ≥5cm (1) | ≥2 (3) | ≥5cm (1) | Grade 3–4 (1) Grade 2.6 (2.0–3.7) (3) |
AHI Preop 4.9 (4.6–7.3) (4), Postop 9.1 (8.1–9.9) (4) |
| HDA | 1 | ≥5cm | - | ≥5cm | Grade 3–4 | AHI Preop 7.3, Postop 9.9 |
| TFL | 3 | - | >2 (3) | - | Grade 2.6 (2.0–3.7) (3) | AHI Preop 4.1 (3.4–4.6) (3), Postop 8.8 (8.1–9.7) (3) |
| Balloon | 2 | ≥5cm (2) | ≥2 (1) | NR | Grade 3–4 (1) “Unsuitable for Repair” (1) |
AHI Preop 6.7 (1), Postop 8.0 (1) |
| RSA | 6 | ≥5cm (1) | ≥2 (6) | Stage 2(1) Stage 3(1) |
Grade 3–4 (3) |
AHI Preop <6 (1) AHI Preop <7 (1) Hamada Preop <4 (4) |
SCR Superior Capsular Reconstruction
RSA Reverse Shoulder Arthroplasty
SITS Supraspinatus, Infraspinatus, Teres Minor, Subscapularis
AHI Acromiohumeral Interval
AA Arthroscopic-Assisted
HDA Human Dermal Allograft
TFL Tensor Fascia Lata Autograft
NR Not Recorded