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Clin Shoulder Elb > Volume 13(2); 2010 > Article
Clinics in Shoulder and Elbow 2010;13(2):223-229.
DOI: https://doi.org/10.5397/CiSE.2010.13.2.223    Published online December 31, 2010.
The Correlation Between Clinical Features and Radiographic Grades in Massive Rotator Cuff Tear Patients
Eun Sun Moon, Myung Sun Kim, Min Sun Choi, Hyung Won Kim, Keun Young Lim
Department of Orthopaedic Surgery, Chonnam National University School of Medicine, Gwangju, Korea. rhamses@chol.com
광범위 회전근 개 파열에서 방사선학적 소견과 임상 소견 간의 관계
문은선·김명선·최민선·김형원·임근영
전남대학교 의과대학 정형외과학교실
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 (rs=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.
Key Words: Massive rotator cuff tear; Radiographic finding; Clinical feature


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