Evaluation of American Academy of Orthopaedic Surgeons Appropriate Use Criteria for the management of full-thickness rotator cuff tears

Cowan, James B.; Bedi, Asheesh; Carpenter, James E.; Robbins, Christopher; Gagnier, Joel; Miller, Bruce S.

doi:10.1016/j.jse.2015.12.009

Cited by 13 publications

(9 citation statements)

References 27 publications

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“…The AAOS AUC for treatment of full-thickness rotator cuff tears was recently evaluated, and 79% agreement was observed between actual management of 134 patients and the AUC recommendations of “appropriate” treatments. 10 Despite a concordance with the AUC described as “excellent,” the authors also found significant improvement in the functional outcome scores of all patients at prolonged follow-up, even when management was not in agreement with the AUC recommendations. The lack of inclusion of patient age was also listed as a limitation to the AUC for rotator cuff tears.…”

Section: Discussionmentioning

confidence: 86%

Distal Radius Fractures: AAOS Appropriate Use Criteria Versus Actual Management at a Level I Trauma Center

Kyriakedes

Tsai

Weinberg

et al. 2017

Hand (New York, N,Y.)

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Section: Discussionmentioning

confidence: 86%

Distal Radius Fractures: AAOS Appropriate Use Criteria Versus Actual Management at a Level I Trauma Center

Kyriakedes

Tsai

Weinberg

et al. 2017

Hand (New York, N,Y.)

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“…This retrospective study received the approval of the Ethics Committee of our hospital, and the informed consent was obtained from each subject. The inclusion criteria were as follows: (a) meeting the diagnostic criteria of RCT [10]; (b) with complete MR images; and (c) informed of study design and objective. The exclusion criteria were as follows: (a) previous treatment for shoulder joint injury; (b) history of osteoarthritis, ligament fracture, and other bone and joint diseases; (c) complicated with hypertension and diabetes mellitus; and (d) cognitive and communication impairment.…”

Section: Methodsmentioning

confidence: 99%

Magnetic Resonance Imaging Classifications of Rotator Cuff Tear Are Associated with Different Shoulder Outcome Scores

Wang

Mao

et al. 2021

Journal of Nanomaterials

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Objective. Rotator cuff tear (RCT) accounts for 50% of shoulder injuries, leading to chronic pain and disability in the upper extremity. The study is conducted to investigate the association between resonance imaging (MRI) classifications of patients with RCT and different shoulder outcome scores. Methods. From September 2018 to October 2019, 112 patients underwent shoulder MRI at our institution and selected as eligible study subjects according to inclusion and exclusion criteria. Among these 112 patients, 69 cases had confirmed history of shoulder trauma and 43 cases were due to chronic shoulder joint pain. The shoulder function of patients was evaluated by University of California Los Angeles Shoulder (UCLA) score, Constant-Murley score, Shoulder Pain and Disability Index (SPADI), and simple shoulder test (SST). Results. Among the 112 patients, there were 34 cases, 58 cases, and 20 cases with MRI classifications at grades I, II, and III, respectively. There was no significant difference in the injured tendons in patients with different MRI classifications ( P > 0.05 ). The injury at the supraspinatus was more common. The scores of UCLA, Constant-Murley, and SST in patients with MRI grading at grade I were significantly higher than those at grades II and III ( P < 0.05 ), which were significantly higher in patients at grade II than those at grade III ( P < 0.05 ). SPADI score in patients with MRI grading at grade I was significantly lower than that at grades II and III ( P < 0.05 ), while there was no significant difference in SPADI score between patients at grades II and III ( P > 0.05 ). MRI classifications were negatively correlated with scores of UCLA, Constant-Murley, and SST ( P > 0.05 ). There was no significant correlation between MRI grade and SPADI scores ( P > 0.05 ). Conclusion. The supraspinatus tendon injury is more common in patients with RCT. MRI classifications were negatively correlated with scores of UCLA, Constant-Murley, and SST.

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“…Das übergeordnete Ziel jeglicher orthopädischer Behandlung wie auch der Therapie von RM-Läsionen ist es, Patienten wieder an ihr gewohntes Aktivitätsniveau heranzuführen und wenn möglich einer zukünftigen Verschlechterung der Situation vorzubeugen. Auch wenn einzelne Fachgesellschaften eigene Behandlungsalgorithmen empfehlen [3][4][5], gibt es keinen international anerkannten Standard für die Behandlung von Rotatorenmanschettenrupturen, und dementsprechend variieren die Vorgehensweisen innerhalb der Schulterchirurgie stark [6]. Die teils sehr hohen Rerupturraten nach Rotatorenmanschettenrekonstruktion (RMR) von bis zu 20-30 % [7,8] sind meist auf schwierige biologische und biomechanische Grundvoraussetzungen (Rupturgrösse und Sehnen-/Muskeldegeneration) zurückzuführen.…”

Section: Mots-clésunclassified

Rotatorenmanschettenruptur: Wann ist die konservative und wann die operative Therapie indiziert?

Wieser

Bouaicha

Grubhofer

2019

Praxis

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Zusammenfassung. Patienten mit Rotatorenmanschettenrupturen können konservativ oder operativ behandelt werden. Welche Behandlung gewählt wird, hängt einerseits von patientenspezifischen Faktoren wie Leidensdruck, körperliche Einschränkung, Aktivitätsniveau und Funktionsanspruch ab und andererseits von morphologischen/radiologischen Gegebenheiten wie Grösse der Sehnenruptur, Degeneration und Verfettung der Rotatorenmanschettenmuskulatur sowie Begleitverletzungen. Dieser Artikel beleuchtet die Hintergründe der Indikationsstellung für die konservative und operative Behandlung von Patienten mit Rissen der Rotatorenmanschette unter Einbezug klinischer und radiologischer Kriterien.

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Evaluation of American Academy of Orthopaedic Surgeons Appropriate Use Criteria for the management of full-thickness rotator cuff tears

Cited by 13 publications

References 27 publications

Distal Radius Fractures: AAOS Appropriate Use Criteria Versus Actual Management at a Level I Trauma Center

Distal Radius Fractures: AAOS Appropriate Use Criteria Versus Actual Management at a Level I Trauma Center

Magnetic Resonance Imaging Classifications of Rotator Cuff Tear Are Associated with Different Shoulder Outcome Scores

Rotatorenmanschettenruptur: Wann ist die konservative und wann die operative Therapie indiziert?

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