Postoperative rotator cuff.

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Abstract

[Indexed for MEDLINE] 4. J Hand Surg Glob Online. 2024 Feb 29;6(4):458-462. doi: 10.1016/j.jhsg.2023.12.014. eCollection 2024 Jul. Rotator Cuff Arthropathy: A Comprehensive Review. Clifford AL(1), Hurley E(2), Anakwenze O(2), Klifto CS(2). Author information: (1)University of Florida, College of Medicine, Gainesville, FL. (2)Department of Orthopaedic Surgery, Duke University, Durham, NC. Rotator cuff arthropathy is a spectrum of disease states secondary to full-thickness cuff tears classified by rotator cuff insufficiency and degenerative disease within the shoulder joint. Diagnosis can be made through standard physical exam and radiographic films demonstrating varying levels of weakness, along with acetabularization, femoralization, and superior migration of the humeral head. Severity of disease is classified through both the Hamada and Seebauer grading systems, which are used clinically to determine the appropriate treatment algorithm. Treatment exists along the spectrum from conservative therapy with physical therapy to a definitive treatment with total joint replacement. Depending on a patient's progression and other comorbidities, arthroscopic treatments may additionally be used in specific circumstances as joint-sparing techniques. In recent years, reverse total shoulder arthroplasty has produced increasingly favorable outcomes with improvements in pain and function while simultaneously diminishing complication rates, making it generally accepted as standard of care. This disease limits quality of life for a large population of patients and efforts toward optimization of the treatment regimen is critical. This review provides an overview on the diagnostic criteria, classification, pathoanatomic changes, biomechanics, treatment options, outcomes, and complications of rotator cuff arthropathy. © 2024 The Authors. DOI: 10.1016/j.jhsg.2023.12.014 PMCID: PMC11331153