Cuff Tear Arthropathy: Pathogenesis, Classification, and Algorithm for Treatment

by Jeffrey L. Visotsky, Carl Basamania, Ludwig Seebauer, Charles A. Rockwood, and Kirk L. Jensen

J Bone Joint Surg AmVolume 86(suppl 2):35-40

December 1, 2004

©2004 by The Journal of Bone and Joint Surgery, Inc.

The pathological changes associated with a massive rotator cuff tear at the precollapse stage include atrophy of the articular surface, rupture of the long head of the biceps, and superior

migration of the humeral head.

Jeffrey L. Visotsky et al. J Bone Joint Surg Am 2004;86:35-40

©2004 by The Journal of Bone and Joint Surgery, Inc.

The progressive pathological changes associated with cuff tear arthropathy include superomedial erosion of the joint, glenohumeral incongruity, and an unstable humeral head.

Jeffrey L. Visotsky et al. J Bone Joint Surg Am 2004;86:35-40

©2004 by The Journal of Bone and Joint Surgery, Inc.

Pathomechanics: the mechanical factors.

Jeffrey L. Visotsky et al. J Bone Joint Surg Am 2004;86:35-40

©2004 by The Journal of Bone and Joint Surgery, Inc.

Pathomechanics: the nutritional factors.

Jeffrey L. Visotsky et al. J Bone Joint Surg Am 2004;86:35-40

©2004 by The Journal of Bone and Joint Surgery, Inc.

Transverse and coronal force couples.

Jeffrey L. Visotsky et al. J Bone Joint Surg Am 2004;86:35-40

©2004 by The Journal of Bone and Joint Surgery, Inc.

Seebauer Classification of Cuff Tear Arthopathy*.

Jeffrey L. Visotsky et al. J Bone Joint Surg Am 2004;86:35-40

©2004 by The Journal of Bone and Joint Surgery, Inc.

Results*.

Jeffrey L. Visotsky et al. J Bone Joint Surg Am 2004;86:35-40

©2004 by The Journal of Bone and Joint Surgery, Inc.