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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Rotator Cuff Repair Principles

Shoulder Surgery

A 58-year-old man presents with 6 months of right shoulder pain and weakness with overhead activities. MRI shows a 2cm full-thickness supraspinatus tear with Grade 2 fatty infiltration (Goutallier classification) and mild tendon retraction. He has failed 3 months of physical therapy and wants surgical options discussed. Regarding rotator cuff repair:

Mark each as TRUE or FALSE

A

The supraspinatus is the most commonly torn rotator cuff tendon, followed by infraspinatus; the tear...

B

The Goutallier classification for fatty infiltration of rotator cuff muscles (CT/MRI): Grade 0 (norm...

C

The infraspinatus is the most commonly torn cuff tendon; fatty infiltration reverses after successfu...

D

Repair techniques include: single-row (anchors placed at footprint lateral edge), double-row (medial...

E

Poor prognostic factors for cuff repair include: advanced age (greater than 65), large/massive tears...

Answer the questions to see explanations

Click T (True) or F (False) for each option