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Appropriate Use Criteria

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Appropriate Use Criteria 2020-01-08T18:06:15+00:00

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GUIDELINE

APPROPRIATE USE CRITERIA: MANAGEMENT OF ROTATOR CUFF PATHOLOGY (2020)

Endorsed by: AANA, ASES, ACSM, AOSSM

INDICATION PROFILE

Tear Size

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C1-C2: Small or Moderate complete tear, usually pinhole sized or <3cm in any direction of only one tendon
C3: Large, complete tear with an entire tendon, usually 3-5 cm in any direction
C4: Massive rotator cuff tear involving two or more rotator cuff tendons, usually described as greater than 5 cm

Presentation

Acute (within approximately 2 months)
Acute on Chronic
Chronic

Symptom Severity

Mild
Moderate
Severe

Identifiable Factors that Negatively Affect Healing or Outcome

Identifiable Factors that Negatively Affect Healing or Outcome Present
No Identifiable Factors that Negatively Affect Healing or Outcome

Atrophy/Fatty Infiltration

G 0-2
G 3-4

Response to Previous Treatment

No Response to Previous Treatment
No prior treatment

PROCEDURE RECOMMENDATIONS

Treatment recommendations are not available for this patient scenario.

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AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS

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Phone: 847.823.7186

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Web: http://aaos.org/

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