Before these appropriate use criteria are consulted, it is assumed that: 

  • Non-surgical treatment options have been attempted as necessary/applicable 
  • Patient has intact rotator cuff  
  • Patient does not have a neuromuscular condition that limits their ability to undergo arthroplasty  
  • Ability of patient to comply with post-op prescriptions and restriction (post op care and rehab)  
  • General medical condition of the patient does not preclude surgery/general management (eg diabetes, late stage renal disease) 
  • AUC does not apply to revision procedures


Conditions not covered in this AUC: 

  • Inflammatory Arthropathies  
  • Post-Infectious Process 
  • Post-capsulorrhaphy arthropathy 




Volunteer physicians from multiple medical specialties created and categorized these Appropriate Use Criteria. These Appropriate Use Criteria are not intended to be comprehensive or a fixed protocol, as some patients may require more or less treatment or different means of diagnosis. These Appropriate Use Criteria represent patients and situations that clinicians treating or diagnosing musculoskeletal conditions are most likely to encounter. The clinician’s independent medical judgment, given the individual patient’s clinical circumstances, should always determine patient care and treatment. Practitioners are advised to consider management options in the context of their own training and background and institutional capabilities when selecting recommended treatment options. 

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