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The Journal of Bone and Joint Surgery (American). 2004;86:35-40
© 2004 The Journal of Bone and Joint Surgery, Inc.

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

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

Corresponding author:
Jeffrey L. Visotsky, MD
150 North River Road, Suite 100, Des Plaines, IL 60016. E-mail address:
jlv274@northwestern.edu

The first 150 words of the full text of this article appear below.


   History
 
The initial descriptions of rotator cuff tear arthropathy date back to 1853, when Professor Adams at the University of Dublin characterized chronic rotator cuff tears leading to localized destructive arthritis1. E.A. Codman detailed a case of rotator cuff-mediated hygroma and advanced shoulder arthritis in his classic 1934 self-published monograph2. Throughout the following years, several authors have described advanced arthritis of the shoulder related to inflammatory disorders of the rotator cuff3.

The term cuff tear arthropathy was coined by Charles Neer in 19774. Neer described the pathoanatomical changes associated with chronic full-thickness rotator cuff tears, which include erosions of the osseous structures, humeral osteopenia, and restricted shoulder motion (Fig. 1). Subsequently, the massive tears allow superior displacement of the humerus into the subacromial space resulting in "femoralization" of the humeral head (erosion of the greater tuberosity) and "acetabularization" of the coracoacromial arch (reshaping of . . . [Full Text of this Article]


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