Optimizing the management of rotator cuff problems

Robert A. Pedowitz, Ken Yamaguchi, Christopher S. Ahmad, Robert T. Burks, Evan L. Flatow, Andrew Green, Joseph P. Iannotti, Bruce S. Milleri, Robert Z. Tashjian, William C. Watters, Kristy Weber, Charles M. Turkelson, Janet L. Wies, Sara Anderson, Justin Andre, Kevin Boyer, Laura Raymond, Patrick Sluka, Richard McGowan

Research output: Contribution to journalArticlepeer-review

Abstract

Of the 31 recommendations made by the work group, 19 were determined to be inconclusive because of the absence of definitive evidence. Of the remaining recommendations, four were classified as moderate grade, six as weak, and two as consensus statements of expert opinion. The four moderate-grade recommendations include suggestions that exercise and nonsteroidal antiinflammatory drugs be used to manage rotator cuff symptoms in the absence of a full-thickness tear, that routine acromioplasty is not required at the time of rotator cuff repair, that non-cross-linked, porcine small intestine submucosal xenograft patches not be used to manage rotator cuff tears, and that surgeons can advise patients that workers' compensation status correlates with less favorable outcomes after rotator cuff surgery.

Original languageEnglish (US)
Pages (from-to)368-379
Number of pages12
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume19
Issue number6
DOIs
StatePublished - Jun 2011

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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