'A comparison of the degree of retraction of full-thickness supraspinatus tears with the Goutallier grading system' was recently published by JSES. This retrospective study made two comparisons. First the authors found, not surprisingly, that shoulders with cuff tears had more fatty infiltration than those without tears. Secondly, not surprisingly, tears with greater retraction had more fatty infiltration. Unfortunately, the shoulders were not stratified for patient age, tear size, or tear chronicity. Both retraction and fatty infiltration may be the results of larger, more chronic tears in older individuals.
These factors may be the most important in determining repairability, as shown here.
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