Abstract

If it appears acceptable to define decisive parameters fortreatment selection, a simple listing of these parameters isinsufficient. These parameters should be quantitatively andreproducibly assessed. Unfortunately, even with quantita-tive clinical and imaging information, the scientific litera-ture does not contain enough data to allow establishment ofan evidence-based, universally acceptable treatment algo-rithm. Any proposed assessment and treatment algorithmtherefore includes personal experience and scientific data.The following criteria have proven helpful in the assess-ment of the key parameters in the decision-making processfor massive rotator cuff tears in our experience and areoffered for consideration.

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