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Advances in Orthopedics
Volume 2013, Article ID 959305, 5 pages
http://dx.doi.org/10.1155/2013/959305
Clinical Study

The Use of an Intra-Articular Depth Guide in the Measurement of Partial Thickness Rotator Cuff Tears

1Section of Orthopedic Surgery, Department of Surgery, University of Calgary, 3280 Hospital Drive, Calgary, AB, Canada T2N 4Z6
2Sport Medicine Centre, University of Calgary, 2500 University Drive NW, Calgary, AB, Canada T2N 1N4
3University of British Columbia, 301-909 Island Highway, Campbell River, BC, Canada V9W 2C2

Received 31 July 2012; Accepted 31 October 2012

Academic Editor: Robert Gillespie

Copyright © 2013 Michael J. Carroll et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. The purpose of this study was to compare the accuracy of the conventional method for determining the percentage of partial thickness rotator cuff tears to a method using an intra-articular depth guide. The clinical utility of the intra-articular depth guide was also examined. Methods. Partial rotator cuff tears were created in cadaveric shoulders. Exposed footprint, total tendon thickness, and percentage of tendon thickness torn were determined using both techniques. The results from the conventional and intra-articular depth guide methods were correlated with the true anatomic measurements. Thirty-two patients were evaluated in the clinical study. Results. Estimates of total tendon thickness (r = 0.41, P = 0.31) or percentage of thickness tears (r = 0.67, P = 0.07) using the conventional method did not correlate well with true tendon thickness. Using the intra-articular depth guide, estimates of exposed footprint (r = 0.92, P = 0.001), total tendon thickness (r = 0.96, P = 0.0001), and percentage of tendon thickness torn (r = 0.88, P = 0.004) correlated with true anatomic measurements. Seven of 32 patients had their treatment plan altered based on the measurements made by the intra-articular depth guide. Conclusions. The intra-articular depth guide appeared to better correlate with true anatomic measurements. It may be useful during the evaluation and development of treatment plans for partial thickness articular surface rotator cuff tears.