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Erschienen in: Clinical Orthopaedics and Related Research® 5/2016

19.11.2015 | In Brief

Classifications in Brief: Goutallier Classification of Fatty Infiltration of the Rotator Cuff Musculature

verfasst von: Jeremy S. Somerson, MD, Jason E. Hsu, MD, Jacob D. Gorbaty, BA, Albert O. Gee, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 5/2016

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Excerpt

Infiltration of the rotator cuff musculature with fatty tissue is a well-known feature of tears in the rotator cuff tendon. In a rabbit model, sectioning of the supraspinatus tendon resulted in increased adipose tissue in the muscle belly on histologic examination after 4 weeks [2]. The following year, Goutallier et al. [12] reported results of CT scans of the shoulder in patients undergoing repair of the rotator cuff. The injured shoulders showed greater fatty infiltration than normal, asymptomatic shoulders, which the authors classified in a spectrum of five stages [13]. …
Literatur
1.
Zurück zum Zitat Bergeson AG, Tashjian RZ, Greis PE, Crim J, Stoddard GJ, Burks RT. Effects of platelet-rich fibrin matrix on repair integrity of at-risk rotator cuff tears. Am J Sports Med. 2012;40:286–293.CrossRefPubMed Bergeson AG, Tashjian RZ, Greis PE, Crim J, Stoddard GJ, Burks RT. Effects of platelet-rich fibrin matrix on repair integrity of at-risk rotator cuff tears. Am J Sports Med. 2012;40:286–293.CrossRefPubMed
2.
Zurück zum Zitat Björkenheim JM. Structure and function of the rabbit’s supraspinatus muscle after resection of its tendon. Acta Orthop Scand. 1989;60:461–463.CrossRefPubMed Björkenheim JM. Structure and function of the rabbit’s supraspinatus muscle after resection of its tendon. Acta Orthop Scand. 1989;60:461–463.CrossRefPubMed
3.
Zurück zum Zitat Burkhart SS, Barth JR, Richards DP, Zlatkin MB, Larsen M. Arthroscopic repair of massive rotator cuff tears with stage 3 and 4 fatty degeneration. Arthroscopy. 2007;23:347–354.CrossRefPubMed Burkhart SS, Barth JR, Richards DP, Zlatkin MB, Larsen M. Arthroscopic repair of massive rotator cuff tears with stage 3 and 4 fatty degeneration. Arthroscopy. 2007;23:347–354.CrossRefPubMed
4.
Zurück zum Zitat Choi S, Kim MK, Kim GM, Roh YH, Hwang IK, Kang H. Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears. J Shoulder Elbow Surg. 2014;23:1675–1681.CrossRefPubMed Choi S, Kim MK, Kim GM, Roh YH, Hwang IK, Kang H. Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears. J Shoulder Elbow Surg. 2014;23:1675–1681.CrossRefPubMed
5.
Zurück zum Zitat Deniz G, Kose O, Tugay A, Guler F, Turan A. Fatty degeneration and atrophy of the rotator cuff muscles after arthroscopic repair: does it improve, halt or deteriorate? Arch Orthop Trauma Surg. 2014;134:985–990.CrossRefPubMed Deniz G, Kose O, Tugay A, Guler F, Turan A. Fatty degeneration and atrophy of the rotator cuff muscles after arthroscopic repair: does it improve, halt or deteriorate? Arch Orthop Trauma Surg. 2014;134:985–990.CrossRefPubMed
6.
Zurück zum Zitat Flury MP, John M, Goldhahn J, Schwyzer HK, Simmen BR. Rupture of the subscapularis tendon (isolated or in combination with supraspinatus tear): when is a repair indicated? J Shoulder Elbow Surg. 2006;15:659–664.CrossRefPubMed Flury MP, John M, Goldhahn J, Schwyzer HK, Simmen BR. Rupture of the subscapularis tendon (isolated or in combination with supraspinatus tear): when is a repair indicated? J Shoulder Elbow Surg. 2006;15:659–664.CrossRefPubMed
7.
Zurück zum Zitat Fuchs B, Weishaupt D, Zanetti M, Hodler J, Gerber C. Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging. J Shoulder Elbow Surg. 1999;8:599–605.CrossRefPubMed Fuchs B, Weishaupt D, Zanetti M, Hodler J, Gerber C. Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging. J Shoulder Elbow Surg. 1999;8:599–605.CrossRefPubMed
8.
Zurück zum Zitat Gerber C, Fuchs B, Hodler J. The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am. 2000;82:505–515.PubMed Gerber C, Fuchs B, Hodler J. The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am. 2000;82:505–515.PubMed
9.
Zurück zum Zitat Gerber C, Meyer DC, Schneeberger AG, Hoppeler H, von Rechenberg B. Effect of tendon release and delayed repair on the structure of the muscles of the rotator cuff: an experimental study in sheep. J Bone Joint Surg Am. 2004;86:1973–1982.CrossRefPubMed Gerber C, Meyer DC, Schneeberger AG, Hoppeler H, von Rechenberg B. Effect of tendon release and delayed repair on the structure of the muscles of the rotator cuff: an experimental study in sheep. J Bone Joint Surg Am. 2004;86:1973–1982.CrossRefPubMed
10.
Zurück zum Zitat Gladstone JN, Bishop JY, Lo IK, Flatow EL. Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. Am J Sports Med. 2007;35:719–728.CrossRefPubMed Gladstone JN, Bishop JY, Lo IK, Flatow EL. Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. Am J Sports Med. 2007;35:719–728.CrossRefPubMed
11.
Zurück zum Zitat Gokalp G, Yildirim N, Yazici Z, Ercan I. Using chemical-shift MR imaging to quantify fatty degeneration within supraspinatus muscle due to supraspinatus tendon injuries. Skeletal Radiol. 2010;39:1211–1217.CrossRefPubMed Gokalp G, Yildirim N, Yazici Z, Ercan I. Using chemical-shift MR imaging to quantify fatty degeneration within supraspinatus muscle due to supraspinatus tendon injuries. Skeletal Radiol. 2010;39:1211–1217.CrossRefPubMed
12.
Zurück zum Zitat Goutallier D, Bernageau J, Patte D. Assessment of the trophicity of the muscles of the ruptured rotator cuff by CT scan. In: Post M, Morrey B, Hawkins R, eds. Surgery of the Shoulder. St. Louis, MO: Mosby; 1990:11–13. Goutallier D, Bernageau J, Patte D. Assessment of the trophicity of the muscles of the ruptured rotator cuff by CT scan. In: Post M, Morrey B, Hawkins R, eds. Surgery of the Shoulder. St. Louis, MO: Mosby; 1990:11–13.
13.
Zurück zum Zitat Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures: pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res. 1994;304:78–83.PubMed Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures: pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res. 1994;304:78–83.PubMed
14.
Zurück zum Zitat Goutallier D, Postel JM, Chevalier X, Beaudreuil J, Zilber S. Intermediate term functional outcome prediction following full thickness rotator cuff tear reparative or not reparative surgery. Orthop Traumatol Surg Res. 2010;96:727–733.CrossRefPubMed Goutallier D, Postel JM, Chevalier X, Beaudreuil J, Zilber S. Intermediate term functional outcome prediction following full thickness rotator cuff tear reparative or not reparative surgery. Orthop Traumatol Surg Res. 2010;96:727–733.CrossRefPubMed
15.
Zurück zum Zitat Goutallier D, Postel JM, Gleyze P, Leguilloux P, Van Driessche S. Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg. 2003;12:550–554.CrossRefPubMed Goutallier D, Postel JM, Gleyze P, Leguilloux P, Van Driessche S. Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg. 2003;12:550–554.CrossRefPubMed
16.
Zurück zum Zitat Goutallier D, Postel JM, Lavau L, Bernageau J. [Impact of fatty degeneration of the supraspinatus and infraspinatus muscles on the prognosis of surgical repair of the rotator cuff][in French]. Rev Chir Orthop Reparatrice Appar Mot. 1999;85:668–676. Goutallier D, Postel JM, Lavau L, Bernageau J. [Impact of fatty degeneration of the supraspinatus and infraspinatus muscles on the prognosis of surgical repair of the rotator cuff][in French]. Rev Chir Orthop Reparatrice Appar Mot. 1999;85:668–676.
17.
Zurück zum Zitat Goutallier D, Postel JM, Radier C, Bernageau J, Zilber S. Long-term functional and structural outcome in patients with intact repairs 1 year after open transosseous rotator cuff repair. J Shoulder Elbow Surg. 2009;18:521–528.CrossRefPubMed Goutallier D, Postel JM, Radier C, Bernageau J, Zilber S. Long-term functional and structural outcome in patients with intact repairs 1 year after open transosseous rotator cuff repair. J Shoulder Elbow Surg. 2009;18:521–528.CrossRefPubMed
18.
Zurück zum Zitat Jo CH, Shin JS. Changes in appearance of fatty infiltration and muscle atrophy of rotator cuff muscles on magnetic resonance imaging after rotator cuff repair: establishing new time-zero traits. Arthroscopy. 2013;29:449–458.CrossRefPubMed Jo CH, Shin JS. Changes in appearance of fatty infiltration and muscle atrophy of rotator cuff muscles on magnetic resonance imaging after rotator cuff repair: establishing new time-zero traits. Arthroscopy. 2013;29:449–458.CrossRefPubMed
19.
Zurück zum Zitat Lee E, Choi JA, Oh JH, Ahn S, Hong SH, Chai JW, Kang HS. Fatty degeneration of the rotator cuff muscles on pre- and postoperative CT arthrography (CTA): is the Goutallier grading system reliable? Skeletal Radiol. 2013;42:1259–1267.CrossRefPubMed Lee E, Choi JA, Oh JH, Ahn S, Hong SH, Chai JW, Kang HS. Fatty degeneration of the rotator cuff muscles on pre- and postoperative CT arthrography (CTA): is the Goutallier grading system reliable? Skeletal Radiol. 2013;42:1259–1267.CrossRefPubMed
20.
Zurück zum Zitat Lee S, Lucas RM, Lansdown DA, Nardo L, Lai A, Link TM, Krug R, Ma CB. Magnetic resonance rotator cuff fat fraction and its relationship with tendon tear severity and subject characteristics. J Shoulder Elbow Surg. 2015;24:1442–1451.CrossRefPubMed Lee S, Lucas RM, Lansdown DA, Nardo L, Lai A, Link TM, Krug R, Ma CB. Magnetic resonance rotator cuff fat fraction and its relationship with tendon tear severity and subject characteristics. J Shoulder Elbow Surg. 2015;24:1442–1451.CrossRefPubMed
21.
Zurück zum Zitat Lesage P, Maynou C, Elhage R, Boutry N, Herent S, Mestdagh H. [Reproducibility of CT scan evaluation of muscular fatty degeneration: intra- and interobserver analysis of 56 shoulders presenting with a ruptured rotator cuff muscles][in French]. Rev Chir Orthop Reparatrice Appar Mot. 2002;88:359–364.PubMed Lesage P, Maynou C, Elhage R, Boutry N, Herent S, Mestdagh H. [Reproducibility of CT scan evaluation of muscular fatty degeneration: intra- and interobserver analysis of 56 shoulders presenting with a ruptured rotator cuff muscles][in French]. Rev Chir Orthop Reparatrice Appar Mot. 2002;88:359–364.PubMed
22.
Zurück zum Zitat Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP. Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy. 2012;28:154–159.CrossRefPubMed Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP. Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy. 2012;28:154–159.CrossRefPubMed
23.
Zurück zum Zitat Matsuki K, Watanabe A, Ochiai S, Kenmoku T, Ochiai N, Obata T, Toyone T, Wada Y, Okubo T. Quantitative evaluation of fatty degeneration of the supraspinatus and infraspinatus muscles using T2 mapping. J Shoulder Elbow Surg. 2014;23:636–641.CrossRefPubMed Matsuki K, Watanabe A, Ochiai S, Kenmoku T, Ochiai N, Obata T, Toyone T, Wada Y, Okubo T. Quantitative evaluation of fatty degeneration of the supraspinatus and infraspinatus muscles using T2 mapping. J Shoulder Elbow Surg. 2014;23:636–641.CrossRefPubMed
24.
Zurück zum Zitat McElvany MD, McGoldrick E, Gee AO, Neradilek MB, Matsen FA 3rd. Rotator cuff repair: published evidence on factors associated with repair integrity and clinical outcome. Am J Sports Med. 2015;43:491–500.CrossRefPubMed McElvany MD, McGoldrick E, Gee AO, Neradilek MB, Matsen FA 3rd. Rotator cuff repair: published evidence on factors associated with repair integrity and clinical outcome. Am J Sports Med. 2015;43:491–500.CrossRefPubMed
25.
Zurück zum Zitat Meyer DC, Pirkl C, Pfirrmann CW, Zanetti M, Gerber C. Asymmetric atrophy of the supraspinatus muscle following tendon tear. J Orthop Res. 2005;23:254–258.CrossRefPubMed Meyer DC, Pirkl C, Pfirrmann CW, Zanetti M, Gerber C. Asymmetric atrophy of the supraspinatus muscle following tendon tear. J Orthop Res. 2005;23:254–258.CrossRefPubMed
26.
Zurück zum Zitat Nozaki T, Tasaki A, Horiuchi S, Osakabe C, Ohde S, Saida Y, Yoshioka H. Quantification of fatty degeneration within the supraspinatus muscle by using a 2-point Dixon method on 3-T MRI. AJR Am J Roentgenol. 2015;205:116–122.CrossRefPubMed Nozaki T, Tasaki A, Horiuchi S, Osakabe C, Ohde S, Saida Y, Yoshioka H. Quantification of fatty degeneration within the supraspinatus muscle by using a 2-point Dixon method on 3-T MRI. AJR Am J Roentgenol. 2015;205:116–122.CrossRefPubMed
27.
Zurück zum Zitat Oh JH, Kim SH, Choi JA, Kim Y, Oh CH. Reliability of the grading system for fatty degeneration of rotator cuff muscles. Clin Orthop Relat Res. 2010;468:1558–1564.CrossRefPubMedPubMedCentral Oh JH, Kim SH, Choi JA, Kim Y, Oh CH. Reliability of the grading system for fatty degeneration of rotator cuff muscles. Clin Orthop Relat Res. 2010;468:1558–1564.CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Rulewicz GJ, Beaty S, Hawkins RJ, Kissenberth MJ. Supraspinatus atrophy as a predictor of rotator cuff tear size: an MRI study utilizing the tangent sign. J Shoulder Elbow Surg. 2013;22:e6-e10.CrossRefPubMed Rulewicz GJ, Beaty S, Hawkins RJ, Kissenberth MJ. Supraspinatus atrophy as a predictor of rotator cuff tear size: an MRI study utilizing the tangent sign. J Shoulder Elbow Surg. 2013;22:e6-e10.CrossRefPubMed
29.
Zurück zum Zitat Schiefer M, Mendonca R, Magnanini MM, Fontenelle C, Pires Carvalho AC, Almeida M, Chu AC, Silva SM, Visconti F, Ferreira GA, Franco JS. Intraobserver and interobserver agreement of Goutallier classification applied to magnetic resonance images. J Shoulder Elbow Surg. 2015;24:1314–1321.CrossRefPubMed Schiefer M, Mendonca R, Magnanini MM, Fontenelle C, Pires Carvalho AC, Almeida M, Chu AC, Silva SM, Visconti F, Ferreira GA, Franco JS. Intraobserver and interobserver agreement of Goutallier classification applied to magnetic resonance images. J Shoulder Elbow Surg. 2015;24:1314–1321.CrossRefPubMed
30.
Zurück zum Zitat Sethi PM, Noonan BC, Cunningham J, Shreck E, Miller S. Repair results of 2-tendon rotator cuff tears utilizing the transosseous equivalent technique. J Shoulder Elbow Surg. 2010;19:1210–1217.CrossRefPubMed Sethi PM, Noonan BC, Cunningham J, Shreck E, Miller S. Repair results of 2-tendon rotator cuff tears utilizing the transosseous equivalent technique. J Shoulder Elbow Surg. 2010;19:1210–1217.CrossRefPubMed
31.
Zurück zum Zitat Slabaugh MA, Friel NA, Karas V, Romeo AA, Verma NN, Cole BJ. Interobserver and intraobserver reliability of the Goutallier classification using magnetic resonance imaging: proposal of a simplified classification system to increase reliability. Am J Sports Med. 2012;40:1728–1734.CrossRefPubMed Slabaugh MA, Friel NA, Karas V, Romeo AA, Verma NN, Cole BJ. Interobserver and intraobserver reliability of the Goutallier classification using magnetic resonance imaging: proposal of a simplified classification system to increase reliability. Am J Sports Med. 2012;40:1728–1734.CrossRefPubMed
32.
Zurück zum Zitat Spencer EE Jr, Dunn WR, Wright RW, Wolf BR, Spindler KP, McCarty E, Ma CB, Jones G, Safran M, Holloway GB, Kuhn JE; Shoulder Multicenter Orthopaedic Outcomes Network. Interobserver agreement in the classification of rotator cuff tears using magnetic resonance imaging. Am J Sports Med. 2008;36:99–103.CrossRefPubMed Spencer EE Jr, Dunn WR, Wright RW, Wolf BR, Spindler KP, McCarty E, Ma CB, Jones G, Safran M, Holloway GB, Kuhn JE; Shoulder Multicenter Orthopaedic Outcomes Network. Interobserver agreement in the classification of rotator cuff tears using magnetic resonance imaging. Am J Sports Med. 2008;36:99–103.CrossRefPubMed
33.
Zurück zum Zitat Wall LB, Teefey SA, Middleton WD, Dahiya N, Steger-May K, Kim HM, Wessell D, Yamaguchi K. Diagnostic performance and reliability of ultrasonography for fatty degeneration of the rotator cuff muscles. J Bone Joint Surg Am. 2012;94:e83.CrossRefPubMedPubMedCentral Wall LB, Teefey SA, Middleton WD, Dahiya N, Steger-May K, Kim HM, Wessell D, Yamaguchi K. Diagnostic performance and reliability of ultrasonography for fatty degeneration of the rotator cuff muscles. J Bone Joint Surg Am. 2012;94:e83.CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Williams MD, Ladermann A, Melis B, Barthelemy R, Walch G. Fatty infiltration of the supraspinatus: a reliability study. J Shoulder Elbow Surg. 2009;18:581–587.CrossRefPubMed Williams MD, Ladermann A, Melis B, Barthelemy R, Walch G. Fatty infiltration of the supraspinatus: a reliability study. J Shoulder Elbow Surg. 2009;18:581–587.CrossRefPubMed
Metadaten
Titel
Classifications in Brief: Goutallier Classification of Fatty Infiltration of the Rotator Cuff Musculature
verfasst von
Jeremy S. Somerson, MD
Jason E. Hsu, MD
Jacob D. Gorbaty, BA
Albert O. Gee, MD
Publikationsdatum
19.11.2015
Verlag
Springer US
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 5/2016
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-015-4630-1

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