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Current Concepts Review   |    
Current Concepts Review - Rotator Cuff Tear Arthropathy*
KIRK L. JENSEN, M.D.†, OAKLAND, CALIFORNIA; GERALD R. WILLIAMS, JR., M.D.‡, PHILADELPHIA, PENNSYLVANIA; I. J. RUSSELL, M.D.§; CHARLES A. ROCKWOOD, JR., M.D.§, SAN ANTONIO, TEXAS
J Bone Joint Surg Am, 1999 Sep 01;81(9):1312-24
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Extract

The association between massive tears of rotator cuff tendons and severe glenohumeral degenerative arthritis is complex and poorly understood. The theories that have been proposed to account for rotator cuff tear arthropathy of the shoulder joint include severe, localized rheumatoid arthritis1,2; hemorrhagic arthritis27; microcrystalline-induced arthritis67; and arthritis due to chronic attrition, leading to a massive tear of the rotator cuff tendons19,75. The confusion concerning the etiology of rotator cuff tear arthropathy is in part due to the fact that different authors have described its clinical characteristics in general terms and have given it various names, such as l'arthropathie destructrice rapide de l'épaule58, apatite-associated destructive arthritis30, Milwaukee shoulder40,45,67, and cuff tear arthropathy75.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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