Kwon et al reported the rotator cuff healing index (RoHI). The authors are from Seoul National University.
Patient selection: surgical repair of a torn rotator cuff
Parameters:
(1) age of the patient in years
(2) anteroposterior tear size in cm
(3) retraction in cm
(4) infraspinatus fatty infiltration grade (Goutallier et al, Stages 0 to 4)
(5) bone mineral density (BMD) T-score
(6) level of work activity
|
Parameter |
Finding |
Points |
|
age |
<= 70 years |
0 |
|
|
> 70 years |
2 |
|
anteroposterior tear size |
<= 2.5 cm |
0 |
|
|
> 2.5 cm |
2 |
|
retraction in cm |
< 1 cm |
0 |
|
|
1 to 1.99 cm |
1 |
|
|
2 to 2.99 cm |
2 |
|
|
>= 3 cm |
4 |
|
infraspinatus fatty infiltration |
grade 0 to 1 |
0 |
|
|
grade >= 2 |
3 |
|
bone mineral density |
> - 2.5 |
0 |
|
|
<= - 2.5 |
2 |
|
level of work activity |
high (heavy manual labor) |
2 |
|
|
medium or low |
0 |
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 15
• The higher the score the greater the risk of healing failure.
|
Score |
Percent Failed Healing |
|
0 |
0 |
|
1 |
< 1% |
|
2 |
12% |
|
3 |
8% |
|
4 |
14% |
|
5 |
30% |
|
6 |
34% |
|
7 |
62% |
|
8 |
72% |
|
9 |
54% |
|
10 |
73% |
|
11 |
89% |
|
12 |
100% |
|
13 |
83% |
|
14 |
|
|
15 |
100% |
Specialty: Surgery, orthopedic
