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Additional resources for Habermeyer - Classifications and Scores of the Shoulder
Massive tear: When three muscles are involved, the tear is usually massive. Two-muscle tears should be retracted at least 5 cm to be designated massive (Fig. 10 e). The long head of the biceps is often displaced in these circumstances. 10 n n n 29 Classification of tendon retraction in the frontal plane according to Patte  (Fig. 11) Stage 1: proximal stump close to the bony insertion Stage 2: proximal stump at level of humeral head Stage 3: proximal stump at level of glenoid Fig. 11. Topography of tears in the frontal plane, in which three stages are easily recognized.
14 d). The tangent sign was defined as abnormal (positive) (Fig. 14 e, f) when the supraspinatus muscle did not cross the tangent. The tangent sign is a qualitative sign of muscle atrophy with a high predictive value. Obviously, its use is limited to the supraspinatus muscle, which is not adequate for all types of tears. 32 5 Classifications of rotator cuff Fig. 14 A±F. A The most lateral image on which the scapulars spine is in contact with the rest of the scapula was chosen as reference section.
30 5 Classifications of rotator cuff Fig. 12. Calculation of the occupation ratio R on the oblique-sagittal view. S1 Surface of the supraspinatus muscle; S2 surface of the entire supraspinatus fossa Fig. 13. Three grades of supraspinatus atrophy in MRI The authors propose a classification of the supraspinatus belly atrophy based on the occupation ratio to the supraspinatus fossa (Fig. 13). 60 (stage I), the muscle can be considered as normal or slightly atrophied. 40 (stage II) suggest moderate atrophy.