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Updated: Feb 9, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Responsiveness and disease specificity of the Western Ontario Rotator Cuff index
Ronald N Wessel1, Nienke Wolterbeek1, Anouk J M Fermont1
1Department of Orthopaedic Surgery, St. Antonius Ziekenhuis, PO Box 2500, Nieuwegein, The Netherlands.
Abstract:
The goal of this study was to determine the disease specificity and responsiveness of the Western Ontario Rotator Cuff Index (WORC). Responsiveness, two cut-off points of the minimal important change, the area under the curve, standard error of measurement, the minimal detectable change and the standardized response mean were determined. Patients undergoing a rotator cuff repair need to improve more than 35 points to be considered clinical importantly improved. The WORC is disease specific and has a high responsiveness in patients undergoing rotator cuff repair and patients with disease of the rotator cuff without rotator cuff tears.
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