J Am Acad Orthop Surg. 2011 Jun;19(6):368-79. doi: 10.5435/00124635-201106000-00007.
Of the 31 recommendations made by the work group, 19 were determined to be inconclusive because of the absence of definitive evidence. Of the remaining recommendations, four were classified as moderate grade, six as weak, and two as consensus statements of expert opinion. The four moderate-grade recommendations include suggestions that exercise and nonsteroidal anti-inflammatory drugs be used to manage rotator cuff symptoms in the absence of a full-thickness tear, that routine acromioplasty is not required at the time of rotator cuff repair, that non-cross-linked, porcine small intestine submucosal xenograft patches not be used to manage rotator cuff tears, and that surgeons can advise patients that workers' compensation status correlates with less favorable outcomes after rotator cuff surgery.
在工作组提出的 31 条建议中，由于缺乏确凿证据，有 19 条被认为结论不确定。在其余的建议中，有四条被归类为中级，六条为弱级，两条为专家意见共识声明。四条中级建议包括：在没有全层撕裂的情况下，建议使用运动和非甾体抗炎药来治疗肩袖症状；在进行肩袖修复时，不需要常规行肩峰成形术；不建议使用非交联、猪小肠黏膜下异种移植物补片来治疗肩袖撕裂；外科医生可以告知患者，工人赔偿状况与肩袖手术后的结果较差相关。
