الفهرس 
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Abstract
Introduction: The correlation between the patient range of motion, clinical scoring and radiological findings is a matter of debate. Many researchers found significant associations between the patient symptoms and the tear size. Others suggested that the prevalence of rotator cuff tears is weakly related to symptoms and that similar findings are often found in asymptomatic persons. Aim of this study: To study the correlation between the patient clinical evaluation and radiological findings in patients with full thickness rotator cuff tears. Patients and methods: Patients with full thickness rotator cuff tear (85 patients) at the Unit of Knee Surgery, Arthroscopy and Sports Injuries (Mansoura university hospitals) during the period from August 2018 and May 2020. Methods: Patient history was taken including Age, Sex, Occupation, Comorbidities, Duration of complaint, History of trauma. Patient active ROM flexion, abduction, external rotation, internal rotation is assessed. Patient clinical scoring was done using constant score and SPADI score.Radiological assessment included X-ray true AP view with patient standing acromio-humeral distance, critical shoulder angle (CSA) and degree of osteoarthritis according to Hamada classification were assessed. MRI was also assessed for tear size in sagittal and coronal cuts according to Cofield classification, number of torn tendons and degree of fatty infiltration according to Goutillier classification. Results: Patient data was analyzed for significant correlation between patient clinical evaluation and radiological findings including X-ray and MRI. By analyzing and processing the data obtained from the history and evaluation, our study declared that: There is a strong correlation between the patient clinical and radiological findings. Magnetic resonance imaging findings as size of tear, number of torn tendons and degree of fatty degeneration are associated with significant changes of the patient clinical findings as range of motion and clinical scores. Similarly, the X-ray findings as acromio-humeral distance and critical shoulder angle strongly affect the patient clinical scores and range of motion. Age above fifty and medical comorbidities as diabetes are associated with worse clinical condition of the patient but they are not included in the clinical scores (constant score and shoulder pain and disability index).