Evidence map›Paper›PMID 26733863›Full record

ArticleFrontiers in aging neuroscience2015

Patterns of Age-Associated Degeneration Differ in Shoulder Muscles.

Yotam Raz, Jan F Henseler, Arjen Kolk, Muhammad Riaz, Peer van der Zwaal, Jochem Nagels, Rob G H H Nelissen, Vered Raz

Open access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Site-specific myopathy differences between spine and limb muscles: a kyphotic TSC1mKO mice model study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  7. Older age is associated with decreased overall shoulder strength but not direction-specific differences in the three-dimensional feasible torque space.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2024
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  14. A unique sarcopenic progression in the mouse rotator cuff.Journal of cachexia, sarcopenia and muscle · 2022
    Article
  15. Article
  16. Shoulder movement complexity in the aging shoulder: A cross-sectional analysis and reliability assessment.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Yotam RazDepartment of Orthopaedics, Leiden University Medical CenterLeiden, Netherlands; Department of Molecular Epidemiology, Leiden University Medical CenterLeiden, Netherlands.
Jan F HenselerDepartment of Orthopaedics, Leiden University Medical Center Leiden, Netherlands.
Arjen KolkDepartment of Orthopaedics, Leiden University Medical Center Leiden, Netherlands.
Muhammad RiazDepartment of Human Genetics, Leiden University Medical Center Leiden, Netherlands.
Peer van der ZwaalDepartment of Orthopaedic Surgery, Medical Center Haaglanden Hague, Netherlands.
Jochem NagelsDepartment of Orthopaedics, Leiden University Medical Center Leiden, Netherlands.
Rob G H H NelissenDepartment of Orthopaedics, Leiden University Medical Center Leiden, Netherlands.
Vered RazDepartment of Human Genetics, Leiden University Medical Center Leiden, Netherlands.
Leiden University Medical Center · NLMedisch Centrum Haaglanden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Shoulder complaints are common in the elderly and hamper daily functioning. These complaints are often caused by tears in the muscle-tendon units of the rotator cuff (RC). The four RC muscles stabilize the shoulder joint. While some RC muscles are frequently torn in shoulder complaints others remain intact. The pathological changes in RC muscles are poorly understood. We investigated changes in RC muscle pathology combining radiological and histological procedures. We measured cross sectional area (CSA) and fatty infiltration from Magnetic Resonance Imaging with Arthrography (MRA) in subjects without (N = 294) and with (N = 109) RC-tears. Normalized muscle CSA of the four RC muscles and the deltoid shoulder muscle were compared and age-associated patterns of muscle atrophy and fatty infiltration were constructed. We identified two distinct age-associated patterns: in the supraspinatus and subscapularis RC muscles CSAs continuously declined throughout adulthood, whereas in the infraspinatus and deltoid reduced CSA was prominent from midlife onwards. In the teres minor, CSA was unchanged with age. Most importantly, age-associated patterns were highly similar between subjects without RC tear and those with RC-tears. This suggests that extensive RC muscle atrophy during aging could contribute to RC pathology. We compared muscle pathology between torn infraspinatus and non-torn teres minor and the deltoid in two patients with a massive RC-tear. In the torn infraspinatus we found pronounced fatty droplets, an increase in extracellular collagen-1, a loss of myosin heavy chain-1 expression in myofibers and an increase in Pax7-positive cells. However, the adjacent intact teres minor and deltoid exhibited healthy muscle features. This suggests that satellite cells and the extracellular matrix may contribute to extensive muscle fibrosis in torn RC. We suggest that torn RC muscles display hallmarks of muscle aging whereas the teres minor could represent an aging-resilient muscle.

Indexed as

agingfatty infiltrationfibrosisMRAmuscle atrophyrotator cuff tearsatellite cellsshoulder

Identifiers

PMID26733863
PMCPMC4686609
OpenAlexW2244616520

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.