Evidence map›Paper›PMID 29750541›Full record

ArticleThe American journal of sports medicine2018

Fatty Infiltration Is a Prognostic Marker of Muscle Function After Rotator Cuff Tear.

Ana P Valencia, Jim K Lai, Shama R Iyer, Katherine L Mistretta, Espen E Spangenburg, Derik L Davis, Richard M Lovering, Mohit N Gilotra

Abstract read
In one paragraph

Article in The American journal of sports medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Magnetic resonance imaging-based fat infiltration grading improves reparability prediction in massive rotator cuff tears.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
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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 3 institutions in 1 country.

Ana P ValenciaDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Maryland, USA.
Jim K LaiDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Maryland, USA.
Shama R IyerDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Maryland, USA.
Katherine L MistrettaDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Maryland, USA.
Espen E SpangenburgDepartment of Physiology, East Carolina Diabetes and Obesity Institute, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Derik L DavisDepartment of Diagnostic Radiology and Nuclear Medicine, School of Medicine, University of Maryland, Baltimore, Maryland, USA.
Richard M LoveringDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Maryland, USA.
Mohit N GilotraDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Maryland, USA.
University of Maryland, Baltimore · USEast Carolina University · USVeterans Health Administration · US

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI Stephen L. Seliger · 2006 to 2026
$28.9M
Interdisciplinary Training Program Muscle BiologyT32AR007592 · NIAMS · UNIVERSITY OF MARYLAND BALTIMORE · PI Aikaterini Kontrogianni-Konstantopoulos · 1996 to 2026
$11.7M
Mechanisms of Force Loss in Injured and Dystrophic Skeletal MuscleR01AR059179 · NIAMS · UNIVERSITY OF MARYLAND BALTIMORE · PI LOVERING, RICHARD M · 2010 to 2014
$1.4M
E-Technology for Chinese Dementia CaregiversR44AG026815 · NIA · ENVIRONMENT AND HEALTH GROUP, INC. · PI CHEN, HONGTU · 2009 to 2010
$1.1M
Targeting of cells to musculoskeletal injury via superparamagenetic nanoparticlesR21AR067872 · NIAMS · UNIVERSITY OF MARYLAND BALTIMORE · PI LOVERING, RICHARD M · 2016 to 2017
$373k
E-Technology for Chinese Dementia CaregiversR43AG026815 · NIA · ENVIRONMENT AND HEALTH GROUP, INC. · PI CHEN, HONGTU · 2006 to 2006
$117k
NIAMS NIH HHS R01 AR059179NIAMS NIH HHS R21 AR067872NIAMS NIH HHS T32 AR007592NIA NIH HHS P30 AG028747NIA NIH HHS R43 AG026815NIA NIH HHS R44 AG026815
6 · The paper itself

Abstract

backgroundMassive rotator cuff tears (RCTs) begin as primary tendon injuries and cause a myriad of changes in the muscle, including atrophy, fatty infiltration (FI), and fibrosis. However, it is unclear which changes are most closely associated with muscle function. PURPOSE: To determine if FI of the supraspinatus muscle after acute RCT relates to short-term changes in muscle function. STUDY

designControlled laboratory study.

methodsUnilateral RCTs were induced in female rabbits via tenotomy of the supraspinatus and infraspinatus. Maximal isometric force and rate of fatigue were measured in the supraspinatus in vivo at 6 and 12 weeks after tenotomy. Computed tomography scanning was performed, followed by histologic analysis of myofiber size, FI, and fibrosis.

resultsTenotomy resulted in supraspinatus weakness, reduced myofiber size, FI, and fibrosis, but no differences were evident between 6 and 12 weeks after tenotomy except for increased collagen content at 12 weeks. FI was a predictor of supraspinatus weakness and was strongly correlated to force, even after accounting for muscle cross-sectional area. While muscle atrophy accounted for the loss in force in tenotomized muscles with minimal FI, it did not account for the greater loss in force in tenotomized muscles with the most FI. Collagen content was not strongly correlated with maximal isometric force, even when normalized to muscle size.

conclusionAfter RCT, muscle atrophy results in the loss of contractile force from the supraspinatus, but exacerbated weakness is observed with increased FI. Therefore, the level of FI can help predict contractile function of torn rotator cuff muscles. CLINICAL RELEVANCE: Markers to predict contractile function of RCTs will help determine the appropriate treatment to improve functional recovery after RCTs.

Indexed as

Adipose TissueAnimalsFemalePrognosisRabbitsRotator CuffRotator Cuff Injuriesanimal modelmuscle atrophymuscle fatty infiltrationmuscle forcerotator cuffsupraspinatus

Identifiers

PMID29750541
PMCPMC6397750
OpenAlexW2800904641

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.