ArticleJournal of shoulder and elbow surgery2020
Defining massive rotator cuff tears: a Delphi consensus study.
Article in Journal of shoulder and elbow surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- A meta-analysis of the outcomes of large to massive rotator cuff tears treated with direct repair, graft augmentation, or superior capsular reconstruction.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Long head of biceps tendon autograft is effective in the management of large to massive rotator cuff tear: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Management of irreparable massive rotator cuff tears: a systematic review and meta-analysis of patient-reported outcomes, reoperation rates, and treatment response.Journal of shoulder and elbow surgery · 2020Pooled it
- Superior Capsular Reconstruction Technique for Massive Rotator Cuff Tear With Arthroscopic Transfer and Augmentation of Long Head of Biceps Brachii Tendon-The Biobridge Technique.Arthroscopy techniques · 2026Article
- [Expert consensus on reconstruction treatment for irreparable posterosuperior massive rotator cuff tears].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Asymptomatic Rotator Cuff Tendinopathy in Elderly Diabetics: Is Routine Magnetic Resonance Imaging Evaluation of the Shoulder Warranted?Malaysian orthopaedic journal · 2026Article
- Risk factors for retear of arthroscopic rotator cuff repair using triple-row technique.JSES international · 2026Article
- Limited Clinical Benefit of the Subacromial Balloon Spacer in Massive Irreparable Rotator Cuff Tears: A Comprehensive Review of Clinical Outcomes and Cost-Effectiveness.JBJS reviews · 2026Review
- Clinical outcomes of modified Kessler tension-reducing suturing combined with double-row repair for Patte II-III rotator cuff tears.Frontiers in surgery · 2026Article
- A massive rotator cuff tear in association with a posterior dislocation of the long head biceps tendon: a review of the literature on posterior long head biceps tendon dislocation.Skeletal radiology · 2025Review
- A historical review: Surgical management of massive irreparable rotator cuff tears.Shoulder & elbow · 2025Review
- The Hosentraeger Technique: An Arthroscopic Tendon-in-Tendon Interposition Approach Using the Long Head of the Biceps for Irreparable Rotator Cuff Tears.Arthroscopy techniques · 2025Article
- Exploring superior capsular reconstruction and tendon transfers for massive irreparable posterosuperior rotator cuff tears.EFORT open reviews · 2025Review
- The subacromial balloon spacer: Adhering to indications and clinical outcomes.Journal of hand and microsurgery · 2025Article
- Advancements in the Management of Irreparable Rotator Cuff Tears.Indian journal of orthopaedics · 2025Review
- Rotator Cuff Repair With "BicepBrace" Biceps Tendon Augmentation.Arthroscopy techniques · 2025Article
- [Effectiveness analysis of channel-assisted minimally invasive repair technique combined with flexor hallucis longus tendon transfer for Achilles tendon sleeve avulsion].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Current concepts in arthroscopic rotator cuff repair.Clinics in shoulder and elbow · 2025Article
- Article
- Lower trapezius tendon transfer for massive irreparable rotator cuff tears improves outcomes in patients with high grade fatty infiltration of teres minor.JSES international · 2025Article
Corrections and comments
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Authors and funding
21 authors at 14 institutions in 1 country.
Funding
Abstract
backgroundA standard definition for massive rotator cuff tears (MRCTs) has not been identified. The purpose of this study is to use the modified Delphi technique to determine a practical, consensus definition for MRCTs.
methodsThis study is based on responses from 20 experts who participated in 4 rounds of surveys to determine a consensus definition for MRCT. Consensus was achieved when at least 70% of survey responders rated an item at least a 4 on a 5-point scale. A set of core characteristics was drafted based on literature review and then refined to achieve a consensus MRCT definition.
resultsThe following core characteristics reached consensus in the first round: tear size, number of tendons torn, and degree of medial retraction. Magnetic resonance imaging (MRI) and intraoperative findings reached consensus as the modalities of diagnosis. The second round determined that tear size should be measured as a relative value. An initial definition for MRCT was proposed in the third round: retraction of tendon(s) to the glenoid rim and/or a tear with ≥67% greater tuberosity exposure (65% approval). A modified definition was proposed that specified that degree of retraction should be measured in the coronal or axial plane and that the amount of greater tuberosity exposure should be measured in the sagittal plane (90% approval).
conclusionsThis study determined with 90% agreement that MRCT should be defined as retraction of tendon(s) to the glenoid rim in either the coronal or axial plane and/or a tear with ≥67% of the greater tuberosity exposed measured in the sagittal plane. The measurement can be performed either with MRI or intraoperatively.
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Registered trials
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.