Association between functional outcome scores and MRI-based structural integrity after rotator cuff repair: a prospective cohort study.

Souvik Paul, Tarun Goyal, Arvind Kumar Yadav

Abstract read

In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed

1.7field-weighted citation impact, top 16% of its field

1 · What the graph read from it

What it found

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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.

2 · The registry

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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

6 citing papers in PubMed, 9 citations in OpenAlex.

Arthroscopic double row repair of massive posterosuperior tear: healing and functional outcomes.JSES international · 2026
Article
What happens to patients in the long term when we do not repair their cuff tears? Ten-year rotator cuff quality of life index (RC-QOL) outcomes following nonoperative treatment of patients with full-thickness rotator cuff tears.JSES international · 2025
Article
The effectiveness of intravenous zoledronic acid in elderly patients with osteoporosis after rotator cuff repair: a retrospective study.Scientific reports · 2024
Article
Development and application of a proximal hamstring MRI-based scoring tool in patients undergoing proximal hamstring tendon surgical repair.Journal of orthopaedics · 2023
Article
Gender and degree of tendon healing are independent predictive factors for clinical outcome in successfully healed rotator cuff tears.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
Article
Relationship between hematoma-like tissue on the footprint and structural outcome of arthroscopic rotator cuff repair with a transosseous technique.JSES international · 2023
Article

4 · The record

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5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Souvik PaulDepartment of Orthopaedics, All India Institute of Medical Sciences, Virbhadra Marg, Rishikesh, 248201, India.ORCID http://orcid.org/0000-0002-1172-3664

Tarun GoyalDepartment of Orthopaedics, All India Institute of Medical Sciences, Virbhadra Marg, Rishikesh, 248201, India. goyal.tarun@gmail.com.ORCID http://orcid.org/0000-0002-1428-9947

Arvind Kumar YadavDepartment of Orthopaedics, All India Institute of Medical Sciences, Virbhadra Marg, Rishikesh, 248201, India.ORCID http://orcid.org/0000-0002-9961-0057

All India Institute of Medical Sciences Rishikesh · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNatural history of rotator cuff tears is poorly understood. Repair of rotator cuff tears has shown to improve functional outcomes in full-thickness tears. However, high re-tear rates have been reported in literature, which does not correlate with poorer outcomes. Primary aim of this study was to explore association between functional outcome scores and structural integrity of rotator cuff, using magnetic resonance imaging (MRI)-based grading.

methodsPatients with MRI-proven full-thickness rotator cuff tears, undergoing mini-open rotator cuff repair, were assessed for shoulder abduction strength and functional outcome scores before the surgery and 2 years after the procedure. Association between functional outcome scores and MRI grading for rotator cuff healing (Sugaya grading) was analyzed.

resultsA total of 38 patients (18 females and 20 males), with a mean age of 50.6 years (SD: 10.9), were included in the study. Mean duration of symptoms was 6.05 months (SD: 4.2). On postoperative MRI, healing of the cuff was categorized as Sugaya grade 1 in 12 patients, grade 2 in 20 patients and grade 3 in 6 patients. Higher Sugaya grades (T: 13.48, p: 0.001) and grades of fatty degeneration (T: 14.05, p: 0.001) were found to be associated with longer duration of symptoms. Improvement in shoulder abduction strength correlated negatively with the duration of symptoms (r: -0.39, p: 0.01). There was a significant improvement in functional outcome scores after the surgery. There was no association between postoperative structural integrity of the repaired tendon (Sugaya grading) and functional outcome scores.

conclusionEarly repair of rotator cuff results in better functional outcomes and shoulder strength. The findings from this study suggest there is a dissociation between MRI-based grades of healing of repaired rotator cuff and function of the shoulder. STUDY

designLevel II, Prospective cohort study.

Indexed as

Rotator Cuff InjuriesArthroscopyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesRotator CuffTreatment OutcomeCuff integrityFunctional outcomeMagnetic resonance imagingRotator cuffRotator cuff injuriesRotator cuff repairShoulder

Identifiers

PMID34019146

DOI10.2106/JBJS.G.00677

OpenAlexW3161973008

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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.