ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Preoperative rotator cuff tendon integrity, tear size, and muscle atrophy and fatty infiltration are associated with structural outcomes of arthroscopic revision rotator cuff repair.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 33 citations in OpenAlex.
- Article
- Preoperative fatty infiltration predicts functional outcomes after arthroscopic rotator cuff repair: does trauma or degeneration matter?BMC musculoskeletal disorders · 2026Article
- The correlation between torn supraspinatus tendon thickness and commonly used radiological predictive factors for repairability in rotator cuff tears.BMC musculoskeletal disorders · 2026Article
- [Seeking a New Radiological Measure to Predict Rotator Cuff Tears: Investigating the Coracoclavicular Distance in an MRI-Based Study].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Article
- Latent class analysis-derived prediction model of shoulder function after arthroscopic repair for rotator cuff tear: a large retrospective cohort study.Frontiers in surgery · 2026Article
- Factors Affecting Late-Period Retear That Occurs More than 2 Years After Rotator Cuff Repair.Orthopaedic journal of sports medicine · 2025Article
- Surgical Outcomes of Weight-Bearing Shoulders: Arthroscopic Rotator Cuff Repair and Reverse Shoulder Arthroplasty.Clinics in orthopedic surgery · 2025Article
- A Quantitative Fatty Infiltration Evaluation of the Supraspinatus Muscle: Enhanced Clinical Relevance and Improved Diagnostic Value on Predicting Retear Compared With the Goutallier Classification.The American journal of sports medicine · 2025Article
- Clinical application research on the quantitative measurement of supraspinatus muscle fatty degeneration based on PACS system to improve preoperative assessment.Frontiers in surgery · 2025Article
- The impact of supraspinatus tear on subscapularis muscle atrophy and fatty infiltration.Clinics in shoulder and elbow · 2024Article
- Exosomes derived from bone marrow mesenchymal stem cell preconditioned by low-intensity pulsed ultrasound stimulation promote bone-tendon interface fibrocartilage regeneration and ameliorate rotator cuff fatty infiltration.Journal of orthopaedic translation · 2024Article
- Ultrasonic shear wave elastography predicts the quality of the residual tendon before the rotator cuff repair.Insights into imaging · 2024Article
- Arthroscopic Incomplete Rotator Cuff Repair With Patch Augmentation Using Acellular Dermal Matrix Allograft.Arthroscopy techniques · 2023Article
- The Posterosuperior Tetralogy Scoring System as a Practical Tool to Predict Shoulder Function After Posterosuperior Large-to-Massive Rotator Cuff Repairs.Orthopaedic journal of sports medicine · 2023Article
- Combined Biologic Augmentation Strategies with Collagen Patch Graft, Microfractures, and Platelet Concentrate Injections Improve Functional and Structural Outcomes of Arthroscopic Revision Rotator Cuff Repair.Journal of clinical medicine · 2023Article
- Effect of Retear After Arthroscopic Rotator Cuff Repair on Return to Work and Sports in Nonathletes: A Retrospective Cohort Study.Orthopaedic journal of sports medicine · 2023Article
- Factors affecting satisfaction in patients with a rotator cuff retear: CT arthrography-based study.BMC musculoskeletal disorders · 2023Article
- Determining the Time Required to Achieve Clinically Significant Outcomes on the PROMIS Upper Extremity Questionnaire After Arthroscopic Rotator Cuff Repair.Orthopaedic journal of sports medicine · 2023Article
- Three-Dimensional Software- and MR-Imaging-Based Muscle Volumetry Reveals Overestimation of Supraspinatus Muscle Atrophy Using Occupation Ratios in Full-Thickness Tendon Tears.Healthcare (Basel, Switzerland) · 2022Article
- Clinical and structural outcome of intra-articular steroid injection for early stiffness after arthroscopic rotator cuff repair.International orthopaedics · 2022Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA few studies have focused on factors predisposing to retear after arthroscopic revision rotator cuff repair (ARRCR). This study aimed to retrospectively evaluate (1) the structural and clinical outcomes of ARRCR and (2) pre- and intraoperative factors affecting the integrity of the rotator cuff (RC) tendon by focusing on preoperative RC tendon integrity, tear size, muscle hypotrophy and fatty infiltration.
methodsPatients who underwent ARRCR between 2006 and 2016 were reviewed. Preoperative variables included demographic data, RC tendon integrity, tear size, and muscle hypotrophy and fatty infiltration on preoperative magnetic resonance imaging (MRI). Intraoperative variables included repair technique and completeness of repair. The visual analog scale for pain (PVAS), functional VAS (FVAS), American Shoulder and Elbow Surgeons scores, and shoulder range of motion (ROM) were assessed. Postoperative tendon integrity was evaluated using over 6-month follow-up MRI. Patients were classified into groups A (healed) and B (retear), and their variables were compared.
resultsOverall 65 patients with a mean follow-up of 49.5 ± 30.2 (range, 24.0-148.9) months were analyzed. Fifty-six of 65 (86.2%) patients underwent MRI at 9.1 ± 9.7 (range, 4.4-40.2) months after ARRCR, and 20 of 56 (35.7%) patients (group B) exhibited retear. Group A (36/56, 64.3%) showed higher functional scores and ROMs than group B at the final follow-up, with significant differences in the FVAS scores (Group A versus B: FVAS, 7.6 ± 1.8 versus 6.4 ± 1.9, p = 0.036). Intraoperative variables, including preoperative tendon integrity (p = 0.021), tear size (p = 0.007), supraspinatus and infraspinatus muscle hypotrophy and fatty infiltration (p < 0.001 and p = 0.046), and completeness of repair (p = 0.030), differed significantly between the groups. Multivariate analysis revealed that preoperative supraspinatus muscle hypotrophy and fatty infiltration were independent predisposing factors for retear after ARRCR [odds ratio = 7.5, 95% confidence interval (CI) 1.1-55.8, p = 0.048].
conclusionThe retear was found in 20/56 patients (35.7%) after ARRCR for less than massive rotator cuff tears in this limited study population. Preoperative tendon integrity, tear size, supraspinatus and infraspinatus muscle hypotrophy and fatty infiltration, and completeness of repair was revealed to be associated with tendon integrity following ARRCR. Among them, preoperative supraspinatus muscle atrophy and fatty infiltration were the independent factors for retear after ARRCR, although generalization is limited. LEVEL OF EVIDENCE: IV.
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