Evidence map›Paper›PMID 37316174›Full record

ArticleClinics in shoulder and elbow2023

Effect of suprascapular nerve injury on muscle and regenerated enthesis in a rat rotator cuff tear model.

Kenichiro Eshima, Hiroki Ohzono, Masafumi Gotoh, Hisao Shimokobe, Koji Tanaka, Hidehiro Nakamura, Tomonoshin Kanazawa, Takahiro Okawa, Naoto Shiba

Open access · diamondAbstract read
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Article in Clinics in shoulder and elbow, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.9field-weighted citation impact, top 9% 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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3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Kenichiro EshimaDepartment of Orthopedic Surgery, Kurume University Hospital, Fukuoka, Japan.
Hiroki OhzonoDepartment of Orthopedic Surgery, Kurume University Medical Center, Fukuoka, Japan.
Masafumi GotohDepartment of Orthopedic Surgery, Kurume University Medical Center, Fukuoka, Japan.
Hisao ShimokobeDepartment of Orthopedic Surgery, Kurume University Hospital, Fukuoka, Japan.
Koji TanakaDepartment of Orthopedic Surgery, Kurume University Hospital, Fukuoka, Japan.
Hidehiro NakamuraDepartment of Orthopedic Surgery, Kurume University Medical Center, Fukuoka, Japan.
Tomonoshin KanazawaDepartment of Orthopedic Surgery, Kurume University Hospital, Fukuoka, Japan.
Takahiro OkawaDepartment of Orthopedic Surgery, Kurume University Medical Center, Fukuoka, Japan.
Naoto ShibaDepartment of Orthopedic Surgery, Kurume University Hospital, Fukuoka, Japan.
Kurume University Hospital · JPKurume University Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMassive rotator cuff tears (RCTs) are complicated by muscle atrophy, fibrosis, and intramuscular fatty degeneration, which are associated with postoperative tendon-to-bone healing failure and poor clinical outcomes. We evaluated muscle and enthesis changes in large tears with or without suprascapular nerve (SN) injury in a rat model.

methodsSixty-two adult Sprague-Dawley rats were divided into SN injury (+) and SN injury (-) groups (n=31 each), comprising tendon (supraspinatus [SSP]/infraspinatus [ISP]) and nerve resection and tendon resection only cases, respectively. Muscle weight measurement, histological evaluation, and biomechanical testing were performed 4, 8, and 12 weeks postoperatively. Ultrastructural analysis with block face imaging was performed 8 weeks postoperatively.

resultsSSP/ISP muscles in the SN injury (+) group appeared atrophic, with increased fatty tissue and decreased muscle weight, compared to those in the control and SN injury (-) groups. Immunoreactivity was only positive in the SN injury (+) group. Myofibril arrangement irregularity and mitochondrial swelling severity, along with number of fatty cells, were higher in the SN injury (+) group than in the SN injury (-) group. The bone-tendon junction enthesis was firm in the SN injury (-) group; this was atrophic and thinner in the SN injury (+) group, with decreased cell density and immature fibrocartilage. Mechanically, the tendon-bone insertion was significantly weaker in the SN injury (+) group than in the control and SN injury (+) groups.

conclusionsIn clinical settings, SN injury may cause severe fatty changes and inhibition of postoperative tendon healing in large RCTs. Level of evidence: Basic research, controlled laboratory study.

Indexed as

Bone-tendon interface healingRotator cuff tearSuprascapular nerve injury

Identifiers

PMID37316174
PMCPMC10277713
OpenAlexW4376956369

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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.