Evidence map›Paper›PMID 40905927›Full record

ReviewEFORT open reviews2025

Exploring superior capsular reconstruction and tendon transfers for massive irreparable posterosuperior rotator cuff tears.

Majd Mzeihem, Mohamad Nassereddine, Anas El Zouhbi, Farid Amirouche, Bassem Elhassan

Abstract readReview
In one paragraph

Review in EFORT open reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
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

5 authors.

Majd MzeihemDepartment of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA.ORCID https://orcid.org/0009-0006-2430-2697
Mohamad NassereddineDepartment of Orthopedic Surgery, American University of Beirut Medical Center, Beirut, Lebanon.ORCID https://orcid.org/0000-0002-9487-3042
Anas El ZouhbiDepartment of Orthopedic Surgery, American University of Beirut Medical Center, Beirut, Lebanon.ORCID https://orcid.org/0000-0002-5492-8838
Farid AmiroucheDepartment of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-3002-4199
Bassem ElhassanDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rotator cuff tears are prevalent, affecting 20% of the general population, with massive tears accounting for 40% of these cases. Massive tears, those larger than 5 cm or involving several tendons, pose substantial clinical problems, including poorer surgical outcomes and increased recurrence rates. Multiple classification systems offer varied definitions, complicating treatment strategies. The irreparability of these tears, exacerbated by conditions such as tendon atrophy and advanced imaging abnormalities, can further complicate management. Surgical options include superior capsular reconstruction (SCR) and tendon transfers. SCR, which involves attaching a graft to the superior glenoid and greater tuberosity, has shown promise in individuals with intact subscapularis tendons and minimal arthritis. Graft alternatives include fascia lata (FL) autografts, human dermal allografts, and long head of the biceps tendon (LHBT) autografts. Each graft type has distinct advantages and disadvantages, with FL autografts providing greater results despite donor site morbidity. Tendon transfers, such as latissimus dorsi and lower trapezius transfers, offer alternative treatments, especially for younger, more active individuals. This review thoroughly reviews different therapeutic options, emphasizing the most recent evidence and clinical outcomes to help guide the best management of massive posterosuperior irreparable rotator cuff injuries.

Indexed as

rotator cuffrotator cuff tearsshoulder pathologyshoulder surgerysuperior capsular reconstructiontendon transfer

Identifiers

PMID40905927
PMCPMC12412289

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Registered trials

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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.