ArticleClinics in shoulder and elbow2025
Effects of tear size on outcomes after acellular dermal matrix-augmented rotator cuff repair.
Article in Clinics in shoulder and elbow, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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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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.
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Who cites it
4 citing papers in PubMed.
- Aging Biology of Bone-to-Tendon Healing and the Epigenetic Clock: A Biological-Age Readout of Rotator Cuff Healing Capacity.Biomedicines · 2026Review
- Surgical anatomy, biomechanics and clinical outcomes of latissimus dorsi transfer for irreparable rotator cuff tears: a review.Journal of orthopaedic surgery and research · 2026Review
- Current management of impingement syndrome and repairable rotator cuff tears in South Korea: A web-based survey.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026Article
- Acellular dermal matrix patch augmentation combined with rotator cuff repair.Clinics in shoulder and elbow · 2025Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcellular dermal matrix (ADM) patch augmentation in rotator cuff repair reinforces the repaired tendon and provides additional structural support. This study aimed to compare outcomes based on rotator cuff tear size.
methodsWe retrospectively reviewed patients who underwent ADM-augmented rotator cuff repair at two hospitals between April 2021 and April 2023. After excluding subjects with <2 years of follow-up or no magnetic resonance imaging (MRI) at 6 months, patients were grouped based on tear size: ≤30 mm (group 1) and >30 mm (group 2). Outcomes were American Shoulder and Elbow Surgeons score, Constant-Murley score, University of California, Los Angeles score, pain visual analog scale score, and range of motion (ROM). Retear was defined based on Sugaya type 4-5 on 6-month MRI.
resultsBoth groups showed significant improvement in postoperative clinical outcomes compared with preoperative outcomes, with no significant intergroup differences. ROM gains were limited overall, with significant increases only in group 1 for forward flexion and scaption. Stiffness occurred in 4.8% of group 1 and 17.9% of group 2 patients. Retear was found in 1 of 21 patients (4.8%) in group 1 and 7 of 28 (25.0%) in group 2.
conclusionsArthroscopic rotator cuff repair with ADM patch augmentation showed reduced retear rates and improved clinical outcomes across tear sizes. Postoperative ROM improvements were limited, and stiffness tended to occur more frequently in larger tears. Thus, the success of ADM patch augmentation depends on patient selection and appropriate graft application. Level of evidence: III.
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