Evidence map›Paper›PMID 41551969›Full record

ArticleJSES reviews, reports, and techniques2026

Preoperative humeral computed tomography may be a useful indicator of low bone mineral density in patients undergoing rotator cuff repair.

Yuki Matsui, Yusuke Menjo, Yoshihiro Hojo, Daisuke Momma, Norimasa Iwasaki

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Article in JSES reviews, reports, and techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Yuki MatsuiDepartment of Orthopaedic Surgery, Kushiro Rosai Hospital, Kushiro, Japan.
Yusuke MenjoDepartment of Orthopaedic Surgery, Kushiro Rosai Hospital, Kushiro, Japan.
Yoshihiro HojoDepartment of Orthopaedic Surgery, Kushiro Rosai Hospital, Kushiro, Japan.
Daisuke MommaCenter for Sports Medicine, Hokkaido University Hospital, Sapporo, Japan.
Norimasa IwasakiDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bone fragility can compromise rotator cuff repair, particularly in patients with osteoporosis. Although previous studies have demonstrated correlations between systemic bone mineral density (BMD) and bone quality, only a few have focused on the anchor-relevant regions in patients with rotator cuff tears. We hypothesized that preoperative computed tomography (CT)-based Hounsfield unit (HU) values at anchor-relevant areas in the proximal humerus could be used to estimate systemic BMD in these patients. Methods: This retrospective study included 58 patients (62 shoulders) who underwent arthroscopic rotator cuff repair and had both preoperative shoulder CT and dual energy X-ray absorptiometry scans. HU values were measured in 4 regions of interest within the proximal humerus: medial, central, lateral, and greater tuberosity (GT). Systemic BMD was assessed using femoral neck and lumbar spine T-scores and BMD values. Pearson correlation coefficients were used to evaluate the association between the HU values and systemic T-score/BMD. Multivariate linear regression analyses were performed using HU values at the GT after adjusting for age, sex, and rotator cuff tear size. Results: HU values were significantly lower in the lateral and GT regions than in the medial and central regions ( Conclusion: Preoperative CT-derived HU values, particularly at the GT, have a moderate correlation with systemic T-scores and BMD in patients with rotator cuff tears. Given the lower HU values observed at the anchor insertion sites (GT and lateral regions), clinicians should consider the risk of bone fragility during surgical planning.

Indexed as

Bone mineral densityComputed tomographyDual energy X-Ray absorptiometryHounsfield unitMultivariate linear regression analysisOsteoporosisProximal humerusRotator cuff tear

Identifiers

PMID41551969
PMCPMC12810340

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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.