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1

Mihata, Teruhisa, Rei Morikura, Akihiko Hasegawa, et al. "Partial-Thickness Rotator Cuff Tear by Itself Does Not Cause Shoulder Pain or Muscle Weakness in Baseball Players." American Journal of Sports Medicine 47, no. 14 (2019): 3476–82. http://dx.doi.org/10.1177/0363546519878141.

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Background: Partial-thickness rotator cuff tears are common shoulder injuries in baseball players. For some tears, the symptoms can be relieved through physical therapy or debridement without rotator cuff repair. Purpose: To assess whether partial-thickness rotator cuff tear by itself causes shoulder pain and muscle weakness in baseball players. Study Design: Cross-sectional study; Level of evidence, 3. Methods: We studied 87 university baseball players (age, 19.5 ± 0.8 years; baseball career, 11.5 ± 1.6 years). All data were obtained during a full-participation annual medical check in 1 team.
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Mihata, Teruhisa, Rei Morikura, Kunimoto Fukunishi, et al. "Partial-thickness Rotator Cuff Tear Itself Did Not Cause Shoulder Pain Or Muscle Weakness In Baseball Players." Orthopaedic Journal of Sports Medicine 7, no. 7_suppl5 (2019): 2325967119S0043. http://dx.doi.org/10.1177/2325967119s00430.

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Objectives: Rotator cuff tears are common shoulder injuries in baseball players. In some severe tears (i.e. through more than 50% of the cuff’s thickness), conservative treatment does not work well, and surgical treatment is sometimes chosen in an effort to ensure return to play. In contrast, some partial thickness rotator cuff tears do not cause shoulder symptoms, even during throwing motion. The objective of this study was to assess whether partial thickness rotator cuff tears cause shoulder pain and muscle weakness in baseball players. Methods: We studied 87 university baseball players (age
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Ly, Amanda, Yashas Reddy, Nitin Jain, Lichen Du, Folefac Atem, and Michael Khazzam. "Poster 174: The Role of Familial Predisposition in Imaging-Confirmed Atraumatic Rotator Cuff Tears." Orthopaedic Journal of Sports Medicine 10, no. 7_suppl5 (2022): 2325967121S0073. http://dx.doi.org/10.1177/2325967121s00735.

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Objectives: The etiology of rotator cuff tears is not completely understood. Several studies have identified age, smoking, hypercholesterolemia, diabetes, and hypertension as potential risk factors of rotator cuff tears. Limited data suggests the role of genetic and familial predisposition in the etiology of rotator cuff tears. Our objective was to assess whether there is an increased likelihood of rotator cuff tears in family members of patients with rotator cuff tears versus those without tears. This would provide evidence for whether there is a familial predisposition to rotator cuff tears.
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Iwashita, Satoshi, Hiroshi Hashiguchi, Atsushi Okubo, Minoru Yoneda, and Shinro Takai. "Characteristics of the patients with delaminated rotator cuff tear." SICOT-J 4 (2018): 28. http://dx.doi.org/10.1051/sicotj/2018022.

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Purpose: The purpose of this study was to analyze factors relating to delamination in full-thickness rotator cuff tears. Methods: 126 patients with full-thickness rotator cuff tears treated by arthroscopic rotator cuff repair were the subjects of this study. There were 52 females and 74 males whose average age was 64.2 years. Fifty-three patients had history of trauma. The average duration of disorder was 29.5 weeks. Nineteen patients were diagnosed with diabetes. On types of the tears, small tear was observed in 59 patients, medium tear in 47 patients, large tear in 6 patients, and massive te
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Lungren, Matthew P., David Smith, James E. Carpenter, and Richard E. Hughes. "FALL-RELATED ROTATOR CUFF TEARS." Journal of Musculoskeletal Research 10, no. 02 (2006): 75–81. http://dx.doi.org/10.1142/s0218957706001728.

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Tears of the rotator cuff tendons may occur as a result of tendon degeneration or from a single traumatic event but commonly a combination of these factors are in play. Rotator cuff tendon degeneration and accidental falls are both known to increase in incidence with increasing age. No study to date has sought to investigate the characteristic of accidental falls as a significant cause of injury in the rotator cuff tear population. We developed a 25 multi-step item questionnaire to investigate the source of injury in sixty rotator cuff tear patients. The majority, 32/60 (53.3%), reported a fal
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Deveci, Alper, Hakan Dur, and Erkan Alkan. "Is the Nomenclature of Massive Rotator Cuff Tear Used Correctly? Systematic Review." Trauma International 8, no. 1 (2022): 6–10. http://dx.doi.org/10.13107/ti.2022.v08i01.022.

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Background: The term massive refers to a quantitative measure of the rotator cuff tears. Irreparable rotator cuff tear is indicated by ratings that qualitatively evaluate the repairability of the tendon. These two terms should be considered separately. Methods: Between 2016 and 2022, publications in the last about 5 years were searched from Pubmed and MEDLINE online databases. The search terms (irreparable OR massive) AND (rotator cuff tear), (repairable OR massive) AND (rotator cuff tear), (massive OR retracted) AND (rotator cuff tear), (irreparable OR retracted) AND (rotator cuff tear) ”were
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Itankar, Dr Akshay, Dr Pratik Bhujbal, Dr Manish Chatte, Dr Sriniwas Ugale, Dr Mahendrakumar Bendale, and Dr Sagar Shamrao Chaudhari. "Prevalence of Symptomatic and Asymptomatic Rotator Cuff Tears in General Population Attending Health Care Camps at Tertiary Care Hospital." Scholars Journal of Applied Medical Sciences 11, no. 03 (2023): 629–32. http://dx.doi.org/10.36347/sjams.2023.v11i03.025.

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Background: With the aging society, musculoskeletal degenerative diseases are becoming a burden on Society, and rotator cuff disease is one of these degenerative diseases. The purpose of this study was to examine the incidence of Rotator cuff tear is the most common shoulder disease in patients with shoulder problems, at tertiary care hospital. Material and methods: A total of 700 patients examined. Ultrasonography on bilateral shoulders was performed in all the participants. Results: 165 subjects out of 700 participants (23.5%) had full-thickness rotator cuff tears. The prevalence of rotator
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8

Goutam, Satpathy, Kumar Panda Sambit, Patra Gopabandhu, Nayak Sidhartha, Dash Amlan, and Subramanian Aravind. "Role of Ultrasound in the Detection of Rotator-Cuff Syndrome: An Observational Study." International Journal of Pharmaceutical and Clinical Research 14, no. 6 (2022): 790–97. https://doi.org/10.5281/zenodo.13626654.

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The purpose of this study was to determine the accuracy of sonography in rotator cuff tears, clinical tests are used to determine rotator-cuff syndrome but are insufficient to predict the morphology and size of the rotator-cuff tear. A total of 50 patients with shoulder pain with rotator- cuff tear, as diagnosed by orthopods, were subjected to ultrasonography. Real-time ultrasonography was done for the acromioclavicular joint, biceps, infraspinatus, posterior labrum, subscapularis, supraspinatus, teres minor tendon, and the sub-acromial-subdeltoid bursa. The USG criteria indicative of rotator
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9

Urata, Setsuo, Hiroyuki Yonemitsu, Nobutake Nakane, et al. "Rotator cuff tear." Orthopedics & Traumatology 36, no. 4 (1988): 1109–13. http://dx.doi.org/10.5035/nishiseisai.36.1109.

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10

Auethavekiat, Paranee, and Clement J. Michet. "Rotator-Cuff Tear." New England Journal of Medicine 354, no. 19 (2006): e20. http://dx.doi.org/10.1056/nejmicm040011.

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11

Graham, Patrick. "Rotator Cuff Tear." Orthopaedic Nursing 37, no. 2 (2018): 154–56. http://dx.doi.org/10.1097/nor.0000000000000441.

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Muto, Tomoyuki, Hiroaki Inui, Hiroki Ninomiya, Hiroshi Tanaka, and Katsuya Nobuhara. "Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair." Journal of Sports Medicine 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/5476293.

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Rotator cuff tears in young overhead sports athletes are rare. The pathomechanism causing rotator cuff tears in young overhead athletes is different from that in aged patients. The purpose of this study was to investigate rotator cuff tear characteristics in young overhead sports athletes to reveal the pathomechanism causing these injuries. This study included 25 overhead sports athletes less than 30 years old with atraumatic rotator cuff tears necessitating repair. Rotator cuff tear characteristics were evaluated intraoperatively, including rotator cuff tear shape and injured rotator cuff ten
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Sui, Xuansheng. "Mechanism and Treatment of the Rotator Cuff Tear." Theoretical and Natural Science 69, no. 1 (2025): 214–19. https://doi.org/10.54254/2753-8818/2025.20034.

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Among all the joints in the human body, the shoulder has the highest degree of motion, but its stability is relatively limited. As the population ages more rapidly, rotator cuff tear has become the most affected muscle and joint pain lesions in middle-aged and elderly patients and the prevalence rate is increasing year by year. According to imaging studies, rotator cuff injuries affect 30% of asymptomatic adults over 60 and 65% of asymptomatic adults over 70. The rotator cuff tear made pain to the patients, reduced joint range of motion and stability, joint dysfunction. So, the people more and
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14

Jeong, Jin Young, and Hong Eun Cha. "Reverse Total Shoulder Arthroplasty in the Massive Rotator Cuff Tear." Clinics in Shoulder and Elbow 17, no. 3 (2014): 145–50. http://dx.doi.org/10.5397/cise.2014.17.3.145.

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In the patients of retracted massive rotator cuff tears, there are much of difficulty to functional recovery and pain relief. Nevertheless the development of treatment, there are still debates of the best treatments in the massive rotator cuff tears. Recenlty various of treatments are introduced; these are acromioplasty with debridement, biceps tenotomy, great tuberoplasty with biceps tenotomy, partial repair, mini-open rotator cuff repair, arthroscopic rotator cuff repair, soft tissue augmentation, tendon transfer, flap, hemiarthroplasty, and reverse total shoulder arthroplasty. That there is
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15

He, Shihui, Hao Xu, and Shuhua Liu. "Effect of Arthroscopic Acromioplasty Combined with Rotator Cuff Repair in the Treatment of Aged Patients with Full-Thickness Rotator Cuff Tear and Rotator Cuff Injury." Emergency Medicine International 2022 (August 3, 2022): 1–8. http://dx.doi.org/10.1155/2022/4475087.

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Full-thickness rotator cuff tear and rotator cuff injury are frequently occurring diseases and widely exist in the social population. Surgical repair is the most effective treatment for rotator cuff tears and injuries. With the continuous development of arthroscopy, more and more surgeons choose arthroscopic acromioplasty plus rotator cuff repair for the treatment of rotator cuff injury. However, previously published systematic reviews or meta-analyses still cast doubt on the efficacy of such concomitant procedures for postoperative patient function and pain recovery. In this study, we analyze
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16

Scibek, Jason S., James E. Carpenter, and Richard E. Hughes. "Rotator Cuff Tear Pain and Tear Size and Scapulohumeral Rhythm." Journal of Athletic Training 44, no. 2 (2009): 148–59. http://dx.doi.org/10.4085/1062-6050-44.2.148.

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Abstract Context: The body of knowledge concerning shoulder kinematics in patients with rotator cuff tears is increasing. However, the level of understanding regarding how pain and tear size affect these kinematic patterns is minimal. Objective: To identify relationships between pain associated with a full-thickness rotator cuff tear, tear size, and scapulohumeral rhythm (SHR) and to determine whether pain and tear size serve as predictors of SHR. Design: A test-retest design was used to quantify pain and SHR before and after a subacromial lidocaine injection. Correlation and multivariate anal
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Kim, Jung-Han, and Soo-Hwan Jung. "Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment." Clinics in Shoulder and Elbow 22, no. 3 (2019): 159–70. http://dx.doi.org/10.5397/cise.2019.22.3.159.

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Delaminated rotator cuff tear pertains to the horizontal split of the tendon substance. As reported previously, the presence of a delaminated tear and incidence of delaminated rotator cuff tear ranges from 38% to 92%. The different strain intensities applied across the rotator cuff tendon, and the shear stress between the bursal and articular layers seem to play a role in its pathogenesis. In a delaminated rotator cuff tear, the degree and direction of retraction between two layers differ, with accompanying intrasubstance cleavage. A surgeon therefore needs to consider and carefully evaluate t
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18

Kamath, Surendra Umesh, and Sunil Murthy. "DOES HYPERCHOLESTOLEMIA PREDISPOSE TO ROTATOR CUFF PATHOLOGIES?" Asian Journal of Pharmaceutical and Clinical Research 10, no. 4 (2017): 373. http://dx.doi.org/10.22159/ajpcr.2017.v10i4.16883.

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Background: Rotator cuff tear are one of most common orthopedic musculoskeletal problem gaining importance due to large health scale expenditure. Causes of rotator cuff tears are multifactorial and unclear. Previous studies have suggested relation between elevated serum lipid profile and rotator cuff tear in western population. We therefore undertook study in our Indian population to correlate association of hypercholesterolemia with rotator cuff tear.Objective: To find association of rotator cuff pathology with hypercholesterolemia in Indian patients.Materials and methods: After obtaining cle
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19

Nakagawa, Shigeto, Minoru Yoneda, Kenji Hayashida, Shigeyuki Wakitani, and Kenji Okamura. "Greater Tuberosity Notch: An Important Indicator of Articular-Side Partial Rotator Cuff Tears in the Shoulders of Throwing Athletes." American Journal of Sports Medicine 29, no. 6 (2001): 762–70. http://dx.doi.org/10.1177/03635465010290061501.

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We examined the location of rotator cuff tears, associated labral injuries, and notches on the greater tuberosity of the humeral head in shoulders of throwing athletes. Arthroscopic findings (rotator cuff tear, labral condition, and greater tuberosity notch) as well as other factors (duration of playing baseball, range of motion, and joint laxity) of 61 baseball players were retrospectively studied. The presence of a greater tuberosity notch was also evaluated for by plain radiographs. Forty patients had articular-side partial rotator cuff tears, most of which occurred in the interval between
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20

Choi, Sung Wook, and Kyu-Bum Seo. "Treatment of rotator cuff tear." Journal of Medicine and Life Science 6, no. 3 (2009): 158–62. http://dx.doi.org/10.22730/jmls.2009.6.3.158.

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Shoulder impingement syndrome and rotator cuff tears are commonly encountered shoulder problems. Symptoms include pain, weakness and loss of motion. Subacromial impingement with subsequent tendinitis and bursitis is frequently found in young adult patients. Rotator cuff tears are a common cause of shoulder pain in patients over age 40. Causes of impingement include acromioclavicular joint arthritis, calcified coracoacromial ligament,structural abnormalities of the acromion and weakness of the rotator cuff muscles. The majority of subacromial impingement and incomplete rotator cuff tears may be
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21

Jung, Sung-Weon, Jin-Woo Jin, Dong-Hee Kim, et al. "Diagnostic value of the axial view of magnetic resonance imaging to identify two-dimensional shapes of full-thickness rotator cuff tears." Acta Radiologica 61, no. 11 (2020): 1545–52. http://dx.doi.org/10.1177/0284185120905098.

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Background Coronal and sagittal views of magnetic resonance imaging (MRI) were used to determine rotator cuff tear size and fatty infiltration, but these images were not enough to identify the tear shape. Purpose To correlate the preoperative axial MRI views and arthroscopic surgical findings to identify the two-dimensional shapes in rotator cuff tears. Material and Methods This study included 166 patients who underwent arthroscopic repair between 2015 and 2018. Preoperative coronal, sagittal, and axial MRI views were evaluated for tear size and geographic configuration in axial sections, and
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22

Watson, Scott, Benjamin Allen, Chris Robbins, Asheesh Bedi, Joel J. Gagnier, and Bruce Miller. "Does the Rotator Cuff Tear Pattern Influence Clinical Outcomes After Surgical Repair?" Orthopaedic Journal of Sports Medicine 6, no. 3 (2018): 232596711876310. http://dx.doi.org/10.1177/2325967118763107.

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Background: Limited literature exists regarding the influence of rotator cuff tear morphology on patient outcomes. Purpose: To determine the effect of rotator cuff tear pattern (crescent, U-shape, L-shape) on patient-reported outcomes after rotator cuff repair. Study Design: Cohort study; Level of evidence, 3. Methods: Patients undergoing arthroscopic repair of known full-thickness rotator cuff tears were observed prospectively at regular intervals from baseline to 1 year. The tear pattern was classified at the time of surgery as crescent, U-shaped, or L-shaped. Primary outcome measures were t
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Kim, Sung Jae, Young Hwan Kim, and Yong Min Chun. "Arthroscopic Partial Repair of Massive Contracted Rotator Cuff Tears." Clinics in Shoulder and Elbow 17, no. 1 (2014): 44–47. http://dx.doi.org/10.5397/cise.2014.17.1.44.

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Typically, massive rotator cuff tears have stiff and retracted tendon with poor muscle quality, in such cases orthopaedic surgeons are confronted with big challenging to restore the cuff to its native footprint. Furthermore, even with some restoration of the footprint, it is related with a high re-tear rate due to less tension free repair and less tendon coverage. In this tough circumstance, the partial repair has yielded satisfactory outcomes at relatively short follow-up by re-creating the transverse force couple of the rotator cuff. Through this partial repair, the massive rotator cuff tear
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Elgendy, M., D. Makki, C. White, and A. ElShafey. "ROTATOR CUFF TEAR IN FRACTURE SHOULDER DISLOCATION." Orthopaedic Proceedings 105-B, SUPP_18 (2023): 13. http://dx.doi.org/10.1302/1358-992x.2023.18.013.

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IntroductionWe aim to assess whether radiographic characteristics of the greater tuberosity fragment can predict rotator cuff tears inpatients with anterior shoulder dislocations combined with an isolated fracture of the greater tuberosity.MethodsA retrospective single-centre case series of 61 consecutive patients that presented with anterior shoulder dislocations combined with an isolated fracture of the greater tuberosity between January 2018 and July 2022. Inclusion criteria: patients with atraumatic anterior shoulder dislocation associated with an isolated fracture of the greater tuberosit
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Rhee, Yong Girl, Chang Hyun Cho, Moo Song Park, and Dae Woo Hwang. "Massive Rotator Cuff Tear." Journal of the Korean Orthopaedic Association 35, no. 5 (2000): 791. http://dx.doi.org/10.4055/jkoa.2000.35.5.791.

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Ecklund, Kier J., Thay Q. Lee, James Tibone, and Ranjan Gupta. "Rotator Cuff Tear Arthropathy." Journal of the American Academy of Orthopaedic Surgeons 15, no. 6 (2007): 340–49. http://dx.doi.org/10.5435/00124635-200706000-00003.

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27

Kelly, John D. "Massive Rotator Cuff Tear." Orthopedics 36, no. 8 (2013): 625–27. http://dx.doi.org/10.3928/01477447-20130724-08.

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&NA;. "Acute Rotator Cuff Tear." Ultrasound Quarterly 23, no. 2 (2007): 154–55. http://dx.doi.org/10.1097/01.ruq.0000277030.07759.fb.

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Oschman, Z., C. Janse van Rensburg, NGJ Maritz, H. Borain, and R. Owen. "Ultrasound study of the asymptomatic shoulder in patients with a confirmed rotator cuff tear in the opposite shoulder." South African Journal of Sports Medicine 19, no. 1 (2007): 23. http://dx.doi.org/10.17159/2078-516x/2007/v19i1a272.

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Objective. To document the incidence of asymptomatic rotator cuff tears in patients with a confirmed symptomatic tear in the opposite shoulder, and to identify ultrasound findings that may distinguish symptomatic from asymptomatic tears. Design. When patients are referred for an ultrasound examination for the confirmation of symptomatic rotator cuff tear the opposite shoulder is often used for comparison. However, patients often have a similar tear on the asymptomatic side. Fifty patients with a confirmed symptomatic rotator cuff tear and an asymptomatic shoulder on the opposite side were chos
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Kwon, Jieun, Ye Hyun Lee, Sae Hoon Kim, Jung Hoon Ko, Byung Kyu Park, and Joo Han Oh. "Delamination Does Not Affect Outcomes After Arthroscopic Rotator Cuff Repair as Compared With Nondelaminated Rotator Cuff Tears: A Study of 1043 Consecutive Cases." American Journal of Sports Medicine 47, no. 3 (2019): 674–81. http://dx.doi.org/10.1177/0363546518817764.

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Background: Limited information is available regarding the characteristics of delaminated rotator cuff tears as compared with nondelaminated tears. Furthermore, there is conflicting information regarding the effects of delamination on the anatomic healing of repaired cuffs. Purpose: To evaluate the characteristics and anatomic outcomes of delaminated rotator cuff tears in comparison with nondelaminated tears to determine whether delamination is a negative prognostic factor affecting rotator cuff repair outcomes. Study Design: Cohort study; Level of evidence, 3. Methods: Between 2010 and 2014,
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Lacheta, Lucca, Alex Brady, Samuel I. Rosenberg, et al. "Superior Capsule Reconstruction With a 3 mm–Thick Dermal Allograft Partially Restores Glenohumeral Stability in Massive Posterosuperior Rotator Cuff Deficiency: A Dynamic Robotic Shoulder Model." American Journal of Sports Medicine 49, no. 8 (2021): 2056–63. http://dx.doi.org/10.1177/03635465211013364.

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Background: Superior capsule reconstruction (SCR) has been shown to improve shoulder function and reduce pain in patients with isolated irreparable supraspinatus tendon tears. However, the effects of SCR on biomechanics in a shoulder with an extensive posterosuperior rotator cuff tear pattern remain unknown. Purpose/Hypothesis: The purpose was to (1) establish a dynamic robotic shoulder model, (2) assess the influence of rotator cuff tear patterns, and (3) assess the effects of SCR on superior humeral head translation after a posterosuperior rotator cuff tear. It was hypothesized that a poster
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Takase, Fumiaki, Atsuyuki Inui, Yutaka Mifune, et al. "Concurrent Rotator Cuff Tear and Axillary Nerve Palsy Associated with Anterior Dislocation of the Shoulder and Large Glenoid Rim Fracture: A “Terrible Tetrad”." Case Reports in Orthopedics 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/312968.

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We present a case of concurrent rotator cuff tear and axillary nerve palsy resulting from anterior dislocation of the shoulder and a large glenoid rim fracture—a “terrible tetrad.” A 61-year-old woman fell on her right shoulder. Radiographs showed anterior dislocation of the shoulder with a glenoid rim fracture, and an MRI two months after injury revealed a rotator cuff tear. Upon referral to our hospital, physical and electrophysiological examinations revealed axillary nerve palsy. The axillary nerve palsy was incomplete and recovering, and displacement of the glenoid rim fracture was minimal
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Haritinian, Emil George, Bogdan Sendrea, and Laurent Nove Josserand. "The Challenges of Arthroscopic Diagnosis of Subscapularis Tears." Revista de Chimie 69, no. 9 (2018): 2508–10. http://dx.doi.org/10.37358/rc.18.9.6564.

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Visualisation of subscapularis lesions is difficult during open surgery. Introduction of arthroscopic procedures for rotator cuff surgery improved the diagnosis of subscapularis tears, but it still can be more challenging than for other rotator cuff tendon tears. The SFA classification of subscapularis tears is reproducible and correlates well with the arthroscopic findings. The arthroscopic diagnosis of subscapularis tear is made easier by: shoulder internal rotation, biceps tenodesis, dissection of the rotator interval, recognition of the sentinel and comma signs.
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Itoigawa, Yoshiaki, Keiichi Yoshida, Hidetoshi Nojiri, et al. "Association of Recurrent Tear After Arthroscopic Rotator Cuff Repair and Superoxide-Induced Oxidative Stress." American Journal of Sports Medicine 49, no. 8 (2021): 2048–55. http://dx.doi.org/10.1177/03635465211014856.

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Background: Recurrent tears after arthroscopic rotator cuff repair (ARCR) remain a significant clinical problem. Oxidative stress contributes to the degeneration of the rotator cuff, and a degenerative rotator cuff can lead to recurrent tear after ARCR. However, the correlation between oxidative stress and retear after ARCR is unclear. Purpose: To investigate the correlation between superoxide-induced oxidative stress and recurrent tear after ARCR. Study Design: Case-control study; Level of evidence, 3. Methods: A total of 68 patients who underwent ARCR using a suture-bridge technique particip
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35

V. Kumar, Dheeraj, Mithun Shetty, Sudeep Shetty, and Manjunath S. "Association between dyslipidemia and rotator cuff tear – A study." Biomedicine 43, no. 6 (2024): 1838–43. http://dx.doi.org/10.51248/.v43i6.3612.

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Introduction and Aim: Rotator cuff diseases are the most common soft tissue injuries in the upper extremity with incidence ranging from 5% to 39%. The causes of rotator cuff tendon ruptures are multifactorial. Both extrinsic and intrinsic factors affect the degeneration of rotator cuff muscles. Few animal studies have shown detrimental effects on tendons in the presence of high lipid levels. The goal of the current investigation was to determine whether abnormal blood lipid levels and rotator cuff tears are related. Materials and Methods: This cross-sectional study was carried out in a hospita
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Zhang, Xu, Xingang Gu, and Lei Zhao. "Comparative Analysis of Real-Time Dynamic Ultrasound and Magnetic Resonance Imaging in the Diagnosis of Rotator Cuff Tear Injury." Evidence-Based Complementary and Alternative Medicine 2021 (November 30, 2021): 1–7. http://dx.doi.org/10.1155/2021/2107693.

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Objective. To explore the value of real-time dynamic ultrasound and magnetic resonance imaging (MRI) in the diagnosis of rotator cuff injury. Methods. From January 2020 to June 2021, the clinical data of 55 patients with rotator cuff injury were collected. All patients were examined by real-time dynamic ultrasound and MRI at the same time within two weeks before surgery, which was confirmed by arthroscopy. The value of real-time dynamic ultrasound, MRI, and the real-time dynamic ultrasound combined with MRI in the diagnosis of rotator cuff injury was evaluated. Results. Among the 55 patients w
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Bashir, Adil, Suleiman Seth, Iftikhar H. Wani, Munir Farooq, Naseem ul Gani, and Berjina Farooq Naqshi. "Mini-Open Rotator Cuff Tear Repair: An Institutional Experience with a Midterm Follow-up." Ortopedia Traumatologia Rehabilitacja 20, no. 5 (2018): 383–87. http://dx.doi.org/10.5604/01.3001.0012.8274.

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Background. Rotator cuff tears have long been recognised as a cause of pain and disability. Over the past decades the treatment of rotator cuff tears has evolved from an open procedure to a mini-open procedure to an all-arthroscopic one. The indications and benefits of each of the procedures are still debated. The purpose of this study was to observe the results of “Mini-open repair rotator cuff tear”. Material and methods. This was a prospective study conducted in the postgraduate department of Ortho­paedics Government Medical College, Srinagar, from March 2013 to January 2018 with cases foll
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Carbonel, Ignacio, Angel A. Martínez, Elisa Aldea, Jorge Ripalda, and Antonio Herrera. "Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup." Advances in Orthopedics 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/914148.

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Purpose. The purpose of this study was to evaluate the functional outcome and the tendon healing after arthroscopic double row rotator cuff repair of large and massive rotator cuff tears.Methods. 82 patients with a full-thickness large and massive rotator cuff tear underwent arthroscopic repair with double row technique. Results were evaluated by use of the UCLA, ASES, and Constant questionnaires, the Shoulder Strength Index (SSI), and range of motion. Follow-up time was 2 years. Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively and 2 years after repair.Re
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Turman, Kimberly A., Mark W. Anderson, and Mark D. Miller. "Massive Rotator Cuff Tear in an Adolescent Athlete: A Case Report." Sports Health: A Multidisciplinary Approach 2, no. 1 (2009): 51–55. http://dx.doi.org/10.1177/1941738109350404.

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Full-thickness rotator cuff tears in the young athlete are a rare injury. These injuries typically result from an acute traumatic event in a contact athlete, as opposed to overuse injuries more commonly seen in throwing athletes. Acute tears may be initially overlooked, with the symptoms attributed to other, more common causes, such as cuff contusion or brachial plexus neuropraxia (“stinger” or “burner”). If undiagnosed, the tear may progress to an irreparable state at the time of eventual diagnosis. Therefore, rotator cuff tear must be included in the differential for acute shoulder injuries
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Yeo, Daniel Y. T., Judie R. Walton, Patrick Lam, and George A. C. Murrell. "The Relationship Between Intraoperative Tear Dimensions and Postoperative Pain in 1624 Consecutive Arthroscopic Rotator Cuff Repairs." American Journal of Sports Medicine 45, no. 4 (2016): 788–93. http://dx.doi.org/10.1177/0363546516675168.

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Background: Rotator cuff repair often results in significant pain postoperatively, the cause of which is undetermined. Purpose/Hypothesis: The aim of this study was to evaluate the relationship between rotator cuff tear area and postoperative pain in patients who had undergone arthroscopic rotator cuff repair. We hypothesized that larger tears would be more painful because of elevated repair tension at 1 week postoperatively but that smaller tears would be more painful because of a greater healing response, especially from 6 weeks postoperatively. Study Design: Cohort study; Level of evidence,
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Kumar, Nishikant, and Anil Mehtani. "IRREPARABLE ROTATOR CUFF TEAR; A SURGICAL DILEMMA." Journal of Musculoskeletal Research 16, no. 02 (2013): 1330001. http://dx.doi.org/10.1142/s0218957713300019.

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Rotator cuff tear are common injuries in modern day orthopedic practice. Irreparable rotator cuff tear are those massive tear which cannot be repaired primarily. Their management depends on several factors like symptoms, age of patient, location of tear and examination findings. However, most chronic rotator cuff tear especially in older age group can be treated conservatively, when shoulder has reasonably good range of movement.
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Agung, Ibrahim, Fitri Anestherita, Tirza Z. Tamin, Nelfidayani, and Nazamta Yusfiatuzzahra. "Secretome Therapy, Potential Treatment for Rotator Cuff Tear: A Case Study." Indonesian Journal of Physical Medicine and Rehabilitation 12, no. 02 (2023): 147–54. http://dx.doi.org/10.36803/indojpmr.v12i02.375.

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Introduction: Rotator cuff tears (RCTs) are the most frequent pathologies within the shoulder girdle, and this injury is the most commonly diseased tendons in the human body. RCTs can cause pain and weakness in the shoulder. A 42-year-old woman had right shoulder pain and arm lift problems for almost a year. Ultrasonography revealed a full-thickness Supraspinatus tear. The patient underwent an Ultrasound-guided supraspinatus tendon injection of 2 ml umbilical cord Mesenchymal Stem Cell (MSC) secretome.
 Methods: This is a case report analyzing the role of secretome therapy in rotator cuff
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Kim, Jung-Han, and Hyeong-Won Seo. "Relationship of Posterior Decentering of the Humeral Head with Tear Size and Fatty Degeneration in Rotator Cuff Tear." Clinics in Shoulder and Elbow 22, no. 3 (2019): 121–27. http://dx.doi.org/10.5397/cise.2019.22.3.121.

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Background: Posterior decentering is not an uncommon finding on rotator cuff tear patients’ shoulder magnetic resonance imaging. No previous study has reported on the relationship between posterior decentering and rotator cuff tear.Methods: We assessed patients’ rotator cuff tear humeral head positions based on humeral?scapular alignment (HSA). Subjects were classified into centering and decentering groups based on a <2 mm or >2 mm HSA value, respectively. Differences in rotator cuff tear size, degree of tear, and fatty degeneration between the two groups were evaluated.Results: One hund
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Parhamfar, Mohammad, Mohammad Dehghani, Somaye Shirazinejad, and Mohammadali Hooshmandi. "Investigating the Diagnostic Value of MRI in the Diagnosis of Rotator Cuff Tears Compared with Findings from Arthroscopy or Open Surgery." International Journal of Orthopaedic Surgery 32, no. 1 (2024): 51–53. http://dx.doi.org/10.4103/ijors.ijors_7_24.

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Abstract Introduction: Rotator cuff tear is amongst the most common shoulder diseases and a principal reason for orthopaedic consultations. Currently, magnetic resonance imaging (MRI) is one of the most common diagnostic methods for rotator cuff tears and has been compared with direct observation methods, such as arthroscopy and open surgery, in this study. Materials and Methods: The present study is a cross-sectional analytical type conducted retrospectively from the beginning of 2018 to the end of 2020 in Al-Zahra and Kashani Hospitals in Isfahan, Iraq, covering 86 patients including 54 men
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Li, Mengqi, Jingchao Fang, Haonan Hou, Li Yuan, Jin Guo, and Zhenlong Liu. "Multi-Model Segmentation Algorithm for Rotator Cuff Injury Based on MRI Images." Bioengineering 12, no. 3 (2025): 218. https://doi.org/10.3390/bioengineering12030218.

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This paper proposes an AI-based diagnostic method using MRI images for rotator cuff injuries to assist in treatment by segmenting tear areas and assessing tear severity. A multi-model deep learning network based on Unet + FPN architecture was developed to automatically segment rotator cuff injury images and determine tear grades. A dataset of 376 patients with 5640 images was used for training, with an additional 94 patients and 1410 images reserved for testing. To optimize segmentation, a tailored matching strategy was applied, achieving an Intersection over Union (IoU) of 0.79 ± 0.01 and a D
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Lee, Sung Hyun, Dae Jin Nam, Se Jin Kim, and Jeong Woo Kim. "Comparison of Clinical and Structural Outcomes by Subscapularis Tendon Status in Massive Rotator Cuff Tear." American Journal of Sports Medicine 45, no. 11 (2017): 2555–62. http://dx.doi.org/10.1177/0363546517721187.

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Background: The subscapularis tendon is essential in maintaining normal glenohumeral biomechanics. However, few studies have addressed the outcomes of tears extending to the subscapularis tendon in massive rotator cuff tears. Purpose: To assess the clinical and structural outcomes of arthroscopic repair of massive rotator cuff tears involving the subscapularis. Study Design: Cohort study; Level of evidence, 3. Methods: Between January 2010 and January 2014, 122 consecutive patients with massive rotator cuff tear underwent arthroscopic rotator cuff repair. Overall, 122 patients were enrolled (m
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Chun, Yong-Min. "Irreparable Massive Rotator Cuff Tear: How do I address." Orthopaedic Journal of Sports Medicine 7, no. 11_suppl6 (2019): 2325967119S0045. http://dx.doi.org/10.1177/2325967119s00456.

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Despite advances in arthroscopic techniques and devices, symptomatic massive contracted rotator cuff tear is still a challenging to most shoulder surgeons. This rotator cuff tissue has all of the following characteristics; inelastic and friable tendon quality, adhesion and scarring to severely retracted tendon, muscle atrophy and fatty infiltration. All these factors preclude optimal repair without tension1-3. In case of irreparable massive cuff tears, reverse total shoulder arthroplasty has emerged as an appropriate treatment modality for elderly, however the treatment options for younger pat
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Park, Jin Woo, Sung Hoon Moon, and Jun Hee Lee. "Comparison of Clinical and Anatomical Outcomes between Delaminated Rotator Cuff Tear and Single Layer Rotator Cuff Tear." Clinics in Shoulder and Elbow 21, no. 4 (2018): 207–12. http://dx.doi.org/10.5397/cise.2018.21.4.207.

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BACKGROUND: Delaminated rotator cuff tear is known to be a degenerative tear having a negative prognostic effect. This study undertook to compare the anatomical and clinical outcomes of delaminated tears and single layer tears.METHODS: Totally, 175 patients with medium to large rotator cuff tears enrolled for the study were divided into 2 groups, based on the tear pathology: single layer tear (group 1) and delaminated tear (group 2). Preoperatively, length of the remnant tendon, muscle atrophy of supraspinatus (SS), and fatty degeneration of SS and infraspinatus (IS) muscles were assessed on m
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Kim, Kyung Cheon, Woo Yong Lee, Hyun Dae Shin, Young Mo Kim, and Sun Cheol Han. "Repair Integrity and Functional Outcomes after Arthroscopic Repair of Transtendinous Full-thickness Rotator Cuff Tears Minimum Two-year Follow-up." Clinics in Shoulder and Elbow 20, no. 4 (2017): 183–88. http://dx.doi.org/10.5397/cise.2017.20.4.183.

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BACKGROUND: To evaluate the clinical outcomes and associated repair integrity in patients treated with arthroscopic repair for a transtendinous rotator cuff tear followed by resection of the remnant rotator cuff tendon.METHODS: Between July 2007 and July 2011, we retrospectively reviewed patients who were treated for transtendinous full-thickness tears in the tendinous portion of the rotator cuff by arthroscopic repair. Clinical outcomes were evaluated using the American Shoulder and Elbow Surgeons (ASES) score, the Shoulder Rating Scale of the University of California at Los Angeles (UCLA), t
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Reilly, P., I. Macleod, R. Macfarlane, J. Windley, and RJH Emery. "Dead Men and Radiologists Don't Lie: A Review of Cadaveric and Radiological Studies of Rotator Cuff Tear Prevalence." Annals of The Royal College of Surgeons of England 88, no. 2 (2006): 116–21. http://dx.doi.org/10.1308/003588406x94968.

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INTRODUCTION Rotator cuff tears are a common pathology, with a varied prevalence reported. PATIENTS AND METHODS A literature review was undertaken to determine the cadaveric and radiological (ultrasonography and magnetic resonance imaging [MRI]) prevalence of rotator cuff tear. The radiological studies were subdivided into symptomatic and asymptomatic subjects. RESULTS Cadaveric rotator cuff tears were found in 4629 shoulders of which only 2553 met the inclusion criteria. The prevalence of full-thickness tears was 11.75% and partial thickness 18.49% (total tears 30.24%). The total tear rate in
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