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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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2

El-Amin, Saadiq F., Nicola Maffulli, Matthew C. Mai, et al. "Coracoid Impingement and Morphology Is Associated with Fatty Infiltration and Rotator Cuff Tears." Journal of Clinical Medicine 11, no. 9 (2022): 2661. http://dx.doi.org/10.3390/jcm11092661.

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This study describes measurements between the coracoid, glenoid, and humerus; characterizes coracoid shape, rotator cuff fatty infiltration, and quantitatively evaluates coracoid impingement and its association with anterosuperior rotator cuff tears (ASCT). 193 shoulder magnetic resonance imaging (MRI) scans demonstrating: rotator cuff tear; isolated tear of the supraspinatus; tear of supraspinatus and subscapularis, were included. MRI measurements included coracohumeral interval (CHI), coracoid overlap (CO), coracoid recess (CR), coracoglenoid angle (CGA), and coracoglenoid interval (CGI) on
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Aktaş, Elif, Busra Ozturk, Emine Damla Kutlu, Ahmet Selef Senturk, Tuğba Ucarkus, and Leyla Ince. "Association of Supraspinatus Tear Type and Localisation Between Humeral Head Bone Cyst." Medical Science and Discovery 11, no. 11 (2024): 351–56. http://dx.doi.org/10.36472/msd.v11i11.1223.

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Objective: This study aims to comprehensively explore the association between different types and locations of supraspinatus tendon tears and the presence of humeral head bone cysts. Specifically, the study seeks to investigate how the location and grade of supraspinatus tears, as classified by the Elmann system, correlate with the occurrence, size, and distribution of humeral cysts. Additionally, the study examines the relationship between tear dimensions (measured anteroposteriorly), the presence of joint and subacromial fluid, and the anatomical localization of the tears (footprint, critica
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Andarawis-Puri, Nelly, Eric T. Ricchetti, and Louis J. Soslowsky. "Interaction between the Supraspinatus and Infraspinatus Tendons: Effect of Anterior Supraspinatus Tendon Full-Thickness Tears on Infraspinatus Tendon Strain." American Journal of Sports Medicine 37, no. 9 (2009): 1831–39. http://dx.doi.org/10.1177/0363546509334222.

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Background Rotator cuff tears are common and not well-understood shoulder problems. Structural and mechanical inhomogeneity of the supraspinatus tendon complicates accurate prediction of risk of tear propagation and may affect appropriate clinical treatment. Hypothesis We propose that interactions between the supraspinatus and infraspinatus tendons are critical to load bearing at the glenohumeral joint and warrant investigation. Study Design Controlled laboratory study. Methods Principal strains in the infraspinatus tendon of cadaveric human shoulders were evaluated with increasing anterior fu
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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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Davis, Derik L., Mohit N. Gilotra, James Paul Hovis, Ranyah Almardawi, and S. Ashfaq Hasan. "Association of Rotator Cuff Tear Patterns and Intramuscular Fatty Infiltration on Magnetic Resonance Imaging." Journal of Clinical Imaging Science 9 (August 2, 2019): 38. http://dx.doi.org/10.25259/jcis_36_2019.

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Objective: The impact of rotator cuff (RC) tear pattern on intramuscular fatty infiltration (FI) is not well understood. The purpose of our study is to determine if differing RC tear patterns are associated with discordant presentations of intramuscular FI. Methods: Fifty-one adults with full-thickness tear of the posterosuperior RC on shoulder magnetic resonance imaging (MRI) were identified retrospectively. The study subjects were stratified by RC tear pattern: (1) L-shaped tear cohort, (2) crescent-/U-shaped tear cohort, and (3) complete tear cohort. Clinical information pertaining to age,
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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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8

Labib, Michael, Farid Amirouche, Sonia Pradhan, Aimee Bobko, and Jason Koh. "A Biomechanical Analysis of Shoulder Muscle Excursions During Abduction, After the Treatment of Massive Irreparable Rotator Cuff Tears Using Superior Capsular Reconstruction (SCR), Bursal Acromial Reconstruction (BAR), and SCR with BAR." Journal of Shoulder and Elbow Arthroplasty 6 (January 2022): 247154922211090. http://dx.doi.org/10.1177/24715492221109001.

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Introduction Current understanding of the biomechanical effects of treatment options for irreparable rotator cuff (RC) tears is lacking. This study examines how shoulder muscle lengths and excursions are affected by superior capsular reconstruction (SCR), bursal acromial reconstruction (BAR), and SCR with BAR, following a complete supraspinatus tear. Method Six fresh-frozen cadaveric shoulders were examined. Deltoid and RC muscle lengths were measured at 0, 30, 45, 60, and 90° of shoulder abduction under six conditions: (1) intact, (2) partially torn supraspinatus, (3) completely torn supraspi
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9

Kim, Jong Moon, Yong Wook Kim, Hyoung Seop Kim, et al. "The relationship between rotator cuff tear and four acromion types: cross-sectional study based on shoulder magnetic resonance imaging in 227 patients." Acta Radiologica 60, no. 5 (2018): 608–14. http://dx.doi.org/10.1177/0284185118791211.

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Background Rotator cuff tear (RCT) has been believed to be related to specific types of the acromion. However, most of the studies were performed on a small number of patients with surgical findings not considering the severity of RCT. Purpose To analyze the relationship between age, gender, the side of the shoulder, the acromion type, and the severity of RCT using shoulder magnetic resonance arthrography (MRA). Material and Methods A total of 277 shoulder MRA findings were analyzed by a radiologist specializing in the musculoskeletal system. The relationship between variables (age, gender, si
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Kim, Eun Yeol, Byung Yoon Park, and In Bo Kim. "Preoperative Korean Shoulder Scoring System Correlates with Preoperative Factors of Rotator Cuff Tears." Clinics in Shoulder and Elbow 21, no. 1 (2018): 30–36. http://dx.doi.org/10.5397/cise.2018.21.1.30.

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BACKGROUND: The Korean Shoulder Scoring System (KSS) is a reliable and valid procedure for discriminative assessment of the clinical status of patients with rotator cuff tears. This study evaluates the correlation between the preoperative KSS and factors in patients with rotator cuff tears.METHODS: From November 2009 to June 2016, 970 patients who underwent arthroscopic rotator cuff repair were retrospectively evaluated. A total of 490 patients met the study criteria. Preoperative factors included age, sex, symptom duration, mediolateral (ML) and anteroposterior (AP) tear size, acromiohumeral
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Davis, Derik, Ranyah Almardawi, Omer Awan, et al. "Shoulder Function and Fatty Infiltration on MRI in Older Adults During Rehabilitation for Rotator Cuff Tear." Innovation in Aging 5, Supplement_1 (2021): 952. http://dx.doi.org/10.1093/geroni/igab046.3438.

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Abstract Rotator cuff tear is highly prevalent in older adults, with supraspinatus tendon tear (STT) the most common. Shoulder rehabilitation is a major treatment strategy, but supraspinatus-muscle-fatty infiltration (FI) and shoulder function in older adults with rotator cuff tear primarily managed by physical therapy (PT) is inadequately documented. We tested the hypothesis that older adults receiving usual-care PT when stratified by supraspinatus tear-status differ in supraspinatus FI [by quantitative Dixon fat fraction (FF) and semi-quantitative Goutallier grade (GG) on MRI] and shoulder f
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12

Zhao, Jinlong, Minghui Luo, Guihong Liang, et al. "Risk Factors for Supraspinatus Tears: A Meta-analysis of Observational Studies." Orthopaedic Journal of Sports Medicine 9, no. 10 (2021): 232596712110428. http://dx.doi.org/10.1177/23259671211042826.

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Background: The pathogenesis of rotator cuff tears remains unclear, and there is a lack of high-quality evidence-based research on the risk factors for supraspinatus tears. Purpose: To explore 10 potential risk factors for supraspinatus muscle tears. Study Design: Systematic review; Level of evidence, 3. Methods: This review was conducted according to the MOOSE (Meta-analysis Of Observational Studies in Epidemiology) guidelines. PubMed, Embase, and Web of Science were searched for cohort, case-control and cross-sectional studies published before January 2021 on supraspinatus tears. The followi
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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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14

Basha, Mulla Saddar, and N. V. Naga Dharani. "A full thickness and partial rotator cuff tear with retraction of fibers and reconstruction with palmaris longus graft." Indian Journal of Case Reports 10, no. 11 (2024): 336–38. http://dx.doi.org/10.32677/ijcr.v10i11.4748.

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The report mainly appraises full-thickness tears at myotendinous junctions which are rare and only described in the supraspinatus and infraspinatus muscles. There is very little literature describing both tears occurring concurrently. After suffering mechanical damage to her shoulder, a 64-year-old woman was examined for pain in the shoulder on movement; the patient underwent radiographic and clinical evaluation which revealed full-thickness rotator cuff tears with retraction of fibers. Hence, the plan of care is to offer the best surgical techniques to guarantee a good result and a quick reco
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15

Suryadi, Teinny, Anwar Suhaimi, Frandy Susatia, Wahida Ratnawati, Winny Winaldy, and Lin Chia-Hung. "Dextrose Prolotherapy for Supraspinatus Partial Tear: A Case Report." Journal of Medicine, University of Santo Tomas 6, no. 2 (2022): 1046–50. http://dx.doi.org/10.35460/2546-1621.2022-0054.

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Introduction: Rotator cuff (RC) tears account for about 20% of RC disorders and presents with severe shoulder pain that can significantly impact activities of daily life. Case report: A 34-year-old male with a history of chronic right shoulder pain presents with tenderness at the lateral shoulder, positive subacromial impingement tests, painful end range of motion and pain score of 6. Ultrasound shows a partial supraspinatus tear at the bursal side. The patient was treated with 15% dextrose to the supraspinatus tendon intrasubstance 3 times, for 4 weeks. Result: Significant pain improvement af
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16

Engelke, J., M. Loew, S. Sulzer, S. Lichtenberg, and M. Schnetzke. "Supraspinatus tear—a mechanical outlet impingement lesion?" Obere Extremität 16, no. 2 (2021): 108–13. http://dx.doi.org/10.1007/s11678-021-00628-x.

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Abstract Background The etiology of degenerative supraspinatus tendon (SSP) tear is still subject to discussion. Objectives Our objective was to correlate clinical, radiological, and intraoperative signs of mechanical outlet impingement in patients with degenerative SSP tears. Materials and methods This prospective study included 100 patients with degenerative SSP tears that required surgery. Preoperatively, clinical impingement signs and radiological parameters (critical shoulder angle [CSA], acromion type according to Bigliani, acromion index [AI]) were recorded. Intraoperatively, the extent
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Lee, Jun-Seok, Hyun Seok Song, Hyungsuk Kim, Hyung Moon Yoon, and Sung Bin Han. "Analysis of Greater Tuberosity from the Center of the Humeral Head: Progression to Femoralization." Clinics in Shoulder and Elbow 22, no. 4 (2019): 216–19. http://dx.doi.org/10.5397/cise.2019.22.4.216.

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Background: Progression of the tear size and erosion of the greater tuberosity (femoralization) in the supraspinatus tear makes it difficult to repair or increases the risk of a re-tear. This study examined the proximal articular surface and greater tuberosity of the humeral head in plain radiography.Methods: Two-hundred forty-seven cases, whose anteroposterior (AP) radiographs were taken correctly, were included from 288 cases, in whom the status of the supraspinatus had been confirmed by surgery. After downloading the plain AP radiograph as DICOM, the radius of the circle apposed at the supe
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18

Davis, Derik L., Ranyah Almardawi, Omer A. Awan, et al. "Supraspinatus fatty infiltration on MRI among older adults receiving physical therapy as initial management for clinically suspected rotator cuff tear: A pilot study." Journal of Clinical Imaging Science 12 (December 22, 2022): 66. http://dx.doi.org/10.25259/jcis_138_2022.

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Objectives: Rotator cuff (RC) tear is common among adults ≥60 years, with supraspinatus tear most common. Intramuscular fatty infiltration (FI) on imaging is predictive of long-term outcomes following RC tear. Physical therapists routinely diagnose RC tear only by clinical examination since most do not order imaging studies. Thus, there is limited knowledge about FI in older populations receiving physical therapy (PT) for initial management of RC tear. The primary objective of our pilot study is to determine longitudinal differences in supraspinatus FI over time among older adults receiving PT
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Kim, Hyoung Seop, Seung Ho Joo, Hyun Sun Lim, and Hye Won Kim. "Feasibility of the acromion index as a reference of severity of stratified supraspinatus tendon injury: a secondary analysis." Acta Radiologica 61, no. 12 (2020): 1661–67. http://dx.doi.org/10.1177/0284185120911188.

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Background The acromion index (AI) is the acromial lateral extension above the head of the humerus. Some researchers have advocated that the AI indicates the severity of the tear size of the full-thickness supraspinatus tendon. Purpose To validate the reproducibility of the AI between shoulder magnetic resonance imaging (MRI) and standard X-ray and to verify whether the AI is a useful index for stratifying the severity of supraspinatus tendon injuries, as well as full-thickness tears. Material and Methods We enrolled 200 patients with impingement syndrome who were subsequently evaluated with s
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Yanagisawa, Kazuhiro, Kazutoshi Hamada, Masafumi Gotoh, Seiji Miyazaki, and Hiroaki Fukuda. "Posteroinferior Acromioclavicular Dislocation With Supraspinatus Tear." Clinical Orthopaedics and Related Research 353 (August 1998): 134–37. http://dx.doi.org/10.1097/00003086-199808000-00015.

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Randelli, Pietro Simone, Alessandra Menon, Elisabetta Nocerino, et al. "Long-term Results of Arthroscopic Rotator Cuff Repair: Initial Tear Size Matters: A Prospective Study on Clinical and Radiological Results at a Minimum Follow-up of 10 Years." American Journal of Sports Medicine 47, no. 11 (2019): 2659–69. http://dx.doi.org/10.1177/0363546519865529.

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Background: Arthroscopic techniques are now considered the gold standard for treatment of most rotator cuff (RC) tears; however, no consensus exists on the maintenance of results over time, and long-term follow-up data have been reported for few cohorts of patients. Purpose: To present the long-term results associated with the arthroscopic treatment of RC tears and to evaluate associations between preoperative factors and RC integrity at final follow-up. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 169 patients were contacted at least 10 years after arthroscopic RC sur
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Zhou, Hecheng, Chuanshun Chen, Hai Hu та ін. "High-intensity interval training improves fatty infiltration in the rotator cuff through the β3 adrenergic receptor in mice". Bone & Joint Research 12, № 8 (2023): 455–66. http://dx.doi.org/10.1302/2046-3758.128.bjr-2022-0309.r2.

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AimsRotator cuff muscle atrophy and fatty infiltration affect the clinical outcomes of rotator cuff tear patients. However, there is no effective treatment for fatty infiltration at this time. High-intensity interval training (HIIT) helps to activate beige adipose tissue. The goal of this study was to test the role of HIIT in improving muscle quality in a rotator cuff tear model via the β3 adrenergic receptor (β3AR).MethodsThree-month-old C57BL/6 J mice underwent a unilateral rotator cuff injury procedure. Mice were forced to run on a treadmill with the HIIT programme during the first to sixth
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Lädermann, Alexandre, Muriel Genevay, Sophie Abrassart, and Adrien Jean-Pierre Schwitzguébel. "Supraspinatus Intramuscular Calcified Hematoma or Necrosis Associated with Tendon Tear." Case Reports in Orthopedics 2015 (2015): 1–4. http://dx.doi.org/10.1155/2015/496313.

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Introduction. Rotator cuff intramuscular calcification is a rare condition usually caused by heterotopic ossification and myositis ossificans.Case Presentation. We describe a patient with voluminous calcified mass entrapped in supraspinatus muscle associated with corresponding tendon tear. Histological examination corresponded to a calcified hematoma or necrosis. Patient was surgically managed with open excision of the calcified hematoma and rotator cuff arthroscopic repair. At 6 months, supraspinatus muscle was healed, and functional outcome was good.Discussion and Conclusion. We hypothesized
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Shin, Dong-Ju, Seung-Oh Nam, Tae-Eun Kim, and Ki-Hong Park. "Intramuscular Lipoma of the Supraspinatus Muscle with Supraspinatus Tendon Partial Tear." Journal of the Korean Orthopaedic Association 50, no. 1 (2015): 49. http://dx.doi.org/10.4055/jkoa.2015.50.1.49.

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Zhu, Yingchun, Xuewen Jia, Zhanping Jin, et al. "A Novel Acromion Radiological Classification and Its Clinical Application Study: Comparing Rockwood Tilt View with Arthroscopic Findings in 101 Shoulders." Journal of Medical Imaging and Health Informatics 10, no. 5 (2020): 1184–89. http://dx.doi.org/10.1166/jmihi.2020.2995.

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Background: It is estimated that more than 25% of general population more than 60 years old experience rotator cuff tear, acromial impingement syndrome is one of the most common causes. Morphology of acromion is an important extrinsic factor in the development of rotator cuff tear. The traditional classification of the acromion by Bigliani et al. based on supraspinatus outlet view has been widely used, but due to the high requirements for patients to obtain true supraspinatus outlet view and the poor inter-observer reliability, it brings lots of limitations to the clinical use of this classifi
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GÜL, Orkun, Yılmaz ERGİŞİ, Mesut TIKMAN, Halil KEKEÇ, Osman ÇÖMEZ, and Ozan ALTUN. "Does subscapularis tears combined with supraspinatus tears affect postoperative functional outcomes?" Journal of Health Sciences and Medicine 7, no. 1 (2024): 105–9. http://dx.doi.org/10.32322/jhsm.1363275.

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Aims: Roughly 50% of rotator cuff tears includes a tear in the subscapularis tendon. We conducted a comparative analysis of the functional outcomes following arthroscopic repair in patients with a tear in both the supraspinatus and subscapularis tendons, as well as those with a rupture solely in the supraspinatus tendon. Our hypothesis posits that the functional outcomes after surgery for rotator cuff tears, specifically those with tears including subscapularis tendon, are inferior compared to tears that only involve the supraspinatus tendon. Methods: We classified patients who had arthroscopi
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Karki, Subindra, Ram Chandra Paudel, Arun Phuyal, and Mohit Raj Dahal. "MRI IN THE EVALUATION OF ROTATOR CUFF TENDONS IN CHRONIC SHOULDER PAIN." Journal of Chitwan Medical College 11, no. 4 (2022): 103–6. http://dx.doi.org/10.54530/jcmc.549.

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Background: Shoulder pain is the third most common cause of non- traumatic musculoskeletal pain with rotator cuff pathology being the most common cause. Magnetic Resonance Imaging (MRI) is the imaging modality of choice which helps in accurate diagnosis for making a treatment plan as wrong treatment strategy may lead to poor prognosis. Methods: A descriptive prospective study conducted in 100 individuals with non-traumatic chronic shoulder pain referred to referred to Department of Radiodiagnosis and Imaging, Dhulikhel Hospital, Kavre between 27th August 2020 to 29th August 2021. MRI images we
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Wang, A., J. Hughes, J. Fitzpatrick, W. Breidhahl, J. Ebert, and M. Zheng. "A RANDOMIZED CONTROLLED STUDY OF AUTOLOGOUS TENOCYTE INJECTION (ATI) VERSUS CORTICOSTEROID INJECTION FOR INTERSTITIAL ROTATOR CUFF TEAR AND IMPINGEMENT SYNDROME." Orthopaedic Proceedings 105-B, SUPP_2 (2023): 93. http://dx.doi.org/10.1302/1358-992x.2023.2.093.

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Interstitial supraspinatus tears can cause persistent subacromial impingement symptoms despite non operative treatment. Autologous tendon cell injection (ATI) is a non-surgical treatment for tendinopathies and tear. We report a randomised controlled study of ATI compared to corticosteroid injection (CS) as treatment for interstitial supraspinatus tears and tendinopathy.Inclusion criteria were patients with symptom duration > 6 months, MRI confirmed intrasubstance supraspinatus tear, and prior treatment with physiotherapy and ≥ one CS or PRP injection. Participants were randomised to receive
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Vaibhav Goyal, Ankur Malhotra, Shruti Chandak, et al. "Role of ultrasound elastography in the evaluation of rotator cuff tendon in patients with shoulder pain and its comparison with magnetic resonance imaging." Asian Journal of Medical Sciences 14, no. 8 (2023): 244–50. https://doi.org/10.71152/ajms.v14i8.3693.

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Background: Pain in the shoulder is the third-most prevalent musculoskeletal pain type. Most frequently involved in tendinopathy/tendon tears is the supraspinatus tendon, followed by a combination of the supraspinatus and infraspinatus tendon. At present, gray-scale ultrasound and MRI are used to determine the tear size, gross morphology, and postsurgical tendon repair. However, they are unable to determine the material characteristics of the muscle or tendon. Aims and Objectives: The aim of this study is to assess the role of ultrasound elastography in the evaluation of the rotator cuff tendo
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Vaibhav Goyal, Ankur Malhotra, Shruti Chandak, et al. "Role of ultrasound elastography in the evaluation of rotator cuff tendon in patients with shoulder pain and its comparison with magnetic resonance imaging." Asian Journal of Medical Sciences 14, no. 8 (2023): 244–50. http://dx.doi.org/10.3126/ajms.v14i8.54462.

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Background: Pain in the shoulder is the third-most prevalent musculoskeletal pain type. Most frequently involved in tendinopathy/tendon tears is the supraspinatus tendon, followed by a combination of the supraspinatus and infraspinatus tendon. At present, gray-scale ultrasound and MRI are used to determine the tear size, gross morphology, and postsurgical tendon repair. However, they are unable to determine the material characteristics of the muscle or tendon. Aims and Objectives: The aim of this study is to assess the role of ultrasound elastography in the evaluation of the rotator cuff tendo
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Rybalko, Danil, Aimee Bobko, Farid Amirouche, et al. "Biomechanics in an Incomplete Versus Complete Supraspinatus Tear: A Cadaveric Study." Orthopaedic Journal of Sports Medicine 8, no. 12 (2020): 232596712096447. http://dx.doi.org/10.1177/2325967120964476.

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Background: Degenerative and traumatic changes to the rotator cuff can result in massive and irreparable rotator cuff tears (RCTs). Purpose/Hypothesis: The study objective was to conduct a biomechanical comparison between a small, incomplete RCT and a large, complete RCT. We hypothesized that the incomplete supraspinatus (SS) tear would lead to an incremental loss of abduction force and preserve vertical position of the humeral head, while a complete SS tear would cause superior humeral migration, decrease functional deltoid abduction force, and increase passive range of motion (ROM). Study De
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Whicker, Emily, Jonathan Hughes, Jacob Puyana, et al. "Outcomes Following the Repair of Isolated Supraspinatus Repairs versus those with Concurrent Subscapularis Repairs (242)." Orthopaedic Journal of Sports Medicine 9, no. 10_suppl5 (2021): 2325967121S0035. http://dx.doi.org/10.1177/2325967121s00350.

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Objectives: While rotator cuff tears often require repair of the supraspinatus, patients can also have a concurrent tear of the subscapularis requiring repair. Previous smaller studies have shown good clinical outcomes following the repair of the subscapularis and rotator cuff during the same procedure.1 The purpose of this study was to compare clinical outcome measures between patients who had isolated supraspinatus repairs versus those who had a supraspinatus tear with a concurrent subscapularis repair. Methods: A retrospective review of 166 patients who underwent arthroscopic supraspinatus
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Chuang, Hao-Chun, Chih-Kai Hong, Kai-Lan Hsu, et al. "Association of Coracoacromial Ligament Degeneration With Rotator Cuff Tear Patterns and Retear Rate." Orthopaedic Journal of Sports Medicine 11, no. 6 (2023): 232596712311758. http://dx.doi.org/10.1177/23259671231175873.

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Background: Coracoacromial ligament (CAL) degeneration is thought to be a factor in external impingement in bursal-sided rotator cuff tears, but CAL release is associated with adverse effects. Purpose: To investigate the association between CAL degeneration and the patterns of massive rotator cuff tears using multiple modalities and to assess the effect of CAL degeneration on supraspinatus tendon retear rates. Study Design: Cohort study; Level of evidence, 2. Methods: The authors prospectively recruited 44 patients who had undergone arthroscopic rotator cuff repair without acromioplasty or CAL
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Hejbøl, Eva Kildall, Stephanie Wej Andkjær, Julie Dybdal, et al. "Supraspinatus Muscle Regeneration Following Rotator Cuff Tear: A Study of the Biomarkers Pax7, MyoD, and Myogenin." International Journal of Molecular Sciences 25, no. 21 (2024): 11742. http://dx.doi.org/10.3390/ijms252111742.

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The success of rotator cuff tendon repair relies on both tendon healing and muscle recovery. The objective of this descriptive study was to investigate the regenerative potential of the supraspinatus muscle in rotator cuff tear conditions by quantifying the expression of Pax7, MyoD, and myogenin, basic factors that regulate myogenesis. Muscle biopsies were collected from thirty-three patients aged 34 to 73 years who underwent surgery for a rotator cuff tear affecting the supraspinatus muscle. Among these patients, twenty-seven percent were women, and the age of the lesions ranged from 2 to 72
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Tashjian, Robert Z., Ian Lock, Erin K. Granger, et al. "Gene Expression in Torn Rotator Cuff Tendons Determined by RNA Sequencing." Orthopaedic Journal of Sports Medicine 8, no. 6 (2020): 232596712092748. http://dx.doi.org/10.1177/2325967120927480.

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Background: Although the cause of rotator cuff tearing is likely multifactorial and a genetic predisposition has been proposed, the biochemical basis remains unknown. Purpose: To determine gene expression profiles in torn rotator cuff tendon tissue through use of RNA sequencing. Study Design: Controlled laboratory study. Methods: The supraspinatus tendon edge was biopsied in 24 patients undergoing arthroscopic rotator cuff repair for full-thickness supraspinatus rotator cuff tears. The supraspinatus tendon was also biopsied in 9 patients undergoing open reduction and internal fixation for a pr
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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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Jung, Jin Young, Young Cheol Yoon, Dong Ik Cha, Jae-Chul Yoo, and Jee Young Jung. "The “bridging sign”: A MR finding for combined full-thickness tears of the subscapularis tendon and the supraspinatus tendon." Acta Radiologica 54, no. 1 (2013): 83–88. http://dx.doi.org/10.1258/ar.2012.120353.

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Background In daily practice, we discovered one of the secondary magnetic resonance (MR) findings of the subscapularis (SSC) tendon tear, the “bridging sign”, which has not been previously described. Purpose To describe the “bridging sign” on shoulder MR imaging and its radiological and clinical significance in patients with SSC tendon tear. Material and Methods Twenty-nine patients who had undergone shoulder arthroscopy and had full-thickness tear of the subscapularis tendon were enrolled. The medical records of the 29 patients were retrospectively reviewed for the duration of shoulder pain,
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Zul Fikra, I Made Lana Prasetya, and Hendra Setiawan. "Peranan Sekuen Stir Pada Pemeriksaan MRI Shoulder Dengan Klinis Supraspinatus Injury Di Instalasi Radiologi Rumah Sakit Umum Pusat Persahabatan Jakarta Timur." JURNAL RISET RUMPUN ILMU KEDOKTERAN 2, no. 2 (2023): 198–208. http://dx.doi.org/10.55606/jurrike.v2i2.2081.

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Magnetic Resonance Imaging (MRI) is a diagnostic examination modality in medical science using a magnetic field without using X-rays. MRI has the advantage of being able to create images and showing clearer and more sensitive anatomical differences in soft tissues in the body such as the extremities, brain, bone marrow and musculoskeletal to establish a clinical diagnosis, one of which is Supraspinatus Injury to the Shoulder. Supraspinatus is a tear or rupture of the tendon of the supraspinatus muscle. The supraspinatus is part of the shoulder rotator cuff. Most of the time, it is accompanied
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Valencia, Ana P., Jim K. Lai, Shama R. Iyer, et al. "Fatty Infiltration Is a Prognostic Marker of Muscle Function After Rotator Cuff Tear." American Journal of Sports Medicine 46, no. 9 (2018): 2161–69. http://dx.doi.org/10.1177/0363546518769267.

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Background: Massive rotator cuff tears (RCTs) begin as primary tendon injuries and cause a myriad of changes in the muscle, including atrophy, fatty infiltration (FI), and fibrosis. However, it is unclear which changes are most closely associated with muscle function. Purpose: To determine if FI of the supraspinatus muscle after acute RCT relates to short-term changes in muscle function. Study Design: Controlled laboratory study. Methods: Unilateral RCTs were induced in female rabbits via tenotomy of the supraspinatus and infraspinatus. Maximal isometric force and rate of fatigue were measured
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Jeong, Seonji, Ja-Young Choi, Yu Suhn Kang, et al. "Disproportionate fluid sign as an aid in diagnosing high-grade bursal-sided supraspinatus tendon tear." Acta Radiologica 59, no. 9 (2017): 1102–9. http://dx.doi.org/10.1177/0284185117744589.

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Background Deep, high-grade bursal-sided supraspinatus tendon tears are sometimes preoperatively misinterpreted as full-thickness tears on shoulder magnetic resonance imaging (MRI). Purpose To determine the usefulness of disproportionate fluid sign for differentiating high-grade bursal-sided partial-thickness tears from full-thickness tears on conventional MRI. Material and Methods Preoperative MRIs of 198 patients with arthroscopically confirmed high-grade bursal-sided partial-thickness tears and full-thickness tears were independently reviewed by two readers on two occasions. The presence of
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Strafun, S. S., S. V. Bohdan, and S. M. Abbasov. "Bone Densitometry Indices of Humerus Bone in Patients with Partial Rupture of the Supraspinatus Tendon." Visnyk Ortopedii Travmatologii Protezuvannia, no. 1(104) (June 30, 2020): 71–77. http://dx.doi.org/10.37647/0132-2486-2020-104-1-71-77.

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Summary. Bone density is an important factor that affects the strength of the suture of the tendons of the rotator cuff. The higher the bone density is, the greater is the strength of fixation of the supraspinatus tendon to the bone, since the anchor is more securely fixed in the bone.
 Objective: to determine the bone mineral density of the proximal humeral epiphysis in patients with partial tear of the supraspinatus tendon.
 Materials and Methods. An X-ray examination of 48 shoulder joints (24 with partial tear of the supraspinatus tendon and 24 intact contralateral) was performed
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Kim, Soo Y., Rohit Sachdeva, Zi Li, Dongwoon Lee, and Benjamin W. C. Rosser. "Change in the Pathologic Supraspinatus: A Three-Dimensional Model of Fiber Bundle Architecture within Anterior and Posterior Regions." BioMed Research International 2015 (2015): 1–9. http://dx.doi.org/10.1155/2015/564825.

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Supraspinatus tendon tears are common and lead to changes in the muscle architecture. To date, these changes have not been investigated for the distinct regions and parts of the pathologic supraspinatus. The purpose of this study was to create a novel three-dimensional (3D) model of the muscle architecture throughout the supraspinatus and to compare the architecture between muscle regions and parts in relation to tear severity. Twelve cadaveric specimens with varying degrees of tendon tears were used. Three-dimensional coordinates of fiber bundles were collectedin situusing serial dissection a
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Kong, Bong Young, Minjoon Cho, Hwa Ryeong Lee, Young Eun Choi, and Sae Hoon Kim. "Structural Evolution of Nonoperatively Treated High-Grade Partial-Thickness Tears of the Supraspinatus Tendon." American Journal of Sports Medicine 46, no. 1 (2017): 79–86. http://dx.doi.org/10.1177/0363546517729164.

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Background: High-grade partial-thickness rotator cuff tears (hPTRCTs) are frequently encountered in the shoulder. However, little information is available on the prevalence or timing of tear progression. Purpose/Hypothesis: The purpose was to prospectively evaluate the structural progression of hPTRCTs with a minimum follow-up of 1 year using magnetic resonance imaging (MRI). The hypothesis was that a substantial portion of hPTRCT patients would experience tear progression or evolution to a full-thickness rotator cuff tear. Study Design: Case series; Level of evidence, 4. Methods: Between May
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Shingh, Shashi Shekhar, Birendra Raj Joshi, and Sunil S. Thapa. "Comparison of Sonographic Findings of the Rotator Cuff Between Diabetic and Non-diabetic Patients with Shoulder Pain." Journal of Nepal Health Research Council 19, no. 1 (2021): 39–43. http://dx.doi.org/10.33314/jnhrc.v19i1.2449.

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Background: The aim of study is to evaluate the shoulder by sonography in patients presenting with shoulder pain and correlate the findings observed with the diabetic patient. Methods: Study was done in 60 patients who presented in the Department of Orthopedics with a history of the shoulder pain. Shoulder ultrasound was performed according to standard protocol, thickness of the supraspinatus tendon, presence of the tear, biceps tendon subacromial subdeltoid effusion and subacromial impingement were assessed. Results: Of the 60 patients, 46 were male and 14 were female. Among them 15 patients
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Borbas, Paul, Rebecca Hartmann, Christine Ehrmann, Lukas Ernstbrunner, Karl Wieser, and Samy Bouaicha. "Acromial Morphology and Its Relation to the Glenoid Is Associated with Different Partial Rotator Cuff Tear Patterns." Journal of Clinical Medicine 12, no. 1 (2022): 233. http://dx.doi.org/10.3390/jcm12010233.

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The pathogenesis of subacromial impingement syndrome is controversially discussed. Assuming that bursal sided partial tears of the supraspinatus tendons are rather the result of a direct subacromial impact, the question arises whether there is a morphological risk configuration of the acromion and its spatial relation to the glenoid. Patients who underwent arthroscopic repair of either a partial articular supraspinatus tendon avulsion (PASTA) or bursal-sided supraspinatus tear (BURSA) were retrospectively allocated to two groups. Various previously described and new omometric parameters on sta
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Saurabh, Patel1, Mehta Dishant, Rathi3 Nirav, and Patel Mitul. "Clinical Correlation between Rotator Cuff Tear with Acromion Angulation on MRI." International Journal of Current Pharmaceutical Review and Research 16, no. 01 (2024): 102–5. https://doi.org/10.5281/zenodo.10990838.

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AbstractBackground and Aim: Many individuals experiencing on-going shoulder discomfort due to impingement oftenundergo magnetic resonance imaging (MRI) to further assess their condition. No previous studies have provideddata on the downward angulation of the acromion in relation to CAL thickness, SAS narrowing and eventualRTC deterioration. In this study, we aimed to analyse the acromion angle in relation to RTC tears and establish arange of measurements for CAL thickness and SAS distance using MRI, providing valuable insights into theseparameters.Material and Methods: The study included patie
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Li, Tony Y. "Small Intratendinous Cyst in the Long Head of the Biceps Tendon." Canadian Journal of Medical Sonography 5, no. 3 (2014): 7–10. http://dx.doi.org/10.3138/cjms.v5i3.7.

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An intratendinous cyst of the long head of the biceps tendon is a very rare form of cystic lesion. This type of cyst was discovered in a patient along with a partial tear of the supraspinatus tendon, supraspinatus tendinopathy, subacromial-subdeltoid bursitis, and sheath effusion of the long head of the biceps tendon. Degeneration may have been the cause of this intratendinous cyst.
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Miller, R. Matthew, James Thunes, Volker Musahl, Spandan Maiti, and Richard E. Debski. "Effects of tear size and location on predictions of supraspinatus tear propagation." Journal of Biomechanics 68 (February 2018): 51–57. http://dx.doi.org/10.1016/j.jbiomech.2017.12.017.

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Osti, Leonardo, Matteo Buda, Mattia Andreotti, Raffaella Osti, Leo Massari, and Nicola Maffulli. "Transtendon repair in partial articular supraspinatus tendon tear." British Medical Bulletin 123, no. 1 (2017): 19–34. http://dx.doi.org/10.1093/bmb/ldx023.

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Zilber, Sébastien, Yannick Carillon, Peter C. Lapner, Gilles Walch, and Laurent Nové-Josserand. "Infraspinatus Delamination Does Not Affect Supraspinatus Tear Repair." Clinical Orthopaedics and Related Research 458 (May 2007): 63–69. http://dx.doi.org/10.1097/blo.0b013e31803b8da7.

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