{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T16:03:42Z","timestamp":1789488222801,"version":"build-2803163510"},"reference-count":62,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To establish updated international consensus statements on reverse total shoulder arthroplasty, revision surgery, and rehabilitation, return to play, and follow\u2010up for rotator cuff tears, reflecting new evidence, evolving techniques, and ongoing areas of controversy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A consensus process on the treatment of rotator cuff tears was conducted, with 97 shoulder\/sports surgeons from 15 countries participating. There were 9 specific subtopics (1) Diagnosis, (2) Nonoperative Management, (3) Repair of Posterosuperior Tears, (4) Subscapularis Repair, (5) Graft\/Patch Augmentation and Superior Capsular Reconstruction, (6) Tendon Transfers, (7) Reverse Total Shoulder Arthroplasty, (8) Revision Surgery, and (9) Rehabilitation, Return to Play, and Follow\u2010up. Consensus was defined as achieving 80% to 89% agreement, whereas strong consensus was defined as 90% to 99% agreement, and unanimous consensus was indicated by 100% agreement with a proposed statement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 47 consensus statements, 1 achieved unanimous consensus, 33 achieved strong consensus, 10 achieved consensus, and 3 did not achieve any level of consensus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There was consensus that reverse shoulder arthroplasty is indicated for patients with irreparable tears, pseudoparalysis, or failed prior repairs with pain and dysfunction, whereas contraindications include inadequate deltoid or axillary nerve function and active infection. In the revision setting, consensus supported a structured approach emphasizing careful assessment of tissue quality, bone stock, stiffness, and expectations, with agreement on the prognostic relevance of prior surgeries in determining the optimal reconstructive strategy. For rehabilitation and return to play, the panel agreed that no universal timeline exists; instead, clearance should be based on restoration of strength, range of motion, proprioception, pain resolution, and psychological readiness. There was variability in recommended follow\u2010up schedules and the role of routine imaging, with no agreement on the ideal surveillance protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level V, expert opinion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70367","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T15:16:53Z","timestamp":1789485413000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rotator Cuff Consensus Part III: Reverse Total Shoulder Arthroplasty, Revisions, Rehabilitation, and Follow\u2010Up\u2014An International Consensus Expert Statement"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7696-2981","authenticated-orcid":false,"given":"Eoghan T.","family":"Hurley","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University  Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7349-1475","authenticated-orcid":false,"given":"Mark A.","family":"Glover","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University  Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1058-1796","authenticated-orcid":false,"given":"Samuel G.","family":"Lorentz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University  Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3113-5835","authenticated-orcid":false,"given":"Lucy E.","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University  Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant E.","family":"Garrigues","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at RUSH Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Millett","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute  Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surena","family":"Namdari","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rothman Institute\u2010Thomas Jefferson University  Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano","family":"Rossi","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires Institute of Orthopedics and Traumatology Carlos E. Ottolenghi  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1442-212X","authenticated-orcid":false,"given":"Brian R.","family":"Waterman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery &amp; Rehabilitation Wake Forest University School of Medicine Atrium Health Wake Forest Baptist  Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannan","family":"Mullett","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery UPMC Sports Surgery Clinic  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan F.","family":"Dickens","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University  Durham North Carolina U.S.A."},{"name":"Department of Orthopaedic Surgery Walter Reed National Military Medical Center Uniformed Services University of Health Sciences  Bethesda Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Klifto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University  Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The Rotator Cuff Tear International Consensus Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.arthro.2022.11.002","article-title":"Arthroscopic rotator cuff repair results in improved clinical outcomes and low revision rates at 10\u2010year follow\u2010up: A systematic review","volume":"39","author":"Davey MS","year":"2023","journal-title":"Arthroscopy."},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"2413","DOI":"10.1016\/j.arthro.2022.04.002","article-title":"Editorial commentary: Rotator cuff repairs fail at an alarmingly high rate during long\u2010term follow\u2010up: Graft augmentation and biologics may improve future outcomes","volume":"38","author":"Trasolini NA","year":"2022","journal-title":"Arthroscopy."},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.csm.2022.08.006","article-title":"Failed and revision rotator cuff repair","volume":"42","author":"MacLean IS","year":"2023","journal-title":"Clin Sports Med."},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1177\/17585732231194785","article-title":"Reverse shoulder arthroplasty following failed rotator cuff repair: A systematic review and meta\u2010analysis","volume":"16","author":"Welch JM","year":"2024","journal-title":"Shoulder Elbow."},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1177\/03635465231185345","article-title":"Outcomes after revision arthroscopic rotator cuff repair: A systematic review","volume":"52","author":"Hurley ET","year":"2024","journal-title":"Am J Sports Med."},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1177\/0363546518810763","article-title":"The rotator cuff healing index: A new scoring system to predict rotator cuff healing after surgical repair","volume":"47","author":"Kwon J","year":"2019","journal-title":"Am J Sports Med."},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.arthro.2021.05.050","article-title":"Transosseous\u2010equivalent\/suture bridge arthroscopic rotator cuff repair in combination with late postoperative mobilization yield optimal outcomes and retear rate: A network meta\u2010analysis of randomized controlled trials","volume":"38","author":"Colasanti CA","year":"2022","journal-title":"Arthroscopy."},{"key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/JSA.0000000000000310","article-title":"Postoperative rehabilitation of rotator cuff repair: A systematic review","volume":"29","author":"Matlak S","year":"2021","journal-title":"Sports Med Arthrosc Rev."},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/JSM.0000000000001130","article-title":"Return to sport after arthroscopic rotator cuff repair of full\u2010thickness rotator cuff tears: A systematic review","volume":"33","author":"Alben MG","year":"2023","journal-title":"Clin J Sport Med."},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1016\/j.jse.2017.04.004","article-title":"Does early motion lead to a higher failure rate or better outcomes after arthroscopic rotator cuff repair? 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