{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T02:20:04Z","timestamp":1790475604104,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T00:00:00Z","timestamp":1782000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T00:00:00Z","timestamp":1782000000000},"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"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To quantify patient\u2010reported outcomes at 5\u2009years after arthroscopic\u2010assisted lower trapezius tendon transfer irreparable posterosuperior rotator cuff tears and to establish procedure\u2010specific minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) thresholds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From 2017 to 2019, we retrospectively reviewed consecutive lower trapezius tendon transfer cases for irreparable posterosuperior tears with a minimum 5\u2010year follow\u2010up. Patient\u2010reported outcome measures (PROMs) (American Shoulder and Elbow Surgeons [ASES] score, Constant\u2010Murley, Activities of Daily Living and External Rotation [ADLER] score, visual analog pain scale [VAS]) were collected pre\u2010 and postoperatively. MCIDs were calculated by a distribution\u2010based approach (.5 SD), and PASS thresholds were derived by receiver operating characteristic\u2010Youden for PROMs with acceptable discrimination (area under the curve (AUC)\u2009&gt;\u2009.70). Associations of age, sex, body mass index, diabetes, hypertension, and teres\u2010minor trophicity with MCID\/PASS attainment were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We analyzed 34 shoulders (23 men\/11 women; mean age 63.5\u2009\u00b1\u20095.5\u2009years) at a mean 76.5\u2009\u00b1\u20095.7\u2009months (range, 65\u201089). MCID thresholds were ASES 8.2 (79.4%), Constant 7.4 (70.6%), ADLER 3.0 (76.5%), and VAS 3.0 (70.6%). AUC values were as follows: ASES .97 (95% CI, .92\u20101.00), Constant .72 (.48\u2010.91), ADLER .74 (.54\u2010.91), and VAS .70 (.54\u2010.92). PASS thresholds were ASES\u2009\u2265\u200983 (61.8%), Constant \u2265 73 (41.2%), and ADLER\u2009\u2265\u200928 (61.8%); VAS showed borderline discrimination and was not retained for PASS reporting. Higher teres minor trophicity correlated with ADLER MCID (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u2009\u2212.743,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009\u2212.001) and PASS (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u2009\u2212.649,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009\u2212.001). Younger age correlated with ASES PASS (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u2009\u2212.427,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.012) and Constant PASS (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u2009\u2212.504,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.002). Sex and comorbidities were not associated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic\u2010assisted lower trapezius tendon transfer yielded durable, clinically meaningful improvement at least 5\u2009years, and procedure\u2010specific MCID and PASS thresholds were established for ASES, Constant\u2010Murley, and ADLER. Preoperative trophicity of the teres minor was a significant predictor of PASS achievement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70369","type":"journal-article","created":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T18:35:32Z","timestamp":1782066932000},"page":"1946-1954","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lower Trapezius Transfer Maintains Meaningful Outcomes at 5 Years Based on Procedure\u2010Specific Minimal Clinically Important Difference and Patient Acceptable Symptom State Achievement"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3169-7141","authenticated-orcid":false,"given":"Chang Hee","family":"Baek","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Yeosu Baek Hospital  Yeoseo 1\u2010ro Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6951-6126","authenticated-orcid":false,"given":"Jung Gon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yeosu Baek Hospital  Yeoseo 1\u2010ro Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2907-1940","authenticated-orcid":false,"given":"Bo Taek","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yeosu Baek Hospital  Yeoseo 1\u2010ro Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1252-9425","authenticated-orcid":false,"given":"Chaemoon","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yeosu Baek Hospital  Yeoseo 1\u2010ro Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7426-0210","authenticated-orcid":false,"given":"Seung Jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yeosu Baek Hospital  Yeoseo 1\u2010ro Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118805385"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11678-018-0478-9"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.05.023"},{"key":"e_1_2_9_5_1","first-page":"e2021026","article-title":"Treatment options for massive rotator cuff tears: A narrative review","volume":"92","author":"Di Benedetto P","year":"2021","journal-title":"Acta 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