{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:53:29Z","timestamp":1791824009842,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"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":"\n Purpose<\/jats:title>\n To evaluate sequential changes in angiogenesis after superior capsule reconstruction using fascia lata autograft with power Doppler ultrasound and to investigate the relation between angiogenesis\u2010related findings and clinical outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Thirty patients with irreparable rotator cuff tears who underwent superior capsule reconstruction using a fascia lata autograft were prospectively enrolled. Angiogenesis and blood flow volume in the superficial layered tissue in contact with the bursal side of the graft (perigraft) and within the graft on the greater tuberosity and humeral head were evaluated using Fealy's scoring system with power Doppler ultrasound at 6\u2009weeks and 3, 6, and 12\u2009months postoperatively. Visual analog scale (VAS) score for shoulder pain, Neer and Hawkins tests, and American Shoulder and Elbow Surgeons (ASES) score were evaluated preoperatively and postoperatively. Minimal clinically important difference achievement rates for VAS and ASES scores were also evaluated.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n All grafts (100%) showed angiogenesis within the 6\u2010month postoperative period. In the perigraft, the rate of cases with angiogenesis and blood flow scores was highest at 6\u2009weeks and then significantly decreased at 12\u2009months (90%\u201047%,\n P\u2009<\/jats:italic>\n =\u2009.0003; 1.2\u20100.6 points,\n P<\/jats:italic>\n \u2009=\u2009.04). Angiogenesis within the graft on the greater tuberosity significantly increased at 3\u2009months (43%\u201077%,\n P<\/jats:italic>\n \u2009=\u2009.004), with blood flow scores peaking at 6\u2009months (0.3\u20101.3 points,\n P<\/jats:italic>\n \u2009=\u2009.02). No significant correlations were observed between blood flow and VAS or ASES scores (\n P<\/jats:italic>\n \u2009=\u2009.16\u2010.99) or between angiogenesis and impingement tests (\n P<\/jats:italic>\n \u2009=\u2009.09\u2010>.99). Minimal clinically important difference achievement rates were 93.3% for VAS and 100% for ASES scores.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Overall, the minimal clinically important difference achievement rates were 93.3% for the VAS and 100% for the ASES scores after superior capsule reconstruction. Postoperatively, all grafts displayed progressive angiogenesis and pulsatile blood flow, with volume peaking at 6\u2009months. Notably, these sequential changes in vascularization may represent a physiological graft healing and remodeling process rather than pain\u2010related inflammation.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level II, prospective cohort study.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/arj.70640","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:26:13Z","timestamp":1791822373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sequential Changes in Angiogenesis After Arthroscopic Superior Capsule Reconstruction Using Fascia Lata Autograft Evaluated by Power Doppler Ultrasound"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8924-4527","authenticated-orcid":false,"given":"Akihiro","family":"Uchida","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Yaenosato Hospital Higashiosaka Japan"},{"name":"Department of Orthopedic Surgery Osaka Medical and Pharmaceutical University Takatsuki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8765-6173","authenticated-orcid":false,"given":"Akihiko","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Osaka Medical and Pharmaceutical University Takatsuki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Osaka Medical and Pharmaceutical University Takatsuki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7306-5479","authenticated-orcid":false,"given":"Teruhisa","family":"Mihata","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Osaka Medical and Pharmaceutical University Takatsuki Japan"},{"name":"Department of Orthopaedic Surgery, Osaka\u2010Jobe Sports Medicine & Orthopaedic Clinic Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.jse.2009.04.006","article-title":"Prevalence and risk factors of a rotator cuff tear in the general population","volume":"19","author":"Yamamoto A","year":"2010","journal-title":"J Shoulder Elbow Surg"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"1894","DOI":"10.2106\/JBJS.I.01531","article-title":"Massive tears of the rotator cuff","volume":"92","author":"Bedi A","year":"2010","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/00003086-199407000-00014","article-title":"Fatty muscle degeneration in cuff ruptures. 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