{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:15:23Z","timestamp":1790111723504,"version":"4.0.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Irreparable rotator cuff tears are disabling and can severely affect daily life activities, especially when young and active patients are involved. The definition is still debated, and they can have several clinical presentations. The treatment depends on the clinical presentation and the patient's\u00a0age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The survey was developed by the ESSKA U45 Committee and was uploaded on the ESSKA website. Fifty\u2010seven questionnaires were returned. Several aspects of the diagnosis and treatment of massive irreparable cuff tears were investigated. Moreover, treatment options for specific clinical scenarios were given for posterior\u2010superior and anterior\u2010superior cuff tears in young and old patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fatty degeneration of the muscles was the most common criterion to define an irreparable tear (59.7%). In young patients with external rotation with the arm at side lag, partial repair of the cuff was the most common option (41.8%); in case of external rotation with the arm at side\u2009+\u2009external rotation at 90\u00b0 of abduction lag without pseudoparalysis, the most common option was partial repair of the cuff\u2009+\u2009latissimus dorsi or lower trapezius transfer (39.3%), and in case of external rotation with the arm at side\u2009+\u2009external rotation at 90\u00b0 of abduction lag with pseudoparalysis, partial repair of the cuff\u2009+\u2009latissimus dorsi or lower trapezius transfer was still the most common option (25.5%). The same scenarios in old patients yielded the following results: reverse prosthesis (49.1%), reverse prosthesis (44.6%) and reverse prosthesis\u2009\u00b1\u2009latissimus dorsi or lower trapezius transfer (44.6%), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present survey clearly confirms that biological options (partial cuff repairs and tendon transfers) are the reference in the case of young patients with deficient cuffs (both posterior and anterior). Reverse shoulder prosthesis is the most common treatment option in old patients in all clinical scenarios.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12105","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T08:05:20Z","timestamp":1709539520000},"page":"1026-1037","source":"Crossref","is-referenced-by-count":10,"title":["Up to date diagnosis and treatment of massive irreparable cuff tears: Results of the survey of the U45 ESSKA Committee"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2474-3696","authenticated-orcid":false,"given":"Simone","family":"Cerciello","sequence":"first","affiliation":[{"name":"A. Gemelli University Hospital Foundation IRCCS Catholic University Rome Italy"},{"name":"Casa Di Cura Villa Betania Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthieu","family":"Ollivier","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Institute for Locomotion,\u00a0APHM, CNRS, ISM, Sainte\u2011Marguerite Hospital Aix Marseille University Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew Charles","family":"Giordano","sequence":"additional","affiliation":[{"name":"Casa Di Cura Villa Betania Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baris","family":"Kocaoglu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Acibadem University Faculty of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The ESSKA U45 Committee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.02.020"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.94304"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0114-x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.48469"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.12.012"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xrrt.2022.08.007"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03411-y"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xrrt.2022.08.006"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12072565"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1530\/EOR-22-0015"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509359679"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00172"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199607000-00005"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198807000-00008"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199407000-00014"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.23.00048"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-07067-5"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-021-09714-7"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2013.01.008"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120988795"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-023-09881-9"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200003000-00008"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231154452"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.11.011"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2019-000341"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T12:46:26Z","timestamp":1760877986000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.12105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,4]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1002\/ksa.12105"],"URL":"https:\/\/doi.org\/10.1002\/ksa.12105","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,4]]}}}