{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T12:58:43Z","timestamp":1790945923682,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,9,8]],"date-time":"2018-09-08T00:00:00Z","timestamp":1536364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,9,8]],"date-time":"2018-09-08T00:00:00Z","timestamp":1536364800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,1,30]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of this study was to determine the effect of changes in deltoid muscle volume (DMV) on the clinical outcomes of patients who underwent arthroscopic repair due to chronic rotator cuff rupture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 54 patients (35 females, 19\u00a0males) between 40 and 70 years of age who underwent single\u2010row arthroscopic repair due to chronic rotator cuff tears were compared via preoperative (preop) and postoperative (postop) (6\u201312\u00a0months) magnetic resonance imaging (MRI) to determine the total DMV (tDMV). A clinical evaluation was performed with American Shoulder and Elbow Surgeons (ASES) and Constant scores in both the preop and postop groups. tDMV values were also measured in a randomly selected control group (50 patients). A standardized rehabilitation program was recommended for all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Positive correlations were found between the change in tDMV (\u0394tDMV) and ASES and Constant scores (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.03 and <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.032, respectively). The preop tDMV value was significantly lower in the patient group than in the control group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.02). Significantly lower \u0394tDMV and body mass index (BMI)\u2010adjusted tDMV values [\u0394(tDMV\/BMI)] were observed in patients who had rerupture at the postop MRI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>According to the present study, changes in DMV impact clinical outcomes after rotator cuff repair. Rehabilitation of the DMV or increasing the preop DMV values positively affects postop clinical outcomes. In addition, if the DMV is below the cutoff value during the preop period, there is insufficient improvement in clinical scores. The clinical relevance of this study is the finding that in patients with a chronic rotator cuff tear and a hypotrophic deltoid muscle, increasing the preop DMV could help achieve better functional outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Prognostic, Level 3, case\u2013control study.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-018-5135-8","type":"journal-article","created":{"date-parts":[[2018,9,8]],"date-time":"2018-09-08T08:22:44Z","timestamp":1536394964000},"page":"259-266","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Increasing the deltoid muscle volume positively affects functional outcomes after arthroscopic rotator cuff repair"],"prefix":"10.1002","volume":"27","author":[{"given":"Ismail","family":"Turkmen","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Saglik Bilimleri University Umraniye Training and Research Hospital Elmalikent Mh Ademyavuz cd 34764 Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guray","family":"Altun","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Saglik Bilimleri University Umraniye Training and Research Hospital Elmalikent Mh Ademyavuz cd 34764 Istanbul 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No benefits have been or will be received from a commercial party related directly or indirectly to the subject matter of this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This article does not contain any studies with animals performed by any of the authors. This study had an ethical committee approval from the local institution (no.).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}