{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:05:28Z","timestamp":1773605128831,"version":"3.50.1"},"reference-count":50,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T00:00:00Z","timestamp":1567468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T00:00:00Z","timestamp":1567468800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T00:00:00Z","timestamp":1567468800000},"content-version":"vor","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":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Optimal management of partial anterosuperior rotator cuff tears is unknown. Our aim was to compare clinical and subjective outcomes of supraspinatus (SSP) repair patients treated with or without repair of an associated superior subscapularis (SSC) partial tear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>SSP repair patients with an associated partial (Lafosse I) tear of the superior SSC tendon were retrospectively examined. Baseline and operative data and the outcomes of shoulder range of motion (ROM), pain level, strength, Constant\u2010Murley Score, complications at 6\u00a0months as well as patient\u2010reported Oxford Shoulder Score, Subjective Shoulder Value, and satisfaction at 6\u2010 and 24\u2010month post\u2010surgery were compared between patients with and without a repaired SSC tear. Mixed models and propensity\u2010score matching were used to adjust baseline group differences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 75 eligible patients, 34 had an SSC repair and were younger with better baseline function. Non\u2010repair surgeries were significantly shorter by 34\u00a0min (95% CI 23\u201345; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). There were no group differences in the clinical and patient\u2010rated outcome scores at both follow\u2010ups (n.s.) as well as in pain, muscle strength in abduction, ROM, the 6\u2010month complication risk (risk difference \u2212 1.9%), and satisfaction with postoperative shoulder condition (n.s.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We could not show a functional or subjective benefit of repairing cranial partial tears of the SSC tendon over debridement only in the setting of an SSP reconstruction with 24\u00a0months of follow\u2010up. A longer operative duration is expected if a partial SSC tear repair is performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-019-05681-2","type":"journal-article","created":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T03:05:28Z","timestamp":1567479928000},"page":"4021-4031","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Repair of Lafosse I subscapularis lesions brings no benefit in anterosuperior rotator cuff reconstruction"],"prefix":"10.1002","volume":"27","author":[{"given":"Barbara","family":"Wirth","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Shoulder and Elbow Surgery Department Schulthess Clinic Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Kunz","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Research and Development Department Schulthess Clinic Lengghalde 2 8008 Zurich Switzerland"},{"name":"<!--<label>3<\/label>--> Department of Orthopaedic Surgery and Traumatology University Hospital of Basel Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans\u2010Kaspar","family":"Schwyzer","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Shoulder and Elbow Surgery Department Schulthess Clinic Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Flury","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Shoulder and Elbow Surgery Department Schulthess Clinic Zurich Switzerland"},{"name":"<!--<label>4<\/label>--> Center for Orthopaedics and Neurosurgery In\u2010Motion Wallisellen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Lenz","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Shoulder and Elbow Surgery Department Schulthess Clinic Zurich Switzerland"},{"name":"<!--<label>5<\/label>--> Department of Orthopaedic and Trauma Surgery University Hospital of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Audig\u00e9","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Shoulder and Elbow Surgery Department Schulthess Clinic Zurich Switzerland"},{"name":"<!--<label>2<\/label>--> Research and Development Department Schulthess Clinic Lengghalde 2 8008 Zurich 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