{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:18:02Z","timestamp":1790111882421,"version":"4.0.1"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T00:00:00Z","timestamp":1690761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T00:00:00Z","timestamp":1690761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T00:00:00Z","timestamp":1690761600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To develop a consensus on diagnosis and treatment of rotator cuff tears. The study focused on selected areas: imaging, prognostic factors, treatment options, surgical techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Panel was composed of all members of the shoulder committee of the Italian Society of Arthroscopy, Knee, Upper arm, Sport, Cartilage and Orthopedic techniques (SIAGASCOT). Four rounds were performed. The first round consisted of gathering questions which were then divided into seven blocks referring to: imaging, patient\u2010related prognostic factors, treatment options, surgical steps, reparative techniques, surgical predictive factors, advanced techniques. Subsequent rounds consisted of condensation by means of online questionnaire and debates. Consensus was defined as two\u2010thirds agreement on one answer. Descriptive statistic was used to summarize the data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010one shoulder experts were involved. Fifty\u2010six statements were finally formulated. A consensus could be achieved on 51. Experts agreed that preoperative magnetic resonance imaging is strongly recommended because it allows a careful evaluation of tear characteristics, while the role of US remains debatable. Controversial patient\u2010related factors such as age, comorbidities, smoking and stiffness do not contraindicate the repair. From a surgical standpoint, the experts highlighted that pseudo\u2010paralysis is not a contraindication to rotator cuff repair. Consensus on specific surgical steps was also achieved: capsular release should be performed only in stiff shoulders; footprint preparation is mandatory, while debridement of tendon edges is not essential. If necessary, a rotator interval release could be performed without interrupting the continuity between subscapularis and supraspinatus tendon; posterior delamination should be always included in the repair. Advanced techniques such as tendon transfers should be selected based on the main clinical deficit, while the superior capsule reconstruction plays a role only in combination with a functional repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A consensus was achieved almost on every topic of controversy explored. Particularly, MRI was deemed necessary to determine tear characteristics, while radiographs remain important for differential diagnosis; age should not be considered a contraindication to surgery; pseudo\u2010paralysis does not represent a contraindication to arthroscopic rotator cuff repair, but superior capsule reconstruction plays a role only in combination with a functional repair. Latissimus dorsi transfer plays a role when the main functional deficit is in elevation, while the lower trapezius transfer plays a role when the main functional deficit is the external\u2010rotation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>V.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-023-07501-0","type":"journal-article","created":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T11:04:42Z","timestamp":1690801482000},"page":"4594-4600","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["High degree of consensus on diagnosis and management of rotator cuff tears: a Delphi approach"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7399-8762","authenticated-orcid":false,"given":"Maristella F.","family":"Saccomanno","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Bone and Joint Surgery Spedali Civili Brescia Italy"},{"name":"<!--<label>2<\/label>--> Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health University of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Lisai","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Humanitas San Pio X Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso Maria","family":"Romano","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Casa di Cura Maria Rosaria Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Vitullo","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> Clinica Ars Medica Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonello","family":"Pannone","sequence":"additional","affiliation":[{"name":"<!--<label>6<\/label>--> Policlinico \u201cCitt\u00e0 di Udine\u201d Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Spoliti","sequence":"additional","affiliation":[{"name":"<!--<label>7<\/label>--> Orthopaedics and Traumatology Unit, Department Emergency and Acceptance San Camillo Forlanini Hospital Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo C. C.","family":"Di Giunta","sequence":"additional","affiliation":[{"name":"<!--<label>8<\/label>--> Policlinico \u201cG.B. Morgagni\u201d Catania Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Castricini","sequence":"additional","affiliation":[{"name":"<!--<label>9<\/label>--> Orthopedics and Traumatology Unit Villa Verdi Hospital Fermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew C.","family":"Giordano","sequence":"additional","affiliation":[{"name":"<!--<label>10<\/label>--> Villa Betania GIOMI Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,31]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.04.036"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.techfore.2020.120484"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1530\/EOR\u201021\u20100069"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010021\u201002449\u20108"},{"key":"e_1_2_10_6_2","volume-title":"Studies in the quality of life; 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