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With differing definitions, the comparability of outcome studies may be limited. The aim was to provide a detailed systematic review of the definitions used in the literature and present a suggestion for a standardization in nomenclature based on the findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Four different internet databases were searched in February 2020 using the terms (\u201cacute\u201d OR \u201ctraumatic\u201d OR \u201ctrauma\u201d OR \u201cathlete\u201d OR \u201cyoung\u201d) AND (\u201crotator cuff tears\u201d OR \u201crotator cuff tear\u201d OR \u201crotator cuff\u201d OR \u201crotator cuff rupture\u201d OR \u201csupraspinatus\u201d OR \u201cinfraspinatus\u201d OR \u201csubscapularis\u201d OR \u201cteres minor\u201d). Prospective, retrospective, cohort and case\u2013control studies as well as case series were included. Systematic reviews, cadaveric or laboratory studies and studies on non-traumatic or non-acute rotator cuff tears were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The literature search conducted 10,349 articles of which 10,151 were excluded based on the title, 119 based on the abstract and 33 based on the manuscript. A total of 46 studies were finally included for review and subsequently analyzed. Overall, there exists no consensus neither on the term \u201cacute\u201d nor on \u201ctraumatic\u201d in the context of rotator cuff tears in the literature. The time span for acute injuries ranged between 2\u00a0weeks and 6\u00a0months. For traumatic injuries, only 20% of the selected studies described a specific and adequate injury mechanism in combination with adequate imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The term \u201cacute\u201d should be reserved for RCT showing muscle edema, wavelike appearance of the central part of the torn tendon and joint effusion, which typically requires adequate imaging within 2\u00a0weeks from trauma. Repair of acute tears should occur within 8\u00a0weeks from trauma to benefit from possibly superior biological healing capacities. The term \u201ctraumatic\u201d should be used for a sudden onset of symptoms in a previously asymptomatic patient, triggered by an adequate trauma, e.g., a fall on the retroverted arm with an axial cranioventral force or a traumatic shoulder dislocation.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00402-020-03656-4","type":"journal-article","created":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T15:02:21Z","timestamp":1604242941000},"page":"75-91","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Definition of the terms \u201cacute\u201d and \u201ctraumatic\u201d in rotator cuff injuries: a systematic review and call for standardization in nomenclature"],"prefix":"10.1007","volume":"141","author":[{"given":"Jonas","family":"Pogorzelski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"Erber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Themessl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco-Christopher","family":"Rupp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias J.","family":"Feucht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas B.","family":"Imhoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannes","family":"Degenhardt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Irger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,11,1]]},"reference":[{"key":"3656_CR1","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1097\/BLO.0b013e31802fc175","volume":"455","author":"LS Oh","year":"2007","unstructured":"Oh LS, Wolf BR, Hall MP, Levy BA, Marx RG (2007) Indications for rotator cuff repair: a systematic review. 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