{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:17:31Z","timestamp":1777709851359,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,2,10]],"date-time":"2012-02-10T00:00:00Z","timestamp":1328832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,2,10]],"date-time":"2012-02-10T00:00:00Z","timestamp":1328832000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2012,2,10]],"date-time":"2012-02-10T00:00:00Z","timestamp":1328832000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2012,2,10]],"date-time":"2012-02-10T00:00:00Z","timestamp":1328832000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study was performed to evaluate the clinical effectiveness of a new side\u2010to\u2010side repair technique for massive rotator cuff tears using a single uninterrupted suture in the configuration of a shoestring in a medial\u2010to\u2010lateral progression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010one consecutive patients with a mean age of 59 years (SD, 4.7 years) had primary arthroscopic repair of their massive, U\u2010shaped, contracted supraspinatus and infraspinatus tear by the shoestring bridge technique. Preoperatively and postoperatively, we measured active forward flexion and determined the visual analog scale score for pain, Simple Shoulder Test score, and Disabilities of the Arm, Shoulder and Hand (DASH) score. Repair integrity was evaluated by ultrasonography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At a mean follow\u2010up of 26.5 months, all scores had significantly improved: active forward flexion, mean of 70\u00b0 (SD, 29\u00b0) preoperatively to 139\u00b0 (SD, 39\u00b0) postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001); visual analog scale score for pain, 8.0 \u00b1 1.4 points to 2.5 \u00b1 1.8 points (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001); Simple Shoulder Test score, 15% \u00b1 19% to 72% \u00b1 23% (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001); and Disabilities of the Arm, Shoulder and Hand score, 62 \u00b1 17 points to 21 \u00b1 14 points (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Ultrasound evaluation showed that 25 of 31 patients (81%) had heeled tendons. Of 31 patients, 6 (19%) had a complete retear. Only 3 of these 6 patients were not satisfied with the result.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic side\u2010to\u2010side repair by the shoestring bridge technique is effective in the treatment of massive, U\u2010shaped, contracted supraspinatus and infraspinatus tears. It provides the shoulder surgeon a treatment modality with significant improvement in pain and function, high patient satisfaction, and a low retear rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2011.11.006","type":"journal-article","created":{"date-parts":[[2012,2,1]],"date-time":"2012-02-01T17:55:40Z","timestamp":1328118940000},"page":"754-760","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Arthroscopic Side\u2010to\u2010Side Repair of Massive and Contracted Rotator Cuff Tears Using a Single Uninterrupted Suture: The Shoestring Bridge Technique"],"prefix":"10.1002","volume":"28","author":[{"given":"Peer","family":"van der Zwaal","sequence":"first","affiliation":[{"name":"Department of 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