{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:20:19Z","timestamp":1791901219454,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,9,29]],"date-time":"2015-09-29T00:00:00Z","timestamp":1443484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,9,29]],"date-time":"2015-09-29T00:00:00Z","timestamp":1443484800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,9,29]],"date-time":"2015-09-29T00:00:00Z","timestamp":1443484800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the inter\u2010 and intraobserver agreement for classification and management of subscapularis tendon pathology based on arthroscopy and magnetic resonance imaging (MRI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010two orthopaedic surgeons from the Multicenter Orthopaedic Outcomes Network (MOON) shoulder group reviewed still arthroscopic and MRI images of the subscapularis tendon from patients with a random assortment of subscapularis morphology. The surgeons were asked to classify the pathology based on 2 systems (Lafosse and Lyons) and choose whether they would repair the tendon and, if so, the method of repair (open or arthroscopic). The survey was administered 3 times to each surgeon. Inter\u2010 and intraobserver reliability between testing rounds was determined by kappa analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Interobserver reliability on classification of tears was poor based on MRI (\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0= 0.18 to 0.19) and fair based on arthroscopy (\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0= 0.26 to 0.29). Interobserver agreement on whether surgical treatment was indicated was fair for both MRI (\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0= 0.28) and arthroscopy (\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0= 0.38), while the agreement for type of surgery was poor based on MRI (\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0= 0.18) and fair based on arthroscopy (\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0= 0.28). Interobserver agreement did not improve when both MRI and arthroscopy were provided simultaneously (\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0= 0.24 to 0.30). Intraobserver reliability for classification and treatment was fair to moderate for both MRI (\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0= 0.32 to 0.50) and arthroscopic imaging (\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0= 0.39 to 0.56). When considering just those patients with normal tendons, surgeon agreement improved. For all questions, the arthroscopic images had a higher level of agreement among surgeons than the MRI (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although surgeons tended to have higher reliability when presented with arthroscopic images compared with MRI, there was very little agreement on the classification and management of subscapularis tendon tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Diagnostic Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2015.08.006","type":"journal-article","created":{"date-parts":[[2015,10,3]],"date-time":"2015-10-03T13:24:25Z","timestamp":1443878665000},"page":"246","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Poor Agreement on Classification and Treatment of\u00a0Subscapularis Tendon Tears"],"prefix":"10.1002","volume":"32","author":[{"given":"Mia","family":"Smucny","sequence":"first","affiliation":[{"name":"University of California San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward C.","family":"Shin","sequence":"additional","affiliation":[{"name":"University of California San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan L.","family":"Zhang","sequence":"additional","affiliation":[{"name":"University of California San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian T.","family":"Feeley","sequence":"additional","affiliation":[{"name":"University of California San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Gajiu","sequence":"additional","affiliation":[{"name":"University of California San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Hall","sequence":"additional","affiliation":[{"name":"University of California San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Benjamin","family":"Ma","sequence":"additional","affiliation":[{"name":"University of California San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"MOON Shoulder Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,29]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.04.076"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.02.028"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.10.006"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.04.142"},{"key":"e_1_2_3_6_2","first-page":"e29","article-title":"Sensitivity of physical examination versus arthroscopy in diagnosing subscapularis tendon injury","volume":"37","author":"Faruquie 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