{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:39:29Z","timestamp":1780353569486,"version":"3.54.1"},"reference-count":52,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"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":[[2018,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the effect of critical shoulder angle (CSA), acromion index (AI), and glenoid inclination (GI) on the postoperative healing rate after arthroscopic supraspinatus tendon repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients after arthroscopic repair of a symptomatic, unilateral, single\u2010tendon, full\u2010thickness supraspinatus tear in whom nonoperative management had failed were retrospectively reviewed. Magnetic resonance imaging (MRI) studies were obtained 6\u00a0months postoperatively and were evaluated by 2 independent observers. Repair integrity was classified as either intact or torn. Preoperative true anteroposterior radiographs were used to measure CSA, AI, and GI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010seven patients were evaluated 6\u00a0months postoperatively. The mean patient age at surgery was 54.7 \u00b1 7.7\u00a0years. On MRI studies, 41 patients (71.9%) had an intact repair and 16 patients (28.1%) had a full\u2010thickness retear. There were no significant differences between the intact and retear group in regard to patient age (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .648), initial tear size (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .205), or fatty degeneration (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .508). The mean CSA for the retear group (37\u00b0 \u00b1 4\u00b0) was significantly higher than that in the intact group (35\u00b0 \u00b1 3\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .014). If the CSA was &gt;38\u00b0, the odds ratio of having a retear was 3.78 (95% confidence interval 1.05 to 13.58;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .042). Average AI for the retear group (0.73 \u00b1 0.09) was significantly higher than that in the intact group (0.69 \u00b1 0.06;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .049). The mean GI was 17\u00b0 \u00b1 6\u00b0 for the intact group and 16\u00b0 \u00b1 6\u00b0 for the retear group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.739).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At short\u2010term follow\u2010up, higher CSA and AI significantly increased the retear risk after arthroscopic supraspinatus tendon repair. CSA &gt;38\u00b0 increased the retear risk almost 4\u2010fold. Overall GI was elevated but did not correlate with failure rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III, case control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.05.029","type":"journal-article","created":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T21:29:35Z","timestamp":1536182975000},"page":"2748-2754","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":66,"title":["Higher Critical Shoulder Angle and Acromion Index Are Associated With Increased Retear Risk After Isolated Supraspinatus Tendon Repair at Short\u2010Term Follow Up"],"prefix":"10.1002","volume":"34","author":[{"given":"Bastian","family":"Scheiderer","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."},{"name":"Department of Orthopaedic Sports Medicine Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian B.","family":"Imhoff","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."},{"name":"Department of Orthopaedic Sports Medicine Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremiah D.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Aglio","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark P.","family":"Cote","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Knut","family":"Beitzel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas B.","family":"Imhoff","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Arciero","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augustus 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Published by Elsevier. All rights reserved.","name":"copyright","label":"Copyright"}]}}