{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:39:07Z","timestamp":1773571147357,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T00:00:00Z","timestamp":1546473600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T00:00:00Z","timestamp":1546473600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T00:00:00Z","timestamp":1546473600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T00:00:00Z","timestamp":1546473600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Smith & Nephew and Ossur"},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether an association exists between preoperative shoulder injections and reoperations in patients undergoing arthroscopic rotator cuff repair (aRCR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The PearlDiver Patient Records Database was reviewed for Humana\u2010insured patients undergoing aRCR after a shoulder injection. Two matched groups were created: aRCR within 1\u00a0year of injection (n\u00a0= 12,054) and aRCR without prior injection within 1\u00a0year of surgery (n\u00a0= 12,054). Reoperation rates within 3\u00a0months, at 3 to 6\u00a0months, and at 6 to 12\u00a0months postoperatively were assessed. Statistical analysis was performed with the \u03c7\u2010square test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The rate of reoperation within 3\u00a0months of the index procedure was higher in the control group (3.7% vs 3.1%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01); however, 3 to 6\u00a0months after the index procedure, the rate of reoperation was higher in patients who received an injection within 1\u00a0year of the index procedure (1.8% vs 1.4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.03). During the same intervals, the rate of revision rotator cuff repair (RCR) within 3\u00a0months of the index procedure was higher in the control group (2.9% vs 2.6%) and the rate of revision RCR 3 to 6\u00a0months after the index procedure was higher in patients who received an injection within 1\u00a0year of the index procedure (1.1% vs 0.9%); however, these results were not statistically significant (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .3 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .8, respectively). The incidence of revision RCR (1.6% vs 1.1%; odds ratio, 1.4;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .003) and incidence of subacromial decompression (1.5% vs 1.1%; odds ratio, 1.3;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01) 6 to 12\u00a0months after\u00a0the index procedure were significantly higher in patients receiving an injection within 1\u00a0year before surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preoperative shoulder injections may increase the risk of revision RCR and subacromial decompression by up to 150% in patients 6 to 12\u00a0months after index surgery compared with patients who did not receive a preoperative injection. However, the absolute increase in these revision procedures is only 0.5%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.08.042","type":"journal-article","created":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T01:19:44Z","timestamp":1546478384000},"page":"325-331","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Preoperative Injections May Be an Iatrogenic Cause of Reoperation After Arthroscopic Rotator Cuff Repair"],"prefix":"10.1002","volume":"35","author":[{"given":"Avinesh","family":"Agarwalla","sequence":"first","affiliation":[{"name":"Midwest Orthopaedics at Rush Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard N.","family":"Puzzitiello","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randy","family":"Mascarenhas","sequence":"additional","affiliation":[{"name":"McGovern Medical School University of Texas Health Science Center Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelby","family":"Sumner","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony A.","family":"Romeo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The Rothman Institute Philadelphia Pennsylvania 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