{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T03:28:50Z","timestamp":1785382130972,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T00:00:00Z","timestamp":1553040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T00:00:00Z","timestamp":1553040000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T00:00:00Z","timestamp":1553040000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T00:00:00Z","timestamp":1553040000000},"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":"crossref","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"crossref"}]}],"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":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare a conventional single\u2010row (SR) repair technique and 2 double\u2010row (DR) repair techniques to restore and protect the superolateral aspect of the subscapularis (SSC) tendon and ensure SSC leading\u2010edge reconstruction in a cadaveric model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The native footprint was measured in 15 pairs of human cadaveric shoulders (N\u00a0= 30) with a mean age of 67.2\u00a0years. According to the Fox\u2010Romeo classification, a 25% defect or 50% defect in a superior\u2010inferior direction was created. Specimens were mounted onto a servohydraulic test system to analyze contact variables at 0\u00b0 and 20\u00b0 of abduction with a force\u2010controlled ramped program up to 50\u00a0N. In addition, each specimen was cyclically loaded (10\u2010100\u00a0N, 300 cycles). The tears were repaired with 1 of 3 constructs: a 2\u2010anchor medially based conventional SR construct, a 2\u2010anchor\u2010based hybrid DR construct, or a 3\u2010anchor\u2010based DR construct. The outcome variables were ultimate tensile load, displacement, and pressurized footprint coverage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All reconstructions resulted in stable constructs with peak loads exceeding 450\u00a0N\u00a0(\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .68). The overall displacement during cyclic loading was between 1.2 and 3.0\u00a0mm\u00a0(\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .70). A significant difference was seen when the 2 arm positions of 0\u00b0 and 20\u00b0 of abduction were compared, showing a constant reduction of pressurized footprint coverage with the arm abducted (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01). Analyzing footprint coverage with respect to the region of interest\u2014the leading edge of the SSC\u2014we observed a significant difference between the SR construct and a construct using a superolaterally placed anchor (25% defect,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01; 50% defect,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01), whereas no statistical differences were detectable between the hybrid DR construct and the DR construct.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The leading edge of the SSC tendon can best be restored by using a superolateral anchor, whereas no statistical difference in load to failure in comparison with an SR construct or with the addition of a third anchor was detectable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The SSC is critical for proper shoulder function. Without an increase in the number of implants, a significantly better footprint reconstruction can be achieved by placing an anchor superior and lateral to the native footprint area close to the entrance of the bicipital groove.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.11.060","type":"journal-article","created":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T10:04:28Z","timestamp":1553076268000},"page":"1306","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":27,"title":["A Superolaterally Placed Anchor for Subscapularis \u201cLeading\u2010Edge\u201d Refixation: A Biomechanical Study"],"prefix":"10.1002","volume":"35","author":[{"given":"Felix","family":"Dyrna","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Sportsmedicine Technical University Munich Germany"},{"name":"Department of Trauma Hand and Reconstructive Surgery University Hospital Munster Munster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Knut","family":"Beitzel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sportsmedicine Technical University Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leo","family":"Pauzenberger","sequence":"additional","affiliation":[{"name":"Vienna Shoulder &amp; Sports Clinic Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey R.","family":"Dwyer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elifho","family":"Obopilwe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augustus D.","family":"Mazzocca","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas B.","family":"Imhoff","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sportsmedicine Technical University Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sepp","family":"Braun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sportsmedicine Technical University Munich Germany"},{"name":"Gelenkpunkt Sport\u2010 und Gelenchirurgie Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,20]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.91000"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.03.011"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2008.06.005"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(09)80011-6"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200706000-00005"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90006-2"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310010601"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.04.001"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.08.015"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-7216-0013-0.50027-2"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505279575"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3767-5"},{"key":"e_1_2_3_14_2","first-page":"387","article-title":"Acromion 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