{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:49:50Z","timestamp":1791866990081,"version":"4.3.4"},"reference-count":18,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"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":[[2019,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess postoperative changes in the thickness of the dermal allograft of the superior capsular reconstruction (SCR) and to evaluate the graft for the presence of intrasubstance pulsatile vessels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted to identify SCR patients who had ultrasound evaluations between May 2014 and February 2019. Data were collected and stratified based on time from surgery into 2 groups: 0 to 12\u00a0months and past the 12\u2010month follow\u2010up. The primary outcome measure was graft thickness at the articular margin\u2013greater tuberosity interface (tuberosity measurement). Secondary measures included midsubstance graft thicknesses 0.5, 1.0, and 1.5\u00a0cm medial to the tuberosity measurement; status of lateral graft fixation; presence of pulsatile vessels; and American Shoulder and Elbow Society and visual analog scale scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighteen patients were included for analysis. The tuberosity measurement at final follow\u2010up (mean 25\u00a0months, range 12\u201040\u00a0months) was (mean \u00b1 standard error [95% confidence interval (CI)]) 4.4\u00a0\u00b1\u00a00.2\u00a0mm (95% CI 4.0\u20104.8). This differed significantly from the midsubstance measurements: 0.5\u00a0cm: 3.6 \u00b1 0.2\u00a0mm (95% CI 3.3\u20104.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .008); 1.0\u00a0cm: 3.1 \u00b1 0.2\u00a0mm (95% CI 2.7\u20103.4,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001); and 1.5\u00a0cm: 2.9 \u00b1 0.2\u00a0mm (95% CI 2.6\u20103.2,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Ten constructs (56%) showed signs of pulsatile vessels in the first 12\u00a0months and all constructs were intact. ASES scores improved from 49.3 \u00b1 4.0 (95% CI 41.6\u201057.1) preoperatively to 85.1 \u00b1 2.9 (95% CI 79.4\u201090.8) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), and VAS scores decreased from 5.3 \u00b1 0.6 (95% CI 4.2\u20106.5) preoperatively to 0.9 \u00b1 0.3 (95% CI 0.3\u20101.5) at final follow\u2010up (\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>The SCR dermal allograft significantly thickens at its lateral aspect, presents with evidence of vasculature in most patients in the first year of implantation, and is not resorbed by the body.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV \u2013 therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.06.042","type":"journal-article","created":{"date-parts":[[2019,11,27]],"date-time":"2019-11-27T10:34:44Z","timestamp":1574850884000},"page":"3194-3202","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":24,"title":["Ultrasound Assessment of the Superior Capsular Reconstruction With Dermal Allograft: An Evaluation of Graft Thickness and Vascularity"],"prefix":"10.1002","volume":"35","author":[{"given":"Alan M.","family":"Hirahara","sequence":"first","affiliation":[{"name":"Private Practice Sacramento California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wyatt J.","family":"Andersen","sequence":"additional","affiliation":[{"name":"Private Practice Sacramento California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto J.","family":"Panero","sequence":"additional","affiliation":[{"name":"Private Practice Sacramento California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,1]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/1058-2746(93)90002-X"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.07.023"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518786489"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518816689"},{"key":"e_1_2_7_6_2","doi-asserted-by":"crossref","unstructured":"W.T.Pennington S.W.Chen B.A.Bartz J.M.Pennington.Superior capsular reconstruction with arthroscopic rotator cuff repair in a \u201cfunctional biologic augmentation\u201d technique to treat massive atrophic rotator cuff tears [published online April 17 2019].Arthrosc 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evaluation","volume":"45","author":"Panero A.J.","year":"2016","journal-title":"Am J Orthop"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-094148"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2011.05.007"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.06.022"},{"key":"e_1_2_7_18_2","unstructured":"A.M.Hirahara E.S.Lederman W.J.Andersen K.Yamashiro.The evolution of the superior capsular reconstruction techniqueInt Congr Joint Restorationhttps:\/\/icjr.net\/articles\/the\u2010evolution\u2010of\u2010the\u2010superior\u2010capsular\u2010reconstruction\u2010technique2018 Accessed January 8 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