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Elevated serum total cholesterol and low\u2010density lipoprotein levels and fatty infiltration of the infraspinatus are significantly related to symptomatic failed rotator cuff repair. Hypertension could also be a risk factor. In such cases, nonoperative treatment, reverse shoulder prosthesis (in older patients), or alternative joint\u2010preserving procedures (superior capsular reconstruction, subacromial balloon spacer, multiple\u2010tendon interposition autografts, augmentation of the long head of the biceps, or tendon transfers such as latissimus dorsi transfer and lower trapezius transfer) could be considered or are worthy of future investigation.<\/jats:p>","DOI":"10.1016\/j.arthro.2020.06.019","type":"journal-article","created":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T03:02:37Z","timestamp":1596164557000},"page":"2091-2093","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["<i>Editorial Commentary:<\/i>\n                    Rotator Cuff Tear: Know When Not to Operate So You Don't Make It Worse"],"prefix":"10.1002","volume":"36","author":[{"given":"Frederik O.","family":"Lambers Heerspink","sequence":"first","affiliation":[{"name":"Venlo The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Dorrestijn","sequence":"additional","affiliation":[{"name":"Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,1]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514529644"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.101B9.BJJ-2018-1591.R1"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00265"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.04.019"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.04.016"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4105-2"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.08.032"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-018-9461-8"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00480"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1207-x"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40798-019-0186-z"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.10.022"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.06.024"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119875717"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.11.018"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.05.012"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.04.022"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.04.025"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.09.008"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.05.023"},{"key":"e_1_2_2_22_2","unstructured":"Pruijn N van Diek FM Meis JF Kosse NM Dorrestijn O. 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