{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:31:30Z","timestamp":1780396290858,"version":"3.54.1"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100002632","name":"Hallym University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002632","name":"Hallym University","doi-asserted-by":"publisher","award":["HURF-2019-73"],"award-info":[{"award-number":["HURF-2019-73"]}],"id":[{"id":"10.13039\/501100002632","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":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the correlation between cutting\u2010through at the greater tuberosity (GT) in arthroscopic suture\u2010bridge rotator cuff repair and the bone mineral density (BMD) of the lumbar spine, hip, and ipsilateral GT of the proximal humerus and to evaluate factors and clinical outcomes related to cutting\u2010through.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study prospectively enrolled patients who underwent arthroscopic knotted suture\u2010bridge rotator cuff repair for full\u2010thickness rotator cuff tears between June 2014 and October 2015 and who had undergone dual\u2010energy X\u2010ray absorptiometry cans within 1 month before surgery with a minimum 2\u2010year follow\u2010up. Cutting\u2010through was defined as the occurrence of cortical breakage of the GT just medial to the lateral knotless anchor hole due to the tension of the sutures from the medial anchor, and it was assessed. Clinical and radiologic data were analyzed. Univariate and regression analyses were performed to evaluate factors related to cutting\u2010through.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 78 patients were analyzed. Patients were divided into 2 groups: patients who had cutting\u2010through (46, group I) and patients who did not (32, group II). In an analysis of lumbar spine, hip, and GT BMD, GT BMD was the most effective for predicting cutting\u2010through (area under the receiver operating characteristic curve\u00a0= 0.94, 95% confidence interval 0.89\u20100.99). GT BMD (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and tear size (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .004) were independent factors for cutting\u2010through. Although a significant difference was found between the 2 groups in terms of age, sex, lumbar spine and hip BMD, fatty infiltration of the supraspinatus and infraspinatus, and atrophy of the supraspinatus, these variables were not independent factors. Clinical and structural outcomes showed no significant difference between the 2 groups, and anchor failure was not identified intraoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GT BMD and rotator cuff tear size are independent factors associated with cutting\u2010through at the GT. A dual\u2010energy X\u2010ray absorptiometry scan of the proximal humerus is useful for predicting bone quality before arthroscopic suture\u2010bridge rotator cuff repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, Prospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.01.059","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T12:03:43Z","timestamp":1612958623000},"page":"2077-2086","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Greater Tuberosity Bone Mineral Density and Rotator Cuff Tear Size Are Independent Factors Associated With Cutting\u2010Through in Arthroscopic Suture\u2010Bridge Rotator Cuff Repair"],"prefix":"10.1002","volume":"37","author":[{"given":"Sanghyeon","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery College of Medicine Ewha Womans University Seoul Hospital Seoul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung\u2010Taek","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Chuncheon Sacred Heart Hospital Hallym university Medical College Gangwon\u2010do Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang\u2010Soo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Chuncheon Sacred Heart Hospital Hallym university Medical College Gangwon\u2010do Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun\u2010Hyuck","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Chuncheon Sacred Heart Hospital Hallym university Medical College Gangwon\u2010do Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae\u2010Yeong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Chuncheon Sacred Heart Hospital Hallym university Medical College Gangwon\u2010do Republic of 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