{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T13:06:15Z","timestamp":1784034375796,"version":"3.55.0"},"reference-count":43,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"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"}]}],"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":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the outcomes of arthroscopic superior capsular reconstruction (SCR) and arthroscopy\u2010assisted lower trapezius tendon transfer (LTT) for posterosuperior irreparable rotator cuff tears (IRCTs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Over an almost 6\u2010year period (October 2015 to March 2021), all patients who underwent IRCT surgery with a minimum 12\u2010month follow\u2010up period were identified. For patients with a substantial active external rotation (ER) deficit or lag sign, LTT was preferentially selected. Patient\u2010reported outcome scores included the visual analog scale (VAS) pain score, strength score, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) score, Single Assessment Numeric Evaluation (SANE) score, and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 32 SCR patients and 72 LTT patients. Preoperatively, LTT patients had more advanced teres minor fatty infiltration (0.3 vs 1.1,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .009), a higher global fatty infiltration index (1.5 vs 1.9,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .035), and a higher presence of the ER lag sign (15.6% vs 48.6%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). At a mean follow\u2010up of 2.9 \u00b1 1.3 years (range, 1.0\u20106.3 years), no differences in patient\u2010reported outcome scores were observed. Postoperatively, SCR patients had a lower VAS score (0.3 vs 1.1,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .017), higher forward elevation (FE) (156\u00b0 vs 143\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .004), and higher FE strength (4.8 vs 4.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .005) and showed greater improvements in the VAS score (6.8 vs 5.1,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .009), FE (56\u00b0 vs 31\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .004), and FE strength (1.0 vs 0.4,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). LTT patients showed greater improvement in ER (17\u00b0 vs 29\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .026). There was no statistically significant between\u2010cohort difference in complication rate (9.4% vs 12.5%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .645) or reoperation rate (3.1% vs 10%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .231).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>With adequate selection criteria, both SCR and LTT provided improved clinical outcomes for posterosuperior IRCTs. Additionally, SCR led to better pain relief and restoration of FE whereas LTT provided more reliable improvement in ER.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, treatment study with retrospective cohort comparison.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.04.012","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T20:59:59Z","timestamp":1683061199000},"page":"2133-2141","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":27,"title":["Improved Yet Varied Clinical Outcomes Observed With Comparison of Arthroscopic Superior Capsular Reconstruction Versus Arthroscopy\u2010Assisted Lower Trapezius Transfer for Patients With Irreparable Rotator Cuff Tears"],"prefix":"10.1002","volume":"39","author":[{"given":"Erick 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