{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:01:08Z","timestamp":1787317268293,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical outcomes of arthroscopically assisted lower trapezius tendon (aLTT) transfer using Achilles tendon allograft in patients with irreparable infraspinatus musculotendinous tears (IISMTTs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis of patients who underwent aLTT transfer for IISMTTs. The inclusion criteria were minimal glenohumeral arthritis (Hamada grade \u2264 1), isolated infraspinatus musculotendinous tear with poor muscle quality (Goutallier grade \u2265 3), and intact remaining rotator cuff muscles. The exclusion criteria included less than 5\u2010year follow\u2010up, loss to follow\u2010up, or insufficient data. Clinical outcomes were assessed using the visual analog scale (VAS) pain score, Constant score, American Shoulder and Elbow Surgeons (ASES) score, Subjective Shoulder Value (SSV), range of motion, tendon integrity, and arthritis progression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 20 patients were included, with a mean follow\u2010up period of 7.4 years. Significant improvements were observed in all clinical scores: VAS pain score, 7.9 \u00b1 1.2 to 1.1 \u00b1 0.7; Constant score, 33.7 \u00b1 5.9 to 67.6 \u00b1 16.3; ASES score, 38.0 \u00b1 6.0 to 68.8 \u00b1 16.2; and SSV, 20.2 \u00b1 7.8 to 67.5 \u00b1 18.1 (all with\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Significant range\u2010of\u2010motion improvements were observed forward elevation (100\u00b0 \u00b1 13\u00b0 to 139\u00b0 \u00b1 30\u00b0), abduction (77\u00b0 \u00b1 20\u00b0 to 119\u00b0 \u00b1 13\u00b0), and external rotation (24\u00b0 \u00b1 9\u00b0 to 56\u00b0 \u00b1 12\u00b0). Regarding the minimal clinically important difference (MCID), determined using the 0.5 standard deviation distribution\u2010based method, all 20 patients (100%) achieved the MCID for the VAS pain score; 17 patients (85%), for the Constant score; 17 patients (85%), for the ASES score; and all 20 patients (100%), for the SSV. In all patients, glenohumeral joint integrity was maintained without the development of arthritis. No retears were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The aLTT transfer effectively alleviated pain and improved shoulder function in patients with IISMTTs at mid\u2010term follow\u2010up. Significant improvements in pain and external rotation were observed without any progression of glenohumeral arthritis, and no retears were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.01.044","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T19:13:30Z","timestamp":1738696410000},"page":"2774-2781","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Arthroscopic Lower Trapezius Tendon Transfer Effectively Relieves Pain and Improves Shoulder Function in Patients With Irreparable Infraspinatus Tears: Minimum 5\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"41","author":[{"given":"Bo Taek","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Yeosu Baek Hospital Jeollanam\u2010do Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang Hee","family":"Baek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yeosu Baek Hospital Jeollanam\u2010do Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung Gon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yeosu Baek Hospital Jeollanam\u2010do Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassem T.","family":"Elhassan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01913"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.12.016"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.12.019"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.11.066"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.12.006"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.08.007"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2023.07.049"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.04.025"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2024.02.020"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.09.013"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.02.018"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.11.016"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.06.004"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003300100968"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2402050405"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/CND.0b013e3182212559"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-002-0598-5"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.5397\/cise.2017.20.1.30"},{"key":"e_1_2_3_20_1","doi-asserted-by":"crossref","unstructured":"K.Hamada H.Fukuda M.Mikasa Y.Kobayashi.Roentgenographic findings in massive rotator cuff tears. 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