{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:12:53Z","timestamp":1792368773299,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"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":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To quantify the improvement of patients undergoing scope\u2010assisted lower trapezius tendon transfer (SALTT) for irreparable rotator cuff tears (IRCTs) and whether intraoperative subscapularis management affected these outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From 2015 to 2023, patients undergoing primary SALTT for IRCTs without osteoarthritis or brachial plexopathy with serial follow\u2010up at 6 months and a minimum of 12 months postoperatively were identified. Subjective shoulder value (SSV) scores, active forward elevation (FE), external rotation (ER) lag, and cuff strength were recorded. Continuous variables were analyzed with 1\u2010way or repeated\u2010measures analysis of variance, and a multivariate linear regression was performed evaluating demographic, radiographic, and intraoperative variable effects on SSV and ER lag.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy\u2010six (mean age: 56.5 \u00b1 8.1 years; body mass index: 29.0 \u00b1 4.3; 73% male) patients, operated on by 4 surgeons (A: 66%; B: 15%; C: 13%; D: 4%), had significant improvement in baseline SSV scores (mean: 23.9 \u00b1 13.1) to 6\u2010month (mean: 73.5 \u00b1 10.6, 91% minimal clinically important difference achievement,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and final (mean: 43.5 \u00b1 29.5 months) follow\u2010up scores (mean: 79.9 \u00b1 16.5, 92% minimal clinically important difference achievement,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001; n = 45\/122: 37% 2\u2010year inclusion rate). Regression analysis for final SSV showed age (\u03b2: 0.8,\n                      <jats:italic>P<\/jats:italic>\n                      = .017) to have a positive effect and subscapularis fatty infiltration (\u03b2: \u201310.6,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) to have a negative effect. Active FE improved from 6\u2010month (139\u00b0 \u00b1 23.8\u00b0) to final (146\u00b0 \u00b1 23.0\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      = .013) follow\u2010up while ER lag (17\u00b0 \u00b1 17\u00b0) improved as well (6\u2010month mean: 3\u00b0 \u00b1 7.8\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001; final: 3\u00b0 \u00b1 5.6\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Regression analysis revealed subscapularis fatty infiltration (\u03b2: \u201311.6,\n                      <jats:italic>P<\/jats:italic>\n                      = .003) had a negative effect on final active FE, while infraspinatus fatty infiltration (\u03b2: \u20131.2,\n                      <jats:italic>P<\/jats:italic>\n                      = .048) and concomitant subscapularis repair (\u03b2: \u20135.0,\n                      <jats:italic>P<\/jats:italic>\n                      = .023) had a negative effect on final ER lag. Presence of subscapularis tears alone (\u03b2: 4.5,\n                      <jats:italic>P<\/jats:italic>\n                      = .030) had a positive effect on ER lag. Overall, 5 (7%) patients underwent reoperations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with IRCT undergoing SALTT with or without subscapularis tears requiring repair achieve excellent short\u2010term clinical outcomes while improving from an examination standpoint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.02.008","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T12:36:36Z","timestamp":1739968596000},"page":"3476-3486","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Arthroscope\u2010Assisted Lower Trapezius Tendon Transfer Using Achilles Tendon Allograft for Irreparable Rotator Cuff Tears Demonstrates Excellent Short\u2010Term Outcomes in the Setting of Concomitant Subscapularis Repair"],"prefix":"10.1002","volume":"41","author":[{"given":"Berkcan","family":"Akpinar","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Division of Sports Medicine NYU Langone Health West Palm Beach Florida U.S.A."},{"name":"Department of Orthopedic Surgery Division of Shoulder Surgery Massachusetts General Hospital Boston Massachusetts"},{"name":"Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Koljaka","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Division of Shoulder Surgery Massachusetts General Hospital Boston Massachusetts"},{"name":"Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew N.","family":"Galati","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Division of Shoulder Surgery Massachusetts General Hospital Boston Massachusetts"},{"name":"Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Lohre","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Division of Shoulder Surgery Massachusetts General Hospital Boston Massachusetts"},{"name":"Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassem","family":"Elhassan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Division of Shoulder Surgery Massachusetts General Hospital Boston Massachusetts"},{"name":"Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon J.P.","family":"Warner","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Division of Shoulder Surgery Massachusetts General Hospital Boston Massachusetts"},{"name":"Boston Shoulder Institute Boston Massachusetts 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