{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T14:01:41Z","timestamp":1775829701016,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of the study is to describe the functional and structural outcomes of the arthroscopic 4\u2010strand, knotless, double\u2010row construct with suture tapes for the surgical treatment of displaced and\/or comminuted greater tuberosity fractures of the humerus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were enrolled between December 2012 and January 2018. The main inclusion criteria were a comminuted and\/or displaced tuberosity fracture with a displacement of at least 5 mm in any plane fixed under arthroscopy using a 4\u2010strand, knotless, double\u2010row construct. The technique involves reducing the displaced fragment with 2 medially placed, transtendinous anchors and compressing the greater tuberosity using the tapes from these medial anchors in 2 laterally placed anchors. The exclusion criteria were a fracture that was more than 10 days old at the time of surgery or a history of shoulder surgery and 3\u2010 or 4\u2010part fractures. The postoperative rehabilitation protocol was similar for all patients. Constant scores, Quick Dash, return to work and sport, and complications were reported after a minimum follow\u2010up period of 24 months. Bone healing was systematically evaluated on standardized radiographs, including lateral scapula view and anteroposterior views.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010one patients were enrolled in this study. One patient did not complete the follow\u2010up examination period and thus was excluded, leaving 20 patients in this study. At a median (SD) follow\u2010up of 32 (9) months, the median (SD) Constant score was 94.7 (7.3) points, the median (SD) Quick Dash was 1.7 (4) points, and median (SD) visual analog scale score was 0.5 (1.4). All patients returned to previous work and sport level. No malunions or nonunions were seen. One conversion to open surgery was required for failure of the lateral row during surgery in a 62\u2010year\u2010old woman with osteopenic bone. Two patients experienced complex regional pain syndrome in the postoperative period that resolved after nonoperative treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this series, the use of arthroscopy combined with the biomechanical properties of knotless double\u2010row constructs contributed to postoperative satisfactory functional results and healing of greater tuberosity fracture. In addition, range of motion was early, and no hardware removal was required. However, care should be taken with osteopenic bone where anchorage can fail.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2020.10.014","type":"journal-article","created":{"date-parts":[[2021,3,12]],"date-time":"2021-03-12T07:24:59Z","timestamp":1615533899000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Arthroscopic Reduction and Fixation With a Knotless Double\u2010Row Construct Provides Good Results for Displaced Greater Tuberosity Fractures"],"prefix":"10.1002","volume":"3","author":[{"given":"Mohammad","family":"Bahman","sequence":"first","affiliation":[{"name":"University of Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Costil","sequence":"additional","affiliation":[{"name":"Clinic of Franciscaines Ramsay Versaille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathilde","family":"Gaume","sequence":"additional","affiliation":[{"name":"University of Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc\u2010Antoine","family":"Rousseau","sequence":"additional","affiliation":[{"name":"University of Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Boyer","sequence":"additional","affiliation":[{"name":"University of Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,11]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2007.03.002"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.01.009"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70124-3"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2005.07.004"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200006000-00012"},{"issue":"3","key":"e_1_2_2_7_2","first-page":"171","article-title":"A\u00a0new suggestion for the treatment of minimally displaced fractures of the greater tuberosity of the proximal humerus","volume":"56","author":"Park T.S.","year":"1997","journal-title":"Bull Hosp Jt Dis"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281238"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2006.03.004"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.07.004"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509359063"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.12.012"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2401-7"},{"issue":"5","key":"e_1_2_2_14_2","first-page":"1038","article-title":"Upper Extremity Collaborative Group. 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}