{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:29:40Z","timestamp":1790378980564,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/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":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical outcome scores of an arthroscopic margin convergence technique without the use of suture anchors to repair different types of rotator cuff tears and to determine whether the type or extent of the tear has an effect on clinical outcome scores after this procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients receiving arthroscopic margin convergence repair without suture anchors for rotator cuff tears from 2013 to 2018 were retrospectively analyzed. Arthroscopically determined partial\u2010 or full\u2010thickness rotator cuff tears with a minimum follow\u2010up period of 20 months were included. Outcomes were assessed using the American Shoulder and Elbow Surgeons (ASES) shoulder score; University of California, Los Angeles (UCLA) shoulder score; and visual analog scale (VAS) score. A 2\u2010tailed distribution paired\n                      <jats:italic>t<\/jats:italic>\n                      test was used to determine statistical significance (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05) between preoperative scores and scores at final follow\u2010up. Correlation tests and linear regression analysis were used to determine the correlation between various clinical variables and outcomes. A cohort\u2010specific minimal clinically important difference analysis was performed for each outcome score, calculated as one\u2010half of the standard deviation of the delta score.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 38 patients were included for analysis: 12 with partial\u2010thickness tears and 26 with full\u2010thickness tears. The mean postoperative follow\u2010up period was 33.9 months (range, 22.2\u201094.5 months), with a minimum follow\u2010up period of 22 months. The mean age of the patients was 62 \u00b1 15.1 years. The minimal clinically important difference values for the ASES, UCLA, and VAS scores were 9.68, 2.92, and 1.13, respectively. There were significant improvements in the ASES (from 29.3 \u00b1 18.3 preoperatively to 93.7 \u00b1 8.3 postoperatively,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001), UCLA (from 14.3 \u00b1 6.2 to 32.8 \u00b1 2.6,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001), and VAS (from 7.37 \u00b1 1.8 to 0.63 \u00b1 1.02,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001) clinical outcome scores. However, patients with either Patte stage 3 retraction (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .033 for ASES score and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.020 for UCLA score) or U\u2010shaped tears (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .047 for ASES score and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .050 for UCLA score) had significantly lower clinical outcome scores than patients with less severe retraction or differently shaped tears.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The arthroscopic margin convergence technique without the use of suture anchors may be a suitable option in patients with partial\u2010 or full\u2010thickness rotator cuff tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.100955","type":"journal-article","created":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T02:50:58Z","timestamp":1716605458000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Arthroscopic Margin Convergence Repair Without Suture Anchors Improves Clinical Outcomes for Full\u2010\u00a0and Partial\u2010Thickness Rotator Cuff Tears"],"prefix":"10.1002","volume":"6","author":[{"given":"S. Ali","family":"Ghasemi","sequence":"first","affiliation":[{"name":"Thomas Jefferson University Hospital Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Murray","sequence":"additional","affiliation":[{"name":"Navy Medicine Operational Training Command Pensacola Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Lencer","sequence":"additional","affiliation":[{"name":"Jefferson Health\u2010Northeast Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Schueppert","sequence":"additional","affiliation":[{"name":"Jefferson Health\u2010Northeast Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Raphael","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Hospital Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Morgan","sequence":"additional","affiliation":[{"name":"Jefferson Health\u2010Northeast Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Bartolozzi","sequence":"additional","affiliation":[{"name":"Jefferson Health\u2010Northeast Philadelphia Pennsylvania 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