{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T12:56:12Z","timestamp":1791291372491,"version":"4.3.0"},"reference-count":26,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","jshoulderelbow.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Surgery"],"published-print":{"date-parts":[[2025,4]]},"DOI":"10.1016\/j.jse.2024.07.046","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T12:38:34Z","timestamp":1726749514000},"page":"971-978","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors associated with pseudoparalysis in patients with extensive chronic and atraumatic rotator cuff injury"],"prefix":"10.1016","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9089-5420","authenticated-orcid":false,"given":"Raphael","family":"Fonseca","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5187-2787","authenticated-orcid":false,"given":"Geraldo da Rocha","family":"Motta Filho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1483-0585","authenticated-orcid":false,"given":"Marcio","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8138-0978","authenticated-orcid":false,"given":"Rafael P.","family":"Pitta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2556-3446","authenticated-orcid":false,"given":"Ana Carolina","family":"Leal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8374-3915","authenticated-orcid":false,"given":"Bernardo G.","family":"Carneiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6034-4732","authenticated-orcid":false,"given":"Arnaldo","family":"Couto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3507-0493","authenticated-orcid":false,"given":"Anneliese F.","family":"Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2024.07.046_bib1","doi-asserted-by":"crossref","first-page":"1894","DOI":"10.2106\/JBJS.I.01531","article-title":"Massive tears of the rotator cuff","volume":"92","author":"Bedi","year":"2010","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2024.07.046_bib2","doi-asserted-by":"crossref","first-page":"747","DOI":"10.2106\/00004623-200704000-00008","article-title":"Isolated arthroscopic biceps tenotomy or tenodesis improves symptoms in patients with massive irreparable rotator cuff tears","volume":"89","author":"Boileau","year":"2007","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2024.07.046_bib3","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1053\/jars.2001.26821","article-title":"Arthroscopic rotator cuff repair: analysis of results by tear size and by repair technique- margin convergence versus direct tendon- to-bone repair","volume":"17","author":"Burkhart","year":"2001","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2024.07.046_bib4","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.arthro.2017.07.024","article-title":"Should We have a better definition of pseudoparalysis in patients with rotator cuff tears?","volume":"33","author":"Burks","year":"2017","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2024.07.046_bib5","doi-asserted-by":"crossref","first-page":"71","DOI":"10.2106\/00004623-200101000-00010","article-title":"Surgical repair of chronic rotator cuff tears: a prospective long-term study","volume":"83","author":"Cofield","year":"2001","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2024.07.046_bib6","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1016\/j.jse.2013.11.019","article-title":"Relationship between massive chronic rotator cuff tear pattern and loss of active shoulder range of motion","volume":"23","author":"Collin","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2024.07.046_bib7","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.1177\/0363546518768276","article-title":"Relationship between deltoid and rotator cuff muscles during dynamic shoulder abduction: a biomechanical study of rotator cuff tear progression","volume":"46","author":"Dyrna","year":"2018","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2024.07.046_bib8","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.2106\/00004623-198668080-00002","article-title":"Repair of the rotator cuff. End-result study of factors influencing reconstruction","volume":"68","author":"Ellman","year":"1986","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2024.07.046_bib9","doi-asserted-by":"crossref","first-page":"2137","DOI":"10.1177\/0363546520929353","article-title":"Scapular morphologic characteristics and rotator cuff tear pattern are independently associated with chronic pseudoparalyis: a matched-pair analysis of patients with massive rotator cuff tears","volume":"48","author":"Ernstbrunner","year":"2020","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2024.07.046_bib10","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1177\/0363546520969858","article-title":"Chronic pseudoparalysis needs to be distinguished from pseudoparesis: a structural and Biomechanical analysis","volume":"49","author":"Ernstbrunner","year":"2021","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2024.07.046_bib11","first-page":"476","article-title":"Acetabularization as a protective factor in rotator cuff arthropathy","volume":"55","author":"Esteves","year":"2020","journal-title":"Rev Bras Ortop"},{"key":"10.1016\/j.jse.2024.07.046_bib12","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/00003086-199407000-00014","article-title":"Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan","volume":"304","author":"Goutallier","year":"1994","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.jse.2024.07.046_bib13","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1016\/j.jse.2008.06.007","article-title":"A new arthroscopic classification of articular-sided supraspinatus footprint lesions: a prospective comparison with Snyder\u2019s and Ellman\u2019s classification","volume":"17","author":"Habermeyer","year":"2008","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2024.07.046_bib14","doi-asserted-by":"crossref","first-page":"316","DOI":"10.2106\/JBJS.F.00880","article-title":"Biomechanics of massive rotator cuff tears: implications for treatment","volume":"90","author":"Hansen","year":"2008","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2024.07.046_bib15","doi-asserted-by":"crossref","first-page":"2813","DOI":"10.1007\/s11999-008-0331-3","article-title":"Clinical evaluation of the shoulder shrug sign","volume":"466","author":"Jia","year":"2008","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.jse.2024.07.046_bib16","doi-asserted-by":"crossref","first-page":"1882","DOI":"10.1016\/j.jse.2016.04.016","article-title":"Hypertrophic teres minor restores shoulder strength and range of external rotation in posterosuperior rotator cuff tears","volume":"25","author":"Kikukawa","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2024.07.046_bib17","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.arthro.2004.01.006","article-title":"Arthroscopic revision of failed rotator cuff repairs: technique and results","volume":"20","author":"Lo","year":"2004","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2024.07.046_bib18","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/00003086-199005000-00012","article-title":"Classification of rotator cuff lesions","volume":"254","author":"Patte","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.jse.2024.07.046_bib19","doi-asserted-by":"crossref","first-page":"1520","DOI":"10.1016\/j.jse.2017.03.017","article-title":"Volumetric evaluation of the rotator cuff musculature in massive rotator cuff tears with pseudoparalysis","volume":"26","author":"Rhee","year":"2017","journal-title":"Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2024.07.046_bib20","doi-asserted-by":"crossref","first-page":"e177","DOI":"10.1016\/j.jse.2017.02.024","article-title":"Pseudoparalysis: a systematic review of term definitions, treatment approaches, and outcomes of management techniques","volume":"26","author":"Tokish","year":"2017","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2024.07.046_bib21","doi-asserted-by":"crossref","first-page":"392","DOI":"10.4103\/ortho.IJOrtho_259_18","article-title":"Relation between hypertrophy of teres minor muscle and external rotation lag sign in patients with rotator cuff Pathology","volume":"53","author":"Vella","year":"2019","journal-title":"Indian J Orthop"},{"key":"10.1016\/j.jse.2024.07.046_bib22","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/S0883-5403(99)90232-2","article-title":"Morphologic study of the glenoid in primary glenohumeral osteoarthritis","volume":"14","author":"Walch","year":"1999","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.jse.2024.07.046_bib23","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.jse.2014.05.026","article-title":"Fluoroscopic, magnetic resonance imaging, and electrophysiologic assessment of shoulders with massive tears of the rotator cuff","volume":"24","author":"Wieser","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2024.07.046_bib24","doi-asserted-by":"crossref","first-page":"3240","DOI":"10.1007\/s00167-019-05403-8","article-title":"An intact subscapularis tendon and compensatory teres minor hypertrophy yield lower failure rates for non- operative treatment of irreparable, massive rotator cuff tears","volume":"27","author":"Yoon","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.jse.2024.07.046_bib25","doi-asserted-by":"crossref","first-page":"3163","DOI":"10.1097\/00004424-199803000-00006","article-title":"Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging","volume":"33","author":"Zanetti","year":"1998","journal-title":"Invest Radiol"},{"key":"10.1016\/j.jse.2024.07.046_bib26","doi-asserted-by":"crossref","first-page":"2423","DOI":"10.2106\/JBJS.G.00677","article-title":"The clinical and structural long- term results of open repair of massive tears of the rotator cuff","volume":"90","author":"Zumstein","year":"2008","journal-title":"J Bone Joint Surg Am"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274624006475?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274624006475?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T20:29:15Z","timestamp":1741811355000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1058274624006475"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["S1058274624006475"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2024.07.046","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Factors associated with pseudoparalysis in patients with extensive chronic and atraumatic rotator cuff injury","name":"articletitle","label":"Article Title"},{"value":"Journal of Shoulder and Elbow Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jse.2024.07.046","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}