{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T09:04:38Z","timestamp":1779613478856,"version":"3.53.1"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2002,3,1]],"date-time":"2002-03-01T00:00:00Z","timestamp":1014940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2002,3,1]],"date-time":"2002-03-01T00:00:00Z","timestamp":1014940800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2002,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To describe and evaluate a simple perioperative test (the derotation sign) that differentiates significant (grade 3) partial\u2010thickness and small full\u2010thickness rotator cuff tears from insignificant (grades 1 and 2) partial\u2010thickness rotator cuff tears and intact rotator cuffs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of Study:<\/jats:title>\n                    <jats:p>Sensitivity and specificity study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A study was conducted of 123 patients who underwent shoulder arthroscopy for chronic symptomatic rotator cuff disease, each of whom was subjected to a derotation test under general anesthesia. Specifically, the glenohumeral joint was rapidly distended with fluid just before arthroscopy. One of 3 possible observations was made: (1) the arm rotated internally only, (2) the arm initially rotated internally and then externally rotated (positive derotation sign), or (3) the arm did not rotate at all. Arthroscopic findings were then correlated with the derotation test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty\u2010one shoulders had no arm rotation on derotation testing; all had rotator cuff tears greater than 2 cm in size. Forty\u2010two shoulders with impingement and no rotator cuff tears, as well as 23 shoulders with grade 1 or grade 2 partial\u2010thickness rotator cuff tears showed internal rotation only. Seventeen shoulders had a positive derotation sign; all of these had either a grade 3 partial\u2010thickness or a small full\u2010thickness (&lt;1 cm) rotator cuff tear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The derotation test is useful in the perioperative differentiation of functionally intact rotator cuffs from those with significant tears. The derotation sign is specific for the diagnosis of grade 3 partial\u2010thickness and\/or small (&lt;1 cm) full\u2010thickness rotator cuff tears.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1053\/jars.2002.30065","type":"journal-article","created":{"date-parts":[[2002,8,24]],"date-time":"2002-08-24T23:46:10Z","timestamp":1030232770000},"page":"284-286","source":"Crossref","is-referenced-by-count":2,"title":["The derotation sign for perioperative diagnosis of significant partial\u2010thickness rotator cuff tears"],"prefix":"10.1002","volume":"18","author":[{"given":"David E.","family":"Attarian","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery Duke University Medical Center Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,3,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199805000-00016"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199005000-00010"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199807000-00007"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199901000-00004"},{"key":"e_1_2_3_6_1","first-page":"12","article-title":"Incomplete rotator cuff tears. A technique for diagnosis and treatment","volume":"306","author":"Neviaser TJ","year":"1994","journal-title":"Clin Orthop"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/ar.1999.v15.0150121"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199407000-00012"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198710000-00007"},{"key":"e_1_2_3_10_1","first-page":"327","article-title":"Surgical treatment of incomplete thickness tears of the rotator cuff: Long\u2010term follow\u2010up","volume":"11","author":"Fukuda H","year":"1987","journal-title":"Orthop Trans"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199411000-00015"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(00)90080-X"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(09)80125-0"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806302811227?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806302811227?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1053\/jars.2002.30065","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1053\/jars.2002.30065","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1053\/jars.2002.30065","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T08:50:36Z","timestamp":1779612636000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1053\/jars.2002.30065"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,3]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2002,3]]}},"alternative-id":["10.1053\/jars.2002.30065"],"URL":"https:\/\/doi.org\/10.1053\/jars.2002.30065","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,3]]}}}