{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:31:05Z","timestamp":1790130665114,"version":"4.0.1"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2002,5,1]],"date-time":"2002-05-01T00:00:00Z","timestamp":1020211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2002,5,1]],"date-time":"2002-05-01T00:00:00Z","timestamp":1020211200000},"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":[[2002,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Our objective was to evaluate the preliminary results of 25 consecutive arthroscopic subscapularis tendon repairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of Study:<\/jats:title>\n                    <jats:p>Case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All 25 shoulders had longer than 3 months follow\u2010up, with an average of 10.7 months (range, 3 to 48 months). The average age was 60.7 years (range, 41 to 78 years). The average time from onset of symptoms to surgery was 18.9 months (range, 1 to 72 months). The shoulders were evaluated using a modified UCLA score, Napoleon test, lift\u2010off test, radiographs, and magnetic resonance imaging (MRI). Indications for surgery included clinical and\/or MRI evidence of a rotator cuff tear. An arthroscopic suture anchor technique devised by the senior author (S.S.B.) was used for repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      UCLA scores increased from a preoperative average of 10.7 to a postoperative average of 30.5 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;.0001). By UCLA criteria, excellent and good results were obtained in 92% of patients, with 1 fair and 1 poor result. Forward flexion increased from an average 96.3\u00b0 preoperatively to an average 146.1\u00b0 postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      =.0016). Eight of 9 patients with a positive Napoleon test had complete tears of the subscapularis. All 7 patients with a negative Napoleon test had a tear of the upper half only. The lift\u2010off test could not be performed reliably due to pain or restricted motion in 19 of the 25 patients. Eight patients had isolated tears of the subscapularis. The remaining 17 patients had associated rotator cuff tears with an average total tear size of 5 \u00d7 8 cm. Ten patients had proximal migration of the humerus preoperatively. Eight of these 10 patients had durable reversal of proximal humeral migration following surgery. These 8 patients improved their overhead function from a preoperative \u201cshoulder shrug\u201d with attempted elevation of the arm to functional overhead use of the arm postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>(1) The senior author has been able to consistently perform arthroscopic repair of torn subscapularis tendons, with good and excellent results, in 92% of patients. (2) The Napoleon test is useful in predicting not only the presence of a subscapularis tear, but also its general size. (3) Combined tears of the subscapularis, supraspinatus, and infraspinatus tendons are frequently associated with proximal humeral migration and loss of overhead function. Arthroscopic repair of these massive tears can produce durable reversal of proximal humeral migration and restoration of overhead function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1053\/jars.2002.30648","type":"journal-article","created":{"date-parts":[[2002,8,24]],"date-time":"2002-08-24T23:46:10Z","timestamp":1030232770000},"page":"454-463","source":"Crossref","is-referenced-by-count":300,"title":["Arthroscopic subscapularis tendon repair"],"prefix":"10.1002","volume":"18","author":[{"given":"Stephen S.","family":"Burkhart","sequence":"first","affiliation":[{"name":"Department of Orthopaedics The University of Texas Health Science Center at San Antonio The San Antonio Orthopaedic Group San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armin M.","family":"Tehrany","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The University of Texas Health Science Center at San Antonio The San Antonio Orthopaedic Group San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,5,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(87)80061-0"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B3.1670434"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-58711-5_17"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199607000-00005"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(99)70064-2"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.25329"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.46B2.314"},{"key":"e_1_2_3_9_1","first-page":"54","article-title":"Diagnosis of rotator cuff tear on routine radiographs","volume":"28","author":"De Smet AA","year":"1977","journal-title":"J Can Assoc Radiol"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-35-411-149"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.31B3.418"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.112.3.507"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.52B3.524"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90090-X"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199705000-00012"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70268-6"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500104"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200003000-00008"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200004000-00006"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00013611-199400920-00006"},{"key":"e_1_2_3_21_1","first-page":"595","article-title":"Isolated lesions of the subscapularis muscle. Apropos of 21 cases","volume":"80","author":"Nove\u2010Josserand L","year":"1994","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2001.112022"},{"key":"e_1_2_3_23_1","unstructured":"SpeerKP.Personal communication 1999."},{"key":"e_1_2_3_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658301100102"},{"key":"e_1_2_3_25_1","series-title":"Shoulder reconstruction","first-page":"76","volume-title":"Cuff tears, biceps lesions, and impingement","author":"Neer CS","year":"1990"},{"key":"e_1_2_3_26_1","first-page":"251","article-title":"Surgical repair of chronic rotator cuff tears","volume":"14","author":"Cofield RH","year":"1990","journal-title":"Orthop Trans"},{"key":"e_1_2_3_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/1058-2746(92)90089-L"},{"key":"e_1_2_3_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80006-4"},{"key":"e_1_2_3_29_1","series-title":"Shoulder reconstruction","first-page":"118","volume-title":"Cuff tears, biceps lesions, and impingement","author":"Neer CS","year":"1990"},{"key":"e_1_2_3_30_1","series-title":"The cuff","first-page":"303","volume-title":"Open subacromial decompression and repair","author":"Hoffmeyer P.","year":"1997"},{"key":"e_1_2_3_31_1","series-title":"The cuff","first-page":"406","volume-title":"Rehabilitation of the rotator cuff","author":"Burkhart SS","year":"1997"},{"key":"e_1_2_3_32_1","first-page":"220","volume-title":"Surgery of the shoulder","author":"DePalma AF","year":"1983"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806302895664?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806302895664?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.2002.30648","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1053\/jars.2002.30648","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1053\/jars.2002.30648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T08:51:34Z","timestamp":1779180694000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1053\/jars.2002.30648"}},"subtitle":["Technique and preliminary results"],"short-title":[],"issued":{"date-parts":[[2002,5]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2002,5]]}},"alternative-id":["10.1053\/jars.2002.30648"],"URL":"https:\/\/doi.org\/10.1053\/jars.2002.30648","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,5]]}}}