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Outcomes following repair are highly dependent upon the quality of the injured rotator cuff muscles, and it is, therefore, crucial that the pathophysiology of rotator cuff degeneration continues to be explored. Fibro\u2010adipogenic progenitors, a major population of resident muscle stem cells, have emerged as the main source of intramuscular fibrosis and fatty infiltration, both of which are key features of rotator cuff muscle degeneration. Improvements to rotator cuff repair outcomes will likely require addressing the muscle pathology produced by these cells. The aim of this review is to summarize the current rotator cuff degeneration assessment tools, the effects of poor muscle quality on patient outcomes, the role of fibro\u2010adipogenic progenitors in mediating muscle pathology, and how these cells could be leveraged for potential therapeutics to augment current rotator cuff surgical and rehabilitative strategies.<\/jats:p>","DOI":"10.1111\/nyas.14437","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T05:02:34Z","timestamp":1595998954000},"page":"13-28","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["Rotator cuff tear degeneration and the role of fibro\u2010adipogenic progenitors"],"prefix":"10.1111","volume":"1490","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2439-2638","authenticated-orcid":false,"given":"Obiajulu","family":"Agha","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of California San Francisco  San Francisco California"},{"name":"San Francisco Veteran Affairs Health Care System  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agustin","family":"Diaz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California San Francisco  San Francisco California"},{"name":"San Francisco Veteran Affairs Health Care System  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California San Francisco  San Francisco California"},{"name":"San Francisco Veteran Affairs Health Care System  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hubert T.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California San Francisco  San Francisco California"},{"name":"San Francisco Veteran Affairs Health Care System  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuhui","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California San Francisco  San Francisco California"},{"name":"San Francisco Veteran Affairs Health Care System  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian T.","family":"Feeley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California San Francisco  San Francisco California"},{"name":"San Francisco Veteran Affairs Health Care System  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4258-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511430309"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.07.013"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01495"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.04.006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00899"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2012.07.001"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.03.004"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(03)00211-8"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506297539"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.00749"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117718537"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1207-x"},{"key":"e_1_2_8_15_1","first-page":"78","article-title":"Fatty muscle degeneration in cuff ruptures. 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