{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T03:25:37Z","timestamp":1789961137329,"version":"4.0.1"},"reference-count":15,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"published-print":{"date-parts":[[2003,4]]},"abstract":"<jats:p>Large rotator cuff tears are extremely uncommon in young people and when they occur they may be associated with shoulder instability. This paper reports on a series of six elite rugby union and rugby league footballers who presented with shoulder instability and large rotator cuff tears. They were treated with a two stage procedure: an open rotator cuff repair followed by an open shoulder stabilisation some 10 weeks later. All had successful outcomes. The paper also highlights the risk of tearing the rotator cuff when a patient continues to play contact sport with an untreated unstable shoulder.<\/jats:p>","DOI":"10.1136\/bjsm.37.2.179","type":"journal-article","created":{"date-parts":[[2003,3,27]],"date-time":"2003-03-27T19:44:20Z","timestamp":1048794260000},"page":"179-181","source":"Crossref","is-referenced-by-count":40,"title":["Surgical management of large rotator cuff tears combined with instability in elite rugby football players"],"prefix":"10.1136","volume":"37","author":[{"given":"J A","family":"Goldberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K Y","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J P","family":"Best","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W J M","family":"Bruce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W","family":"Walsh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W","family":"Parry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2003,4,1]]},"reference":[{"key":"2024051401055603000_37.2.179.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(99)90132-5"},{"key":"2024051401055603000_37.2.179.2","first-page":"3","volume":"254","year":"1990","journal-title":"Clin Orthop"},{"key":"2024051401055603000_37.2.179.3","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.2106\/00004623-198870090-00005","volume":"70","year":"1988","journal-title":"J Bone Joint Surg [Am]"},{"key":"2024051401055603000_37.2.179.4","unstructured":"International Rugby Board. Conference on the game: proceedings, December 8, 1999. Sydney."},{"key":"2024051401055603000_37.2.179.5","first-page":"427","volume":"8","year":"1993","journal-title":"J Orthop Sports Phys Ther"},{"key":"2024051401055603000_37.2.179.6","first-page":"963","volume":"18","year":"1989","journal-title":"Orthop Rev"},{"key":"2024051401055603000_37.2.179.7","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0749-8063(97)90209-7","volume":"13","year":"1997","journal-title":"Arthroscopy"},{"key":"2024051401055603000_37.2.179.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70267-4"},{"key":"2024051401055603000_37.2.179.9","first-page":"403","volume":"8","year":"1993","journal-title":"J Shoulder Elbow Surg"},{"key":"2024051401055603000_37.2.179.10","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1016\/S1058-2746(97)70054-5","volume":"6","year":"1997","journal-title":"J Shoulder Elbow Surg"},{"key":"2024051401055603000_37.2.179.11","unstructured":"Neer CS. Repair of tears of the rotator cuff. In: Shoulder reconstruction. Philadelphia: WB Saunders, 1990:106\u00e2\u0080\u009319."},{"key":"2024051401055603000_37.2.179.12","unstructured":"Neer CS. Surgical repair for recurrent anterior dislocation. In: Shoulder reconstruction. Philadelphia: WB Saunders, 1990:302\u00e2\u0080\u00939."},{"key":"2024051401055603000_37.2.179.13","unstructured":"Matsen FA, Artnz GTI. Subacromial impingement. In: Rockwood CA, Matsen FA, eds. The shoulder. Philadelphia: WB Saunders, 1990:623\u00e2\u0080\u009348."},{"key":"2024051401055603000_37.2.179.14","doi-asserted-by":"crossref","first-page":"413","DOI":"10.2519\/jospt.1993.18.2.413","volume":"18","year":"1993","journal-title":"J Orthop Sports Phys Ther"},{"key":"2024051401055603000_37.2.179.15","doi-asserted-by":"crossref","first-page":"205","DOI":"10.2165\/00007256-199724030-00009","volume":"24","year":"1997","journal-title":"Sports Med"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsm.37.2.179","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T09:12:02Z","timestamp":1715677922000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsm.37.2.179"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,4]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2003,4,1]]},"published-print":{"date-parts":[[2003,4]]}},"alternative-id":["10.1136\/bjsm.37.2.179"],"URL":"https:\/\/doi.org\/10.1136\/bjsm.37.2.179","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,4]]}}}