{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:37:10Z","timestamp":1793230630092,"version":"4.5.0"},"reference-count":54,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,7,21]],"date-time":"2016-07-21T00:00:00Z","timestamp":1469059200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The clinical effect of a retear after rotator cuff repair remains unclear. While some studies have indicated clinical deficits due to a retear, others have stated that a retear does not detrimentally affect outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To conduct a meta-analysis comparing clinical outcomes between intact and retorn rotator cuffs after arthroscopic repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A literature search using the terms \u201carthroscopic,\u201d \u201crotator cuff,\u201d \u201crepair,\u201d \u201cretear,\u201d \u201cre-tear,\u201d \u201cdefect,\u201d \u201csingle-row,\u201d \u201cdouble-row,\u201d \u201cclinical outcomes,\u201d and \u201cfunctional outcomes\u201d was conducted. Article inclusion criteria were an adequate description of the surgical technique, stratification of outcomes by intact rotator cuff versus retear with a minimum of 1 year of follow-up, and documentation of the presence\/absence of a full-thickness retear using imaging. Exclusion criteria were isolated subscapularis tears\/repairs, labral repairs, infections, postoperative fractures, insufficient data or statistical indications, and postoperative data not stratified by retear versus intact rotator cuff. A meta-analysis was performed using a random-effects model on variables that had comparisons from at least 3 studies. Single-row (SR) and double-row (DR) studies were analyzed both separately and together in an \u201call arthroscopic repairs\u201d (AAR) comparison. The calculated effect was considered significant at a P value &lt;.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Within the SR group, patients with a rotator cuff retear had a significantly lower Constant score (mean difference [95% CI], \u22126.79 [\u20138.94 to \u22124.65]; P &lt; .001) and lower University of California, Los Angeles (UCLA) score (\u22123.21 [\u20135.27 to \u22121.15]; P = .002) but not higher pain (0.071 [\u20130.34 to 0.49]; P = .739). Within the DR group, patients with a rotator cuff retear had a significantly lower Constant score (mean difference [95% CI], \u22129.35 [\u201312.2 to \u22126.50]; P &lt; .001), lower American Shoulder and Elbow Surgeons (ASES) score (\u221212.1 [\u201317.1 to \u22127.26]; P &lt; .001), lower UCLA score (\u22123.07 [\u20134.85 to \u22121.29]; P &lt; .001), higher pain (0.622 [0.19 to 1.05]; P = .005), and lower abduction strength ( P &lt; .001). In the AAR comparison, patients with a retear had a significantly lower Constant score (mean difference [95% CI], \u22127.56 [\u20139.55 to \u22125.57]; P &lt; .001), lower ASES score (\u221210.1 [\u201315.5 to \u22124.64]; P &lt; .001), lower UCLA score (\u22123.00 [\u20134.47 to \u22121.53]; P &lt; .001), and lower abduction strength (in kg\u00b7f) (\u22123.32 [\u20134.53 to \u22122.12]; P &lt; .001) but not higher pain (0.332 [\u20130.014 to 0.680]; P = .060).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients with a full-thickness rotator cuff retear exhibited significantly lower clinical outcome scores and strength compared with patients with an intact or partially torn rotator cuff.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546516652900","type":"journal-article","created":{"date-parts":[[2016,7,14]],"date-time":"2016-07-14T23:23:38Z","timestamp":1468538618000},"page":"733-741","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":116,"title":["The Clinical Effect of a Rotator Cuff Retear: A Meta-analysis of Arthroscopic Single-Row and Double-Row Repairs"],"prefix":"10.1177","volume":"45","author":[{"suffix":"Jr","given":"Jeffrey","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Beaumont Health System, Royal Oak, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Robbins","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Laboratories, Beaumont Health System, Royal Oak, Michigan, 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