{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:07:50Z","timestamp":1770815270691,"version":"3.50.1"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"1019","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,11,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Although shoulder pain is often associated with rotator cuff tears, many tears are asymptomatic and are not the cause of the patient's pain. This may explain the persistence of symptoms in some patients despite technically successful rotator cuff repair. It has been proposed that rotator cuff tears cause pain through subdeltoid\/subacromial bursal inflammation. The aim of this study was to determine whether bursal inflammation seen on MRI is associated with pain in patients with rotator cuff tears of the shoulder.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The shoulders of 255 patients were screened with ultrasound. 33 full-thickness rotator cuff tears (18 with shoulder pain and 15 without pain) were identified and subsequently studied using contrast-enhanced MRI of the shoulder. Enhancement of the subacromial bursa was scored independently by two musculoskeletal radiologists. Logistic regression was used to determine whether bursal enhancement was independently associated with pain.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was a significant association between pain and age, with greater likelihood of pain in younger patients. Bursal enhancement was common in both painful and painless tears. No statistically significant link between pain and bursal enhancement was seen, even after accounting for age.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Although enhancement of the subdeltoid\/subacromial bursa was common, no evidence was found to support the hypothesis that bursal enhancement is associated with pain in rotator cuff tears. It is therefore unlikely to determine reliably which patients would benefit from rotator cuff repair.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge<\/jats:title>\n                  <jats:p>Bursal enhancement and thickening does not reliably correlate with symptoms or presence of rotator cuff tear.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1259\/bjr\/45423226","type":"journal-article","created":{"date-parts":[[2012,10,22]],"date-time":"2012-10-22T09:58:16Z","timestamp":1350899896000},"page":"1482-1487","source":"Crossref","is-referenced-by-count":16,"title":["Contrast-enhanced MRI of the subdeltoid, subacromial bursa in painful and painless rotator cuff tears"],"prefix":"10.1093","volume":"85","author":[{"given":"R J","family":"Hodgson","sequence":"first","affiliation":[{"name":"Leeds Musculoskeletal Biomedical Research Unit, University of Leeds, Chapel Allerton Hospital, Leeds, UK"},{"name":"Leeds Institute of Molecular Medicine, University of Leeds, Chapel Allerton Hospital, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P J","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Leeds Musculoskeletal Biomedical Research Unit, University of Leeds, Chapel Allerton Hospital, Leeds, UK"},{"name":"Department of Radiology, Chapel Allerton Hospital, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E M A","family":"Hensor","sequence":"additional","affiliation":[{"name":"Leeds Musculoskeletal Biomedical Research Unit, University of Leeds, Chapel Allerton Hospital, Leeds, UK"},{"name":"Leeds Institute of Molecular Medicine, University of Leeds, Chapel Allerton Hospital, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Barron","sequence":"additional","affiliation":[{"name":"Department of Radiology, Chapel Allerton Hospital, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Robinson","sequence":"additional","affiliation":[{"name":"Leeds Musculoskeletal Biomedical Research Unit, University of Leeds, Chapel Allerton Hospital, Leeds, UK"},{"name":"Department of Radiology, Chapel Allerton Hospital, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2014,1,28]]},"reference":[{"key":"2024050213271085600_b1","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1016\/j.jse.2007.02.136","article-title":"Factors influencing patient satisfaction after rotator cuff repair.","volume":"16","author":"Tashjian","year":"2007","journal-title":"J Shoulder Elbow Surg"},{"key":"2024050213271085600_b2","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/00003086-199910000-00031","article-title":"Repair of full thickness rotator cuff tears. Gender, age, and other factors affecting outcome.","volume":"367","author":"Romeo","year":"1999","journal-title":"Clin Orthop Relat Res"},{"key":"2024050213271085600_b3","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1067\/mse.2002.122271","article-title":"Outcome of rotator cuff repair.","volume":"11","author":"Watson","year":"2002","journal-title":"J Shoulder Elbow Surg"},{"key":"2024050213271085600_b4","doi-asserted-by":"crossref","first-page":"71","DOI":"10.2106\/00004623-200101000-00010","article-title":"Surgical repair of chronic rotator cuff tears. A prospective long-term study.","volume":"83A","author":"Cofield","year":"2001","journal-title":"J Bone Joint Surg Am"},{"key":"2024050213271085600_b5","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-199407000-00009","article-title":"Functional and anatomical results after rotator cuff repair.","volume":"304","author":"Gazielly","year":"1994","journal-title":"Clin Orthop Relat Res"},{"key":"2024050213271085600_b6","doi-asserted-by":"crossref","first-page":"304","DOI":"10.2106\/00004623-200003000-00002","article-title":"Clinical outcome after structural failure of rotator cuff repairs.","volume":"82","author":"Jost","year":"2000","journal-title":"J Bone Joint Surg Am"},{"key":"2024050213271085600_b7","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/S1058-2746(99)90136-2","article-title":"Functional and magnetic resonance imaging evaluation after single-tendon rotator cuff reconstruction.","volume":"8","author":"Knudsen","year":"1999","journal-title":"J Shoulder Elbow Surg"},{"key":"2024050213271085600_b8","doi-asserted-by":"crossref","first-page":"87","DOI":"10.5435\/00124635-199403000-00002","article-title":"Full-thickness rotator cuff tears: factors affecting surgical outcome.","volume":"2","author":"Iannotti","year":"1994","journal-title":"J Am Acad Orthop Surg"},{"key":"2024050213271085600_b9","doi-asserted-by":"crossref","first-page":"1928","DOI":"10.2106\/00004623-200709000-00006","article-title":"Clinical and structural outcomes of nonoperative management of massive rotator cuff tears.","volume":"89","author":"Zingg","year":"2007","journal-title":"J Bone Joint Surg Am"},{"key":"2024050213271085600_b10","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/S0730-725X(00)00201-0","article-title":"Bone marrow edema in the greater tuberosity of the humerus at MR imaging: association with rotator cuff tears and traumatic injury.","volume":"18","author":"McCauley","year":"2000","journal-title":"Magn Reson Imaging"},{"key":"2024050213271085600_b11","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1302\/0301-620X.77B2.7706351","article-title":"Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender.","volume":"77","author":"Milgrom","year":"1995","journal-title":"J Bone Joint Surg Br"},{"key":"2024050213271085600_b12","doi-asserted-by":"crossref","first-page":"10","DOI":"10.2106\/00004623-199501000-00002","article-title":"Abnormal findings on magnetic resonance images of asymptomatic shoulders.","volume":"77","author":"Sher","year":"1995","journal-title":"J Bone Joint Surg Am"},{"key":"2024050213271085600_b13","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/S1058-2746(99)90148-9","article-title":"Age-related prevalence of rotator cuff tears in asymptomatic shoulders.","volume":"8","author":"Tempelhof","year":"1999","journal-title":"J Shoulder Elbow Surg"},{"key":"2024050213271085600_b14","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1067\/mse.2001.113086","article-title":"Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected 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