{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T02:25:17Z","timestamp":1789266317547,"version":"build-2803163510"},"reference-count":28,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T00:00:00Z","timestamp":1625011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004700","name":"Taipei Medical University","doi-asserted-by":"publisher","award":["106TMU-SHH-12, 110TMU-SHH-14"],"award-info":[{"award-number":["106TMU-SHH-12, 110TMU-SHH-14"]}],"id":[{"id":"10.13039\/501100004700","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Critical shoulder angle (CSA) is the angle between the superior and inferior bone margins of the glenoid and the most lateral border of the acromion and is potentially affected during a rotator cuff tear (RCT). Acromioplasty is generally performed to rectify the anatomy of the acromion during RCT repair surgery. However, limited information is available regarding the changes in the CSA after anterolateral acromioplasty. We hypothesized that CSA can be decreased after anterolateral acromioplasty. Data were retrospectively collected from 712 patients with RCTs and underwent arthroscopic rotator cuff repair between January 2012 and December 2018, of which 337 patients were included in the study. The presurgical and postsurgical CSA were then determined and compared using a paired samples <jats:italic>t<\/jats:italic> test. Because previous study mentioned CSA more than 38 degrees were at risk of rotator cuff re-tear, patients were segregated into two groups: CSA &lt; 38\u00b0 and CSA \u2265 38\u00b0; these groups were compared using an independent-samples <jats:italic>t<\/jats:italic> test. These 337 participants (160 male and 177 female) presented a CSA of 38.4\u00b0 \u00b1 6.0\u00b0 before anterolateral acromioplasty, which significantly decreased to 35.8\u00b0 \u00b1 5.9\u00b0 after surgery (<jats:italic>P<\/jats:italic> &lt; .05). Before surgery, 172 patients were present in the CSA \u2265 38\u00b0 group and 57 were preset in the CSA &lt; 38\u00b0 group after surgery. The CSA decreased significantly in the CSA \u2265 38\u00b0 group rather than in the CSA &lt; 38\u00b0 group (<jats:italic>P<\/jats:italic> &lt; .05). In conclusion, the CSA can be effectively decreased through anterolateral acromioplasty, and this reduction in the CSA is more significant among individuals with CSA \u2265 38\u00b0 than among those with CSA &lt; 38\u00b0, indicating that acromioplasty is recommended along with RCT repair especially among individuals with a wide presurgical CSA.<\/jats:p>","DOI":"10.1371\/journal.pone.0253282","type":"journal-article","created":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T20:03:32Z","timestamp":1625083412000},"page":"e0253282","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Acromioplasty reduces critical shoulder angle in patients with rotator cuff tear"],"prefix":"10.1371","volume":"16","author":[{"given":"Che-Li","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Fong","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzu-Herng","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lien-Chieh","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chueh-Ho","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1815-6938","authenticated-orcid":true,"given":"Shih-Wei","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,6,30]]},"reference":[{"issue":"6","key":"pone.0253282.ref001","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/S1058-2746(99)90093-9","article-title":"Epidemiologic 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