{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T14:02:17Z","timestamp":1792159337988,"version":"4.4.0"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"21","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2018,11,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Massive rotator cuff tears are challenging to treat, with few or no studies on long-term outcomes of repair. The purpose of this study was to report 10-year outcomes following repair of massive posterosuperior rotator cuff tears, with and without extension into the subscapularis, and to determine prognostic factors that could influence clinical scores and retear rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The records of 234 patients who underwent repair of a massive posterosuperior rotator cuff tear at a total of 15 centers were retrieved. Patients were asked to return for evaluation at 10 years; 78 patients could not be contacted, 7 had died, and 19 had undergone a reoperation. A total of 130 patients (68% men) with a mean age (and standard deviation) of 56.1 \u00b1 7.7 years (range, 26 to 79 years) were evaluated clinically, and 102 of them were also evaluated using magnetic resonance imaging (MRI). The tear was confined to the supraspinatus and infraspinatus tendons in 94 shoulders and also involved the superior portion of the subscapularis in 36 shoulders. Univariable and multivariable regressions were performed to determine whether 10-year total Constant-Murley scores and repair integrity were associated with patient characteristics, tear patterns, or repair techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the study cohort, complications were noted in 14 shoulders (11%) (stiffness in 10 and infection in 4). For the 130 shoulders evaluated clinically, the mean total Constant-Murley score improved from 53.1 \u00b1 15.9 (range, 14 to 83) preoperatively to 78.5 \u00b1 11.3 (range, 36 to 98) at 10 years. Of the 102 shoulders evaluated using MRI, 32 had a retear (Sugaya type IV or V). Of the 19 shoulders that underwent a reoperation (excluded from the study cohort), 9 had a retear. The overall prevalence of retears was 34%. Multivariable regression analysis revealed a significant association between the 10-year Constant-Murley score and preoperative retraction of the infraspinatus tendon, but no association between retears and any of the variables. Involvement of the subscapularis had no significant effect on preoperative or postoperative Constant-Murley scores or retear rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients who had repair of a massive posterosuperior rotator cuff tear maintained considerable improvements in clinical and radiographic outcomes at 10 years. Partial concomitant tears of the subscapularis did not affect the total postoperative Constant-Murley scores or retear rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.17.01190","type":"journal-article","created":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T15:43:59Z","timestamp":1541605439000},"page":"1854-1863","source":"Crossref","is-referenced-by-count":52,"title":["Clinical and MRI Outcomes 10 Years After Repair of Massive Posterosuperior Rotator Cuff Tears"],"prefix":"10.2106","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2821-2182","authenticated-orcid":false,"given":"Philippe","family":"Collin","sequence":"first","affiliation":[{"name":"Institut Locomoteur de l\u2019Ouest CHP Saint-Gr\u00e9goire (Vivalto Sant\u00e9), Saint-Gr\u00e9goire, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9639-1787","authenticated-orcid":false,"given":"Michel","family":"Colmar","sequence":"additional","affiliation":[{"name":"H\u00f4pital Priv\u00e9 des C\u00f4tes d\u2019Armor, Pl\u00e9rin, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1730-7597","authenticated-orcid":false,"given":"Herv\u00e9","family":"Thomazeau","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Rennes 1, Rennes, France"},{"name":"Service de Chirurgie Orthop\u00e9dique, Centre Hospitalier Universitaire de Rennes, H\u00f4pital Pontchaillou, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2333-0366","authenticated-orcid":false,"given":"Pierre","family":"Mansat","sequence":"additional","affiliation":[{"name":"Toulouse University Hospital, Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0140-9505","authenticated-orcid":false,"given":"Pascal","family":"Boileau","sequence":"additional","affiliation":[{"name":"Service de Chirurgie Orthop\u00e9dique et Chirurgie du Sport, Institut Universitaire Locomoteur et du Sport, CHU de Nice H\u00f4pital Pasteur, Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0352-8527","authenticated-orcid":false,"given":"Philippe","family":"Valenti","sequence":"additional","affiliation":[{"name":"Institut Parisien de l\u2019Epaule, Clinique Bizet, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9656-987X","authenticated-orcid":false,"given":"Mo","family":"Saffarini","sequence":"additional","affiliation":[{"name":"ReSurg SA, Nyon, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0311-7891","authenticated-orcid":false,"given":"Luca","family":"Nover","sequence":"additional","affiliation":[{"name":"ReSurg SA, Nyon, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3399-637X","authenticated-orcid":false,"given":"Jean-Fran\u00e7ois","family":"Kempf","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Strasbourg, Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,11,7]]},"reference":[{"issue":"2","key":"bib1-20230810","doi-asserted-by":"crossref","first-page":"219","DOI":"10.2106\/00004623-200402000-00002","article-title":"The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears","volume":"86-A","author":"Galatz","year":"2004","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib2-20230810","doi-asserted-by":"crossref","first-page":"536","DOI":"10.2106\/JBJS.L.00397","article-title":"Repair integrity and functional outcomes for arthroscopic margin convergence of rotator cuff tears","volume":"95","author":"Kim","year":"2013","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib3-20230810","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1007\/s00167-014-3470-y","article-title":"Decision-making in massive rotator cuff tear","volume":"23","author":"Th\u00e8s","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"5","key":"bib4-20230810","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1177\/0363546514525336","article-title":"Factors predicting rotator cuff retears: an analysis of 1000 consecutive rotator cuff repairs","volume":"42","author":"Le","year":"2014","journal-title":"Am J Sports Med."},{"issue":"4","key":"bib5-20230810","doi-asserted-by":"crossref","first-page":"505","DOI":"10.2106\/00004623-200004000-00006","article-title":"The results of repair of massive tears of the rotator cuff","volume":"82","author":"Gerber","year":"2000","journal-title":"J Bone Joint Surg Am."},{"issue":"11","key":"bib6-20230810","doi-asserted-by":"crossref","first-page":"2423","DOI":"10.2106\/JBJS.G.00677","article-title":"The clinical and structural long-term results of open repair of massive tears of the rotator cuff","volume":"90","author":"Zumstein","year":"2008","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib7-20230810","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.arthro.2012.08.023","article-title":"Shoulder stiffness after rotator cuff repair: risk factors and influence on outcome","volume":"29","author":"Chung","year":"2013","journal-title":"Arthroscopy."},{"issue":"2","key":"bib8-20230810","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.arthro.2012.09.008","article-title":"Clinical and ultrasonographic outcomes of arthroscopic suture bridge repair for massive rotator cuff tear","volume":"29","author":"Park","year":"2013","journal-title":"Arthroscopy."},{"issue":"2","key":"bib9-20230810","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1007\/s00167-015-3505-z","article-title":"Ultrasonic evaluation of the repair integrity can predict functional outcomes after arthroscopic double-row rotator cuff repair","volume":"23","author":"Barth","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"2","key":"bib10-20230810","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1007\/s00167-013-2683-9","article-title":"Arthroscopic repair of massive, contracted, immobile tears using interval slides: clinical and MRI structural follow-up","volume":"23","author":"Berdusco","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"12","key":"bib11-20230810","doi-asserted-by":"crossref","first-page":"3828","DOI":"10.1007\/s00167-015-3739-9","article-title":"Arthroscopic management of massive rotator cuff tears: an evaluation of debridement, complete, and partial repair with and without force couple restoration","volume":"24","author":"Heuberer","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"bib12-20230810","doi-asserted-by":"crossref","first-page":"1556","DOI":"10.12659\/MSM.893058","article-title":"Single-versus double-row arthroscopic rotator cuff repair in massive tears","volume":"21","author":"Wang","year":"2015","journal-title":"Med Sci Monit."},{"issue":"7","key":"bib13-20230810","doi-asserted-by":"crossref","first-page":"2164","DOI":"10.1007\/s00167-016-4105-2","article-title":"Should massive rotator cuff tears be reconstructed even when only partially repairable?","volume":"25","author":"Goden\u00e8che","year":"2017","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"7","key":"bib14-20230810","doi-asserted-by":"crossref","first-page":"1674","DOI":"10.1177\/0363546513485719","article-title":"Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors associated with healing failure or poor postoperative function","volume":"41","author":"Chung","year":"2013","journal-title":"Am J Sports Med."},{"issue":"4","key":"bib15-20230810","doi-asserted-by":"crossref","first-page":"S19","DOI":"10.1016\/j.otsr.2009.03.005","article-title":"Soci\u00e9t\u00e9 d\u2019orthop\u00e9die de l\u2019Ouest. Massive rotator cuff tears in patients younger than 65 years. What treatment options are available?","volume":"95","author":"Favard","year":"2009","journal-title":"Orthop Traumatol Surg Res."},{"issue":"4","key":"bib16-20230810","doi-asserted-by":"crossref","first-page":"747","DOI":"10.2106\/00004623-200704000-00008","article-title":"Isolated arthroscopic biceps tenotomy or tenodesis improves symptoms in patients with massive irreparable rotator cuff tears","volume":"89","author":"Boileau","year":"2007","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib17-20230810","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1053\/jars.2003.50053","article-title":"Arthroscopic repair of isolated subscapularis tears: A prospective cohort with 2- to 4-year follow-up","volume":"19","author":"Bennett","year":"2003","journal-title":"Arthroscopy."},{"issue":"6","key":"bib18-20230810","doi-asserted-by":"crossref","first-page":"974","DOI":"10.2106\/00004623-198567060-00024","article-title":"Rotator cuff disease of the shoulder","volume":"67","author":"Cofield","year":"1985","journal-title":"J Bone Joint Surg Am."},{"issue":"4","key":"bib19-20230810","doi-asserted-by":"crossref","first-page":"563","DOI":"10.2106\/00004623-198466040-00011","article-title":"Results of a second attempt at surgical repair of a failed initial rotator-cuff repair","volume":"66","author":"DeOrio","year":"1984","journal-title":"J Bone Joint Surg Am."},{"issue":"12","key":"bib20-20230810","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1016\/j.arthro.2013.08.032","article-title":"Arthroscopic surgery of irreparable large or massive rotator cuff tears with low-grade fatty degeneration of the infraspinatus: patch autograft procedure versus partial repair procedure","volume":"29","author":"Mori","year":"2013","journal-title":"Arthroscopy."},{"issue":"2","key":"bib21-20230810","doi-asserted-by":"crossref","first-page":"66","DOI":"10.11138\/jts\/2014.2.2.066","article-title":"How do massive immobile rotator cuff tears behave after arthroscopic interval slides? Comparison with mobile tears","volume":"2","author":"Fossati","year":"2014","journal-title":"Joints."},{"issue":"5","key":"bib22-20230810","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1177\/0363546512438763","article-title":"Comparison of partial versus complete arthroscopic repair of massive rotator cuff tears","volume":"40","author":"Iagulli","year":"2012","journal-title":"Am J Sports Med."},{"issue":"1","key":"bib23-20230810","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1177\/0363546516667498","article-title":"Clinical relevance of classifying massive rotator cuff tears: results based on functional and radiological findings after arthroscopic repair","volume":"45","author":"Ok","year":"2017","journal-title":"Am J Sports Med."},{"issue":"8","key":"bib24-20230810","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1016\/j.jse.2013.11.019","article-title":"Relationship between massive chronic rotator cuff tear pattern and loss of active shoulder range of motion","volume":"23","author":"Collin","year":"2014","journal-title":"J Shoulder Elbow Surg."},{"issue":"214","key":"bib25-20230810","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/00003086-198701000-00023","article-title":"A clinical method of functional assessment of the shoulder","author":"Constant","year":"1987","journal-title":"Clin Orthop Relat Res."},{"issue":"304","key":"bib26-20230810","first-page":"78","article-title":"Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan","author":"Goutallier","year":"1994","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib27-20230810","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/S1058-2746(99)90097-6","article-title":"Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging","volume":"8","author":"Fuchs","year":"1999","journal-title":"J Shoulder Elbow Surg."},{"issue":"254","key":"bib28-20230810","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/00003086-199005000-00012","article-title":"Classification of rotator cuff lesions","author":"Patte","year":"1990","journal-title":"Clin Orthop Relat Res."},{"issue":"254","key":"bib29-20230810","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1097\/00003086-199005000-00014","article-title":"Roentgenographic findings in massive rotator cuff tears. A long-term observation","author":"Hamada","year":"1990","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib30-20230810","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/j.jse.2007.02.123","article-title":"Comparison of the subjective shoulder value and the Constant score","volume":"16","author":"Gilbart","year":"2007","journal-title":"J Shoulder Elbow Surg."},{"issue":"5","key":"bib32-20230810","doi-asserted-by":"crossref","first-page":"953","DOI":"10.2106\/JBJS.F.00512","article-title":"Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair. A prospective outcome study","volume":"89","author":"Sugaya","year":"2007","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib33-20230810","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1016\/j.otsr.2017.06.006","article-title":"SoFCOT. Intra- and inter-observer agreement in MRI assessment of rotator cuff healing using the Sugaya classification 10years after surgery","volume":"103","author":"Niglis","year":"2017","journal-title":"Orthop Traumatol Surg Res."},{"issue":"6","key":"bib34-20230810","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1109\/TAC.1974.1100705","article-title":"A new look at the statistical model identification","volume":"19","author":"Akaike","year":"1974","journal-title":"IEEE Trans Automat Contr."},{"issue":"6","key":"bib35-20230810","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/j.jclinepi.2014.12.014","article-title":"The number of subjects per variable required in linear regression analyses","volume":"68","author":"Austin","year":"2015","journal-title":"J Clin Epidemiol."},{"issue":"1","key":"bib36-20230810","doi-asserted-by":"crossref","first-page":"29","DOI":"10.3109\/03009734.2012.715597","article-title":"Operatively treated traumatic versus non-traumatic rotator cuff ruptures: a registry study","volume":"118","author":"Kukkonen","year":"2013","journal-title":"Ups J Med Sci."},{"issue":"4","key":"bib37-20230810","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.arthro.2006.12.012","article-title":"Arthroscopic repair of massive rotator cuff tears with stage 3 and 4 fatty degeneration","volume":"23","author":"Burkhart","year":"2007","journal-title":"Arthroscopy."},{"issue":"11","key":"bib38-20230810","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1016\/j.arthro.2012.02.030","article-title":"Medialization of the subscapularis footprint does not affect functional outcome of arthroscopic repair","volume":"28","author":"Denard","year":"2012","journal-title":"Arthroscopy."},{"issue":"6","key":"bib39-20230810","doi-asserted-by":"crossref","first-page":"479","DOI":"10.3928\/01477447-20070601-05","article-title":"Functional outcome of surgically treated massive rotator cuff tears: a comparison of complete repair, partial repair, and debridement","volume":"30","author":"Moser","year":"2007","journal-title":"Orthopedics."},{"issue":"4","key":"bib40-20230810","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1053\/jars.2003.50131","article-title":"Arthroscopic repair of massive rotator cuff tears: a prospective cohort with 2- to 4-year follow-up","volume":"19","author":"Bennett","year":"2003","journal-title":"Arthroscopy."},{"issue":"8","key":"bib41-20230810","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1177\/0363546515585122","article-title":"Arthroscopic partial repair of irreparable rotator cuff tears: preoperative factors associated with outcome deterioration over 2 years","volume":"43","author":"Shon","year":"2015","journal-title":"Am J Sports Med."},{"issue":"2","key":"bib42-20230810","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s00167-013-2745-z","article-title":"Association between pre-operative magnetic resonance imaging and reparability of large and massive rotator cuff tears","volume":"23","author":"Dwyer","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"2","key":"bib43-20230810","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1007\/s00167-012-2317-7","article-title":"Surgical management of irreparable rotator cuff tears","volume":"23","author":"Franceschi","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc."}],"container-title":["Journal of Bone and Joint Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00004623-201811070-00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:40:46Z","timestamp":1787751646000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00004623-201811070-00006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,7]]},"references-count":42,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.17.01190","relation":{},"ISSN":["0021-9355","1535-1386"],"issn-type":[{"value":"0021-9355","type":"print"},{"value":"1535-1386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,7]]}}}