{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:38:28Z","timestamp":1792564708661,"version":"4.5.0"},"reference-count":0,"publisher":"Korean Shoulder and Elbow Society","content-domain":{"domain":["cisejournal.org"],"crossmark-restriction":true},"short-container-title":["Clin Shoulder Elb"],"abstract":"<jats:p>Background: Superior capsule reconstruction (SCR) using the long head of the biceps tendon (LHBT) is a joint-preserving option for large-to-massive rotator cuff tears, but predictors of graft retear remain incompletely characterized. We aimed to identify preoperative clinical and imaging predictors of retear after arthroscopic LHBT-SCR. Methods: A retrospective pilot case-control study was conducted at two tertiary orthopedic centers. Cases had confirmed graft retear (Sugaya type IV\u2013V on postoperative magnetic resonance imaging); controls had an intact graft and were sampled at an approximate 2:1 ratio. Forty patients were included and followed for a median of 24 months (range, 12\u201326 months). Preoperative variables included age, sex, tear dimensions, Hamada grade, Goutallier grade, and functional scores (Constant-Murley, American Shoulder and Elbow Surgeons [ASES], University of California, Los Angeles [UCLA]). A forced-entry multivariable logistic model with three predictors was fitted; thresholds were derived using the Youden index. Results: Fourteen cases and 26 controls were identified. Preoperative Constant-Murley (median, 23.1 vs. 35.1; P=0.014), ASES (25.8 vs. 35.0; P=0.020), and UCLA (9.0 vs. 11.0; P=0.021) scores were lower in the retear group. Tear morphology did not differ between groups. The multivariable model (ASES, Goutallier grade, forward elevation; complete-case n=38) achieved an apparent area under the curve (AUC) of 0.811 (bootstrap optimism-corrected AUC, 0.754). Despite structural failure, both groups achieved equivalent functional recovery, with all patients exceeding their minimal clinically important differences. Conclusions: Preoperative functional impairment was the primary correlate of graft retear after LHBT-SCR. Prospective validation in a larger case-control study (target n=132) is warranted. Level of evidence: IV.<\/jats:p>","DOI":"10.5397\/cise.2026.00773","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T05:39:36Z","timestamp":1792561176000},"update-policy":"https:\/\/doi.org\/10.5397\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative predictors of graft retear following arthroscopic superior capsule reconstruction with long head of biceps tendon autograft: a pilot retrospective case-control study"],"prefix":"10.5397","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1530-9918","authenticated-orcid":true,"given":"Nam Sy","family":"Ho","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5878-9278","authenticated-orcid":true,"given":"Thanh Kien","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7791-6437","authenticated-orcid":true,"given":"Anh Ha Nam","family":"Tang","sequence":"additional","affiliation":[{"name":"Xuong khop Viet Clinic, Ho Chi Minh City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0176-109X","authenticated-orcid":true,"given":"Nhan Nghi Thanh","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9275-5432","authenticated-orcid":true,"given":"Dung Huu","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3351","published-online":{"date-parts":[[2026,10,21]]},"container-title":["Clinics in Shoulder and Elbow"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2026-00773.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T05:39:37Z","timestamp":1792561177000},"score":1,"resource":{"primary":{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2026.00773"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,21]]},"references-count":0,"URL":"https:\/\/doi.org\/10.5397\/cise.2026.00773","relation":{},"ISSN":["2288-8721"],"issn-type":[{"value":"2288-8721","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,21]]},"assertion":[{"value":"2026-07-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-21","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}}]}}