Evidence map›Paper›PMID 38332156›Full record

ReviewNature reviews. Disease primers2024

Rotator cuff tears.

Asheesh Bedi, Julie Bishop, Jay Keener, Drew A Lansdown, Ofer Levy, Peter MacDonald, Nicola Maffulli, Joo Han Oh, Vani J Sabesan, Joaquin Sanchez-Sotelo and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 10 pooled it
83.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 10 syntheses or guidelines pooled it, 145 citations in OpenAlex.

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  12. [Clinical study of reverse total shoulder arthroplasty versus open reduction and internal plate fixation for treatment of Neer three/four-part proximal humeral fractures in elderly].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
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  14. Own the turf or lose it: Ultrasound-guided procedures and the future of shoulder repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
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73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 11 institutions in 5 countries.

Asheesh BediDepartment of Orthopedic Surgery, University of Chicago, Chicago, IL, USA.
Julie BishopDepartment of Orthopedic Surgery, The Ohio State Wexner Medical Center, Columbus, OH, USA.
Jay KeenerDepartment of Orthopedic Surgery, Washington University, St. Louis, MO, USA.
Drew A LansdownDepartment of Orthopedic Surgery, University of California San Francisco, San Francisco, CA, USA.
Ofer LevyReading Shoulder Unit, Berkshire Independent Hospital, Reading, UK.
Peter MacDonaldDepartment of Surgery, Max Rady College of Medicine, Winnipeg, Manitoba, Canada.
Nicola MaffulliDepartment of Trauma and Orthopaedic Surgery, Faculty of Medicine and Psychology, University of Rome Sapienza, Rome, Italy.ORCID http://orcid.org/0000-0002-5327-3702
Joo Han OhDepartment of Orthopedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, Korea.
Vani J SabesanHCA Florida JFK Orthopaedic Surgery Residency Program, Atlantis Orthopedics, Atlantis, FL, USA.
Joaquin Sanchez-SoteloDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Riley J WilliamsDepartment of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Brian T FeeleyDepartment of Orthopedic Surgery, University of California San Francisco, San Francisco, CA, USA. Brian.feeley@ucsf.edu.ORCID http://orcid.org/0000-0001-9060-6695
University of California, San Francisco · USHospital for Special Surgery · USJohn F. Kennedy Medical Center · USMayo Clinic in Arizona · USNorthShore University HealthSystem · USSapienza University of Rome · ITSeoul National University Bundang Hospital · KRThe Berkshire Independent Hospital · GBThe Ohio State University Wexner Medical Center · USUniversity of Manitoba · CAWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rotator cuff tears are the most common upper extremity condition seen by primary care and orthopaedic surgeons, with a spectrum ranging from tendinopathy to full-thickness tears with arthritic change. Some tears are traumatic, but most rotator cuff problems are degenerative. Not all tears are symptomatic and not all progress, and many patients in whom tears become more extensive do not experience symptom worsening. Hence, a standard algorithm for managing patients is challenging. The pathophysiology of rotator cuff tears is complex and encompasses an interplay between the tendon, bone and muscle. Rotator cuff tears begin as degenerative changes within the tendon, with matrix disorganization and inflammatory changes. Subsequently, tears progress to partial-thickness and then full-thickness tears. Muscle quality, as evidenced by the overall size of the muscle and intramuscular fatty infiltration, also influences symptoms, tear progression and the outcomes of surgery. Treatment depends primarily on symptoms, with non-operative management sufficient for most patients with rotator cuff problems. Modern arthroscopic repair techniques have improved recovery, but outcomes are still limited by a lack of understanding of how to improve tendon to bone healing in many patients.

Indexed as

Rotator Cuff InjuriesArthroscopyHumansRotator CuffTreatment Outcome

Identifiers

PMID38332156
OpenAlexW4391652234

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.