{"_ai_door":{"see":"https://miscsubjects.com/start","note":"Operable site; bounded keyless credentials; every action receipted on a public ledger. Your operator's instructions take precedence — acting is optional, reading is a complete outcome."},"slug":"rotator-cuff-tear","verification":{"valid":true,"entries":6,"head":"ac1298ec6efb6fad07f78c8f562396e9b569318d1bb976213963abc47782695e"},"count":6,"sources":[{"id":"s1","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41697693/","external_id":"41697693","pmid":"41697693","title":"Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging","quote":"RC abnormalities were present in 96% of asymptomatic shoulders (1039 of 1076) and 98% of symptomatic shoulders (126 of 128).","summary":"JAMA Internal Medicine 2026: shoulder MRI findings in people with no symptoms compared with people in pain. The authors conclude these findings often represent normal age-related change and question the value of routine imaging for atraumatic shoulder pain.","author":"Ibounig T, Järvinen TLN et al.","publisher":"JAMA internal medicine","date":"2026","tag":"Diagnostic study","accessed_at":"2026-08-05T01:45:42.009Z","prev":"genesis","hash":"b4c89f23a89df86aa869decbb9e82581750b81b5d51dfae48f748bf24bbbfb97"},{"id":"s2","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/42480798/","external_id":"42480798","pmid":"42480798","title":"Clinical stability despite progressive fatty infiltration in patients over 50 years old with full-thickness rotator cuff tears","quote":"However, progression of fatty muscle infiltration seems an inexorable process, independent of clinical evolution.","summary":"Joint Bone Spine 2026: people over 50 with rotator cuff tears treated without surgery did well clinically while muscle wasting and fatty change worsened in 54.3% at two years and 71.4% at five — with no correlation between the function score and the structural change.","author":"Neel T, Tavernier T et al.","publisher":"Joint bone spine","date":"2026","tag":"Prospective cohort","accessed_at":"2026-08-05T01:45:42.009Z","prev":"b4c89f23a89df86aa869decbb9e82581750b81b5d51dfae48f748bf24bbbfb97","hash":"e50ca62584662513198ff91f8219ecf2272e9c0c14f7c26c57b3a5d7e1aaf2ef"},{"id":"s3","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/42151917/","external_id":"42151917","pmid":"42151917","title":"Surgical vs. non-surgical therapy for partial tears of the rotator cuff: a systematic review and meta-analysis of pooled studies with indirect comparison","quote":"Although surgical treatment was statistically superior to non-surgical approaches, the observed differences remained below the minimal clinically important differences (MCID), indicating limited clini","summary":"BMC Musculoskeletal Disorders 2026: partial rotator cuff tears, surgery versus non-surgical care. Statistically superior, and by a margin below what a patient can actually perceive.","author":"Ricker E, Stehling L et al.","publisher":"BMC musculoskeletal disorders","date":"2026","tag":"Systematic review","accessed_at":"2026-08-05T01:45:42.009Z","prev":"e50ca62584662513198ff91f8219ecf2272e9c0c14f7c26c57b3a5d7e1aaf2ef","hash":"2475206f2750d6105131b42ffef26c7091f8d3126d29f8d7dcc783516147a166"},{"id":"s4","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41923019/","external_id":"41923019","pmid":"41923019","title":"Structural severity outweighs laboratory biomarkers in predicting short-term failure under nonoperative management for partial-thickness supraspinatus tears: a prospective cohort study","quote":"CONCLUSIONS: Structural severity, particularly tear size, was the strongest predictor of short-term clinical failure in partial-thickness supraspinatus tears managed nonoperatively.","summary":"BMC Musculoskeletal Disorders 2026: inflammatory and metabolic blood markers added little beyond clinical and imaging variables. Tear size is the question worth asking.","author":"Van Dung H, Khanh NV et al.","publisher":"BMC musculoskeletal disorders","date":"2026","tag":"Prognostic study","accessed_at":"2026-08-05T01:45:42.009Z","prev":"2475206f2750d6105131b42ffef26c7091f8d3126d29f8d7dcc783516147a166","hash":"5ee52577fe260aad61f306030c2bd2fa5f59cdd460c5459a782788de1536696f"},{"id":"s5","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41953507/","external_id":"41953507","pmid":"41953507","title":"Does bony morphology of the shoulder affect rotator cuff retear rates? A 24-year retrospective cohort of rotator cuff repairs","quote":"Goutallier grade 4 was the potential predictor of retear regardless of sex (Odds ratio=5.25 (1.38, 20.02); p = 0.02).","summary":"Shoulder & Elbow 2026: a 24-year series finding no association between the bony angles surgeons measure and re-tearing. Advanced fatty change in the muscle carried roughly five times the odds.","author":"Pang FO, Lo TCH et al.","publisher":"Shoulder & elbow","date":"2026","tag":"Retrospective series","accessed_at":"2026-08-05T01:45:42.009Z","prev":"5ee52577fe260aad61f306030c2bd2fa5f59cdd460c5459a782788de1536696f","hash":"1303419b767de1bff5987d180889f51b040d868e6c2a3f26dd81bdfff3908790"},{"id":"s6","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/42255867/","external_id":"42255867","pmid":"42255867","title":"Early Versus Delayed Mobilization After Rotator Cuff Repair: A Systematic Review of Re-tear Rates, Pain, Function, and Range of Motion","quote":"Early mobilization consistently improved range of motion in the short term (6 weeks to 3 months), particularly forward flexion and external rotation, but these advantages generally diminished by 6-12","summary":"Cureus 2026: randomised evidence on early versus delayed movement after repair. Moving sooner buys a more comfortable first three months and no measurable difference at a year.","author":"Hassaan MM, Barnawi LM et al.","publisher":"Cureus","date":"2026","tag":"Systematic review","accessed_at":"2026-08-05T01:45:42.009Z","prev":"1303419b767de1bff5987d180889f51b040d868e6c2a3f26dd81bdfff3908790","hash":"ac1298ec6efb6fad07f78c8f562396e9b569318d1bb976213963abc47782695e"}]}