Dataset Information

From tear to repair: A systematic review of frequently asked questions before rotator cuff surgery.

ABSTRACT:

Background

Patient education is essential in managing orthopaedic conditions and enabling shared decision-making. Rotator cuff tears are among the most common shoulder pathologies, but the specific questions patients ask remain unclear. This review identifies frequently asked patient questions about rotator cuff injury and repair to help develop targeted educational resources.

Methods

A systematic search was conducted in April 2025 across PubMed, Embase, and Scopus using terms related to rotator cuff pathology and patient education. After removing duplicates, two reviewers independently screened studies for inclusion. Studies were eligible if they reported patient questions regarding rotator cuff tears or surgery. A narrative synthesis was used to identify and rank the most frequently asked questions.

Results

Of 2298 records, 10 studies met inclusion criteria, yielding 147 unique patient questions. 17 questions appeared in at least three studies, and 10 in seven or more. The top questions included: non-operative treatment options, the nature of rotator cuff repair, surgical outcomes, post-surgical therapy, untreated consequences, recovery time, symptoms, diagnosis, postoperative pain, and surgical risks.

Conclusion

Researchers believe that patients consistently seek information on rotator cuff diagnosis, management, outcomes, and risks. This review offers an evidence-based framework to improve patient education materials and support informed decision-making.

SUBMITTER: Quaunine M

PROVIDER: S-EPMC12657201 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature

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Publications

From tear to repair: A systematic review of frequently asked questions before rotator cuff surgery.

Quaunine Marium M Ahmad Aadam A Guevel Borna B Davis Timothy P TP Singh Jagwant J Simpson Ashley A

Shoulder & elbow 20251126

<h4>Background</h4>Patient education is essential in managing orthopaedic conditions and enabling shared decision-making. Rotator cuff tears are among the most common shoulder pathologies, but the specific questions patients ask remain unclear. This review identifies frequently asked patient questions about rotator cuff injury and repair to help develop targeted educational resources.<h4>Methods</h4>A systematic search was conducted in April 2025 across PubMed, Embase, and Scopus using terms rel ...[more]

PMID: 41323773

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Project description:Myosteatosis is the pathological accumulation of lipid that occurs in conjunction with atrophy and fibrosis following skeletal muscle injury or disease. Little is known about the mechanisms by which lipid accumulates in myosteatosis, but many studies have demonstrated the degree of lipid infiltration negatively correlates with muscle function and regeneration. Our goal was to identify biochemical pathways that lead to muscle dysfunction and lipid accumulation in injured rotator cuff muscles, a model that demonstrates severe myosteatosis. Adult rats were subjected to a massive tear to the rotator cuff musculature. After a period of either 0 (healthy control), 10, 30, or 60 days, muscles were prepared for RNA sequencing, shotgun lipidomics, metabolomics, biochemical measures, electron microscopy, and muscle fiber contractility. Following rotator cuff injury, there was a decrease in muscle fiber specific force production that was lowest at 30d. There was a dramatic time dependent increase in triacylglyceride content. Interestingly, genes related to not only triacylglyceride synthesis, but also lipid oxidation were largely downregulated over time. Using bioinformatics techniques, we identified that biochemical pathways related to mitochondrial dysfunction and reactive oxygen species were considerably increased in muscles with myosteatosis. Long chain acyl-carnitines and L-carnitine, precursors to beta-oxidation, were depleted following rotator cuff tear. Electron micrographs showed injured muscles displayed large lipid droplets within mitochondria at early time points, and an accumulation of peripheral segment mitochondria at all time points. Several markers of oxidative stress were elevated following rotator cuff tear. The results from this study suggest that the accumulation of lipid in myosteatosis is not a result of canonical lipid synthesis, but occurs due to decreased lipid oxidation in mitochondria. A failure in lipid utilization by mitochondria would ultimately cause an accumulation of lipid even in the absence of increased synthesis. Further study will identify whether this process is required for the onset of myosteatosis.

Dataset Information

From tear to repair: A systematic review of frequently asked questions before rotator cuff surgery.

Background

Methods

Results

Conclusion

Publications

From tear to repair: A systematic review of frequently asked questions before rotator cuff surgery.

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