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Letter to the Editor

What Influence Does Progression of a Nonhealing Rotator Cuff Tear Have on Shoulder Pain and Function?

Narvani, A. Ali BSc, MBBS, MRCS, MSc, FRCS (Orth & Trauma), MFSEM (UK)

Clinical Orthopaedics and Related Research®: July 2018 - Volume 476 - Issue 7 - p 1549
doi: 10.1007/s11999.0000000000000248
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A. A. Narvani, Consultant Trauma and Orthopaedic Surgeon, Rowley Bristow Unit, Ashford & St Peter’s NHS Foundation Trust, London, UK

A. Ali Narvani BSc, MBBS, MRCS, MSc, FRCS (Orth & Trauma), MFSEM (UK), Ashford & St Peter’s NHS Foundation Trust Guildford Rd. Lyne, Chertsey KT16 0PZ, UK e-mail: alinarvani@shoulder-elbowsurgery.com

(RE: Jeon YS, Kim RG, Shin SJ. What Influence Does Progression of a Nonhealing Rotator Cuff Tear Have on Shoulder Pain and Function? Clin Orthop Relat Res. 2017;475:1596–1604).

The author certifies that neither he, nor any members of his immediate family, have any commercial associations (such as consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request.

The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

To the Editor,

I read the study by Jeon and colleagues with great interest and would like to congratulate the authors for their superb study. However, in the Discussion section, the authors wrote: “Patients without healing of the repaired rotator cuff tendon with an increase in the size of their tear, as measured at 6 months after surgery, experienced better shoulder function and muscle strength from those with decreased tear size when followed beyond 6 months” [1].

This is in contrast to your result where among patients with nonhealed rotator cuff tendons after surgery, those with decreased tear size “showed a better shoulder function and muscle strength than those increased tear size beyond 6 months” [1].

Can you please clarify this?

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Reference

1. Jeon YS, Kim RG, Shin SJ. What influence does progression of a nonhealing rotator cuff tear have on shoulder pain and function? Clin Orthop Relat Res. 2017;475:1596–1604.
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