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Cited by 364

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Pathologic Evidence of Degeneration as a Primary Cause of Rotator Cuff Tear

Hashimoto, Takashi, Nobuhara, Katsuya, Hamada, Tetsuo·2003·Clinical Orthopaedics and Related Research

Abstract

Histopathologic, histochemical, and morphometric studies were done on 80 medial stumps of torn rotator cuff tendons to clarify the cause of tears. A high prevalence and diffuse distribution of degenerative changes were observed in the rotator cuff tendons including thinning and disorientation of collagen fibers, myxoid degeneration, hyaline degeneration, chondroid metaplasia, calcification, vascularproliferation, and fatty infiltration. No distinct inflammatory reaction was observed. Thinning and disorientation of collagen fibers, myxoid degeneration, and hyaline degeneration were seen in all cases. All changes except vascular proliferation and fatty infiltration were more pronounced in the middle to deep layers of the tendons than in the superficial layer. The collagen fibers were disoriented in the deep layer of the tendons, shown by microscopic image analysis. The frequency and distribution of thinning and disorientation of collagen fibers, myxoid degeneration, and hyaline degeneration suggest that these are early degenerative processes. Chondroid metaplasia and calcification may be chronic pathologic changes that occur after tearing regardless of the type of tear. Preexisting degenerative change in the middle and deep layers of the tendon in association with microtrauma seems to be the main cause of rotator cuff tears.

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Metadata

Authors
Hashimoto, T., Nobuhara, K., & Hamada, T.
Venue
Clinical Orthopaedics and Related Research
Published
2003-10
Volume
415
Issue
415
Pages
111-120
ISSN
0009-921X (ISSN-L)
OpenAlex
W2091281162
Cited by
364
References
10
FWCI
3.13
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Pathologic Evidence of Degeneration as a Primary Cause of Rotator Cuff Tear. https://app.cochat.ai/papers/10.1097/01.blo.0000092974.12414.22
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Hashimoto, T., Nobuhara, K., & Hamada, T. (2003). Pathologic Evidence of Degeneration as a Primary Cause of Rotator Cuff Tear. Clinical Orthopaedics and Related Research. https://doi.org/10.1097/01.blo.0000092974.12414.22

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.