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Methodological considerations in the multicenter cohort study of partial-thickness supraspinatus tear repair by Audigé et al

J Orthop Surg Res. 2026 Jul 18;21(1):433. doi: 10.1186/s13018-026-07124-4.

ABSTRACT

This correspondence comments on the multicenter cohort study by Audigé et al. (Journal of Orthopaedic Surgery and Research, 2026) reporting outcomes of arthroscopic repair for partial-thickness supraspinatus tears. We highlight four aspects of the study that, in our view, would benefit from further clarification or additional discussion: (1) limited information regarding the surgical indications for tear completion, which may complicate interpretation of treatment-selection effects; (2) the absence of a technique-specific analysis of adverse events, particularly postoperative stiffness; (3) the unreported methodology used for intraoperative Ellman grade determination, the primary classification variable and the only factor significantly associated with tear completion; and (4) the potential residual influence of differential concomitant acromioplasty across tear-location groups despite statistical adjustment. Addressing these issues would further strengthen the interpretation and clinical applicability of this otherwise valuable prospective multicenter dataset.

PMID:42471638 | DOI:10.1186/s13018-026-07124-4

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