{"id":"https://openalex.org/W1987786980","doi":"https://doi.org/10.2214/ajr.172.5.10227521","title":"Greater tuberosity changes as revealed by radiography: lack of clinical usefulness in patients with rotator cuff disease.","display_name":"Greater tuberosity changes as revealed by radiography: lack of clinical usefulness in patients with rotator cuff disease.","publication_year":1999,"publication_date":"1999-05-01","ids":{"openalex":"https://openalex.org/W1987786980","doi":"https://doi.org/10.2214/ajr.172.5.10227521","mag":"1987786980","pmid":"https://pubmed.ncbi.nlm.nih.gov/10227521"},"language":"en","primary_location":{"id":"doi:10.2214/ajr.172.5.10227521","doi":"https://doi.org/10.2214/ajr.172.5.10227521","is_oa":false,"landing_page_url":"https://doi.org/10.2214/ajr.172.5.10227521","pdf_url":null,"source":{"id":"https://openalex.org/S161085503","display_name":"American Journal of Roentgenology","issn_l":"0002-9580","issn":["0002-9580","0361-803X","1546-3141"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315781","host_organization_name":"American Roentgen Ray Society","host_organization_lineage":["https://openalex.org/P4310315781"],"host_organization_lineage_names":["American Roentgen Ray Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Roentgenology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"L F Huang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210134769","display_name":"University of Pittsburgh Medical Center","ror":"https://ror.org/04ehecz88","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098814","https://openalex.org/I4210134769"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L F Huang","raw_affiliation_strings":["Department of Radiology, University of Pittsburgh Medical Center, PA 15213, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, University of Pittsburgh Medical Center, PA 15213, USA","institution_ids":["https://openalex.org/I4210134769"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030672263","display_name":"David A. Rubin","orcid":"https://orcid.org/0000-0002-6388-7724","observed_orcids":["https://orcid.org/0000-0002-6388-7724"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D A Rubin","raw_affiliation_strings":["Radiology - Department of Radiology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Radiology - Department of Radiology","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5079586338","display_name":"Cynthia A. Britton","orcid":"https://orcid.org/0000-0001-6820-8674","observed_orcids":["https://orcid.org/0000-0001-6820-8674"]},"institutions":[{"id":"https://openalex.org/I170201317","display_name":"University of Pittsburgh","ror":"https://ror.org/01an3r305","country_code":"US","type":"education","lineage":["https://openalex.org/I170201317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C A Britton","raw_affiliation_strings":["University of Pittsburgh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Pittsburgh","institution_ids":["https://openalex.org/I170201317"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.68,"has_fulltext":false,"cited_by_count":33,"citation_normalized_percentile":{"value":0.70497246,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"172","issue":"5","first_page":"1381","last_page":"1388"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11218","display_name":"Hip disorders and treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/greater-tuberosity","display_name":"greater tuberosity","score":0.9229999780654907},{"id":"https://openalex.org/keywords/rotator-cuff-disease","display_name":"rotator cuff disease","score":0.9829999804496765},{"id":"https://openalex.org/keywords/rotator-cuff-tear","display_name":"rotator cuff tear","score":0.9179999828338623},{"id":"https://openalex.org/keywords/cortical-thickening","display_name":"cortical thickening","score":0.9259999990463257},{"id":"https://openalex.org/keywords/interobserver-agreement","display_name":"interobserver agreement","score":0.7429999709129333},{"id":"https://openalex.org/keywords/positive-predictive-value","display_name":"positive predictive value","score":0.9100000262260437},{"id":"https://openalex.org/keywords/shoulder-radiography","display_name":"shoulder radiography","score":0.7910000085830688}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.984430193901062},{"id":"https://openalex.org/C2776511800","wikidata":"https://www.wikidata.org/wiki/Q1764136","display_name":"Rotator cuff","level":2,"score":0.785549521446228},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.7433832883834839},{"id":"https://openalex.org/C2910433113","wikidata":"https://www.wikidata.org/wiki/Q897631","display_name":"Greater Tuberosity","level":3,"score":0.6637828350067139},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5341158509254456},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5136587023735046},{"id":"https://openalex.org/C3019088015","wikidata":"https://www.wikidata.org/wiki/Q4393281","display_name":"Conventional radiography","level":3,"score":0.44904765486717224},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.18423503637313843}],"mesh":[{"descriptor_ui":"D000070636","descriptor_name":"Rotator Cuff Injuries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006811","descriptor_name":"Humerus","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011859","descriptor_name":"Radiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012785","descriptor_name":"Shoulder Joint","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D012785","descriptor_name":"Shoulder Joint","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D015588","descriptor_name":"Observer Variation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017006","descriptor_name":"Rotator Cuff","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D019534","descriptor_name":"Shoulder Impingement Syndrome","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D019534","descriptor_name":"Shoulder Impingement Syndrome","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.2214/ajr.172.5.10227521","doi":"https://doi.org/10.2214/ajr.172.5.10227521","is_oa":false,"landing_page_url":"https://doi.org/10.2214/ajr.172.5.10227521","pdf_url":null,"source":{"id":"https://openalex.org/S161085503","display_name":"American Journal of Roentgenology","issn_l":"0002-9580","issn":["0002-9580","0361-803X","1546-3141"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315781","host_organization_name":"American Roentgen Ray Society","host_organization_lineage":["https://openalex.org/P4310315781"],"host_organization_lineage_names":["American Roentgen Ray Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Roentgenology","raw_type":"journal-article"},{"id":"pmid:10227521","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10227521","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AJR. American journal of roentgenology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2951506551","https://openalex.org/W2589550077","https://openalex.org/W2019891872","https://openalex.org/W4410798464","https://openalex.org/W3113492518","https://openalex.org/W2913715333","https://openalex.org/W2784895809","https://openalex.org/W2000431435","https://openalex.org/W2952975400","https://openalex.org/W2077459952"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Studies":[1],"linking":[2],"greater":[3,24,80,201],"tuberosity":[4,25,202],"findings":[5,93,125],"on":[6,28,35],"radiographs":[7,68],"with":[8,30,94,149,164,209,221],"rotator":[9,31,99,112,150,165,193,210,222],"cuff":[10,32,100,113,151,166,194,211,223],"disease":[11,33,114,152],"have":[12],"largely":[13],"been":[14],"uncontrolled":[15],"and":[16,49,74,102,139,203,238],"biased":[17],"toward":[18],"more":[19,145,160],"severe":[20],"disease.":[21,212],"We":[22,89],"correlated":[23,90],"changes":[26],"seen":[27,34,144],"radiography":[29,48],"MR":[36,50,60,95],"images":[37],"in":[38,54,77,147,154,162],"a":[39],"broadly":[40],"symptomatic":[41],"patient":[42],"population.":[43],"MATERIALS":[44],"AND":[45],"METHODS:":[46],"Both":[47],"imaging":[51,61,96],"were":[52,142,159,187],"performed":[53],"108":[55],"shoulders.":[56,156],"Unaware":[57],"of":[58,98,108,199,229],"the":[59,67,78,91,122,169,200,226,230],"findings,":[62],"three":[63,123],"radiologists":[64],"independently":[65],"reviewed":[66],"for":[69,111,121,177,184,190],"cortical":[70],"thickening,":[71],"subcortical":[72,140,204],"sclerosis,":[73],"cystlike":[75,217],"lesions":[76,158,218],"humeral":[79],"tuberosity.":[81],"Interobserver":[82,119],"agreement":[83,120],"was":[84,115,126],"analyzed":[85],"using":[86],"kappa":[87],"statistics.":[88],"radiographic":[92,124],"evidence":[97],"tears":[101],"tendonopathy.":[103],"The":[104],"positive":[105,240],"predictive":[106,182,241],"value":[107],"each":[109,185],"finding":[110,186],"also":[116],"calculated.":[117],"RESULTS:":[118],"poor":[127,239],"to":[128,135],"fair:":[129],"Kappa":[130],"values":[131,183],"ranged":[132],"from":[133],".06":[134],".41.":[136],"Cortical":[137,197],"thickening":[138,198],"sclerosis":[141,205],"not":[143,207],"frequently":[146],"shoulders":[148,163],"than":[153],"normal":[155],"Cystlike":[157],"prevalent":[161],"disease,":[167,224],"but":[168,225],"association":[170],"reached":[171],"statistical":[172],"significance":[173],"(p":[174],"<":[175],".05)":[176],"one":[178],"observer":[179],"only.":[180],"Positive":[181],"low":[188],"(14-48%":[189],"predicting":[191],"full-thickness":[192],"tears).":[195],"CONCLUSION:":[196],"are":[206],"associated":[208,220],"For":[213],"some":[214],"observers,":[215],"identifying":[216],"is":[219,232],"clinical":[227],"usefulness":[228],"observation":[231],"limited":[233],"by":[234],"high":[235],"interobserver":[236],"variability":[237],"value.":[242]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
