Risk factors associated to bilateral rotator cuff tears
Abstract Introduction Overuse, micro-traumas, and impingement, isolated or combined, are the more common etiological factors for rotator cuff tears. Metabolic disorders (diabetes, adiposity, hypercholesterolemia), hypertension, cigarette smoking and a genetic predisposition are considered risk facto...
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description | Abstract Introduction Overuse, micro-traumas, and impingement, isolated or combined, are the more common etiological factors for rotator cuff tears. Metabolic disorders (diabetes, adiposity, hypercholesterolemia), hypertension, cigarette smoking and a genetic predisposition are considered risk factors. However, no study has compared the prevalence of these risk factors in subjects with bilateral and monolateral tears. Hypothesis Controlateral tears can be observed in patients with symptomatic monolateral rotator cuff lesions, especially in those with comorbidities. Material and methods In patients with symptomatic rotator cuff tear, the controlateral shoulders were evaluated by means of ultrasound imaging. Age, BMI, diabetes, hypercholesterolemia, hypertension, cigarette smoking, work habits were registered. Risk factors in subjects with bilateral tears were compared with those with monolateral lesions. Results Of the 180 subjects recruited, 69 had a tear in the controlateral shoulder. Higher age and BMI values, heavy repetitive work and diabetes were significantly prevalent in these patients. At multivariate analysis, these factors were independently related to a higher probability to detect bilateral tears. Discussion Metabolic risk factors are more heavily involved in presence of bilateral rotator cuff tears, in comparison to monolateral. Type of study Original study. Level of proof IV. |
doi_str_mv | 10.1016/j.otsr.2017.03.027 |
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Metabolic disorders (diabetes, adiposity, hypercholesterolemia), hypertension, cigarette smoking and a genetic predisposition are considered risk factors. However, no study has compared the prevalence of these risk factors in subjects with bilateral and monolateral tears. Hypothesis Controlateral tears can be observed in patients with symptomatic monolateral rotator cuff lesions, especially in those with comorbidities. Material and methods In patients with symptomatic rotator cuff tear, the controlateral shoulders were evaluated by means of ultrasound imaging. Age, BMI, diabetes, hypercholesterolemia, hypertension, cigarette smoking, work habits were registered. Risk factors in subjects with bilateral tears were compared with those with monolateral lesions. Results Of the 180 subjects recruited, 69 had a tear in the controlateral shoulder. Higher age and BMI values, heavy repetitive work and diabetes were significantly prevalent in these patients. At multivariate analysis, these factors were independently related to a higher probability to detect bilateral tears. Discussion Metabolic risk factors are more heavily involved in presence of bilateral rotator cuff tears, in comparison to monolateral. Type of study Original study. Level of proof IV.</description><identifier>ISSN: 1877-0568</identifier><identifier>EISSN: 1877-0568</identifier><identifier>DOI: 10.1016/j.otsr.2017.03.027</identifier><identifier>PMID: 28578100</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Adult ; Aged ; Body mass index ; Diabetes ; Female ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Orthopedics ; Overuse ; Risk Factors ; Rotator Cuff Injuries - diagnostic imaging ; Rotator Cuff Injuries - etiology ; Rotator cuff tear ; Surgery ; Ultrasonography</subject><ispartof>Orthopaedics & traumatology, surgery & research, 2017-10, Vol.103 (6), p.841-845</ispartof><rights>Elsevier Masson SAS</rights><rights>2017 Elsevier Masson SAS</rights><rights>Copyright © 2017 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-774950cc2b24ded17408e4d787ae0869e2e82fa3a42a7c1d03d92c9463ebaf5a3</citedby><cites>FETCH-LOGICAL-c455t-774950cc2b24ded17408e4d787ae0869e2e82fa3a42a7c1d03d92c9463ebaf5a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.otsr.2017.03.027$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28578100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abate, M</creatorcontrib><creatorcontrib>Di Carlo, L</creatorcontrib><creatorcontrib>Salini, V</creatorcontrib><creatorcontrib>Schiavone, C</creatorcontrib><title>Risk factors associated to bilateral rotator cuff tears</title><title>Orthopaedics & traumatology, surgery & research</title><addtitle>Orthop Traumatol Surg Res</addtitle><description>Abstract Introduction Overuse, micro-traumas, and impingement, isolated or combined, are the more common etiological factors for rotator cuff tears. Metabolic disorders (diabetes, adiposity, hypercholesterolemia), hypertension, cigarette smoking and a genetic predisposition are considered risk factors. However, no study has compared the prevalence of these risk factors in subjects with bilateral and monolateral tears. Hypothesis Controlateral tears can be observed in patients with symptomatic monolateral rotator cuff lesions, especially in those with comorbidities. Material and methods In patients with symptomatic rotator cuff tear, the controlateral shoulders were evaluated by means of ultrasound imaging. Age, BMI, diabetes, hypercholesterolemia, hypertension, cigarette smoking, work habits were registered. Risk factors in subjects with bilateral tears were compared with those with monolateral lesions. Results Of the 180 subjects recruited, 69 had a tear in the controlateral shoulder. Higher age and BMI values, heavy repetitive work and diabetes were significantly prevalent in these patients. At multivariate analysis, these factors were independently related to a higher probability to detect bilateral tears. Discussion Metabolic risk factors are more heavily involved in presence of bilateral rotator cuff tears, in comparison to monolateral. Type of study Original study. Level of proof IV.</description><subject>Adult</subject><subject>Aged</subject><subject>Body mass index</subject><subject>Diabetes</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Orthopedics</subject><subject>Overuse</subject><subject>Risk Factors</subject><subject>Rotator Cuff Injuries - diagnostic imaging</subject><subject>Rotator Cuff Injuries - etiology</subject><subject>Rotator cuff tear</subject><subject>Surgery</subject><subject>Ultrasonography</subject><issn>1877-0568</issn><issn>1877-0568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1LxDAQhoMofqz-AQ_So5etk6RtWhBBFr9AEPw4h2wyhex2N5pJBf-9LasiHjzNHJ73hXmGsWMOOQdenS3ykCjmArjKQeYg1Bbb57VSUyirevvXvscOiBYAVcWl2GV7oi5VzQH2mXr0tMxaY1OIlBmiYL1J6LIUsrnvhjWaLoshmQHIbN-2WUIT6ZDttKYjPPqaE_ZyffU8u53eP9zczS7vp7YoyzRVqmhKsFbMReHQcVVAjYVTtTIIddWgwFq0RppCGGW5A-kaYZuikjg3bWnkhJ1uel9jeOuRkl55sth1Zo2hJ80bqHghJC8HVGxQGwNRxFa_Rr8y8UNz0KMwvdCjMD0K0yD1IGwInXz19_MVup_It6EBON8AOFz57jFqsh7XFp2PaJN2wf_ff_Enbju_9tZ0S_xAWoQ-rgd_mmsSGvTT-LLxY1xJ4GWj5CfabJDf</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Abate, M</creator><creator>Di Carlo, L</creator><creator>Salini, V</creator><creator>Schiavone, C</creator><general>Elsevier Masson SAS</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20171001</creationdate><title>Risk factors associated to bilateral rotator cuff tears</title><author>Abate, M ; Di Carlo, L ; Salini, V ; Schiavone, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-774950cc2b24ded17408e4d787ae0869e2e82fa3a42a7c1d03d92c9463ebaf5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Body mass index</topic><topic>Diabetes</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Orthopedics</topic><topic>Overuse</topic><topic>Risk Factors</topic><topic>Rotator Cuff Injuries - diagnostic imaging</topic><topic>Rotator Cuff Injuries - etiology</topic><topic>Rotator cuff tear</topic><topic>Surgery</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abate, M</creatorcontrib><creatorcontrib>Di Carlo, L</creatorcontrib><creatorcontrib>Salini, V</creatorcontrib><creatorcontrib>Schiavone, C</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Orthopaedics & traumatology, surgery & research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abate, M</au><au>Di Carlo, L</au><au>Salini, V</au><au>Schiavone, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors associated to bilateral rotator cuff tears</atitle><jtitle>Orthopaedics & traumatology, surgery & research</jtitle><addtitle>Orthop Traumatol Surg Res</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>103</volume><issue>6</issue><spage>841</spage><epage>845</epage><pages>841-845</pages><issn>1877-0568</issn><eissn>1877-0568</eissn><abstract>Abstract Introduction Overuse, micro-traumas, and impingement, isolated or combined, are the more common etiological factors for rotator cuff tears. Metabolic disorders (diabetes, adiposity, hypercholesterolemia), hypertension, cigarette smoking and a genetic predisposition are considered risk factors. However, no study has compared the prevalence of these risk factors in subjects with bilateral and monolateral tears. Hypothesis Controlateral tears can be observed in patients with symptomatic monolateral rotator cuff lesions, especially in those with comorbidities. Material and methods In patients with symptomatic rotator cuff tear, the controlateral shoulders were evaluated by means of ultrasound imaging. Age, BMI, diabetes, hypercholesterolemia, hypertension, cigarette smoking, work habits were registered. Risk factors in subjects with bilateral tears were compared with those with monolateral lesions. Results Of the 180 subjects recruited, 69 had a tear in the controlateral shoulder. Higher age and BMI values, heavy repetitive work and diabetes were significantly prevalent in these patients. At multivariate analysis, these factors were independently related to a higher probability to detect bilateral tears. Discussion Metabolic risk factors are more heavily involved in presence of bilateral rotator cuff tears, in comparison to monolateral. Type of study Original study. Level of proof IV.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>28578100</pmid><doi>10.1016/j.otsr.2017.03.027</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Body mass index Diabetes Female Humans Male Middle Aged Multivariate Analysis Orthopedics Overuse Risk Factors Rotator Cuff Injuries - diagnostic imaging Rotator Cuff Injuries - etiology Rotator cuff tear Surgery Ultrasonography |
title | Risk factors associated to bilateral rotator cuff tears |
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