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[Supraspinatus tendon affection and sick leave]
Josiane Schadeck de Almeida1, Guaracy Carvalho Filho, Carlos Marcelo Pastre
1Departamento de Ortopedia e Traumatologia, FAMERP, São José do Rio Preto, SP, 15090-000. schaj24@hotmail.com
Ciencia & Saude Coletiva
|September 25, 2008
Summary
Rotator cuff disease, particularly tendonitis, frequently leads to sick leave, especially in general services and farm workers. Farm work is associated with longer periods of inability to work due to this condition.
Area of Science:
- Orthopedics
- Occupational Health
- Musculoskeletal Disorders
Background:
- Rotator cuff disease, specifically supraspinatus tendon damage from work overload, is a prevalent issue causing significant sick leave.
- Understanding the relationship between disease severity, occupation, and sick leave is crucial for managing this condition.
Purpose of the Study:
- To compare sick leave requirements based on different stages of supraspinatus tendon disease.
- To analyze sick leave patterns across five distinct occupational groups.
Main Methods:
- Patients diagnosed with rotator cuff disease were categorized by disease stage (tendonitis, partial rupture, total rupture).
- Occupations were grouped based on biomechanical demands: general services, civil construction, domestic workers, farm workers, and security guards.
- Statistical analyses included Pearson's chi-square test, dependence analysis, and exact tests.
Main Results:
- 55% of participants were on sick leave.
- General services (38.71%) and farm workers (22.58%) showed the highest rates of sick leave.
- Tendonitis was the most frequent cause for sick leave (p<0.05), and farm work correlated with longer unfitness for duty (p=0.02).
Conclusions:
- Tendonitis is a primary driver of sick leave in rotator cuff disease.
- Occupational factors, particularly in farm work and general services, significantly influence sick leave duration and incidence.
- Targeted interventions for specific occupations and disease stages may reduce work-related absenteeism.
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