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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
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Association between alcohol consumption and rotator cuff tear.
Daniele Passaretti1, Vittorio Candela1, Teresa Venditto2
1a Department of Orthopedics and Traumatology, Shoulder and Elbow Unit , Sapienza University , Rome , Italy. .
Acta Orthopaedica
|November 27, 2015
Summary
Long-term alcohol consumption is a significant risk factor for rotator cuff tears (RCTs). Excessive drinking increases the likelihood and severity of RCTs in both men and women.
Area of Science:
- Orthopedics
- Sports Medicine
- Public Health
Background:
- Long-term alcohol intake negatively impacts microcirculation and tissue perfusion.
- Alcohol consumption's role as a risk factor for rotator cuff tears (RCTs) was investigated.
Purpose of the Study:
- To determine if alcohol consumption is a risk factor for the occurrence and severity of rotator cuff tears (RCTs).
Main Methods:
- A case-control study involving 249 patients undergoing arthroscopic rotator cuff repair and 356 controls.
- Participants were categorized by alcohol intake: non-drinkers, moderate drinkers, and excessive drinkers.
- Tear size was assessed intraoperatively; alcohol consumption was self-reported.
Main Results:
- Higher total alcohol, wine consumption, and longer duration of intake were observed in patients with RCTs.
- Excessive alcohol consumption was a risk factor for RCT occurrence in both sexes.
- Massive tears were associated with higher alcohol intake, particularly wine, compared to smaller tears.
Conclusions:
- Long-term alcohol intake is a significant risk factor for both the development and severity of rotator cuff tears.
- Findings suggest a link between excessive alcohol use and increased incidence and magnitude of rotator cuff injuries.

