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Risk factors for symptomatic rotator cuff tears: a retrospective case-control study
Jinlong Zhao1,2,3, Lingfeng Zeng1,2,3, Guihong Liang1,2,3
1State Key Laboratory of Traditional Chinese Medicine Syndrome/The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Frontiers in Medicine
|January 19, 2024
Summary
Older age (≥60 years), a critical shoulder angle (CSA) ≥35°, hypertension, and a history of shoulder trauma are key risk factors for symptomatic rotator cuff tears (RCTs). Understanding these factors aids in prevention and treatment strategies for RCTs.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Research
- Biostatistics
Background:
- Rotator cuff tears (RCTs) incidence and diagnosis rates are rising.
- Identifying risk factors for symptomatic RCTs is crucial for effective prevention and treatment.
Purpose of the Study:
- To investigate and analyze the risk factors associated with symptomatic rotator cuff tears (RCTs).
- To establish a foundation for developing targeted prevention and treatment strategies for RCTs.
Main Methods:
- Retrospective analysis of clinical indicators from 193 RCT patients and 161 non-RCT patients hospitalized for shoulder pain.
- Utilized univariate and multivariate logistic regression to identify significant risk factors.
Main Results:
- Univariate analysis identified age, BMI, hypertension, coronary heart disease, shoulder trauma history, hyperlipidemia, type III acromion, and critical shoulder angle (CSA) as potential risk factors.
- Multivariate analysis confirmed age ≥60 years, CSA ≥35°, hypertension, and history of shoulder trauma as independent risk factors for symptomatic RCTs.
Conclusions:
- Age ≥60 years, CSA ≥35°, hypertension, and history of shoulder trauma are independent predictors of symptomatic RCTs.
- These findings offer direction for developing prevention and treatment strategies.
- Further research is needed to elucidate the underlying mechanisms connecting these risk factors to symptomatic RCTs.
