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Asymptomatic Rotator Cuff Tears Among the Indian Population: Prevalence, Risk Factors, and Tear Characteristics
Jayadev Tankala1, Apurve Parameswaran1, Vikas Kapildeo Yadav2
1Department of Orthopaedics, Medicover Hospitals, HITEC City, HUDA Techno Enclave, Opposite Cyber Tower, Ibis Hotel Lane, Hyderabad, Telangana 500081 India.
Indian Journal of Orthopaedics
|June 13, 2025
Summary
Asymptomatic rotator cuff tears (RCTs) are common in Indian adults over 40, affecting over 21%. Full-thickness tears are more prevalent in the elderly and those with repetitive overhead activity.
Area of Science:
- Orthopedics
- Radiology
- Epidemiology
Background:
- Rotator cuff tears (RCTs) are prevalent in middle-aged and elderly populations.
- Many RCTs remain asymptomatic, posing diagnostic challenges.
Purpose of the Study:
- To determine the prevalence of asymptomatic full and partial-thickness rotator cuff tears in the Indian population.
- To investigate potential risk factors associated with asymptomatic RCTs.
Main Methods:
- A study of 284 asymptomatic shoulders in 150 Indian patients (age > 40) was conducted.
- Data collected included medical history, physical examination, and ultrasonography.
- Association between RCTs and risk factors like age, sex, activity, and medical history was assessed.
Main Results:
- Overall prevalence of asymptomatic RCTs was 21.1% (full-thickness: 10.6%, partial-thickness: 10.9%).
- Supraspinatus tears were most common; elderly and those with repetitive overhead activity showed higher prevalence of full-thickness tears.
- Asymptomatic RCTs showed minimal impact on range of motion and clinical scores.
Conclusions:
- Asymptomatic rotator cuff tears are common in Indians over 40.
- Further research is needed to understand symptom development and the benefits of early detection.
