Purpose We verified if patients with rotator cuff tear have a higher prevalence of pathologies responsibie for microcirculation diseases that have been considered as risk factors for tendinous degeneration. We also verified if smoking habit is more frequent in patients with rotator cuff tear. Investigated pathologies and smoking habit were correlated to cuff tear size. Material and Methods We studied 203 consecutive patients (93M-110F mean aged 64 yo (range: 41 -68) with full-thickness postero- superior rotator cuff tear. Information regarding the presence of hypertension, diabetes, hypercholesterolemia, arrhythmia, myocardial ischemia, lung diseases, duration therapy and smoking habit was obtained. 2OO asymptomatic volunteers (97M-103F) mean aged 66 yo (range : 15-70) represented the control group. Results The prevalence of hypertension was 38,9% and 28,5% in patients with rotator cuff tear and in control group, respectively (p = 0.032). The prevaience of hypercholesterolemia was 21 % and 11% (p = 0.041). Subjects with or without rotator cuff tear and treated for five years, or more, for hypertension were, respectively 65% and 35% (p = 0.024). We observed 47 small, 99 large and 57 massive cuff tears. The prevalence of hypertenston and hypercholesterolemia in patients with large or massive cuff tear resuIted signiticantly higher than those registered in patients with small cuff tear. No other signiticant correlation was found between the other investigated comorbidities and size ot cuff tear. The mean number of concomitant pathologies was 2.1 in patients with rotator cuff and 1.2 in controls (p: 0.045). Smoker percentage was 29% and 27%, respectively. Conclusion Tendinous degeneration is considered as a possibie cause of cuff tear. This hypothesis seems to be confirmed by our data. They suggest that some pathologies responsibie for microcirculation diseases and tendinous hypoxia, are signiticantiy more frequent in patients with rotator cuff than in controls. Hypertension and hypercholesterolemia seem also to influence size of cuff tear.

The prevalence of concomitant pathologies and smoking habit in patients with rotator cuff tear / Gumina, Stefano; A., Rita; V., Arceri; S., Carbone. - STAMPA. - (2009), pp. 201-201. (Intervento presentato al convegno 22nd SECEC Congress tenutosi a Madrid (Spain) nel 16-19 September, 2009).

The prevalence of concomitant pathologies and smoking habit in patients with rotator cuff tear.

GUMINA, STEFANO;
2009

Abstract

Purpose We verified if patients with rotator cuff tear have a higher prevalence of pathologies responsibie for microcirculation diseases that have been considered as risk factors for tendinous degeneration. We also verified if smoking habit is more frequent in patients with rotator cuff tear. Investigated pathologies and smoking habit were correlated to cuff tear size. Material and Methods We studied 203 consecutive patients (93M-110F mean aged 64 yo (range: 41 -68) with full-thickness postero- superior rotator cuff tear. Information regarding the presence of hypertension, diabetes, hypercholesterolemia, arrhythmia, myocardial ischemia, lung diseases, duration therapy and smoking habit was obtained. 2OO asymptomatic volunteers (97M-103F) mean aged 66 yo (range : 15-70) represented the control group. Results The prevalence of hypertension was 38,9% and 28,5% in patients with rotator cuff tear and in control group, respectively (p = 0.032). The prevaience of hypercholesterolemia was 21 % and 11% (p = 0.041). Subjects with or without rotator cuff tear and treated for five years, or more, for hypertension were, respectively 65% and 35% (p = 0.024). We observed 47 small, 99 large and 57 massive cuff tears. The prevalence of hypertenston and hypercholesterolemia in patients with large or massive cuff tear resuIted signiticantly higher than those registered in patients with small cuff tear. No other signiticant correlation was found between the other investigated comorbidities and size ot cuff tear. The mean number of concomitant pathologies was 2.1 in patients with rotator cuff and 1.2 in controls (p: 0.045). Smoker percentage was 29% and 27%, respectively. Conclusion Tendinous degeneration is considered as a possibie cause of cuff tear. This hypothesis seems to be confirmed by our data. They suggest that some pathologies responsibie for microcirculation diseases and tendinous hypoxia, are signiticantiy more frequent in patients with rotator cuff than in controls. Hypertension and hypercholesterolemia seem also to influence size of cuff tear.
2009
22nd SECEC Congress
rotator cuff tears; comorbidities
04 Pubblicazione in atti di convegno::04b Atto di convegno in volume
The prevalence of concomitant pathologies and smoking habit in patients with rotator cuff tear / Gumina, Stefano; A., Rita; V., Arceri; S., Carbone. - STAMPA. - (2009), pp. 201-201. (Intervento presentato al convegno 22nd SECEC Congress tenutosi a Madrid (Spain) nel 16-19 September, 2009).
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/490604
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