Factors Associated With Symptomatic Rotator Cuff Tears: The Rotator Cuff Outcomes Workgroup Cohort Study.
Factors Associated With Symptomatic Rotator Cuff Tears: The Rotator Cuff Outcomes Workgroup Cohort Study.
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DOI：
10.1097/phm.0000000000001684
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发表时间：
2021-04-01
影响因子：
3
通讯作者：
Jain NB
中科院分区：
文献类型：
--
作者：
Grusky AZ;Song A;Kim P;Ayers GD;Higgins LD;Kuhn JE;Baumgarten KM;Matzkin E;Jain NB
Although rotator cuff tear is one of the most common musculoskeletal disorders, its etiology is poorly understood. We assessed factors associated with the presence of rotator cuff tears in a cohort of patients with shoulder pain. From February 2011 to July 2016, a longitudinal cohort of patients with shoulder pain was recruited. Patients completed a detailed questionnaire in addition to a magnetic resonance imaging scan and a clinical shoulder evaluation. The association of multiple factors associated with rotator cuff tears was assessed using multivariate logistic regression. In our cohort of 266 patients, 61.3% of patients had a rotator cuff tear. Older age (per 1 year: odds ratio [OR] = 1.03, 95% confidence interval [CI] = 1.02 to 1.07), involvement of the dominant shoulder (OR = 2.02, 95% CI = 1.16 to 3.52), and a higher BMI (per 1 kg/m2: OR = 1.06, 95% CI = 1.03 to 1.12) were independently associated with rotator cuff tears. Sex, depression, smoking status, shoulder use at work, hypertension, and diabetes were not significantly associated with rotator cuff tear. In a cohort of patients with shoulder pain, we identified older age, involvement of the dominant shoulder, and a higher BMI to be independently associated with rotator cuff tear. The mechanism of how these factors possibly lead to rotator cuff tears needs further research.
