Aetiopathogenesis of Rotator Cuff Tear in Patients Younger than 50 Years: Medical Conditions Play a Relevant Role
Abstract
1. Introduction
2. Materials and Methods
3. Statistical Analysis
4. Results
5. Discussion
6. Conclusions
Author Contributions
Funding
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Patients (n: 64) | |
---|---|
RCT Side | Dominant shoulder: 28 cases (43.7%) |
Non-dominant shoulder: 36 cases (56.3%) | |
Mechanism of lesion | Traumatic: 30 (46.8%—22M-8F) |
| |
Atraumatic: 34 (53.2%—22M-12F) | |
RCT Size |
|
Rotator Cuff Tear | Medical Conditions | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
PATIENT | GENDER | AGE AT SURGERY | DOMINANT SIDE | MECHANISM | TEAR SIZE | BMI | SMOKING HABIT | DIABETES | ARTERIAL HYPERTENSION | HYPERCHOLE STEROLEMIA | THYROID DISEASE | COPD |
#1 | M | 44 | NO | TRAUMATIC (simple fall) | large | 24.7 | NO | NO | NO | NO | NO | NO |
#2 | M | 44 | YES | TRAUMATIC (sport accident) | large | 24.7 | NO | NO | NO | NO | NO | NO |
#3 | M | 48 | NO | TRAUMATIC (car accident) | large | 24.9 | YES (<10 cigs/day) | NO | NO | NO | NO | NO |
#4 | F | 48 | NO | TRAUMATIC (sport accident) | small | 23.6 | NO | NO | NO | NO | YES | NO |
#5 | M | 49 | NO | NO TRAUMA | massive | 25.5 | YES (10–20 cigs/day) | NO | NO | NO | NO | YES |
#6 | F | 47 | NO | TRAUMATIC (simple fall) | small | 22 | NO | NO | YES | NO | NO | NO |
#7 | M | 48 | YES | NO TRAUMA | large | 32.8 | NO | NO | YES | NO | NO | NO |
#8 | M | 47 | NO | NO TRAUMA | large | 26 | NO | NO | NO | NO | NO | NO |
#9 | F | 48 | YES | NO TRAUMA | small | 24.7 | NO | NO | NO | NO | NO | NO |
#10 | M | 49 | NO | NO TRAUMA | small | 36.5 | YES (<10 cigs/day) | NO | YES | NO | NO | NO |
#11 | M | 49 | NO | TRAUMATIC (simple fall) | large | 28.7 | YES (10–20 cigs/day) | NO | NO | NO | NO | YES |
#12 | M | 36 | NO | TRAUMATIC (simple fall) | large | 28.4 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
#13 | F | 48 | YES | NO TRAUMA | large | 24.9 | YES (<10 cigs/day) | NO | NO | NO | NO | NO |
#14 | M | 45 | NO | NO TRAUMA | massive | 26.5 | NO | NO | NO | YES | NO | NO |
#15 | M | 49 | NO | NO TRAUMA | small | 26.6 | NO | NO | YES | NO | NO | NO |
#16 | F | 45 | NO | NO TRAUMA | small | 21.5 | NO | NO | NO | NO | YES | NO |
#17 | F | 49 | NO | NO TRAUMA | small | 20.5 | NO | NO | NO | NO | NO | NO |
#18 | F | 48 | YES | TRAUMATIC (simple fall) | large | 24.3 | NO | NO | NO | NO | NO | NO |
#19 | F | 46 | NO | TRAUMATIC (simple fall) | small | 21.3 | NO | NO | NO | NO | NO | NO |
#20 | M | 47 | YES | TRAUMATIC (sport accident) | massive | 25 | YES (>20 cigs/day) | NO | NO | NO | NO | NO |
#21 | M | 49 | NO | NO TRAUMA | massive | 24.6 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
#22 | M | 49 | NO | NO TRAUMA | small | 31.8 | NO | NO | NO | NO | NO | YES |
#23 | M | 45 | YES | TRAUMATIC (simple fall) | large | 30.1 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
#24 | M | 48 | NO | NO TRAUMA | large | 26.6 | YES (10–20 cigs/day) | YES (Type I) | NO | NO | NO | NO |
#25 | M | 44 | YES | NO TRAUMA | small | 26 | YES (10–20 cigs/day) | NO | NO | YES | NO | NO |
#26 | M | 49 | YES | TRAUMATIC (sport accident) | small | 30.8 | NO | NO | NO | NO | NO | NO |
#27 | M | 42 | YES | NO TRAUMA | small | 35.5 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
#28 | M | 49 | YES | NO TRAUMA | small | 26 | NO | NO | NO | NO | NO | NO |
#29 | F | 48 | YES | TRAUMATIC (simple fall) | large | 44.3 | YES (<10 cigs/day) | NO | YES | NO | YES | NO |
#30 | M | 49 | NO | TRAUMATIC (simple fall) | large | 28 | YES (>20 cigs/day) | NO | NO | NO | NO | NO |
#31 | F | 48 | YES | NO TRAUMA | small | 31.5 | YES (>20 cigs/day) | NO | NO | YES | NO | NO |
#32 | M | 46 | YES | TRAUMATIC (simple fall) | small | 27.3 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
#33 | M | 44 | NO | TRAUMATIC (simple fall) | large | 24.7 | NO | NO | NO | NO | NO | NO |
#34 | M | 44 | YES | TRAUMATIC (sport accident) | large | 24.7 | NO | NO | NO | NO | NO | NO |
#35 | M | 48 | NO | TRAUMATIC (car accident) | large | 24.9 | YES (<10 cigs/day) | NO | NO | NO | NO | NO |
#36 | F | 46 | NO | TRAUMATIC (simple fall) | small | 21.3 | NO | NO | NO | NO | NO | NO |
#37 | M | 47 | YES | TRAUMATIC (sport accident) | massive | 25 | YES (>20 cigs/day) | NO | NO | NO | NO | NO |
#38 | M | 36 | NO | TRAUMATIC (simple fall) | large | 28.4 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
#39 | F | 48 | YES | NO TRAUMA | large | 24.9 | YES (<10 cigs/day) | NO | NO | NO | NO | NO |
#40 | M | 47 | NO | NO TRAUMA | large | 26 | NO | NO | NO | NO | NO | NO |
#41 | F | 48 | YES | NO TRAUMA | small | 24.7 | NO | NO | NO | NO | NO | NO |
#42 | M | 49 | NO | NO TRAUMA | small | 36.5 | YES (<10 cigs/day) | NO | YES | NO | NO | NO |
#43 | M | 49 | NO | TRAUMATIC (simple fall) | large | 28.7 | YES (10–20 cigs/day) | NO | NO | NO | NO | YES |
#44 | M | 49 | NO | NO TRAUMA | massive | 24.6 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
#45 | M | 49 | NO | NO TRAUMA | small | 31.8 | NO | NO | NO | NO | NO | YES |
#46 | M | 45 | NO | NO TRAUMA | massive | 26.5 | NO | NO | NO | YES | NO | NO |
#47 | M | 49 | NO | NO TRAUMA | small | 26.6 | NO | NO | YES | NO | NO | NO |
#48 | F | 45 | NO | NO TRAUMA | small | 21.5 | NO | NO | NO | NO | YES | NO |
#49 | F | 49 | NO | NO TRAUMA | small | 20.5 | NO | NO | NO | NO | NO | NO |
#50 | F | 48 | YES | TRAUMATIC (simple fall) | large | 24.3 | NO | NO | NO | NO | NO | NO |
#51 | F | 48 | NO | TRAUMATIC (sport accident) | small | 23.6 | NO | NO | NO | NO | YES | NO |
#52 | M | 49 | NO | NO TRAUMA | massive | 25.5 | YES (10–20 cigs/day) | NO | NO | NO | NO | YES |
#53 | F | 47 | NO | TRAUMATIC (simple fall) | small | 22 | NO | NO | YES | NO | NO | NO |
#54 | M | 48 | YES | NO TRAUMA | large | 32.8 | NO | NO | YES | NO | NO | NO |
#55 | M | 45 | YES | TRAUMATIC (simple fall) | large | 30.1 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
#56 | M | 48 | NO | NO TRAUMA | large | 26.6 | YES (10–20 cigs/day) | YES(Type I) | NO | NO | NO | NO |
#57 | M | 44 | YES | NO TRAUMA | small | 26 | YES (10–20 cigs/day) | NO | NO | YES | NO | NO |
#58 | M | 49 | YES | TRAUMATIC (sport accident) | small | 30.8 | NO | NO | NO | NO | NO | NO |
#59 | M | 42 | YES | NO TRAUMA | small | 35.5 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
#60 | M | 49 | YES | NO TRAUMA | small | 26 | NO | NO | NO | NO | NO | NO |
#61 | F | 48 | YES | TRAUMATIC (simple fall) | large | 44.3 | YES (<10 cigs/day) | NO | YES | NO | YES | NO |
#62 | M | 49 | NO | TRAUMATIC (simple fall) | large | 28 | YES (>20 cigs/day) | NO | NO | NO | NO | NO |
#63 | F | 48 | YES | NO TRAUMA | small | 31.5 | YES (>20 cigs/day) | NO | NO | YES | NO | NO |
#64 | M | 46 | YES | TRAUMATIC (simple fall) | small | 27.3 | YES (10–20 cigs/day) | NO | NO | NO | NO | NO |
Tear Size | ||||
---|---|---|---|---|
Small | Large | Massive | p Value | |
Age (SD) | 47.20 (2.18) | 46.31 (3.54) | 47.50 (1.91) | 0.632 |
Mechanism of lesion | ||||
● No trauma | 20 | 8 | 6 | 0.481 |
● Traumatic (simple fall) | 6 | 14 | 0 | |
● Traumatic (sport accident) | 4 | 2 | 2 | |
● Traumatic (car accident) | 0 | 2 | 0 | |
Smoking habit | ||||
● NO | 20 | 8 | 4 | 0.432 |
● YES: <10 cigs/day | 2 | 6 | 0 | |
● YES: 10–20 cigs/day | 6 | 10 | 2 | |
● YES: >20 cigs/day | 2 | 2 | 2 | |
BMI | ||||
27.04 | 28.34 | 25.40 | 0.562 |
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Gumina, S.; Mezzaqui, L.; Aimino, R.; Rionero, M.; Spagnoli, A.; Campagna, V.; Candela, V. Aetiopathogenesis of Rotator Cuff Tear in Patients Younger than 50 Years: Medical Conditions Play a Relevant Role. Medicina 2023, 59, 998. https://doi.org/10.3390/medicina59050998
Gumina S, Mezzaqui L, Aimino R, Rionero M, Spagnoli A, Campagna V, Candela V. Aetiopathogenesis of Rotator Cuff Tear in Patients Younger than 50 Years: Medical Conditions Play a Relevant Role. Medicina. 2023; 59(5):998. https://doi.org/10.3390/medicina59050998
Chicago/Turabian StyleGumina, Stefano, Lorenzo Mezzaqui, Rossana Aimino, Marco Rionero, Alessandra Spagnoli, Vincenzo Campagna, and Vittorio Candela. 2023. "Aetiopathogenesis of Rotator Cuff Tear in Patients Younger than 50 Years: Medical Conditions Play a Relevant Role" Medicina 59, no. 5: 998. https://doi.org/10.3390/medicina59050998
APA StyleGumina, S., Mezzaqui, L., Aimino, R., Rionero, M., Spagnoli, A., Campagna, V., & Candela, V. (2023). Aetiopathogenesis of Rotator Cuff Tear in Patients Younger than 50 Years: Medical Conditions Play a Relevant Role. Medicina, 59(5), 998. https://doi.org/10.3390/medicina59050998