Francesco Oliva1, Leonardo Osti2, Johnny Padulo3, Nicola Maffulli4. 1. Department of Orthopaedic and Traumatology, University of Rome "Tor Vergata", School of Medicine, Rome, Italy. 2. Unit of Arthroscopic and Sports Medicine, Hesperia Hospital, Modena, Italy. 3. University eCampus, Novedrate, Italy ; National Centre of Medicine and Science in Sports (CNMSS), Tunis, Tunisia. 4. Centre for Sports and Exercise Medicine Queen Mary University of London Barts and The London School of Medicine and Dentistry, Mile End Hospital London, UK ; Head of Department of Physical and Rehabilitation Medicine, University of Salerno, Italy.
Abstract
BACKGROUND: in the last years the incidence of rotator cuff tears increased and one main cause still waiting to be clarified. Receptors for thyroid hormones in rotator cuff tendons suggest possible effects on tendons metabolism and status. We undertook a retrospective, observational cohort study of 441 patients who underwent arthroscopic and mini-open repair for non traumatic degenerative rotator cuff tears. METHODS: all the patients, predominantly females (63%), were interview to assess the relationship (frequency for class age "20 yrs" and factor analysis) between lesions of the rotator cuff with the following variables: gender, thyroid disease, smoker, taking medications for diabetes, hypertension or high cholesterol; presence of associated conditions (diabetes, hypertension, hypercholesterolemia). RESULTS: thyroid disease is highly frequently (until 63% for 60<80 yrs) in females group independent to the age. Conversely, males showed a high frequency for smoker 37<62% until 80 yrs and 50% hypercholesterolemia over 80 yrs for the clinical variable studied. CONCLUSIONS: this is the first clinical report that shown a relationship between thyroid pathologies and non-traumatic rotator cuff tear as increased risk factors.
BACKGROUND: in the last years the incidence of rotator cuff tears increased and one main cause still waiting to be clarified. Receptors for thyroid hormones in rotator cuff tendons suggest possible effects on tendons metabolism and status. We undertook a retrospective, observational cohort study of 441 patients who underwent arthroscopic and mini-open repair for non traumatic degenerative rotator cuff tears. METHODS: all the patients, predominantly females (63%), were interview to assess the relationship (frequency for class age "20 yrs" and factor analysis) between lesions of the rotator cuff with the following variables: gender, thyroid disease, smoker, taking medications for diabetes, hypertension or high cholesterol; presence of associated conditions (diabetes, hypertension, hypercholesterolemia). RESULTS:thyroid disease is highly frequently (until 63% for 60<80 yrs) in females group independent to the age. Conversely, males showed a high frequency for smoker 37<62% until 80 yrs and 50% hypercholesterolemia over 80 yrs for the clinical variable studied. CONCLUSIONS: this is the first clinical report that shown a relationship between thyroid pathologies and non-traumatic rotator cuff tear as increased risk factors.
Authors: Mauricio Largacha; I M Parsons; Barry Campbell; Robert M Titelman; Kevin L Smith; Frederick Matsen Journal: J Shoulder Elbow Surg Date: 2006 Jan-Feb Impact factor: 3.019
Authors: Matthew D McElvany; Erik McGoldrick; Albert O Gee; Moni Blazej Neradilek; Frederick A Matsen Journal: Am J Sports Med Date: 2014-04-21 Impact factor: 6.202
Authors: L Linsell; J Dawson; K Zondervan; P Rose; T Randall; R Fitzpatrick; A Carr Journal: Rheumatology (Oxford) Date: 2005-11-01 Impact factor: 7.580
Authors: Molly T Vogt; Eleanor M Simonsick; Tamara B Harris; Michael C Nevitt; James D Kang; Susan M Rubin; Stephen B Kritchevsky; Anne B Newman Journal: Spine J Date: 2003 Nov-Dec Impact factor: 4.166
Authors: David Kovacevic; Robert J Suriani; Brian M Grawe; Edward H Yian; Mohit N Gilotra; S Ashfaq Hasan; Umasuthan Srikumaran; Samer S Hasan; Frances Cuomo; Robert T Burks; Andrew G Green; Wesley M Nottage; Sai Theja; Hafiz F Kassam; Maarouf A Saad; Miguel A Ramirez; Rodney J Stanley; Matthew D Williams; Vidushan Nadarajah; Alexis C Konja; Jason L Koh; Andrew S Rokito; Charles M Jobin; William N Levine; Christopher C Schmidt Journal: J Shoulder Elbow Surg Date: 2020-08-04 Impact factor: 3.019
Authors: Jorge H Assunção; Alexandre L Godoy-Santos; Maria Cristina L G Dos Santos; Eduardo A Malavolta; Mauro E C Gracitelli; Arnaldo A Ferreira Neto Journal: Clin Orthop Relat Res Date: 2017-02-03 Impact factor: 4.176
Authors: Allen D Nicholson; Hafiz F Kassam; Steven D Pan; Jacob E Berman; Theodore A Blaine; David Kovacevic Journal: Am J Sports Med Date: 2018-11-27 Impact factor: 6.202
Authors: Alfonso Maria Romano; Francesco Oliva; Guglielmo Nastrucci; Pasquale Casillo; Angelo Di Giunta; Massimiliano Susanna; Francesco Ascione Journal: Muscles Ligaments Tendons J Date: 2017-09-18