Editorial Commentary: Smoking is Hazardous to Shoulder Health

Editorial Commentary: Smoking is Hazardous to Shoulder Health

Editorial Commentary: Smoking is Hazardous to Shoulder Health Abstract: It is no controversy that smoking is hazardous to one’s shoulder health. Arth...

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Editorial Commentary: Smoking is Hazardous to Shoulder Health

Abstract: It is no controversy that smoking is hazardous to one’s shoulder health. Arthroscopic shoulder surgery complications are common in patients with age greater than 60 years, COPD, cancer, and in cases where surgical time is greater than 90 minutes.

See related article on page 1598 t is not surprising that “Smoking predisposes to rotator cuff pathology and shoulder dysfunction”1 as reviewed by Bishop, Santiago-Torres, Rimmke, Flanigan from The Ohio State University. In addition, the authors published a similar systematic review last year.2 However, only one of the authors’ included studies was published in Arthroscopy,3 so even though the topic has been twice reviewed, your editors made the decision to accept the well-performed systematic review by Bishop et al. for publication because the association of smoking and poor outcome after rotator cuff repair has not before been systematically reviewed for readers of our journal. However, in the future, authors are forewarned that Arthroscopy editors are not inclined to accept a large number of reviews demonstrating that smoking is hazardous to one’s health. The word is out, and a reader’s level of interest is likely proportionate to the magnitude of controversy of a study. Readers should also remember that smoking is but a single cause of complications after arthroscopic shoulder surgery, and surgeons should also be especially vigilant for risk factors in patients with age greater than

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60 years, COPD, cancer, and in cases where surgical time is greater than 90 minutes.4 James H. Lubowitz, M.D. Editor-in-Chief

References 1. Bishop JY, Santiago-Torres J, Rimmke N, Flanigan DC. Smoking predisposes to rotator cuff pathology and shoulder dysfunction: A systematic review. Arthroscopy 2015;31: 1598-1605. 2. Santiago-Torres J, Flanigan DC, Butler RB, Bishop JY. The effect of smoking on rotator cuff and glenoid labrum surgery: A systematic review. Am J Sports Med 2014;43: 745-751. 3. Lundgreen K, Lian OB, Scott A, Nassab P, Fearon A, Engebretsen L. Rotator cuff tear degeneration and cell apoptosis in smokers versus nonsmokers. Arthroscopy 2014;30:936-941. 4. Shields E, Thirukumaran C, Thorsness R, Noyes K, Voloshin I. An analysis of adult patient risk factors and complications within 30 days after arthroscopic shoulder surgery. Arthroscopy 2015;31:807-815.

Ó 2015 by the Arthroscopy Association of North America 0749-8063/15492/$36.00 http://dx.doi.org/10.1016/j.arthro.2015.05.022

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Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 31, No 8 (August), 2015: p 1606