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Facteurs de risque associés aux ruptures bilatérales de la coiffe des rotateurs
Revue de chirurgie orthopédique et traumatologique 103 (2017) 587
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Mémoire original
Facteurs de risque associés aux ruptures bilatérales de la coiffe des rotateurs夽 Risk factors associated to bilateral rotator cuff tears M. Abate ∗ , L. Di Carlo , V. Salini , C. Schiavone Department of Medical Science and Aging, via dei vestini 31, Chieti 66013, Italie
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Historique de l’article : Rec¸u le 18 janvier 2017 Accepté le 31 mars 2017 Keywords: Body mass index Diabetes Overuse Rotator cuff tear Ultrasonography
a b s t r a c t Introduction. – Overuse, micro-traumas, and impingement, isolated or combined, are the more common etiological factors for rotator cuff tears. Metabolic disorders (diabetes, adiposity, hypercholesterolemia), hypertension, cigarette smoking and a genetic predisposition are considered risk factors. However, no study has compared the prevalence of these risk factors in subjects with bilateral and monolateral tears. Hypothesis. – Controlateral tears can be observed in patients with symptomatic monolateral rotator cuff lesions, especially in those with comorbidities. Material and methods. – In patients with symptomatic rotator cuff tear the controlateral shoulders were evaluated by means of ultrasound imaging. Age, BMI, diabetes, hypercholesterolemia, hypertension, cigarette smoking, work habits were registered. Risk factors in subjects with bilateral tears were compared with those with monolateral lesions. Results. – Of the 180 subjects recruited 69 had a tear in the controlateral shoulder. Higher age and BMI values, heavy repetitive work and diabetes were significantly prevalent in these patients. At multivariate analysis, these factors were independently related to a higher probability to detect bilateral tears. Discussion. – Metabolic risk factors are more heavily involved in presence of bilateral rotator cuff tears, in comparison to monolateral. Type of study. – Original study. Level of evidence. – IV. © 2017 Elsevier Masson SAS. All rights reserved.
DOI de l’article original : http://dx.doi.org/10.1016/j.otsr.2017.03.027. 夽 Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. ∗ Auteur correspondant. Adresse e-mail : [email protected] (M. Abate). http://dx.doi.org/10.1016/j.rcot.2017.05.027 ´ ´ 1877-0517/© 2017 Elsevier Masson SAS. Tous droits reserv es.
Disponible en ligne sur
ScienceDirect www.sciencedirect.com
Mémoire original
Facteurs de risque associés aux ruptures bilatérales de la coiffe des rotateurs夽 Risk factors associated to bilateral rotator cuff tears M. Abate ∗ , L. Di Carlo , V. Salini , C. Schiavone Department of Medical Science and Aging, via dei vestini 31, Chieti 66013, Italie
i n f o
a r t i c l e
Historique de l’article : Rec¸u le 18 janvier 2017 Accepté le 31 mars 2017 Keywords: Body mass index Diabetes Overuse Rotator cuff tear Ultrasonography
a b s t r a c t Introduction. – Overuse, micro-traumas, and impingement, isolated or combined, are the more common etiological factors for rotator cuff tears. Metabolic disorders (diabetes, adiposity, hypercholesterolemia), hypertension, cigarette smoking and a genetic predisposition are considered risk factors. However, no study has compared the prevalence of these risk factors in subjects with bilateral and monolateral tears. Hypothesis. – Controlateral tears can be observed in patients with symptomatic monolateral rotator cuff lesions, especially in those with comorbidities. Material and methods. – In patients with symptomatic rotator cuff tear the controlateral shoulders were evaluated by means of ultrasound imaging. Age, BMI, diabetes, hypercholesterolemia, hypertension, cigarette smoking, work habits were registered. Risk factors in subjects with bilateral tears were compared with those with monolateral lesions. Results. – Of the 180 subjects recruited 69 had a tear in the controlateral shoulder. Higher age and BMI values, heavy repetitive work and diabetes were significantly prevalent in these patients. At multivariate analysis, these factors were independently related to a higher probability to detect bilateral tears. Discussion. – Metabolic risk factors are more heavily involved in presence of bilateral rotator cuff tears, in comparison to monolateral. Type of study. – Original study. Level of evidence. – IV. © 2017 Elsevier Masson SAS. All rights reserved.
DOI de l’article original : http://dx.doi.org/10.1016/j.otsr.2017.03.027. 夽 Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. ∗ Auteur correspondant. Adresse e-mail : [email protected] (M. Abate). http://dx.doi.org/10.1016/j.rcot.2017.05.027 ´ ´ 1877-0517/© 2017 Elsevier Masson SAS. Tous droits reserv es.