Demographic and clinical characteristics of patients undergoing rotator cuff arthroscopy of the shoulder: an observational study
e202309080
Keywords:
Shoulder, Shoulder pain, Rotator cuff, Rotator cuff injuries, Arthroscopy, Physical Therapy Modalities, Age factors, Body Mass Index, Exercise TherapyAbstract
BACKGROUND // The most common cause of shoulder pain is clinical pictures related to rotator cuff problems. One of the most common treatments is arthroscopic surgery. The objective was to describe the clinical and epidemiological characteristics of patients undergoing this type of surgery in Spain.
METHODS // A descriptive, observational and cross-sectional study with ninety participants was carried out. Data on age, sex, performance of work activity with overuse of upper limbs, body mass index (BMI), smoking habit, diagnosis of diabetes, performance of physical-sports activity and history of pre-surgical treatments were collected. Finally, a descriptive analysis of the variables and an analysis of correlations were carried out, using the Pearson and Spearman statistical test according to the type of variable.
RESULTS // The mean age was 57.21 years with a standard deviation (SD) of 8.5 (95% CI, 55.41-59.00). Regarding their BMI, the mean was 28.49 with a SD of 4.9 (95% CI, 27.49-29.53), with 35.6% being obese (BMI greater than 30). The medical diagnosis of the subjects was 51.1% total rotator cuff tear. On the other hand, the intensity of physical activity was one hour or less per week in 87.8% of the sample. Finally, in relation to the previous physiotherapy treatment, 69.7% of the subjects had received some type of intervention..
CONCLUSIONS // The demographic and clinical characteristics found are consistent with those of other previously studied populations, and the association factors between them endorse the previously mentioned risk factors, with advanced age gaining special importance.
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References
Luime JJ, Koes BW, Hendriksen IJM, Burdorf A, Verhagen AP, Miedema HS et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73-81.
Mroz TM, Carlini AR, Archer KR, Wegener ST, Hoolachan JI, Stiers W et al. Frequency and cost of claims by injury type from a state workers’ compensation fund from 1998 through 2008. Arch Phys Med Rehabil. 2014; 95(6):1048-1054
Largacha M, Parsons IV IM, Campbell B, Titelman RM, Smith KL, Matsen F. Deficits in shoulder function and general health associated with sixteen common shoulder diagnoses: A study of 2674 patients. J Shoulder Elb Surg. 2006;15(1):30-39.
Linsell L, Dawson J, Zondervan K, Rose P, Randall T, Fitzpatrick R et al. Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology (Oxford). 2006;45(2):215-221.
Ostör AJK, Richards CA, Prevost AT, Speed CA, Hazleman BL. Diagnosis and relation to general health of shoulder disorders presenting to primary care. Rheumatology (Oxford). 2005;44(6):800-805.
Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005;331(7525):1124-1128.
Schellingerhout JM, Verhagen AP, Thomas S, Koes BW. Lack of uniformity in diagnostic labeling of shoulder pain: time for a different approach. Man Ther. 2008;13(6):478-483.
Whittle S, Buchbinder R. In the clinic. Rotator cuff disease. Ann Intern Med. 2015;162(1):ITC1-15.
Buchbinder R, Youd JM, Green S, Stein A, Forbes A, Harris A et al. Efficacy and cost-effectiveness of physiotherapy following glenohumeral joint distension for adhesive capsulitis: a randomized trial. Arthritis Rheum. 2007 Aug;57(6):1027-1037.
Chalmers PN, Granger E, Nelson R, Yoo M, Tashjian RZ. Factors affecting cost, outcomes, and tendon healing after arthroscopic rotator cuff repair. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc North Am Int Arthrosc Assoc. 2018;34(5):1393-1400.
Colvin AC, Egorova N, Harrison AK, Moskowitz A, Flatow EL. National trends in rotator cuff repair. J Bone Joint Surg Am. 2012;94(3):227-233.
Jain NB, Higgins LD, Losina E, Collins J, Blazar PE, Katz JN. Epidemiology of musculoskeletal upper extremity ambulatory surgery in the United States. BMC Musculoskelet Disord. 2014;15:4.
Prieto Deza JL, Ruiz Ibán MÁ, García Navlet M, Ávila Lafuente JL, Cuéllar Gutiérrez R, Calvo Díaz Á. Epidemiología de los procedimientos artroscópicos en España. Resultados de la encuesta de actividad artroscópica de 2014. Rev Española Artrosc y Cirugía Articul. 2017;24(Supl):25-37.
Ainsworth R, Lewis JS. Exercise therapy for the conservative management of full thickness tears of the rotator cuff: a systematic review. Br J Sports Med. 2007;41(4):200-210.
Kukkonen J, Joukainen A, Lehtinen J, Mattila KT, Tuominen EKJ, Kauko T et al. Treatment of nontraumatic rotator cuff tears: a randomized controlled trial with two years of clinical and imaging follow-up. J Bone Joint Surg Am. 2015;97(21):1729-1737.
Fucentese SF, von Roll AL, Pfirrmann CWA, Gerber C, Jost B. Evolution of nonoperatively treated symptomatic isolated full-thickness supraspinatus tears. J Bone Joint Surg Am. 2012;94(9):801-808.
Barnes LAF, Kim HM, Caldwell J-M, Buza J, Ahmad CS, Bigliani LU et al. Satisfaction, function and repair integrity after arthroscopic versus mini-open rotator cuff repair. Bone Joint J. 2017;99-B(2):245-249.
Simon CB, Valencia C, Coronado RA, Wu SS, Li Z, Dai Y et al. Biopsychosocial Influences on Shoulder Pain: Analyzing the temporal ordering of postoperative recovery. J pain. 2020;21(7-8):808-819.
Shin SJ, Do NH, Lee J, Ko YW. Efficacy of a subacromial corticosteroid injection for persistent pain after arthroscopic rotator cuff repair. Am J Sports Med. 2016;44(9):2231-2236.
Collin P, Abdullah A, Kherad O, Gain S, Denard PJ, Lädermann A. Prospective evaluation of clinical and radiologic factors predicting return to activity within 6 months after arthroscopic rotator cuff repair. J shoulder Elb Surg. 2015;24(3):439-445.
Baumgarten KM, Gerlach D, Galatz LM, Teefey SA, Middleton WD, Ditsios K et al. Cigarette smoking increases the risk for rotator cuff tears. Clin Orthop Relat Res. 2010;468(6):1534-1541.
Sayampanathan AA, Andrew THC. Systematic review on risk factors of rotator cuff tears. J Orthop Surg (Hong Kong). 2017;25(1):2309499016684318.
Spargoli G. Supraespinatus tendon pathomecanics: a current concepts review. Int J Sports Phys Ther. 2018;13(6):1083-1094.
Grusky AZ, Song A, Kim P, Ayers GD, Higgins LD, Kuhn JE et al. Factors associated with symptomatic rotator cuff tears: the rotator cuff outcomes workgroup cohort study. Am J Phys Med Rehabil. 2021;100(4):331-336.
Zhao J, Luo M, Liang G, Pan J, Han Y, Zeng L et al. What factors are associated with symptomatic rotator cuff tears: a meta-analysis. Clin Orthop Relat Res. 2022;480(1):96-105.
Fermont AJM, Wolterbeek N, Wessel RN, Baeyens JP, De Bie RA. Prognostic factors for successful recovery after arthroscopic rotator cuff repair: A systematic literature review. J Orthop Sports Phys Ther. 2014;44(3):153-163.
Fermont AJ, Wolterbeek N, Wessel RN, Baeyens JP, De Bie RA. Prognostic factors for recovery after arthroscopic rotator cuff repair: A prognostic study. J Shoulder Elb Surg. 2015;24(8):1249-1256.
Kukkonen J, Joukainen A, Lehtinen J, Mattila KT, Tuominen EKJ, Kauko T et al. Treatment of non-traumatic rotator cuff tears: A randomised controlled trial with one-year clinical results. Bone Jt J. 2014;96 B(1):75-81.
Lewis J. Rotator cuff related shoulder pain: Assessment, management and uncertainties. Man Ther. 2015;23:57-68.
van der Windt DA, Koes BW, Boeke AJ, Devillé W, De Jong BA, Bouter LM. Shoulder disorders in general practice: prognostic indicators of outcome. Br J Gen Pract J R Coll Gen Pract. 1996;46(410):519-523.
Kulkarni R, Gibson J, Brownson P, Thomas M, Rangan A, Carr AJ et al. Subacromial shoulder pain. Shoulder Elb. 2015;7(2):135-143.
Kuhn JE, Dunn WR, Sanders R, An Q, Baumgarten KM, Bishop JY et al. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: A multicenter prospective cohort study. J Shoulder Elb Surg. 2013;22(10):1371-1379.
Juel NG, Natvig B. Shoulder diagnoses in secondary care, a one year cohort. BMC Musculoskelet Disord. 2014;15(1):1-8.
Smythe A, Rathi S, Pavlova N, Littlewood C, Connell D, Haines T et al. Self-reported management among people with rotator cuff related shoulder pain: An observational study. Musculoskelet Sci Pract. 2021;51:102305.
Chang EY, Moses DA, Babb JS, Schweitzer ME. Shoulder impingement: objective 3D shape analysis of acromial morphologic features. Radiology. 2006;239(2):497-505.
Ketola S, Lehtinen J, Arnala I, Nissinen M, Westenius H, Sintonen H et al. Does arthroscopic acromioplasty provide any additional value in the treatment of shoulder impingement syndrome?: a two-year randomised controlled trial. J Bone Joint Surg Br. 2009;91(10):1326-1334.
Cook JL, Purdam CR. Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. Br J Sports Med. 2009;43(6):409-416.
Kessler KE, Robbins CB, Bedi A, Carpenter JE, Gagnier JJ, Miller BS. Does increased Body Mass Index influence outcomes after rotator cuff repair? Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc North Am Int Arthrosc Assoc. 2018;34(3):754-761.
Gumina S, Candela V, Passaretti D, Latino G, Venditto T, Mariani L et al. The association between body fat and rotator cuff tear: the influence on rotator cuff tear sizes. J Shoulder Elb Surg. 2014;23(11):1669-1774.
Chung SW, Park JS, Kim SH, Shin SH, Oh JH. Quality of life after arthroscopic rotator cuff repair: evaluation using SF-36 and an analysis of affecting clinical factors. Am J Sports Med. 2012;40(3):631-639.
Knuth AG, Hallal PC. Temporal trends in physical activity: A systematic review. J Phys Act Heal. 2009;6(5):548-559.
Lauersen JB, Bertelsen DM, Andersen LB. The effectiveness of exercise interventions to prevent sports injuries: A systematic review and meta-analysis of randomised controlled trials. Br J Sports Med. 2014;48(11):871-887.
Acar B, Köse Ö, Aytaç G, Öztürk S, Göksu AK, Tanrıover G et al. Diabetes mellitus accelerates fatty degeneration of the supraspinatus muscle after tendon tear: An experimental study in rats. Eklem Hastalik Cerrahisi. 2018;29(3):176-183.
Carbone S, Gumina S, Arceri V, Campagna V, Fagnani C, Postacchini F. The impact of preoperative smoking habit on rotator cuff tear: cigarette smoking influences rotator cuff tear sizes. J shoulder Elb Surg. 2012;21(1):56-60.
Song A, Cannon D, Kim P, Ayers GD, Gao C, Giri A et al. Risk factors for degenerative, symptomatic rotator cuff tears: a case-control study. J Shoulder Elb Surg. 2022;31(4):806-812.
Kijima H, Minagawa H, Nishi T, Kikuchi K, Shimada Y. Long-term follow-up of cases of rotator cuff tear treated conservatively. J Shoulder Elb Surg. 2012;21(4):491-494.
Moosmayer S, Lund G, Seljom U, Svege I, Hennig T, Tariq R et al. Comparison between surgery and physiotherapy in the treatment of small and medium-sized tears of the rotator cuff: A randomised controlled study of 103 patients with one-year follow-up. J Bone Joint Surg Br. 2010;92(1):83-91.
Oh LS, Wolf BR, Hall MP, Levy BA, Marx RG. Indications for rotator cuff repair: a systematic review. Clin Orthop Relat Res. 2007;455:52-63.
Wolf BR, Dunn WR, Wright RW. Indications for repair of full-thickness rotator cuff tears. Am J Sports Med. 2007;35(6):1007-1116.
Pedowitz RA, Yamaguchi K, Ahmad CS, Burks RT, Flatow EL, Green A et al. American Academy of Orthopaedic Surgeons Clinical Practice Guideline on: optimizing the management of rotator cuff problems. J Bone Joint Surg Am. 2012;94(2):163-167.
Klintberg IH, Cools AMJ, Holmgren TM, Holzhausen A-CG, Johansson K, Maenhout AG et al. Consensus for physiotherapy for shoulder pain. Int Orthop. 2015 Apr;39(4):715-720.
Malliaras P, Johnston R, Street G, Littlewood C, Bennell K, Haines T et al. The efficacy of higher versus lower dose exercise in rotator cuff tendinopathy: A systematic review of randomized controlled trials. Arch Phys Med Rehabil. 2020;101(10):1822-1834.
Naunton J, Harrison C, Britt H, Haines T, Malliaras P. General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care. PLoS One. 2020;15(1):e0227688.
Smythe A, White J, Littlewood C, Bury J, Haines T, Malliaras P. Physiotherapists deliver management broadly consistent with recommended practice in rotator cuff tendinopathy: An observational study. Musculoskelet Sci Pract. 2020;47:102132.
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