PDF(Pubmed)
Abstract：
Background The etiology of rotator cuff tears is thought to be multifactorial with current literature that varies with regard to identifiable risk factors. The purpose of this retrospective review was to identify risk factors for full-thickness rotator cuff tears and determine whether they differ in young versus older individuals. Methods To determine the presence or absence of a rotator cuff tear, 1,561 patients with a shoulder MRI were reviewed. If a tear was present, it was further classified into a partial or full-thickness tear. Demographic variables and clinical data were collected and analyzed with a two-sided Student\'s t-test or Wilcoxon rank sum test for continuous variables and a Chi-square test or Fisher\'s exact test for categorical variables. Age and BMI were dichotomized using receiver operator curves. Results Charlson Comorbidity Index, age, BMI, sex, race, and work status were all factors that variably affected a patient\'s risk of experiencing a rotator cuff tear, with different factors carrying more influence on outcomes within those who are older versus those who are younger. Gender and race were found to differ as risk factors between young and older individuals. Conclusion We were able to identify risk factors overall associated with increased odds of sustaining a full-thickness rotator cuff tear. Our analyses also showed differences in the effect of gender and race as risk factors between young and older patients with rotator cuff tears. This finding may aid clinicians in counseling patients on more specific risks for their given age.
摘要：
背景肩袖撕裂的病因被认为是多因素的，目前的文献在可识别的危险因素方面有所不同。这项回顾性研究的目的是确定全厚度肩袖撕裂的危险因素，并确定年轻人与老年人的危险因素是否不同。方法确定是否存在肩袖撕裂，回顾了1,561例肩关节MRI患者。如果存在眼泪，它被进一步分为部分或全厚度撕裂。收集人口统计学变量和临床数据，并对连续变量进行双侧学生t检验或Wilcoxon秩和检验，对分类变量进行卡方检验或Fisher精确检验。使用接受者操作曲线将年龄和BMI二分法。结果Charlson合并症指数，年龄,BMI,性别,种族,和工作状态是可变地影响患者经历肩袖撕裂的风险的所有因素，与年龄较大的人相比，不同的因素对结果的影响更大。发现性别和种族在年轻人和老年人之间的危险因素不同。结论我们能够确定与维持全层肩袖撕裂的几率增加相关的总体风险因素。我们的分析还显示了性别和种族作为年轻和老年肩袖撕裂患者危险因素的影响差异。这一发现可能有助于临床医生为患者提供特定年龄的更具体风险咨询。
