Risk factors for the development of rotator cuff tears in individuals with paraplegia : A cross-sectional study

Der Orthopäde
W PepkeMichael Akbar

Abstract

Shoulder pain and rotator cuff tears are highly prevalent among wheelchair dependent individuals with paraplegia. The purpose of this study was to identify potential risk factors associated with the development of rotator cuff tears in this population. A total of 217 wheelchair dependent individuals with paraplegia were included in this cross-sectional study (level of evidence III). The mean age of this population was 47.9 years and the mean duration of wheelchair dependence was 24.1 years. Each individual was asked to complete a questionnaire designed to identify risk factors for rotator cuff tears and underwent a standardized clinical examination with the documentation of the Constant-Murley shoulder outcome score and magnetic resonance imaging (MRI) of both shoulder joints. MRI analysis revealed at least one rotator cuff tear in 93 patients (43%). Multiple logistic regression analysis identified the following factors to be associated with the presence of rotator cuff tear: patient age, duration of spinal cord injury/wheelchair dependence, gender, and wheelchair athletic activity. Neither BMI nor the level of spinal cord injury was found to pose a risk factor in the population studied. With respect to patient age, the risk of...Continue Reading

References

Aug 1, 1976·Acta Orthopaedica Scandinavica·P Herberts, R Kadefors
Jan 1, 1995·The Journal of Spinal Cord Medicine·J V SubbaraoR Turpin
Jan 1, 1995·The Journal of Bone and Joint Surgery. American Volume·J S SherM B Zlatkin
Apr 1, 1993·Scandinavian Journal of Work, Environment & Health·H C ChiangP Y Chang
Apr 1, 1997·AJR. American Journal of Roentgenology·E M EscobedoB Goldstein
Oct 2, 1998·Clinical Orthopaedics and Related Research·K KuligJ Perry
Apr 17, 1999·Archives of Physical Medicine and Rehabilitation·K A CurtisR West
Apr 23, 1999·Spinal Cord·M DalyanB Gerard
Jul 27, 1999·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·G GermannA Harth
Sep 3, 1999·Journal of Shoulder and Elbow Surgery·S TempelhofR Seil
Dec 4, 2003·Medicine and Science in Sports and Exercise·Heather D FullertonAlan P Alfano
Jun 29, 2004·Physical Medicine and Rehabilitation Clinics of North America·Jennifer Hastings, Barry Goldstein
Nov 16, 2004·Journal of Rehabilitation Research and Development·Margaret A Finley, Mary M Rodgers
May 3, 2005·Clinical Orthopaedics and Related Research·Bernhard JostChristian Gerber
Aug 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Ken YamaguchiSharlene A Teefey
Jan 26, 2008·Journal of Shoulder and Elbow Surgery·Christopher R ConstantPascal Boileau
Apr 1, 2008·Archives of Physical Medicine and Rehabilitation·Jennifer L CollingerRory A Cooper
Apr 3, 2008·Journal of Rehabilitation Medicine·Marie AlmCecilia Norrbrink
Feb 3, 2009·The Journal of Bone and Joint Surgery. American Volume·H Mike KimKen Yamaguchi
Jun 23, 2009·Journal of Shoulder and Elbow Surgery·Atsushi YamamotoTsutomu Kobayashi
Jan 6, 2010·The Journal of Bone and Joint Surgery. American Volume·Michael AkbarMarkus Loew
Jul 5, 2011·Journal of Shoulder and Elbow Surgery·Michael AkbarPatric Raiss
Jun 26, 2013·Prosthetics and Orthotics International·Mokhtar ArazpourMeysam Sayyadfar
Jul 25, 2013·Journal of Rehabilitation Research and Development·Karla K WesselsJacob J Sosnoff
Sep 13, 2014·BioMed Research International·Yen-Sheng LinAlicia Koontz
Dec 3, 2014·Archives of Physical Medicine and Rehabilitation·Michael AkbarPatric Raiss
Jun 18, 2016·Surgical and Radiologic Anatomy : SRA·Abraham Guadalupe Espinosa-UribeSantos Guzmán-López

❮ Previous
Next ❯

Citations

Jul 24, 2020·Skeletal Radiology·Masafumi SakaiKotaro Nakajima
Dec 24, 2020·Journal of Neurotrauma·Leslie R MorseUNKNOWN SCI 2020 Working Group

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.