The incidence of rotator cuff disease in smoking and non-smoking patients: a cadaveric study

Orthopedics
Steven M KaneKimber Langston

Abstract

The etiology of rotator cuff disease is multifactorial. One theory behind the high incidence of rotator cuff tears in the shoulder is that the supraspinatus/infraspinatus tendon contains a zone of relative avascularity in the area proximal to its insertion at the greater tuberosity. Tobacco smoking is known to contribute to microvascular disease, and it can be hypothesized that smoking tobacco further compromises the vascular supply to the supraspinatus/infraspinatus tendon, thus increasing the incidence of tendinous pathology in the rotator cuff. This article evaluates the rotator cuffs of 72 shoulders in 36 cadavers and compares the incidence of macroscopic and microscopic disease within the rotator cuff tendon. Microscopic evaluation of the accompanying lung tissue from the respective cadaver also was performed. As a result, we were able to determine the presence or absence of a smoking history or emphysema from each cadaver as it related to rotator cuff disease in the shoulder. Of the 36 shoulders that exhibited macroscopic rotator cuff tears, 23 were from cadavers with a history of smoking compared to only 13 from cadavers with no history of smoking. Furthermore, the presence of advanced microscopic rotator cuff pathology ...Continue Reading

Citations

Nov 18, 2011·Sports Medicine and Arthroscopy Review·Francesco PegreffiGiuseppe Porcellini
Jan 12, 2013·The Physician and Sportsmedicine·Edward P MulliganMichael Khazzam
Dec 22, 2016·Journal of Occupational and Environmental Medicine·Kara Arnold ApplegateKurt T Hegmann
Nov 6, 2012·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Taku HattaEiji Itoi
Nov 1, 2010·Revista Brasileira De Ortopedia·Sérgio Correa Pinto JúniorFrancisco José Dos Santos Neto
Mar 1, 2011·Revista Brasileira De Ortopedia·Alexandre AlmeidaAna Paula Agostini
May 5, 2009·Annals of the Royal College of Surgeons of England·M BhatiaK J Ravikumar
Jan 1, 2013·Orthopaedic Journal of Sports Medicine·Brett D OwensUNKNOWN Millennium Cohort Study Team
Jul 14, 2017·ANZ Journal of Surgery·Anthony MaherMichael Caughey
Jun 14, 2017·The American Journal of Sports Medicine·Nobuyuki YamamotoEiji Itoi
May 3, 2013·The Journal of Bone and Joint Surgery. American Volume·John J LeePaul J Dougherty
Feb 9, 2021·JSES International·Kevin I KashanchiEdward D Wang
Sep 16, 2016·Journal of UOEH·Chiharu YoshiiKazuhiro Yatera
Jun 30, 2012·Journal of Shoulder and Elbow Surgery·Ali DjahangiriChristian Gerber

❮ 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.

Related Papers

Journal of Shoulder and Elbow Surgery
Micheál S FeeneyJames Colville
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Marc S KowalskyChristopher S Ahmad
The Journal of Bone and Joint Surgery. American Volume
H Mike KimKen Yamaguchi
© 2022 Meta ULC. All rights reserved