Surgical outcome following rotator cuff tear repair in a low-income population. Impact of obesity and smoking
| Autor: | Marco A. A. Lacerda, Leila Nascimento da Rocha, Joaquim Ivo Vasques Dantas Landim, Natália M. Mourão, José Alberto Dias Leite, Christine Maria Miniz Silva, Hermano Alexandre Lima Rocha, Francisco Airton Castro Rocha |
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| Rok vydání: | 2021 |
| Předmět: |
Shoulder
medicine.medical_specialty Sports medicine Visual analogue scale Population Rotator cuff tear Metabolic disease Diseases of the musculoskeletal system Rotator Cuff Injuries law.invention Arthroscopy Rheumatology Randomized controlled trial law Internal medicine medicine Humans Orthopedics and Sports Medicine Rotator cuff Obesity education Poverty Aged Outcome education.field_of_study business.industry Research Minimal clinically important difference Smoking Middle Aged Treatment Outcome medicine.anatomical_structure RC925-935 Orthopedic surgery Female business Range of motion |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-7 (2021) BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| Popis: | Background Comorbidities and socioeconomic issues impact outcome of rotator cuff tear (RCT) repair. There are no data on RCT repair outcome from developing regions. We determined the impact of obesity and smoking following RCT repair in a low-income population. Methods This is a retrospective case series. Forty-seven shoulders of 42 patients subjected to open or arthroscopic repair of a RCT with a minimum of 2 years follow-up were cross-sectionally evaluated. Patients were seen in the Orthopaedic Service of the Hospital Geral de Fortaleza-CE, Brazil between March and September 2018. RCT were classified as partial or full-thickness lesions. Fatty infiltration (Goutallier) and tendon retraction (Patte) were recorded as well as obesity (BMI > 30), literacy [>/≤ 8 school years (SY)] and smoking status 6 months prior to surgery (present/absent). Outcomes included pain (visual analogue scale; VAS, 0–10 cm), range of motion [active forward flexion and external rotation (ER)], UCLA and ASES scoring. Results Patients were 59.9 ± 7.4 years-old, 35(74.4%) female with 19 (17.1–30.2 IQR) median of months from diagnosis to surgery and 25 median months of follow-up (26.9–34.0 IQR); over 90% declared P = 0.043) and less ER (P = 0.029) with a trend towards worse UCLA and ASES scores as compared to non-smokers though differences did not achieve minimal clinically important difference (MCID) proposed for surgical RCT treatment. After adjusting for obesity, VAS and ER values in smokers were no longer significant (P = 0.2474 and 0.4872, respectively). Conclusions Our data document outcomes following RCT repair in a low-income population. Smoking status but not obesity impacted RCT repair outcome though not reaching MCID for surgical treatment. |
| Databáze: | OpenAIRE |
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