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1532-65002112012JanJournal of shoulder and elbow surgeryJ Shoulder Elbow SurgThe impact of preoperative smoking habit on rotator cuff tear: cigarette smoking influences rotator cuff tear sizes.566056-6010.1016/j.jse.2011.01.039Smoking is an important risk factor for the development of rotator cuff tears. We hypothesized that smoking may also influence rotator cuff tear size.The study included 408 patients who underwent arthroscopic repair of cuff tear. Cuff tears were classified during surgery. We analyzed the percentage of smokers and the association of the amount and duration of smoking exposure with the type of tear. The average number of daily cigarettes and the total number of cigarettes in life were studied using age and gender as covariates.Smokers comprised 131 of 408 patients (32.1%). A type I tear affected 95 patients (23.3%), type II affected 214 (52.5%), type III affected 74 (18.1%), and type IV affected 25 (6.1%). Smokers comprised 23.2% (22 patients) of patients with type I tear, 33.6% (72 patients) of patients with type II tears, 36.5% (27 patients) of patients with type III tears and 40% (10 patients) of patients with IV tears. The frequency of smokers with at least a type II tear was 34.8% and differed significantly from the 23.2% of the type I tear patients (P = 0.033). Total number of cigarettes was significantly higher in patients with an at least a type II tear (F(1,127) = 4.694, P = .032).Rotator cuff has a relatively hypovascular insertion into the greater tuberosity. Cigarette smoking negatively affects vascularity of tendons.There is a correlation between cigarette smoking habit, rotator cuff tear, and tear size. There was an increasing daily average number of cigarettes and a total number of cigarettes smoked in life across patients with increasing severity of tears.Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.CarboneStefanoSDepartment of Orthopaedic and Traumatology, University of Rome Sapienza, Rome, Italy. stefcarbone@yahoo.itGuminaStefanoSArceriValerioVCampagnaVincenzoVFagnaniCorradoCPostacchiniFrancoFengComparative StudyJournal Article20110427
United StatesJ Shoulder Elbow Surg92064991058-2746IMZ Orthop Unfall. 2012 Jun;150(3):241.22908384AgedArthroscopymethodsFemaleFollow-Up StudiesHumansItalyepidemiologyMaleMiddle AgedPreoperative PeriodPrognosisRetrospective StudiesRisk AssessmentmethodsRisk FactorsRotator CuffsurgeryRotator Cuff InjuriesRuptureShoulder JointSmokingadverse effectsTendon InjuriesepidemiologyetiologysurgeryTime Factors20109192011116201112420114296020114296020125960ppublish2152492210.1016/j.jse.2011.01.039S1058-2746(11)00053-Xtrying2...
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The impact of preoperative smoking habit on rotator cuff tear: cigarette smoking influences rotator cuff tear sizes. | LitMetric
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The impact of preoperative smoking habit on rotator cuff tear: cigarette smoking influences rotator cuff tear sizes.

Stefano Carbone Stefano Gumina Valerio Arceri Vincenzo Campagna Corrado Fagnani Franco Postacchini

J Shoulder Elbow Surg

Department of Orthopaedic and Traumatology, University of Rome Sapienza, Rome, Italy.

Published: January 2012

Hypothesis: Smoking is an important risk factor for the development of rotator cuff tears. We hypothesized that smoking may also influence rotator cuff tear size.

Materials And Methods: The study included 408 patients who underwent arthroscopic repair of cuff tear. Cuff tears were classified during surgery. We analyzed the percentage of smokers and the association of the amount and duration of smoking exposure with the type of tear. The average number of daily cigarettes and the total number of cigarettes in life were studied using age and gender as covariates.

Results: Smokers comprised 131 of 408 patients (32.1%). A type I tear affected 95 patients (23.3%), type II affected 214 (52.5%), type III affected 74 (18.1%), and type IV affected 25 (6.1%). Smokers comprised 23.2% (22 patients) of patients with type I tear, 33.6% (72 patients) of patients with type II tears, 36.5% (27 patients) of patients with type III tears and 40% (10 patients) of patients with IV tears. The frequency of smokers with at least a type II tear was 34.8% and differed significantly from the 23.2% of the type I tear patients (P = 0.033). Total number of cigarettes was significantly higher in patients with an at least a type II tear (F(1,127) = 4.694, P = .032).

Discussion: Rotator cuff has a relatively hypovascular insertion into the greater tuberosity. Cigarette smoking negatively affects vascularity of tendons.

Conclusions: There is a correlation between cigarette smoking habit, rotator cuff tear, and tear size. There was an increasing daily average number of cigarettes and a total number of cigarettes smoked in life across patients with increasing severity of tears.

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http://dx.doi.org/10.1016/j.jse.2011.01.039DOI Listing

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