Cigarette Smoking Increases the Risk for Rotator Cuff Tears

Abstract

There is little available evidence regarding risk factors for rotator cuff tears. Cigarette smoking may be an important risk factor for rotator cuff disease. The purpose of this study was to determine if cigarette smoking correlates with an increased risk for rotator cuff tears in patients who present with shoulder pain. A questionnaire was administered to 586 consecutive patients 18 years of age or older who had a diagnostic shoulder ultrasound for unilateral, atraumatic shoulder pain with no history of shoulder surgery. Three hundred seventy-five patients had a rotator cuff tear and 211 patients did not. Data regarding cigarette smoking were obtained for 584 of 586 patients. A history of smoking (61.9% versus 48.3%), smoking within the last 10 years (35.2% versus 30.1%), mean duration of smoking (23.4 versus 20.2 years), mean packs per day of smoking (1.25 versus 1.10 packs per day), and mean packyears of smoking (30.1 versus 22.0) correlated with an increased risk for rotator cuff tear. We observed a dosedependent and time-dependent relationship between smoking and rotator cuff tears. We observed a strong association between smoking and rotator cuff disease. This may indicate smoking is an important risk factor for the development of rotator cuff tears.

Análise comparativa do resultado da sutura artroscópica da lesão do manguito rotador em pacientes fumantes e não fumantes

“…Baumgarten et al (8) observed a strong association between smoking and RC disease. The authors found that this association is dose-dependent and smoking-time-dependent.…”

“…A higher incidence of RC tears is (are) observed, as well as the possibility of late diagnosis in smoking patients (7)(8)(9) , but the literature is controversial as to the extent to which smoking influences the postoperative outcome of RC repair (10) .…”

Complete Rotator Cuff Tear: An Evidence-Based Conservative Management Approach

“…Baumgarten et al [20] conducted a study of 375 patients with RCTs confirmed by ultrasound (of all patients presenting with shoulder pain in general, of all demographics and characteristics). Of these 375 patients, 232 (62%) were smokers with a mean 23.4 years of smoking 1.25 packs per day and 30.1 mean packyears.…”

Reverse Total Shoulder Arthroplasty in the Massive Rotator Cuff Tear

“…33) Indications for reverse total shoulder arthroplasty are; First, who have old age, multiple underlying diseases such as diabetes mellitus, smokes or chronic rotator cuff tear lesion that is less capable to be healed, painful symptoms under the physical examinations, less than 90 degree of forward flexion and retracted rotator cuff without upper migration of humeral head under the MRI. [37][38][39][40][41][42][43][44] Second, patients who have massive rotator cuff tear with pseudoparalysis, pain and apparent anterosuperior escapse of humeral head are also indicated. 19,[45][46][47] But patients who have massive rotator cuff tear with abnormal function of deltoid are contraindicated for reverse total shoulder arthroplasty.…”