The effects of hyperlipidemia on rotator cuff diseases: a systematic review

Yang, Yang

doi:10.1186/s13018-018-0912-0

Cited by 33 publications

(34 citation statements)

References 45 publications

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“…47 A further ICON consensus statement highlighted that patient characteristics relating to general health may be a major confounder to treatment outcomes in tendinopathy. 48 Patients with chronic tendinopathy, especially older and more sedentary individuals, often have associated comorbidities, for example, diabetes, 49 high cholesterol 50 and high body mass index. 51 These characteristics are not routinely measured in tendinopathy studies, but it is recommended that they are reported in future clinical trials.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials

Clifford

Challoumas

Paul

et al. 2020

BMJ Open Sport Exerc Med

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ObjectiveTo systematically review and critically appraise the literature on the effectiveness of isometric exercise in comparison with other treatment strategies or no treatment in tendinopathy.DesignA systematic review and meta-analysis of randomised controlled trials.Data sourcesElectronic searches of Medline, Cumulative Index to Nursing and Allied Health Literature, EMBASE and Cochrane were undertaken from inception to May 2020.MethodsOverall quality of each study was determined based on a combined assessment of internal validity, external validity and precision. For each outcome measure, level of evidence was rated based on the system by van Tulder et al.ResultsTen studies were identified and included in the review, including participants with patellar (n=4), rotator cuff (n=2), lateral elbow (n=2), Achilles (n=1) and gluteal (n=1) tendinopathies. Three were of good and seven were of poor overall quality. Based on limited evidence (level 3), isometric exercise was not superior to isotonic exercise for chronic tendinopathy either immediately following treatment or in the short term (≤12 weeks) for any of the investigated outcome measures. Additionally, for acute rotator cuff tendinopathy, isometric exercise appears to be no more effective than ice therapy in the short term (limited evidence; level 3).SummaryIsometric exercise does not appear to be superior to isotonic exercise in the management of chronic tendinopathy. The response to isometric exercise is variable both within and across tendinopathy populations. Isometric exercise can be used as part of a progressive loading programme as it may be beneficial for selected individuals.PROSPERO registration numberCRD42019147179.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials

Clifford

Challoumas

Paul

et al. 2020

BMJ Open Sport Exerc Med

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“…It is generally assumed that localized chitosan binds to cholesterol, thus lowering the retear rate, but further work is needed to confirm this assumption. 22,28,34,48…”

Section: Discussionmentioning

confidence: 99%

Effects of a Thermosensitive Antiadhesive Agent on Single-Row Arthroscopic Rotator Cuff Repair

Kim

Jung

et al. 2020

Am J Sports Med

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Background: Postoperative stiffness after rotator cuff repair is a common complication that can lead to poor outcomes and patient discomfort. The application of an antiadhesive agent at the time of repair recently became an option for clinicians, but little information is available on its effects. Purpose: To evaluate and compare retear rates, the incidence of postoperative stiffness, and the clinical outcomes of patients who underwent cuff repair with or without the application of an antiadhesive agent. Study Design: Cohort study; Level of evidence, 3. Methods: Among 296 patients who underwent arthroscopic rotator cuff repair surgery, we compared the outcomes of those injected with a thermosensitive gel antiadhesive agent into the subacromial space (112 cases) versus noninjected controls (184 cases). Retear rates in the 2 groups were determined by magnetic resonance imaging at 1 year after surgery. Shoulder joint range of motion and functional scores were evaluated serially. Results: The rate of retear was significantly lower in the injection group (20/112 cases; 17.9%) than the control group (53/184 cases; 28.8%) ( P = .034). Postoperative stiffness was not significantly different between the 2 groups ( P = .710). Among the data regarding range of motion, only forward flexion at 6 months after surgery showed superior results in the injection group. Functional scores showed conflicting results: The control group had better visual analog scale scores for pain (injection vs control: 2.17 vs 1.68 at 6 months; 1.82 vs 1.28 at 12 months), American Shoulder and Elbow Surgeons scores (79.89 vs 89.64 at 12 months), and simple shoulder test scores (8.70 vs 10.06 at 12 months), whereas the injection group had better Constant-Murley scores (injection vs control: 59.49 vs 55.60 at 3 months; 77.35 vs 71.98 at 6 months; 87.28 vs 81.56 at 12 months). Conclusion: The tendon healing rate was significantly higher in the group receiving an antiadhesive agent than in the control group. No intergroup difference was seen in the occurrence of postoperative stiffness. However, the pain-related functional score showed inferior results in the injection group at 12 months. The biological action of antiadhesive agents in rotator cuff repair should be further evaluated.

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“…[ 19 ] According to previous findings, mechanical properties of tendons are affected by lipids that pile up within the extracellular matrix when an individual develops hyperlipidemia. [ 14 , 20 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] Hyperlipidemia is one of the extrinsic factors that have been adversely associated with tendinopathy [ 12 ] and its treatment. [ 13 ] Associations of hyperlipidemia with CT have been described elsewhere [ 14 ] but not in Taiwan.…”

Section: Introductionmentioning

confidence: 99%

Interactive associations of sex and hyperlipidemia with calcific tendinitis of the shoulder in Taiwanese adults

Cai

Nfor

et al. 2020

Medicine

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Calcific tendinitis (CT) of the shoulder is a painful disorder usually identified in individuals aged 40 and 60 years. The estimated global prevalence of CT is 2.7% to 36%. We examined the association of hyperlipidemia and sex with CT of the shoulder using Taiwan Biobank (TWB) and the National Health Insurance Research Database (NHIRD). Data were available for 9903 TWB participants who were recruited between 2008 and 2015. We used multiple logistic regression analysis to estimate the odds ratios (OR) and 95% confidence intervals (CI) for CT of the shoulder. Overall, 1564 women, and 1491 men were identified with hyperlipidemia. Women, compared to men, had higher odds of CT of the shoulder (OR, 1.53; 95% CI, 1.08–2.16). Hyperlipidemia, compared to no hyperlipidemia, was associated with an increased risk of CT (OR, 1.40; 95% CI, 1.02–1.93). The test for interaction was significant for sex and hyperlipidemia ( P = .006). After stratification, the odds ratio for CT was 1.95 (95% CI, 1.30–2.92) in women and 0.82 (95% CI, 0.48–1.39) in men, respectively. Compared to men with no hyperlipidemia, the odds ratio was 0.86 (95% CI, 0.53–1.38) for men with hyperlipidemia and 2.00 (95% CI, 1.29–3.10) for women with hyperlipidemia. Importantly, our findings indicated that the risk for CT of the shoulder was higher among Taiwanese women with hyperlipidemia. However, CT risk among their male counterparts with hyperlipidemia was not significant.

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The effects of hyperlipidemia on rotator cuff diseases: a systematic review

Cited by 33 publications

References 45 publications

Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials

Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials

Effects of a Thermosensitive Antiadhesive Agent on Single-Row Arthroscopic Rotator Cuff Repair

Interactive associations of sex and hyperlipidemia with calcific tendinitis of the shoulder in Taiwanese adults

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