Systematic review on risk factors of rotator cuff tears

• Published in: Journal of orthopaedic surgery (Hong Kong) 2017-01, Vol.25 (1), p.2309499016684318-2309499016684318
• Main Authors: Sayampanathan, Andrew Arjun, Andrew, Tan Hwee Chye
• Format: Article
• Language: English
• Subjects: Adult; Age; Age Factors; Aged; Apoptosis; Authorship; Data analysis; Diabetes; Female; Humans; Hypertension; Male; Middle Aged; NMR; Nuclear magnetic resonance; Odds Ratio; Patients; Population; Risk Factors; Rotator cuff; Rotator Cuff Injuries - etiology; Sex Factors; Studies; Systematic review; Tendinitis; Ultrasonic imaging
• ISSN: 1022-5536; 2309-4990
• DOI: 10.1177/2309499016684318

Purpose: Rotator cuff tears (RCTs) occur commonly, especially among certain groups of individuals. In this meta-analysis, we aim to identify risk factors for RCTs. Methods: We searched MEDLINE for 210 articles. Seventeen articles were selected for systematic review, of which 10 were eligible for meta-analysis. Data was analysed with Review Manager 5.3, using Mantel–Haenszel statistics and random effect models. Results: A total of 6653 individuals were analysed. The odds of sustaining a RCT on the dominant hand was 2.30 times more than the non-dominant hand (95% confidence interval (CI): 1.01–5.25, Z = 1.99, p = 0.05; Heterogenity: τ 2 = 0.38, χ 2 = 8.84, df = 2 (p = 0.01), I 2 = 77%). The odds of an individual aged 60 years and above sustaining a RCT was 5.07 times higher than an individual less than 60 years old (95% CI: 2.45–10.51, Z = 4.37, p < 0.001; Heterogenity: τ 2 = 0.47, χ 2 = 25.24, df = 3 (p < 0.001), I 2 = 88%). Female gender was not a significant association, with an odds ratio of 0.98 when compared to the male gender (95% CI: 0.66–1.45, Z = 0.09, p = 0.93; Heterogenity: τ 2 = 0.20, χ 2 = 44.24, df = 5 (p < 0.001), I 2 = 89%). Conclusions: Hand dominance and older age are associated with RCTs. More studies are required for further assessment of associations and risk factors of RCTs.