Please use this identifier to cite or link to this item: https://hdl.handle.net/1822/67189

TitleIs bony morphology and morphometry associated with degenerative full-thickness rotator cuff tears? A systematic review and meta-analysis
Author(s)Andrade, Renato
Correia, Ana Lucinda
Nunes, Joni
Xará-Leite, Francisco
Calvo, Emilio
Espregueira-Mendes, João
Sevivas, Nuno
KeywordsAcromion
Humans
Risk
Rotator Cuff
Rotator Cuff Injuries
Shoulder Joint
Issue date2019
PublisherElsevier
JournalArthroscopy: The Journal of Arthroscopy and Related Surgery
CitationAndrade, R., Correia, A. L., Nunes, J., Xará-Leite, F., et. al.(2019). Is bony morphology and morphometry associated with degenerative full-thickness rotator cuff tears? A systematic review and meta-analysis. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 35(12), 3304-3315
Abstract(s)To scope the scientific literature and analyze the influence of bony risk factors for degenerative full-thickness primary rotator cuff tear. Purpose To scope the scientific literature and analyze the influence of bony risk factors for degenerative full-thickness primary rotator cuff tear. Methods A systematic review of databases PubMed, Scopus, EMBASE, and Cochrane Library was performed up to June 30, 2018. Meta-analysis was performed with mean difference (MD) or risk ratio for degenerative full-thickness rotator cuff injury, and when there were ≥3 studies for the considered potential risk factor. Methodologic quality was assessed using the Newcastle-Ottawa scale. Results We analyzed 34 studies comprising 5,916 shoulders (3,369 shoulders with rotator cuff tear and 2,546 controls) and identified 19 potential risk factors for degenerative full-thickness rotator cuff tears. There was moderate evidence that a higher critical shoulder angle (MD = 4.41, 95% confidence interval [CI] 3.43 to 5.39), higher acromion index (MD = 0.06, 95% CI 0.04 to 0.09), and lower lateral acromion angles (MD = −7.11, 95% CI −8.32 to −5.90) were associated with degenerative full-thickness rotator cuff tears compared with controls. Moderate evidence showed that a type III acromion significantly increases the risk for full-thickness degenerative rotator cuff tear (risk ratio = 2.26, 95% CI 1.38 to 3.70). Conclusion There is moderate evidence that larger critical shoulder angle, higher acromion index, lower lateral acromion angles, and a type III acromion are significantly associated with degenerative full-thickness rotator cuff tears. Other potential risk factors identified showed insufficient evidence. Level of Evidence Level IV, systematic review of level II to IV studies.
TypeArticle
URIhttps://hdl.handle.net/1822/67189
DOI10.1016/j.arthro.2019.07.005
ISSN0749-8063
Publisher versionhttps://www.sciencedirect.com/science/article/abs/pii/S0749806319306255
Peer-Reviewedyes
AccessRestricted access (Author)
Appears in Collections:ICVS - Artigos em revistas internacionais / Papers in international journals

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