Relationship of rotator cuff tendon pathology with obesity, chronic diseases and steroid use

Abstract

Purpose: To investigate the possible relationship between rotator cuff tendon pathologies detected with magnetic resonance imaging and obesity and chronic diseases. Materials and Methods: Two hundred and sixty seven patients, who underwent shoulder MRI between 2014 January and October 2014 for pain and limitation of motion in the shoulder, were reviewed retrospectively. Tendon pathology was detected in 153 patients and they were included in the study. Tendon pathologies were examined by two radiologists. Tendon pathologies were divided into 3 groups including tendinosis, partially rupture and full thickness rupture. Body mass index (BMI) values were calculated for all patients. The study group were divided into two groups as BMI <25 and and #8805;25. In addition, presence of diabetes mellitus and hypertension and possible steroid use was noted . Results: The average age of the patients were found to be 57+/-13 years. Statistically significant correlation was observed between age and all tendon pathology for all patients. A statistically significant positive correlation was observed between BMI and supraspinatus tendon tears ,wheras there was marginal relationship but no statistically significant correlation between BMI the infraspinatus tendon tears. Conclusion: In our study, statistically significant correlation was observed between the supraspinatus tendon pathology with increasing age and increasing BMI. Aging process can not be changed, however prevention of obesity may provide a positive contribution to the conservation of the rotator cuff tendon pathology. [Cukurova Med J 2016; 41(4.000): 648-652]

Keywords

• Tendon patology
• body mass index
• chronic disease
• shoulder magnetic resonance imaging