Socioeconomic and Other Risk Factors for Retear after Arthroscopic Surgery for Nontraumatic Rotator Cuff Tear
Jung Sub Lee,
Kuen Tak Suh,
Won Chul Shin,
Jung Yun Bae,
Tae Sik Goh,
Sung Won Jung,
Min-Hyeok Choi,
Suk-Woong Kang
Affiliations
Jung Sub Lee
Department of Orthopedics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Hospital, Pusan National University School of Medicine, Busan 49241, Republic of Korea
Kuen Tak Suh
Department of Orthopedics, Sehung Hospital, Busan 47250, Republic of Korea
Won Chul Shin
Department of Orthopedics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Hospital, Pusan National Yangsan University School of Medicine, Yangsan 50612, Republic of Korea
Jung Yun Bae
Department of Orthopedics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Hospital, Pusan National Yangsan University School of Medicine, Yangsan 50612, Republic of Korea
Tae Sik Goh
Department of Orthopedics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Hospital, Pusan National University School of Medicine, Busan 49241, Republic of Korea
Sung Won Jung
Department of Orthopedics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Hospital, Pusan National Yangsan University School of Medicine, Yangsan 50612, Republic of Korea
Min-Hyeok Choi
Department of Preventive and Occupational Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan 50612, Republic of Korea
Suk-Woong Kang
Department of Orthopedics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Hospital, Pusan National Yangsan University School of Medicine, Yangsan 50612, Republic of Korea
Background and Objectives: Few studies have investigated the socioeconomic factors associated with retear after rotator cuff repair. This study aimed to identify the risk factors, including socioeconomic factors, for rotator cuff retear in patients who underwent arthroscopic rotator cuff repair. Materials and Methods: This retrospective study included 723 patients diagnosed with full-thickness rotator cuff tears who underwent arthroscopic rotator cuff repair from March 2010 to March 2021. The outcome variable was rotator cuff retear observed on postoperative magnetic resonance imaging or ultrasonography. Sex, age, obesity, diabetes, symptom duration, and tear size were the independent variables. Socioeconomic variables included occupation, educational level, type of medical insurance, and area of residence. We compared patients with and without retear and estimated the effects of the independent factors on retear risk. Results: The mean age of the patients, symptom duration, and tear size were 62.4 ± 8.0 years, 1.8 ± 1.7 years, and 21.8 ± 12.5 mm, respectively. The age, type of medical insurance, diabetes, tear size, and symptom duration differed significantly between patients with and without retearing (p p = 0.005; OR, 1.95; 95% CI, 1.23–3.11). The highest retear risk was seen in patients with Medicaid insurance (p Conclusions: Age, initial tear size, and symptom duration significantly affect retear risk after arthroscopic rotator cuff repair. Occupation and type of medical insurance were also risk factors for retear. Socioeconomically vulnerable patients may be at a greater risk of retear. Proactive efforts are required to expand early access to medical care.
