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https://hdl.handle.net/1822/67189
Título: | Is bony morphology and morphometry associated with degenerative full-thickness rotator cuff tears? A systematic review and meta-analysis |
Autor(es): | Andrade, Renato Correia, Ana Lucinda Nunes, Joni Xará-Leite, Francisco Calvo, Emilio Espregueira-Mendes, João Sevivas, Nuno |
Palavras-chave: | Acromion Humans Risk Rotator Cuff Rotator Cuff Injuries Shoulder Joint |
Data: | 2019 |
Editora: | Elsevier |
Revista: | Arthroscopy: The Journal of Arthroscopy and Related Surgery |
Citação: | Andrade, 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 |
Resumo(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. |
Tipo: | Artigo |
URI: | https://hdl.handle.net/1822/67189 |
DOI: | 10.1016/j.arthro.2019.07.005 |
ISSN: | 0749-8063 |
Versão da editora: | https://www.sciencedirect.com/science/article/abs/pii/S0749806319306255 |
Arbitragem científica: | yes |
Acesso: | Acesso restrito autor |
Aparece nas coleções: | ICVS - Artigos em revistas internacionais / Papers in international journals |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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10.1016@j.arthro.2019.07.005.pdf Acesso restrito! | 1,41 MB | Adobe PDF | Ver/Abrir |