Scholarlink

Purpose <p>This study explores how age affects the location, extent, and progression of rotator cuff (RC) lesions in shoulder arthroscopy patients, aiming to identify age-related patterns of injury from localized damage in younger patients to more extensive degeneration in older ones, guiding age-specific diagnostic and treatment strategies.</p> Methods <p>A prospective study of 487 shoulder arthroscopy patients (October 2019–September 2023) categorized cases into &lt; 55 and ≥ 55 years. SLAP lesions, pulley injuries, RC tears (Lafosse and Bateman), and rotator cable damage were systematically documented. All surgeries followed standardized protocols by a single surgeon. Statistical analyses (Pearson correlation, Chi-squared tests) assessed age-related RC pathology associations, with significance set at α = 0.05.</p> Results <p>Among 487 shoulder arthroscopies (mean age: 57.38 years), younger patients (&lt; 55 years) had higher rates of medial (95.2%) and lateral (95.9%) pulley lesions, while older patients (≥ 55 years) exhibited significantly more advanced pathology, including lateral pulley lesions (100%), high-grade subscapularis tears (<i>p</i> &lt; 0.0001), Bateman III-IV cuff tears (<i>p</i> &lt; 0.0001), and combined cable tears (<i>p</i> &lt; 0.0001). Medial pulley lesions correlated strongly with SLAP tears (<i>r</i> = 0.609), and age was positively associated with advanced injuries (<i>r</i> = 0.509) and negatively with partial subscapularis tears (<i>r</i> = − 0.143), indicating an age-related progression in rotator cuff degeneration.</p> Conclusion <p>The study suggests that lesions of the shoulder possibly arise from the biceps pulleys and extend more posteriorly. Distinct age-based patterns of RC pathology highlight the progression from localized injuries in younger patients to extensive degenerative damage in older individuals. These findings underscore the need for age-specific diagnostic and treatment strategies.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Are we misunderstanding rotator cuff lesions? - Age-based patterns of rotator cuff tears and their implications

  • 期刊论文

  • 发表日期：

    2025年5月7日

查看全文
  • Christos Koukos,
  • Fredy Montoya,
  • S. Samundeeswari,
  • Chavada Vijay Kantilal,
  • Saseendar Shanmugasundaram

摘要

Purpose

This study explores how age affects the location, extent, and progression of rotator cuff (RC) lesions in shoulder arthroscopy patients, aiming to identify age-related patterns of injury from localized damage in younger patients to more extensive degeneration in older ones, guiding age-specific diagnostic and treatment strategies.

Methods

A prospective study of 487 shoulder arthroscopy patients (October 2019–September 2023) categorized cases into < 55 and ≥ 55 years. SLAP lesions, pulley injuries, RC tears (Lafosse and Bateman), and rotator cable damage were systematically documented. All surgeries followed standardized protocols by a single surgeon. Statistical analyses (Pearson correlation, Chi-squared tests) assessed age-related RC pathology associations, with significance set at α = 0.05.

Results

Among 487 shoulder arthroscopies (mean age: 57.38 years), younger patients (< 55 years) had higher rates of medial (95.2%) and lateral (95.9%) pulley lesions, while older patients (≥ 55 years) exhibited significantly more advanced pathology, including lateral pulley lesions (100%), high-grade subscapularis tears (p < 0.0001), Bateman III-IV cuff tears (p < 0.0001), and combined cable tears (p < 0.0001). Medial pulley lesions correlated strongly with SLAP tears (r = 0.609), and age was positively associated with advanced injuries (r = 0.509) and negatively with partial subscapularis tears (r = − 0.143), indicating an age-related progression in rotator cuff degeneration.

Conclusion

The study suggests that lesions of the shoulder possibly arise from the biceps pulleys and extend more posteriorly. Distinct age-based patterns of RC pathology highlight the progression from localized injuries in younger patients to extensive degenerative damage in older individuals. These findings underscore the need for age-specific diagnostic and treatment strategies.