naa a22 4500 510818447 CHVBK 20180411083519.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12306-013-0263-2 doi (NATIONALLICENCE)springer-10.1007/s12306-013-0263-2 The impact of aging on rotator cuff tear size [Elektronische Daten] [S. Gumina, S. Carbone, V. Campagna, V. Candela, F. Sacchetti, G. Giannicola] Introduction: The aim of our study was to establish if aging influences rotator cuff tear size. Patients and methods: We studied 586 consecutive patients (280 M, 306 F) mean age 59 years old (range 46-73) who underwent arthroscopic rotator cuff repair. Tear size was determined during surgery. For the purpose of our study, patients were divided into two groups based on age older than 60years. A multinomial logistic regression model was applied to explore the association between age older than 60years and tear size. We used the ANCOVA method to determine whether the aging influences the severity of the tear. All analyses were adjusted for gender. Results: Age older than 60years was associated with a twofold higher overall risk of tear occurrence (OR=2.12, 95% CI 1.44-3.01). While no association was detected between age older than 60years and the probability of a small tear (OR=0.58, 95% CI 0.27-1.07), subjects older than 60years were twice more likely to experience a large tear (OR=2.29, 95%CI 1.51-3.27) and three times more likely to experience a massive tear (OR=3.09, 95% CI 2.07-5.38) as opposed to younger subjects. Mean age significantly increased from small tear (53.8years) to large tear (66.8years) to massive tear (69.4years) patients (ANCOVA: F(2, 437)=16.487, p=1.51×10−7). Discussion: We found a significantly older mean age in patients with a more severe tear. Our data provide and confirm evidence that aging is a significant risk factor for the occurrence and severity of rotator cuff tears. Istituto Ortopedico Rizzoli, 2013 Rotator nationallicence Cuff tear nationallicence Natural history nationallicence Pathogenesis nationallicence Cuff tear size nationallicence Gumina S. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut Carbone S. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut Campagna V. Department of Orthopaedic and Traumatology, Policlinico Militare Celio, Rome, Italy aut Candela V. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut Sacchetti F. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut Giannicola G. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut MUSCULOSKELETAL SURGERY Springer Milan 97(2013-06-01), 69-72 2035-5106 97<69 2013 97 12306 https://doi.org/10.1007/s12306-013-0263-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-013-0263-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gumina S. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut NATIONALLICENCE 700 1- Carbone S. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut NATIONALLICENCE 700 1- Campagna V. Department of Orthopaedic and Traumatology, Policlinico Militare Celio, Rome, Italy aut NATIONALLICENCE 700 1- Candela V. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut NATIONALLICENCE 700 1- Sacchetti F. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut NATIONALLICENCE 700 1- Giannicola G. Department of Orthopaedic and Traumatology, University of Rome, Sapienza, Rome, Italy aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97(2013-06-01), 69-72 2035-5106 97<69 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer