Rolf O, Ochs K, Böhm T D, Baumann B, Kirschner S, Gohlke F
Orthopädische Universitätsklinik König-Ludwig Haus, Würzburg, Germany.
Z Orthop Ihre Grenzgeb. 2006 Sep-Oct;144(5):519-23. doi: 10.1055/s-2006-942240.
In literature there are only few data which describe the influence of occupation on the development of rotator cuff disease.
In a retrospective study, 760 open rotator cuff repairs were analysed and related to the profession and occupational load. Exclusion criteria were traumatic tears and sports injuries. All male persons were statistically analysed and the data compared with occupational patterns of the region, obtained from the Federal Statistical State Office.
Rotator cuff repairs were performed in 472 males who had no evidence for a traumatic origin. After statistical analysis (p < 0.001) we found significantly more patients working in agriculture and forestry (6.38% versus 1.07% in Bavaria) and in the building industry (35.11% versus 13.40% in Bavaria).
Our data suggest that working exposure increases the risk or leads to the clinical manifestation of rotator cuff tears. Although a detailed analysis of individual physical exposure is not available yet, the statistical results indicate that rotator cuff tears must be taken into consideration as a result of ergonomic exposure.
文献中仅有少量数据描述职业对肩袖疾病发展的影响。
在一项回顾性研究中，分析了760例开放性肩袖修复病例，并将其与职业及职业负荷相关联。排除标准为创伤性撕裂和运动损伤。对所有男性患者进行统计学分析，并将数据与从联邦统计局获得的该地区职业模式进行比较。
对472例无创伤性病因证据的男性患者进行了肩袖修复。经统计学分析（p < 0.001），我们发现从事农业和林业工作的患者明显更多（6.38%，而巴伐利亚州为1.07%），从事建筑业工作的患者也明显更多（35.11%，而巴伐利亚州为13.40%）。
我们的数据表明，工作暴露会增加肩袖撕裂的风险或导致其临床表现出来。虽然尚未对个体身体暴露进行详细分析，但统计结果表明，因人体工程学暴露导致的肩袖撕裂必须予以考虑。
