肩袖肌腱病的风险因素：系统评价和荟萃分析。
Risk factors for rotator cuff tendinopathy: A systematic review and meta-analysis.
机构信息
Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, NA Hong Kong, Hong Kong.
出版信息
J Rehabil Med. 2019 Oct 4;51(9):627-637. doi: 10.2340/16501977-2598.
OBJECTIVES
To conduct a systematic review and meta-analysis to identify risk and associated factors for symptomatic rotator cuff tendinopathy.
DATA SOURCES
PubMed, CINAHL and Scopus were searched from inception to June 2017.
STUDY SELECTION
Participants presented with signs and symptoms suggestive of rotator cuff tendinopathy/tendinosis/tendinitis, shoulder impingement syndrome, or subacromial bursitis diagnosed by clinical tests and/or conventional imaging.
DATA EXTRACTION
Screening, quality assessment and data extraction were carried out by 2 reviewers.
DATA SYNTHESIS
Sixteen studies were included in this review. Overall, 22 factors were identified and 5 factors were explored using meta-analysis. Pooled analyses provided strong evidence that age above 50 years (odds ratio (OR)?=?3.31, 95% confidence interval (95% CI)?=?2.304.76, I2?=?0%, p<0.001) and diabetes (OR?=?2.24, 95% CI?=?1.373.65, I2?=?0%, p?=?0.001) were associated with increased risk of rotator cuff tendinopathy. In addition, moderate evidence showed that work with the shoulder above 90° was associated with increased risk of rotator cuff tendinopathy (OR?=?2.41, 95% CI?=?1.314.45, I2=?83%, p?=?0.005).
CONCLUSION
Age above 50 years, diabetes and overhead activities were associated with increased risk of rotator cuff tendinopathy.
目的
系统回顾和荟萃分析以确定症状性肩袖肌腱病的风险和相关因素。
资料来源
从建库至 2017 年 6 月，检索 PubMed、CINAHL 和 Scopus。
研究选择
参与者表现出肩袖肌腱病/肌腱病/肌腱炎、肩峰下撞击综合征或肩峰下滑囊炎的体征和症状，这些疾病通过临床检查和/或常规影像学诊断。
资料提取
两名评审员进行筛选、质量评估和数据提取。
资料综合
本综述共纳入 16 项研究。总体上，确定了 22 个因素，并使用荟萃分析探讨了 5 个因素。汇总分析提供了强有力的证据表明，年龄超过 50 岁（比值比（OR）=3.31，95%置信区间（95%CI）=2.304.76，I²=0%，p<0.001）和糖尿病（OR=2.24，95%CI=1.373.65，I²=0%，p=0.001）与肩袖肌腱病的风险增加相关。此外，中度证据表明，肩部活动超过 90°与肩袖肌腱病的风险增加相关（OR=2.41，95%CI=1.314.45，I²=83%，p=0.005）。
结论
年龄超过 50 岁、糖尿病和上肢过顶活动与肩袖肌腱病的风险增加相关。
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