Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.
Department of Orthopaedic Surgery, Myongji Hospital, Goyang, Korea.
Clin Orthop Surg. 2021 Jun;13(2):237-242. doi: 10.4055/cios20058. Epub 2020 Dec 21.
It has been reported that vitamin D may play an important role in rotator cuff tears. However, there has been limited information about the prevalence of and risk factors for hypovitaminosis D in patients with rotator cuff tears. Therefore, the purpose of current study was to investigate the prevalence of and risk factors for hypovitaminosis D in patients with rotator cuff tears.
One hundred seventy-six patients (age, 61.9 ± 8.90 years) who underwent arthroscopic rotator cuff repair for a full-thickness tear were enrolled in this retrospective study. Preoperative serum vitamin D levels (25-hydroxyvitamin D) were measured. Hypovitaminosis D was defined as a serum concentration of 25-hydroxyvitamin D < 20 ng/mL. We investigated whether age, sex, height, weight, body mass index, bone mineral density, alcohol consumption, smoking status, and outdoor occupation were associated with hypovitaminosis D.
The prevalence of hypovitaminosis D in patients with rotator cuff tears was 44.3% (78/176). The mean serum concentration of 25-hydroxyvitamin D of total patients was 24.7 ± 13.7 ng/mL. A higher serum level of vitamin D was significantly associated with older age ( < 0.001). Young age was an independent risk factor for hypovitaminosis D. The prevalence of hypovitaminosis D was also lower in patients with an outdoor occupation than in those with an indoor occupation (19.0% vs. 31.4%, = 0.001).
The prevalence of hypovitaminosis D in patients with rotator cuff tears was 44.3%. Age had a significant positive correlation with the serum concentration of 25-hydroxyvitamin D. Young age and indoor working were independent risk factors for hypovitaminosis D in patients with rotator cuff tears. Therefore, the possibility of hypovitaminosis D should be considered for young and indoor working patients who have rotator cuff tears.
据报道，维生素 D 可能在肩袖撕裂中发挥重要作用。然而，关于肩袖撕裂患者中维生素 D 缺乏症的患病率和危险因素的信息有限。因此，本研究旨在探讨肩袖撕裂患者中维生素 D 缺乏症的患病率和危险因素。
本回顾性研究纳入了 176 例（年龄 61.9 ± 8.90 岁）接受关节镜下肩袖修复术治疗全层撕裂的患者。测量了术前血清维生素 D 水平（25-羟维生素 D）。将维生素 D 缺乏定义为血清 25-羟维生素 D 浓度 < 20ng/mL。我们调查了年龄、性别、身高、体重、体重指数、骨密度、饮酒、吸烟状况和户外工作是否与维生素 D 缺乏有关。
肩袖撕裂患者中维生素 D 缺乏症的患病率为 44.3%（78/176）。所有患者的血清 25-羟维生素 D 平均浓度为 24.7 ± 13.7ng/mL。较高的血清维生素 D 水平与年龄较大显著相关（<0.001）。年龄较小是维生素 D 缺乏症的独立危险因素。户外工作患者的维生素 D 缺乏症患病率也低于室内工作患者（19.0%比 31.4%， = 0.001）。
肩袖撕裂患者中维生素 D 缺乏症的患病率为 44.3%。年龄与血清 25-羟维生素 D 浓度呈显著正相关。年龄较小和室内工作是肩袖撕裂患者维生素 D 缺乏症的独立危险因素。因此，对于患有肩袖撕裂且年龄较小和从事室内工作的患者，应考虑维生素 D 缺乏症的可能性。
