Etiologic Factors of Rotator Cuff Disease in Elderly: Modifiable Factors in Addition to Known Demographic Factors

Int J Environ Res Public Health. 2022 Mar 21;19(6):3715. doi: 10.3390/ijerph19063715.


With the aging society, musculoskeletal degenerative diseases are becoming a burden on society, and rotator cuff disease is one of these degenerative diseases. The purpose of this study was to examine the incidence of shoulder osteoarthritis and the etiologic factors of rotator cuff disease in the Korean elderly population. A total of 102 patients performing ultrasonography were recruited, and their demographic factors were analyzed. As functional factors, visual analog scale and the peak torque of external and internal rotators of the shoulder using an isokinetic dynamometer were measured. As an anatomical factor, the acromiohumeral distance in the plain radiograph of the glenohumeral anterior-posterior view was used. There were more female patients (65.7%) than male patients (34.3%). The age range with the highest number of respondents was 50-59 years old. The mean visual analogue score was 4.09 (Min 1 to Max 9). Age and dominant hand side factors appear to be the crucial etiologic factors of the presence and severity of rotator cuff disease. The lower net value of the external rotator strength is weakly related to the presence of rotator cuff disease after adjusting for age, and this is the only modifiable factor in the study.

Keywords: elderly; etiology; isokinetic strength; osteoarthritis; rotator cuff disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Demography
  • Female
  • Humans
  • Male
  • Middle Aged
  • Range of Motion, Articular
  • Rotator Cuff / diagnostic imaging
  • Rotator Cuff Injuries* / diagnostic imaging
  • Rotator Cuff Injuries* / epidemiology
  • Rotator Cuff Injuries* / etiology
  • Shoulder
  • Shoulder Joint*