Estudio sobre la repercusión en la rotura de manguito de rotadores de las variables cardiometabólicas: glucosa, triglicéridos y colesterol
Despite the important medical advances made in the field of tendinopathies in recent decades, some aspects related to the pathophysiology of the tendon are still not known for sure. Recently, it has been suggested that certain cardio-metabolic factors (cholesterol, trigyliceerides, glucose) can influence the pathological processes of the tendon, especially those of the lower limb, such as the Achilles tendon or the patellar tendon. However, the current evidence on the impact of these factors on upper limb tendons is even less, which requires further research in this regard. Therefore, the objective of this study is to assess the impact of the cardio-metabolic variables glucose, cholesterol, and triglycerides on rotator cuff tear. The present investigation consists of a case-control study, with the study population obtained through the Traumatology Service of the Hospital Clínic i Universitari de València. As inclusion criteria, the following were applied: subjects over 45 years of age, diagnosed with rotator cuff tendinopathy based on magnetic resonance imaging. The following data were extracted from the clinical history of the patients: blood concentration of cholesterol, triglycerides and glucose. A coration of means was performed between both groups using the ANCOVA test for the previously described variables. The results of this research showed non-significant differences in the blood concentration of cholesterol, triglycerides and glucose, so this study, in line with other previous studies, but not all, suggests that these cardio-metabolic variables seem not to influence the pathophysiological process of tendon tear in the rotator cuff.