Work above shoulder level and degenerative alterations of the rotator cuff tendons: a magnetic resonance imaging study.

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Svendsen, Susanne Wulff (author)

Work above shoulder level and degenerative alterations of the rotator cuff tendons : a magnetic resonance imaging study.

Article/chapterEnglish2004

Publisher, publication year, extent ...

2004-10-08
Wiley,2004
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:hig-2843
https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-2843URI
https://doi.org/10.1002/art.20495DOI
https://lup.lub.lu.se/record/264147URI

Supplementary language notes

Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

OBJECTIVE: To determine whether work performed with the arms in a highly elevated position is associated with alterations in the rotator cuff tendons as assessed by magnetic resonance imaging (MRI). METHODS: A cross-sectional study was performed in a historical cohort of male machinists, car mechanics, and house painters. The participants were right-handed, ages 40-50 years, and had been employed in their trades for not less than 10 years. Seventy-one percent of invited subjects participated (136 of 192). Lifetime upper arm elevation was assessed by direct measurements combined with individual work histories obtained by questionnaire and from registry data. Supraspinatus tendinopathy was evidenced by MRI signal intensity changes and morphologic alterations. Infraspinatus and subscapularis tendinopathy were also assessed. Additional outcomes were acromioclavicular joint degeneration and humeral head cysts. The MRI findings were evaluated by radiologists who were blinded to exposure status and symptoms. RESULTS: An exposure-response relationship was found between lifetime upper arm elevation and supraspinatus tendinopathy, with an age-adjusted odds ratio of 1.27 (95% confidence interval 1.02-1.60) for a 5-month increase in the total number of full-time working months spent with the arm elevated >90 degrees . CONCLUSION: Work with the arms in a highly elevated position is associated with MRI-diagnosed alterations in the supraspinatus tendon. By demonstrating the first part of a possible biologic pathway, the study corroborates the work-relatedness of rotator cuff disorders.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reumatologi och inflammation hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Rheumatology and Autoimmunity hsv//eng
Adult
Arm physiology
Cross-Sectional Studies
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Occupations
Posture
Rotator Cuff pathology
Tendons pathology
Work

Added entries (persons, corporate bodies, meetings, titles ...)

Gelineck, John (author)
Mathiassen, Svend ErikLund University,Lunds universitet,Högskolan i Gävle,Belastningsskadecentrum,Avdelningen för arbets- och miljömedicin,Institutionen för laboratoriemedicin,Medicinska fakulteten,Division of Occupational and Environmental Medicine, Lund University,Department of Laboratory Medicine,Faculty of Medicine(Swepub:lu)ymed-sma (author)
Bonde, Jens Peter (author)
Frich, Lars Henrik (author)
Stengaard-Pedersen, Kristian (author)
Egund, Niels (author)
Högskolan i GävleBelastningsskadecentrum (creator_code:org_t)

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In:Arthritis and rheumatism: Wiley50:10, s. 3314-220004-35911529-0131

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Rheumatology and ...

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By the university: University of Gävle; Lund University

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