The authors declare that they have no competing interests.
JP: study design; data acquisition, analysis, and interpretation; and writing of the manuscript. VL: study design, data interpretation, and critical revision of the manuscript. VÄ, JY, and AJ: data interpretation and critical revision of the manuscript. VM: study design, data acquisition and interpretation, and critical revision of the manuscript. All authors read and approved the final manuscript.
Rotator cuff repair incidence rates have reportedly increased in the United States and England. Here we analyzed nationwide data relating to rotator cuff repairs recorded in the Finnish National Hospital Discharge Register (NHDR).
The NHDR was reviewed to identify adult patients who underwent rotator cuff repair between 1998 and 2011. Incidence rates per 105 person-years were calculated using the annual adult population size.
During the 14-year time period, 50,646 rotator cuff repairs were performed on subjects aged 18 years or older. The incidence of rotator cuff repair showed an almost linear increase of 204 %, from 44 per 105 person-years in 1998 to 131 per 105 person-years in 2011. The most common concomitant procedure was acromioplasty, which was performed in approximately 40 % of rotator cuff repairs in 2011. Other common concomitant procedures included tenodesis (7 %) and tenotomy (6 %) of the long head of the biceps tendon, and resection of the acromioclavicular joint (3 %).
This nationwide analysis revealed a remarkable increase in the incidence of rotator cuff repair from 1998 to 2011 in Finland. This progress can be questioned, since there are not convincing data of the superiority of the operative treatment over non-operative management in all rotator cuff tears.
Neer 2nd CS. Impingement lesions. Clin Orthop Relat Res. 1983;173:70–7. PubMed
Seitz AL, McClure PW, Finucane S, Boardman 3rd ND, Michener LA. Mechanisms of rotator cuff tendinopathy: Intrinsic, extrinsic, or both? Clin Biomech (Bristol, Avon). 2011;26:1–12. CrossRef
Statistics Finland. Population structure [ http://www.stat.fi/til/vaerak/index_en.html]
Huttunen TT, Kannus P, Pihlajamaki H, Mattila VM. Pertrochanteric fracture of the femur in the Finnish National Hospital Discharge Register: validity of procedural coding, external cause for injury and diagnosis. BMC Musculoskelet Disord. 2014;15:98. doi: 10.1186/1471-2474-15-98. PMID:24655318. CrossRefPubMedPubMedCentral
Moosmayer S, Lund G, Seljom U, Svege I, Hennig T, Tariq R, et al. Comparison between surgery and physiotherapy in the treatment of small and medium-sized tears of the rotator cuff: A randomised controlled study of 103 patients with one-year follow-up. J Bone Joint Surg (Br). 2010;92:83–91. CrossRef
Paloneva J, Lepola V, Karppinen J, Ylinen J, Aarimaa V, Mattila VM. Declining incidence of acromioplasty in Finland. Acta Orthop. 2015;86:220-4.
- Increasing incidence of rotator cuff repairs—A nationwide registry study in Finland
Ville M Mattila
- BioMed Central
Neu im Fachgebiet Orthopädie und Unfallchirurgie
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