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Clin Shoulder Elbow > Volume 18(2); 2015 > Article
Clinics in Shoulder and Elbow 2015;18(2):80-85.
DOI: https://doi.org/10.5397/cise.2015.18.2.80    Published online June 30, 2015.
Adrenal Insufficiency in Patients with Rotator Cuff Tear: Prevalence, Risk Factors and Influence on Outcome
Jung Han Kim, Heui Chul Gwak
Department of Orthopaedic Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. kimjunghan74@gmail.com
Received: 31 August 2014   • Revised: 28 December 2014   • Accepted: 29 December 2014
Abstract
BACKGROUND: This study measured the rate of adrenal insufficiency among rotator cuff tear patients, and determined the roles of steroid treatment and herbal medicine as specific risk factors of adrenal insufficiency.
METHODS
We prospectively evaluated the 53 patients who agreed to participate in the study and underwent arthroscopic rotator cuff repair due to a chronic full-thickness tear from March 2012 to September 2013. The diagnosis of adrenal insufficieny was made by rapid adrenocortical hormone test before the operation. We collected information regarding their history of steroid and herbal medicine treatment within the last 12 months.
RESULTS
The rate of adrenal insufficiency among the rotator cuff tear patients in our study was 18.9% (10 of 53 patients). Steroid treatment (p=0.034), frequency of local steroid injection (p=0.008), and herbal medicine treatment (p=0.02) showed significant association with the risk of adrenal insufficiency.
CONCLUSIONS
In this study, careful taking of a patient's medical history, such as the use of steroids and herbal medicine, is important when investigating adrenal function before surgery.
Key Words: Intra-articular steroid injection; Herbal medicine; Adrenal insufficiency; Rotator cuff tear
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