ROLE OF ANAMNESIS AND RISK FACTORS IN DIAGNOSTICS OF ROTATOR CUFF TEAR

*Dr. Saliev S. M., Irismetov M. E., Rajabov K. N., Usmanov F. M. and Ni G. V.

ABSTRACT

Rotator cuff tears, particularly full-thickness tears, are a significant clinical concern, with age and time being the primary risk factors for their development and progression. This paper examines the natural history of rotator cuff tears, highlighting the variability in tear progression, the influence of scapular morphology, and the relationship between tear size and muscle degeneration. While factors such as smoking, obesity, and diabetes are associated with rotator cuff disease, their direct impact on tear progression remains underexplored. Tears commonly initiate in the hypo vascular rotator crescent and frequently progress in both anterior and posterior directions, with pain emerging as a key clinical indicator of tear enlargement. The progression of full-thickness tears is often accompanied by muscle degeneration, including atrophy and fatty infiltration, particularly in the supraspinatus and infraspinatus muscles. Tears that enlarge are more than twice as likely to lead to muscle degeneration compared to stable tears, with the risk further increasing if the anterior cable is disrupted or if the tear enlargement is substantial. Clinical evidence suggests that these degenerative changes are unlikely to reverse spontaneously, making full-thickness rotator cuff tears a persistent and gradually worsening condition. The findings underscore the importance of early detection and intervention to mitigate the long-term impact on muscle integrity and shoulder function.

Keywords: Rotator cuff tear, surveillance, risk factors.