Abstract
BackgroundVitamin B12 (Vit B12) deficiency results in elevated homocysteine levels and interference with collagen cross-linking, which may affect tendon integrity. The purpose of this study was to investigate whether serum Vit B12 levels were correlated with degenerative rotator cuff (RC) tear.MethodsEighty-seven consecutive patients with or without degenerative RC tear were enrolled as study participants. Possible risk factors (age, sex, medical history, bone mineral density, and serum chemistries including glucose, magnesium, calcium, phosphorus, zinc, homocysteine, Vitamin D, Vit B12, homocysteine, and folate) were assessed. Significant variables were selected based on the results of univariate analyses, and a logistic regression model (backward elimination) was constructed to predict the presence of degenerative RC tear.ResultsIn the univariate analysis, the group of patients with degenerative RC tear had a mean concentration of 528.4 pg/mL Vit B12, which was significantly lower than the healthy control group (627.1 pg/mL). Logistic regression analysis using Vit B12 as an independent variable revealed that Vit B12 concentrations were significantly correlated with degenerative RC tear (p = 0.044). However, Vit B12 levels were not associated with tear size.ConclusionLow serum levels of Vit B12 were independently related to degenerative RC tear. Further investigations are warranted to determine if Vit B12 supplementation can decrease the risk of this condition.
Highlights
Vitamin B12 (Vit B12) deficiency results in elevated homocysteine levels and interference with collagen cross-linking, which may affect tendon integrity
Study results suggest that the pathogenesis and biochemical changes associated with degenerative rotator cuff (RC) tear arise from a combination of extrinsic impingement and intrinsic alterations, including increased oxidative stress, neurogenic dysregulation, decreased blood flow, and
The mean vitamin D (Vit D) level was lower in the RC tear group as 15.7 ± 7.2 ng/mL compared to the non-RC tear group as 21.6 ± 10.0 ng/ mL with the statistical significance (P = 0.002)
Summary
Vitamin B12 (Vit B12) deficiency results in elevated homocysteine levels and interference with collagen cross-linking, which may affect tendon integrity. The purpose of this study was to investigate whether serum Vit B12 levels were correlated with degenerative rotator cuff (RC) tear. Degenerative rotator cuff (RC) tear typically affects the supraspinatus tendon. This relatively common shoulder lesion can cause significant pain and disability. Tendon changes include collagen fiber thinning and disorganization, development of granulation tissue, glycosaminoglycan infiltration, fibrocartilaginous metaplasia, calcification, fatty degeneration, and necrosis of the tendon margin with cell apoptosis [7]. These changes are present in macroscopically intact tendons during the early stages of the degenerative process [7]
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