Cigarette smoking intensifies tendinopathy of the LHBT. A microscopic study after arthroscopic treatment

Jan Zabrzyński; Jacenty Szukalski; Łukasz Paczesny; Dawid Szwedowski; Dariusz Grzanka

doi:10.5114/pjp.2019.87104

eISSN: 2084-9869
ISSN: 1233-9687

Polish Journal of Pathology

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2/2019
vol. 70

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abstract:

Original paper

Cigarette smoking intensifies tendinopathy of the LHBT. A microscopic study after arthroscopic treatment

Jan Zabrzyński

¹

,

Jacenty Szukalski

²

,

Łukasz Paczesny

³

,

Dawid Szwedowski

⁴

,

Dariusz Grzanka

⁵

Department of Orthopedic Surgery, Multidisciplinary Hospital, Inowrocław, Poland
Department of Pathology, Multidisciplinary Hospital, Inowrocław, Poland
Department of Orthopedic Surgery, Orvit Clinic, Toruń, Poland
Department of Orthopedic and Trauma, District Hospital, Toruń, Poland
Department of Clinical Pathomorphology, Ludwik Rydygier’s Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland

Pol J Pathol 2019; 70 (2): 134-138

DOI: https://doi.org/10.5114/pjp.2019.87104

Online publish date: 2019/09/04

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Smoking has a damaging effect on the musculoskeletal system, which was presented by authors in the rotator cuff and Achilles tendons studies; however, there are a lack of data about the effect of smoking on disorders of the long head of the biceps tendon (LHBT), particularly at the microscopic level.

The purpose of this study was to investigate the effect of the tobacco smoking on the histopathologic alterations of the LHBT.

Thirty-six patients with preoperatively diagnosed tendinopathy of the LHBT were referred to the Orthopaedics Department. All patients underwent arthroscopic treatment with further macroscopic and microscopic evaluation of biceps tendon samples.

The active and former smokers were characterised by more advanced degenerative process of the tendinous tissue; moreover, it was intensified in the group of former smokers. Subjects who smoke more than 20 cigarettes per day also had more advanced microscopic alterations. The most severe microscopic alterations occurred in the former smokers who used tobacco for more than 20 years. However, the non-smokers group revealed moderate degeneration in all LHBT samples.

Tobacco smoking is an important risk factor of the LHBT disease, which essentially intensifies the degeneration of the tendinous tissue.

keywords:

Cigarette smoking intensifies tendinopathy of the LHBT. A microscopic study after arthroscopic treatment

Jan Zabrzyński 1 , Jacenty Szukalski 2 , Łukasz Paczesny 3 , Dawid Szwedowski 4 , Dariusz Grzanka 5

smoking, tendinopathy, LHBT, tendon, biceps tendon

Jan Zabrzyński

¹

,

Jacenty Szukalski

²

,

Łukasz Paczesny

³

,

Dawid Szwedowski

⁴

,

Dariusz Grzanka

⁵