Differences Between Smokers and Non-Smokers Undergoing Surgery for Anterior Shoulder Instability in the Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Cohort

Brian R Wolf; Carolyn M Hettrich; Richard J Van Tienderen; Jeffrey Rossow; Natalie Glass; Shannon F Ortiz; MOON Shoulder Group

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Differences Between Smokers and Non-Smokers Undergoing Surgery for Anterior Shoulder Instability in the Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Cohort

Journal article

Open access

Peer reviewed

Differences Between Smokers and Non-Smokers Undergoing Surgery for Anterior Shoulder Instability in the Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Cohort

Brian R Wolf, Carolyn M Hettrich, Richard J Van Tienderen, Jeffrey Rossow, Natalie Glass, Shannon F Ortiz and MOON Shoulder Group

The Iowa orthopaedic journal, Vol.45(1), pp.153-159

2025

PMCID: PMC12212335

PMID: 40606702

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https://pmc.ncbi.nlm.nih.gov/articles/PMC12212335/View

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Abstract

The purpose of this study was to better understand the prevalence and implications of smoking status on patients undergoing shoulder stabilization surgery. In particular, we wanted to test the hypothesis that smokers were more likely to undergo glenoid bone augmentation procedures. The present study included all patients 12 to 66 years of age undergoing surgery for anterior shoulder instability in the MOON Shoulder Instability cohort. Analysis was done to determine the prevalence of smokers within the cohort and to determine the relationship of smoking with undergoing a glenoid bone augmentation surgery like the Latarjet. There were 61 smokers (4.8%) among 1267 patients undergoing anterior shoulder instability surgery in our cohort. Smoking was associated with older age, higher BMI, socioeconomic status as determined by DCI score, and minority status. Smokers were more likely to higher number of dislocation events prior to surgery. Although it did not reach significant smokers had a higher percentage of patients with glenoid bone loss. Logistic regression modeling showed that smoking and higher number of dislocation events were statistically associated with undergoing a glenoid bony augmentation surgery such as Latarjet. The study determined the prevalence of smoking in a large shoulder instability cohort to be 4.8%. Multi-variate analysis demonstrated that smoking and at least 3 dislocation events were statistically associated with undergoing a glenoid bony augmentation surgery. .

Adolescent

Adult

Aged

Child

Cohort Studies

Female

Humans

Joint Instability - epidemiology

Joint Instability - surgery

Male

Middle Aged

Non-Smokers - statistics & numerical data

Prevalence

Shoulder Dislocation - surgery

Shoulder Joint - surgery

Smokers - statistics & numerical data

Smoking - adverse effects

Smoking - epidemiology

Young Adult

Details

Title: Subtitle: Differences Between Smokers and Non-Smokers Undergoing Surgery for Anterior Shoulder Instability in the Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Cohort
Creators: Brian R Wolf - University of Iowa
Carolyn M Hettrich - North Country Orthopaedics, Clayton, New York, USA
Richard J Van Tienderen - University of Iowa Hospitals and Clinics
Jeffrey Rossow - University of Iowa Hospitals and Clinics
Natalie Glass - University of Iowa
Shannon F Ortiz - University of Iowa
MOON Shoulder Group
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.45(1), pp.153-159
Publisher: The University of Iowa
PMID: 40606702
PMCID: PMC12212335
ISSN: 1555-1377
eISSN: 1555-1377
Language: English
Date published: 2025
Academic Unit: Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
Record Identifier: 9984843246802771

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