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. 2019 May-Jun;27(3):160-163.
doi: 10.1590/1413-785220192703169516.

EVALUATION OF SURGICAL TREATMENT OF ROTATOR CUFF ANTEROSUPERIOR TEARS ARTHROSCOPICALLY

Roberto Yukio Ikemoto  1 , Luis Gustavo Prata Nascimento  1 , Luiz Henrique Oliveira Almeida  1 , Rogerio Serpone Bueno  2 , Guilherme Henrique Vieira Lima  2 , Joel Murachovsky  1
Affiliations

EVALUATION OF SURGICAL TREATMENT OF ROTATOR CUFF ANTEROSUPERIOR TEARS ARTHROSCOPICALLY

Roberto Yukio Ikemoto et al. Acta Ortop Bras. 2019 May-Jun.

Abstract
in English, Portuguese

Objective: To evaluate the functional result of arthroscopic treatment in anterosuperior rotator cuff tears.

Methods: Fifty-six patients submitted to arthroscopic repair of anterosuperior rotator cuff tears were evaluated. The follow-up time was five year and five months. All the tears were diagnosed by detailed physical and imaging examination. Statistical analysis was used to compare the preoperative and postoperative results of range of motion and the UCLA score, with Wilcoxon signed-rank test, 5% significance level (p≤0.05), the relationship between the subscapularis tear and postoperative results using the Mann-Whitney test, and between the pain length and the UCLA scale using Spearman's correlation.

Results: A statistically significant improvement (p<0.001) was found, comparing the range of motion and the UCLA preoperatively and postoperatively. 39% of the cases were classified as excellent, 33.9% as good, 23.7% as regular and 3.4% as bad results. A statistically significant relationship was found between the subscapularis tear type and the functional state, the pain length and the postoperative UCLA scale. Five complications, four reruptures and one adhesive capsulitis were found.

Conclusions: The arthroscopic treatment for anterosuperior tears presented satisfactory results, with 8.5% of complications. Level of Evidence IV, Case series.

Objetivo: Avaliar o resultado funcional do tratamento artroscópico das lesões anterossuperiores do manguito rotado.

Métodos: Avaliação de 59 pacientes com lesão anterossuperior submetidos a tratamento cirúrgico. O tempo de seguimento foi de 5,5 anos. As lesões foram diagnosticadas por exame físico e de imagem. A análise estatística comparou os resultados pré e pós-operatórios de amplitude de movimento e da escala da UCLA, com teste de pontos sinalizados de Wilcoxon, nível de significância de 5% (p≤0,05), a relação entre a lesão do subescapular e o pós-operatório pela aplicação do teste de Mann-Whitney, e entre o tempo de dor e a escala da UCLA pela correlação de Spearman.

Resultados: Houve melhora estatisticamente significativa (p<0,001) comparando-se a amplitude de movimento e a escala da UCLA nos períodos pré e pós-operatórios. 39% dos casos foram classificados como excelentes resultados, 33,9% bons, 23,7% regulares e 3,4% ruins. Houve relação estatisticamente significativa entre o tipo de lesão do subescapular e o resultado funcional, entre o tempo de dor e a escala da UCLA pós-operatória. Registramos cinco complicações, quatro re-rupturas e uma capsulite adesiva.

Conclusão: O tratamento artroscópico das lesões anterossuperiores apresentou resultados satisfatórios, com 8,5% de complicações. Nível de Evidência IV, Série de Casos.

Keywords: Retrospective studies; Rotator cuff; Shoulder.

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Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

Figures

Figure 1
Figure 1. A and B. Magnetic resonance imaging of the shoulder (axial section) showing, in both cases, subscapular tear and dislocation of the long head of biceps
Figure 2
Figure 2. A) Subscapular tendon tear. B) Repair.
Figure 3
Figure 3. A) Long head of biceps tear and B) tenotomy.
See this image and copyright information in PMC

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