Functional evaluation of arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis,

Revista Brasileira de Ortopedia

Alberto Naoki Miyazaki¹  Marcelo Fregoneze¹  Pedro Doneux Santos¹  Luciana Andrade Da Silva¹  Guilherme Do Val Sella¹  Douglas Lobato Lopes Neto¹  Melvis Muchiuti Junior¹  Sergio Luiz Checchia¹ 

关键词: Paralysis;    Rotator cuff/injuries;    Shoulder joint/surgery;    Paralisia;    Manguito rotador/lesões;    Articulação do ombro/cirurgia;   

DOI  :  10.1016/j.rboe.2014.03.025

来源: SciELO

【 摘 要 】

OBJECTIVE: to evaluate the functional result from arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis, defined as incapacity to actively raise the arm above 90◦ , while complete passive elevation was possible.METHODS: we reevaluated 38 patients with a mean follow-up of 51 months (minimum of 24). We analyzed the pseudoparalysis reversion rate and the functional result obtained.RESULTS: according to the assessment criteria of the University of California in Los Angeles (UCLA), 31 (82%) patients had good and excellent results, two (5%) had fair results and five (13%) had poor results. The mean active elevation went from 39◦ before the operation to 139◦ after the operation (p < 0.05); the mean active lateral rotation went from 30◦ to 48◦ (p < 0.05) and the mean active medial rotation went from level L3 to T12 (p < 0.05).CONCLUSION: arthroscopic repair of rotator cuff injuries produced good and excellent results in 82% of the cases and a statistically significant improvement of active range of motion, with reversion of the pseudoparalysis in 97.4% of the cases. It is therefore a good treatment option.

【 授权许可】

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