Result from arthroscopic surgical treatment of renewed tearing of the rotator cuff of the shoulder

Godinho, Glaydson Gomes; França, Flávio de Oliveira; Freitas, José Márcio Alves; Santos, Flávio Márcio Lago; Prandini, Alexandre; Godinho, André Couto; Costa, Rafael Patrocínio de Paula

doi:10.1016/j.rboe.2015.02.007

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Sumário

Original Articles • Rev. bras. ortop. 50 (1) • Jan-Feb 2015 • https://doi.org/10.1016/j.rboe.2015.02.007 copy

Result from arthroscopic surgical treatment of renewed tearing of the rotator cuff of the shoulder ^☆ ☆ Work developed at Hospital Santa Casa de Miseric6rdia de Vit6ria, ES, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVES:

To evaluate function among patients with postoperative recurrence of rotator cuff injuries that was treated arthroscopically (case series) and compare this with function in patients without recurrence (control group); and to compare function among patients with recurrence of rotator cuff injuries that were greater than and smaller than 3 cm.

METHODS:

This was a retrospective evaluation of patients who underwent arthroscopic revision of rotator cuff injuries using the ASES, Constant & Murley and UCLA scores and a visual analog pain scale, in comparison with patients in a control group who underwent primary rotator cuff repair.

RESULTS:

The size of the rotator cuff injury recurrence had a statistically significant influence on the result from the arthroscopic surgical treatment. The functional scores showed worse results than those from the first procedure.

CONCLUSION:

Arthroscopic surgical treatment of renewed tearing of rotator cuff injuries showed worse functional scores than those from primary repair of the injury.

Rotator cuff; Treatment failure; Arthroscopy

	Força n (%)
Densitometria	Alterada	Normal	p^a
Osteoporose	11 (68,8)	5 (31,2)	0,165
Normal	27 (49,1)	28 (50,9)

Variables	Lesions	n	Median	95% CI for difference between groups	p-value
VAS	<3 cm	38	2.0	[1.0] -0.0 to 3.0	0.2
	>3 cm	20	3.0
Total ASES	<3 cm	38	80.8	[1.0] -26.7 to -0.0	0.05
	>3 cm	20	65.8
UCLA	<3 cm	38	28.50	[1.0] -8.0 to -2.0	0.004
	>3 cm	20	23.50
Constant	<3 cm	38	79.95	[1.0] -18.2 to -5.6	<0.001
	>3 cm	20	69.00

Variables	Group	N	Median	95% CI for difference between group	p-value
Constant	Controls	41	81.8	[1.0] 2.2–11.6	0.006
	Cases	58	74.8

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] * Corresponding author. E-mail: jcharbel@gmail.com (C. Jacob Júnior).

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Result from arthroscopic surgical treatment of renewed tearing of the rotator cuff of the shoulder ☆ ☆ Work developed at Hospital Santa Casa de Miseric6rdia de Vit6ria, ES, Brazil.

OBJECTIVES:

METHODS:

RESULTS:

CONCLUSION:

Result from arthroscopic surgical treatment of renewed tearing of the rotator cuff of the shoulder ^☆ ☆ Work developed at Hospital Santa Casa de Miseric6rdia de Vit6ria, ES, Brazil.