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

• Autor(a) principal: Miyazaki,Alberto Naoki
• Data de Publicação: 2014
• Outros Autores: Fregoneze,Marcelo, Santos,Pedro Doneux, Silva,Luciana Andrade da, Sella,Guilherme do Val, Lopes Neto,Douglas Lobato, Muchiuti Junior,Melvis, Checchia,Sergio Luiz
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Ortopedia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000200178
• topic: Paralysis; Rotator cuff/injuries; Shoulder joint/surgery

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.