Abstract

OLIVEIRA, Vânia et al. Correlação funcional e ecográfica no tratamento cirúrgico da coifa dos rotadores com seguimento superior a 5 anos. Rev. Port. Ortop. Traum. [online]. 2014, vol.22, n.1, pp.47-56. ISSN 1646-2122.

Aim: surgical repair of the rotator cuff aims to eliminate pain and restore function with a success rate between 5-90%. The size of the tear has impact on outcome. This study aims to evaluate effectiveness of the surgical repair with up to 5 years of follow-up and correlates functional outcome and ultrasound findings. Patients and Methods: from 2002 to 2007 the same surgeon performed 166 rotator cuff repairs in 156 patients. The same radiologist always performed pre- and postoperative ultrasound. Retrospectively were evaluated tear type, repair technique, suture material, complications, pain (VAS), return to work/activities and asked satisfaction. Seventy-seven patients completed follow-up (FU) with functional assessment (Constant-Murley score and UCLA Shoulder Score) and ultrasound, corresponding to 87 tears. Results: the mean age was 55.6 years (22-77) with FU 7.4 years (5-11). There were 145 (87.3%) complete tears, 14 (9.7%) massive and 61 (42.1%) large. The repair was arthroscopic in 122 (73.5%) cases and mini-open in 44 (26.5%). Functional assessment was 72 (31-100) Constant Score and 29 (19-35) UCLA Score. The VAS was 2.89 (0-8) with 29 (43.3%) asymptomatic patients. There were 4 complications (2.4%). Ultrasound identified 29/87 (33.3%) re-tears, 32.3% arthroscopic and 40.1% opened, noting that the open suture was used in larger tears. A total of 95.5% of patients resumed activities. When compared to preoperative, there was 100% satisfaction. Conclusion: this study strengthens the impact of surgical treatment on pain relief and its consistent effectiveness if careful selection. An ultrasound retear and function does not always correlate, other factors intervene.

Keywords : Rotator cuff; tear; arthroscopic repair; surgery; function; ultrasound; pain.

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