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

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 m...

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Detalles Bibliográficos
Autores principales: Miyazaki, Alberto Naoki, Fregoneze, Marcelo, Santos, Pedro Doneux, da Silva, Luciana Andrade, do Val Sella, Guilherme, Neto, Douglas Lobato Lopes, Muchiuti Junior, Melvis, Checchia, Sergio Luiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511652/
https://www.ncbi.nlm.nih.gov/pubmed/26229796
http://dx.doi.org/10.1016/j.rboe.2014.03.025
Descripción
Sumario: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.