Objective: To evaluate the functional and anatomical results from surgical treatment via arthroscopy in cases of complete rupture of the rotator cuff, using ultrasound images and the Constant and Murley functional index to investigate the correlation between them. Methods: 100 patients (110 shoulders) were evaluated. The mean follow-up was 48.8 ± 33.28 months (12 to 141 months). The mean age was 60.25 ± 10.09 (36 to 81 years). Rupture of the supraspinal tendon alone occurred in 85 cases (77%), and in association with the infraspinatus in 20 cases (18%) and subscapularis in four shoulders (4%). An association of supraspinatus, infraspinatus and subscapularis lesions was found in one shoulder (1%). The lesions were classified according to DeOrio and Cofield scores as small/medium in 85 shoulders (77%) and large/extensive in 25 (23%). The clinical results were assessed in accordance with the Constant and Murley criteria. The ultrasound results relate to reports issued by different radiologists. Statistical analysis was carried out using the chi-square test, Fisher's exact test, Student's t test, Pearson's correlation, Kruskal-Wallis correlation and logistic regression (significance: p < 0.05). Results: The mean Constant evaluation was 85.3 ± 10.06 in the normal shoulders and 83.96 ± 8.67 in the operated shoulders (p = 0.224). Excellent and good results were found in 74 shoulders (67%), satisfactory and moderate results in 32 (29%) and poor results in four (4%). The ultrasound evaluation showed 38 shoulders with re-rupture (35%) and absence of rupture in 71 (65%). Among the 74 shoulders (67%) with excellent/good results, 22 (30%) presented re-rupture in the ultrasound report (p = 0.294). Among the four shoulders (4%) with poor results, two (50%) presented reports of intact tendons (p = 0.294). Conclusion: There was no statistically valid correlation between the ultrasound diagnosis and the clinical evaluation of results among the patients who underwent arthroscopic repair to treat full tear lesions of the rotator cuff. The clinical results from the complete rotator cuff repairs via arthroscopy presented a high level of functional recovery (Constant 83.96), compared with the contralateral shoulder. The postoperative ultrasound reports presented a high percentage of re-rupture (35%). Postoperative strength was greater among the patients aged under 60 years (p = 0.002) and in cases of lesions less than or equal to 3 cm (p = 0.003).

Objective: To evaluate the clinical-radiographic subacromial disease symptoms correlated with adaptation of the measure of lateral acromion angle and its respective measuring radiographic acromial index. Methods: In the period between october 2010 and february 2011 were evaluated 55 painful shoulders with Neer test and true anteroposterior radiography. Patients were divided into two groups, with Neer test positive and negative. The index measuring the acromion and the lateral acromion angle have been standardized, and compared using statistical averages of 0.7 and 75°, respectively. Results: The predominant symptom in the population, females (72.73%), age less than 59 years (62.5%) and dominant side (65.31%). The acromion index above 0.7 was found to be symptomatic in 66.67% and lateral acromion angle less than 75 ° in 82.61%. When associated methods, 62.5% had positive clinical (p<0.083). Conclusion: The determination of radiographic acromial index and the lateral acromion angle together seem to be statistically associated with the disease of subacromial impingement.

rESUMOObjetivo: Avaliar os resultados funcionais e anatômicos do tratamento cirúrgico via artroscópica nas roturas completas do manguito rotador usando imagens de ultrassom e o índice funcional de Constant e Murley, investigando a correlação entre eles. Métodos: Avaliados 100 pacientes (110 ombros). Seguimento médio de 48,8 ± 33,28 (12 a 141) meses. Média de idade de 60,25 ± 10,09 (36 a 81) anos. Rotura isolada do tendão supraespinal esteve presente em 85 casos (77%); em associação com o infraespinal, em 20 (18%), e associado ao subescapular, em quatro ombros (4%). A associação de lesões supra-espinal, infraespinal e subescapular foi encontrada em um ombro (1%). De acordo com DeOrio e Cofield, as lesões foram classificadas em pequenas/médias em 85 ombros (77%) e, grandes/extensas em 25 (23%). Avaliação clínica de resultados realizada de acordo com critérios de Constant e Murley. Resultados do ultrassom (US) se referem aos laudos emitidos por diferentes radiologistas. Análise estatística de acordo com os métodos Qui-quadrado, teste exato de Fisher, teste t de Student, correlação de Pearson, Kruscall-Wallis e regressão logística (significância p < 0,05). Resultados: Média da avaliação de Constant de 85,3 ± 10,06 nos ombros normais e 83,96 ± 8,67 nos operados (p = 0,224). Excelentes e bons resultados observados em 74 ombros (67%), satisfatórios e regulares em 32 (29%) e maus em quatro (4%). Avaliação por ultrassonografia evidenciou 38 ombros com rerotura (35%) e integridade em 71 (65%). Nos 74 (67%) ombros com excelentes/bons resultados, 22 (30%) apresentaram laudo ultrassonográfico de re-rotura (p = 0,294). Nos quatro (4%) ombros com maus resultados, dois (50%) apresentaram laudos

Objective: To evaluate the clinical-radiographic subacromial disease symptoms correlated with adaptation of the measure of lateral acromion angle and its respective measuring radiographic acromial index. Methods: In the period between october 2010 and february 2011 were evaluated 55 painful shoulders with Neer test and true anteroposterior radiography. Patients were divided into two groups, with Neer test positive and negative. The index measuring the acromion and the lateral acromion angle have been standardized, and compared using statistical averages of 0.7 and 75°, respectively. Results: The predominant symptom in the population, females (72.73%), age less than 59 years (62.5%) and dominant side (65.31%). The acromion index above 0.7 was found to be symptomatic in 66.67% and lateral acromion angle less than 75 ° in 82.61%. When associated methods, 62.5% had positive clinical (p<0.083). Conclusion: The determination of radiographic acromial index and the lateral acromion angle together seem to be statistically associated with the disease of subacromial impingement.

A neuroartropatia de Charcot do ombro é uma doença degenerativa crônica causada pela perda da sensibilidade articular por diferentes etiologias. Quando ocorre secundariamente a siringomielia, encontramos poucos casos descritos na literatura científica. O diagnóstico precoce é de grande valor, uma vez que o quadro clínico se apresenta de forma inespecífica e pode levar a destruição irreversível da articulação. Com o objetivo de demonstrar a excepcionalidade da doença, alertando a comunidade médica sobre a raridade da enfermidade e o diagnóstico diferencial dentre as demais artropatias degenerativas, descrevemos o caso de um paciente do sexo masculino de 56 anos com neuroartropatia isolada no ombro esquerdo secundária a siringomielia, concluindo que o diagnóstico diferencial é crucial para correta conduta terapêutica.