Lesão do manguito rotador: tratamento e reabilitação. Perspectivas e tendências atuais

Vieira, Fábio Antônio; Olawa, Paul Juma; Belangero, Paulo Santoro; Arliani, Gustavo Gonçalves; Figueiredo, Eduardo Antônio de; Ejnisman, Benno

doi:10.1016/j.rbo.2014.08.008

Cited by 11 publications

(11 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In both groups, the mean value was compatible with the literature. 6,22 This age difference is important because the profile of RC ruptures varies widely according to age group, 25 and injuries in the elderly are generally degenerative. 25 This type of injury, in general, presents a higher degree of fatty infiltration, a variable that correlates with worse outcomes, since it indicates poor tendon quality and increases the risk of reruptures.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reparo artroscópico da lesão de manguito rotador: Uma análise da função, força muscular e dor entre técnicas de fileira simples e fileira dupla

Storti

Ribeiro

Faria

et al. 2022

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

Resumo Objetivo Avaliar os pacientes submetidos ao reparo artroscópico do manguito rotador (MR), comparando-se os resultados funcionais, força muscular e dor obtidos após as técnicas de fileira simples (FS) e de fileira dupla (FD). Métodos Foram coletados os dados do seguimento pós-operatório (mínimo de 12 meses) de 128 pacientes submetidos ao reparo artroscópico do MR durante o período de 2011 a 2018. As variáveis clínico-funcionais foram coletadas por meio do exame clínico, e as variáveis demográficas, cirúrgicas e das lesões do MR a partir dos prontuários eletrônicos. Os resultados foram comparados entre os grupos FS e FD. Resultados O grupo FD demonstrou força de elevação anterior maior quando comparado ao grupo FS (FS: 4,72 ± 2,73 kg versus FD:5,90 ± 2,73 kg; p = 0,017). As demais variáveis de força muscular, Constant-Murley Score, University of California at Los Angeles Shoulder Rating Scale (UCLA, na sigla em inglês) e dor foram similares. Realizando-se a estratificação por tamanho, na análise das lesões pequenas e médias, não foram encontradas diferenças entre os grupos. Porém, na análise das lesões grandes e extensas, os pacientes submetidos à FD apresentaram superioridade tanto na força muscular de elevação (FS: 3,98 ± 2,24 kg versus FD: 6,39 ± 2,73 kg) quanto no escore Constant (FS: 81 ± 10 versus FD: 88 ± 7). Conclusão A utilização da técnica de FD no reparo artroscópico do MR possibilitou maiores níveis de força muscular para elevação anterior do ombro quando comparada à técnica de FS. A estratificação dos dados em lesões grandes e extensas evidenciou superioridade da força muscular de elevação anterior do ombro e do escore Constant nos pacientes submetidos à FD.

show abstract

Section: Discussionmentioning

confidence: 99%

“…In Brazil, the most wide-spread technique is SR, used by 50.4% of orthopedists, while 26.1% use the DR configuration. 6 When comparing the two techniques, the literature presents divergences, and the studies are not conclusive. [7][8][9][10] DeHaann et al 7 and Chen et al 8 did not show functional differences between the techniques.…”

Section: Introductionmentioning

confidence: 99%

Reparo artroscópico da lesão de manguito rotador: Uma análise da função, força muscular e dor entre técnicas de fileira simples e fileira dupla

Storti

Ribeiro

Faria

et al. 2022

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

show abstract

“…These events occur mainly in patients aged between 40 and 60 years and may be traumatic or degenerative (9). Their etiology is multifactorial (10,11) and age is a factor that predisposes to tendon degeneration (10,11). When associated with muscle L. Martins da siLva, G. MacieL BeLLo, B. chuaste FLores, L. siLva dias, P. caMarGo, L. Fernando MenGue, v. roque, et.aL.…”

Section: Kinesio Tape In Shoulder Rotator Cuffmentioning

confidence: 99%

“…overuse, repair does not occur properly, resulting in disorganization and tendon thickening (a process called tendinosis) (11). Initial treatment of RC injuries is conservative and emphasizes rehabilitation programs as opposed to surgical interventions.…”

Section: Kinesio Tape In Shoulder Rotator Cuffmentioning

confidence: 99%

Kinesio Tape In Shoulder Rotator Cuff Tendinopathy: A Randomized, Blind Clinical Trial

Silva

Bello

Flores

et al. 2020

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Background. Shoulder pain is a very common musculoskeletal disorder that affects many people, with rotator cuff (RC) injury as one of its main causes. Objective. To analyze the efficacy of KT, both isolated and associated with exercise, on pain and function of patients with shoulder RC injuries. Method. A randomized, blind clinical trial with sixty (60) participants with RC injuries, randomized into exercise group (EG), in which participants performed an exercise protocol; kinesio tape group (KTG), with application of the elastic bandage; and exercise + kinesio tape group (EKTG), in which participants performed both protocols. We evaluated pain intensity, active and passive mobility, muscle strength, and function. Results. All intervention groups significantly improved pain, disability, and function. Regarding the latter, EKTG showed significantly greater improvements than EG and KTG (p<0.05). In addition, EKTG improved muscle strength in all evaluated movements. Groups EG and EKTG improved range of motion in all evaluated movements, for both the right and left shoulder. Conclusions. Exercises were the basis of the treatment of RC injury. When associated with an exercise protocol, kinesio tape (KT) enhanced the effect of exercise in patients with shoulder RC injury. In isolation, KT was effective in reducing pain. Brazilian Clinical Trials Registry (REBEC) RBR-65qh7j.

show abstract

“…Rotator cuff (RC) injury is more frequent in the age group above 40-60 years and is considered the main cause of pain and dysfunction in the shoulder. 1 …”

Section: Introductionmentioning

confidence: 99%

Functional Evaluation of the Results of Repair of Partial and Complete Rotator Cuff Tears

Storti¹,

RAMOS

Faria

et al. 2022

Acta ortop. bras.

View full text Add to dashboard Cite

Objective: To perform a comparative analysis of the results of arthroscopic surgical treatment of partial and complete rotator cuff (RC) injuries. Methods: Eighty-four shoulders with partial or complete RC tear that underwent arthroscopic repair were retrospectively evaluated using UCLA and Constant scores, assessment of strength, and range of motion. Fifty-seven shoulders with complete injuries and 27 with partial injuries were identified. Results: Age (p = 0.007) was higher in those with complete lesions (mean 61.4 ± 7.9 years), compared to those with partial lesions (mean 56.5 ± 7.1 years). The complete injuries group showed a higher elevation difference in relation to the contralateral shoulder compared to the partial injuries group (partial injuries: −1.1% vs complete injuries: −16.5%), statistically significant difference (p = 0.0004). In addition, complete lesions presented 96.5% of excellent and good results and a median of 35 in the UCLA score and partial lesions presented 84.6% of good/ excellent results and a median of 34. The Constant score showed 91.2% of satisfactory results in complete lesions and 77% in partial ones. Conclusion: Arthroscopic repair shows satisfactory functional results for both partial and complete rotator cuff injuries, with similar outcomes between groups. Level of Evidence III, Retrospective Comparative Study.

show abstract

Lesão do manguito rotador: tratamento e reabilitação. Perspectivas e tendências atuais

Cited by 11 publications

References 6 publications

Reparo artroscópico da lesão de manguito rotador: Uma análise da função, força muscular e dor entre técnicas de fileira simples e fileira dupla

Reparo artroscópico da lesão de manguito rotador: Uma análise da função, força muscular e dor entre técnicas de fileira simples e fileira dupla

Kinesio Tape In Shoulder Rotator Cuff Tendinopathy: A Randomized, Blind Clinical Trial

Functional Evaluation of the Results of Repair of Partial and Complete Rotator Cuff Tears

Contact Info

Product

Resources

About