Ranalletta Maximiliano, Rossi Luciano A, Atala Nicolas A, Bertona Agustin, Maignon Gastón D, Bongiovanni Santiago L
Italian Hospital, Buenos Aires, Argentina.
Italian Hospital, Buenos Aires, Argentina.
Arthroscopy. 2017 Jul;33(7):1294-1298. doi: 10.1016/j.arthro.2017.01.025. Epub 2017 Mar 20.
To evaluate functional outcomes and complications in a consecutive group of patients with partial bursal rotator cuff tears (PBRCTs) treated with insitu repair without acromioplasty.
Seventy-four patients who had undergone an arthroscopic single row in situ repair for bursal-sided rotator cuff tears were evaluated. Clinical assessment consisted of glenohumeral range of motion measurement, the American Shoulder and Elbow Surgeons score, and the University of California at Los Angeles score. Pain was recorded using a visual analog scale. Postoperative complications were also assessed.
Mean age was 55.2 years (±6.3) with a minimum of 2-year follow-up. After arthroscopic repair, all active range of motion parameters improved significantly (P < .0001). The American Shoulder and Elbow Surgeons scores improved from 42.5 to 86.1; the University of California at Los Angeles scores improved from 15.8 to 31.4, and the visual analog scale scores improved from 6.6 to 0.7 (P < .0001). Only 3 patients developed a postoperative adhesive capsulitis that responded to physical therapy.
In the midterm follow-up (42 months), arthroscopic in situ repair of PBRCTs without acromioplasty is a reliable procedure that produces significant functional improvements and pain relief.
Level IV, therapeutic case series.
评估一组连续的部分滑囊侧肩袖撕裂（PBRCT）患者在未行肩峰成形术的原位修复治疗后的功能结果及并发症。
对74例行关节镜下单排肩袖撕裂原位修复术的患者进行评估。临床评估包括测量盂肱关节活动范围、美国肩肘外科医师学会（ASES）评分和加州大学洛杉矶分校（UCLA）评分。使用视觉模拟量表记录疼痛情况。同时评估术后并发症。
平均年龄为55.2岁（±6.3），随访时间至少2年。关节镜修复术后，所有主动活动范围参数均显著改善（P <.0001）。ASES评分从42.5提高到86.1；UCLA评分从15.8提高到31.4，视觉模拟量表评分从6.6提高到0.7（P <.0001）。仅3例患者发生术后粘连性关节囊炎，经物理治疗后好转。
在中期随访（42个月）中，未行肩峰成形术的关节镜下PBRCT原位修复术是一种可靠的手术方法，可显著改善功能并缓解疼痛。
IV级，治疗性病例系列。
