França Flávio Oliveira, Freitas José Márcio Alves, Mariosa Carlos Alberto Menezes, Bastiani Carlos Eduardo, Godinho Glaydson Gomes
Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil.
Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil.
Rev Bras Ortop (Sao Paulo). 2020 Aug;55(4):463-469. doi: 10.1055/s-0039-3402469. Epub 2020 May 29.
To evaluate and compare subscapular muscle function among patients undergoing subscapular tenotomy (Group A) and lesser tuberosity osteotomy (Group B), in patients treated with total and partial anatomic shoulder arthroplasty for primary osteoarthrosis. Retrospective study of patients with primary glenohumeral osteoarthrosis surgically undergoing total or partial anatomic shoulder prosthesis implant, evaluated by clinical examination, imaging exams, analogue pain scale and Constant and Murley functional score. A total of 28 patients were evaluated, totalizing a sample of 32 operated shoulders. The minimum follow-up was of 12 months (mean 47.45 months). Among patients submitted to subscapularis tendon tenotomy, 10 had an ultrasound with total rupture of its thickness (56%). All of the patients of the group B showed lesser tuberosity healing. There was no difference between groups comparing strength evaluated by Belly press and Bear hug tests as well as clinical outcome, through the Constant and Murley score. We did not find differences between Groups A and B evidenciated by comparing strength in the Lift-off test, in the Belly press and Bear hug tests and through he Constant and Murley score.
为评估和比较接受肩胛下肌切断术（A组）和小粗隆截骨术（B组）的患者的肩胛下肌功能，这些患者均接受了全肩关节置换术和部分解剖型肩关节置换术治疗原发性骨关节炎。对接受全肩关节或部分解剖型肩关节假体植入手术的原发性盂肱关节骨关节炎患者进行回顾性研究，通过临床检查、影像学检查、视觉模拟疼痛量表以及Constant和Murley功能评分进行评估。共评估了28例患者，总计32个手术肩关节样本。最短随访时间为12个月（平均47.45个月）。在接受肩胛下肌腱切断术的患者中，10例超声检查显示肌腱厚度完全断裂（56%）。B组所有患者的小粗隆均愈合。通过腹压试验和熊抱试验评估的力量以及通过Constant和Murley评分评估的临床结果在两组之间没有差异。通过比较抬离试验、腹压试验和熊抱试验中的力量以及通过Constant和Murley评分，我们未发现A组和B组之间存在差异。
