部分和完全性肩袖撕裂修复结果的功能评估
FUNCTIONAL EVALUATION OF THE RESULTS OF REPAIR OF PARTIAL AND COMPLETE ROTATOR CUFF TEARS.
作者信息
Storti Thiago, Ramos Anna Beatriz Salles, Faria Rafael Salomon Silva, Costa Guilherme Barbieri Leme DA, Paniago Alexandre Firmino
机构信息
Instituto do Ombro de Brasília, Brasília, DF, Brazil.
Hospital Ortopédico e Medicina Especializada, Instituto de Pesquisa e Ensino, Brasília, DF, Brazil.
出版信息
Acta Ortop Bras. 2022 Apr 15;30(2):e242074. doi: 10.1590/1413-785220223002242074. eCollection 2022.
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.
目的
对部分和完全性肩袖（RC）损伤的关节镜手术治疗结果进行对比分析。
方法
回顾性评估84例接受关节镜修复的部分或完全性肩袖撕裂患者的肩关节，采用加州大学洛杉矶分校（UCLA）评分、康斯坦特（Constant）评分、力量评估和活动范围评估。其中，57例为完全损伤，27例为部分损伤。
结果
完全损伤患者的年龄（p = 0.007）高于部分损伤患者（完全损伤组平均年龄61.4 ± 7.9岁，部分损伤组平均年龄56.5 ± 7.1岁）。与部分损伤组相比，完全损伤组患侧与对侧肩部的抬高差异更大（部分损伤：-1.1%，完全损伤：-16.5%），差异有统计学意义（p = 0.0004）。此外，完全损伤组的优良率为96.5%，UCLA评分中位数为35分；部分损伤组的优良率为84.6%，中位数为34分。康斯坦特评分显示，完全损伤组的满意率为91.2%，部分损伤组为77%。
结论
关节镜修复对部分和完全性肩袖损伤均显示出满意的功能结果，两组结果相似。
Zotero 插件