Storti Thiago Medeiros, Pontes Júnior Antônio Carlos, Simionatto João Eduardo, Simionatto Carolina, Faria Rafael Salomon Silva, Paniago Alexandre Firmino
Instituto do Ombro de Brasília, Brasília, DF, Brasil.
Instituto de Pesquisa e Ensino IPE HOME, Brasília, DF, Brasil.
Rev Bras Ortop (Sao Paulo). 2022 Feb 9;57(4):599-605. doi: 10.1055/s-0041-1741025. eCollection 2022 Aug.
To evaluate patients submitted to arthroscopic repair of the rotator cuff (RC) comparing the results of muscle, functional strength, and pain obtained in 2 distinct groups: patients < 55 years old (G55) and patients > 65 years old (G65). Data collection was performed with 63 participants (29 < 55 years old and 34 > 65 years old), in 2 moments, analyzing: A) demographic, surgical and RC lesion characteristics; B) functional variables, muscle strength, and pain. Higher levels of anterior elevation force, lateral, and medial rotation of the operated shoulder were observed in group G55. However, when the difference between these forces of the operated shoulder and of the contralateral shoulder was evaluated, there was no significant difference between the groups. The other variables of function and pain were similar ( > 0.05). There was also no difference between the groups in the University of California at Los Angeles Shoulder Rating Scale (UCLA) ( = 0.56) and Constant-Murley Score ( = 0.99) scores. Arthroscopic repair of the RC in older, active, selected patients may achieve functional improvement and quality of life similar to that performed in younger patients.
为评估接受肩袖(RC)关节镜修复术的患者,比较两个不同组别的肌肉、功能强度和疼痛结果:年龄小于55岁的患者(G55)和年龄大于65岁的患者(G65)。 对63名参与者(29名年龄小于55岁,34名年龄大于65岁)在两个时间点进行数据收集,分析:A)人口统计学、手术和RC损伤特征;B)功能变量、肌肉力量和疼痛。 在G55组中观察到手术侧肩部的前举力、外旋和内旋水平更高。然而,当评估手术侧肩部与对侧肩部这些力量之间的差异时,两组之间没有显著差异。其他功能和疼痛变量相似(P>0.05)。两组在加州大学洛杉矶分校肩评分量表(UCLA)(P = 0.56)和Constant-Murley评分(P = 0.99)得分上也没有差异。 对于年龄较大、活跃、经过挑选的患者进行RC关节镜修复术,可能会获得与年轻患者相似的功能改善和生活质量。