Reyes-Peart Ricardo, Vargas-Vargas Santos Francisco, Cruz Leal-Reyes María, Ramos-Ramos Xóchitl
Instituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Especialidades No. 1, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.
Instituto Mexicano del Seguro Social, Unidad Médica de Atención Ambulatoria No. 55, Servicio de Traumatología y Ortopedia. León, Guanajuato, México.
Rev Med Inst Mex Seguro Soc. 2023 Sep 18;61(Suppl 2):S350-S355.
Rotator cuff injuries result in impaired functionality of the shoulder. The difference in shoulder functionality in patients treated with arthroscopy who required open surgery is still unknown.
To determine if there is a difference in the functional evolution of the shoulder in patients who underwent surgery due to rotator cuff lesion which began with arthroscopy and ended in open surgery.
A cohort, longitudinal, observational and comparative study was carried out. The Constant scale was applied to measure the functionality of the shoulder in patients who underwent surgery due to rotator cuff injury, prior to surgery, 3 and 6 months after it, from August 2021 to April 2022. Functionality between patients who started with arthroscopy and required surgery and with those who only underwent arthroscopy was compared.
30 patients were included. Shoulder functionality in the preoperative period had a mean of 42.2 ± 18 (95% confidence interval [95% CI] 35.5-49.0), at 3 months of 48.18 ± 14 (95% CI 42.9-53.4) and at 6 months of 66.7 (95% CI 60.1-73.4), with a p = 0.001. The difference between the patients who required surgery was not significant (p = 0.3).
The functional evolution of the shoulder in patients who underwent surgery due to rotator cuff injury improves over time. The type of surgery does not influence the functional evolution.
肩袖损伤会导致肩部功能受损。接受关节镜检查后仍需开放手术的患者，其肩部功能的差异尚不清楚。
确定因肩袖损伤接受手术治疗的患者，从关节镜手术开始并最终进行开放手术，其肩部功能的演变是否存在差异。
进行了一项队列、纵向、观察性和对比性研究。在2021年8月至2022年4月期间，对因肩袖损伤接受手术的患者，在手术前、术后3个月和6个月应用Constant量表测量肩部功能。比较了开始接受关节镜检查并需要手术的患者与仅接受关节镜检查的患者之间的功能情况。
纳入30例患者。术前肩部功能平均为42.2±18（95%置信区间[95%CI]35.5 - 49.0），3个月时为48.18±14（95%CI 42.9 - 53.4），6个月时为66.7（95%CI 60.1 - 73.4），p = 0.001。需要手术的患者之间差异不显著（p = 0.3）。
因肩袖损伤接受手术的患者，其肩部功能随时间推移有所改善。手术类型不影响功能演变。
