Revista Brasileira de Ortopedia (Apr 2014)

Functional evaluation of arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis,

  • Alberto Naoki Miyazaki,
  • Marcelo Fregoneze,
  • Pedro Doneux Santos,
  • Luciana Andrade da Silva,
  • Guilherme do Val Sella,
  • Douglas Lobato Lopes Neto,
  • Melvis Muchiuti Junior,
  • Sergio Luiz Checchia

DOI
https://doi.org/10.1016/j.rboe.2014.03.025
Journal volume & issue
Vol. 49, no. 2
pp. 178 – 182

Abstract

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OBJECTIVE: to evaluate the functional result from arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis, defined as incapacity to actively raise the arm above 90◦ , while complete passive elevation was possible.METHODS: we reevaluated 38 patients with a mean follow-up of 51 months (minimum of 24). We analyzed the pseudoparalysis reversion rate and the functional result obtained.RESULTS: according to the assessment criteria of the University of California in Los Angeles (UCLA), 31 (82%) patients had good and excellent results, two (5%) had fair results and five (13%) had poor results. The mean active elevation went from 39◦ before the operation to 139◦ after the operation (p < 0.05); the mean active lateral rotation went from 30◦ to 48◦ (p < 0.05) and the mean active medial rotation went from level L3 to T12 (p < 0.05).CONCLUSION: arthroscopic repair of rotator cuff injuries produced good and excellent results in 82% of the cases and a statistically significant improvement of active range of motion, with reversion of the pseudoparalysis in 97.4% of the cases. It is therefore a good treatment option.

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