A painful shoulder is a very common complaint among athletes, especially in the case of those in sports involving throwing. Partial lesions of the rotator cuff may be very painful and cause significant functional limitation to athletes’ sports practice. The incidence of partial lesions of the cuff is variable (13–37%). It is difficult to make the clinical and radiological diagnosis, and this condition should be borne in mind in the cases of all athletes who present symptoms of rotator cuff syndrome, including in patients who are diagnosed only with tendinopathy.ObjectiveTo evaluate the epidemiological behavior of partial lesions of the rotator cuff in both amateur and professional athletes in different types of sports.MethodsWe evaluated 720 medical files on athletes attended at the shoulder service of the Discipline of Sports Medicine at the Sports Traumatology Center, Federal University of São Paulo. The majority of them were men (65%). Among all the patients, 83 of them were diagnosed with partial lesions of the rotator cuff, by means of ultrasonography or magnetic resonance, or in some cases using both. We applied the binomial test to compare the proportions found.ResultIt was observed that intra-articular lesions predominated (67.6%) and that these occurred more frequently in athletes in sports involving throwing (66%). Bursal lesions occurred in 32.4% of the athletes, predominantly in those who did muscle building (75%).ConclusionIntra-articular lesions are more frequent than bursal lesions and they occur predominantly in athletes in sports involving throwing, while bursal lesions were more prevalent in athletes who did muscle building.
Scapulothoracic arthroscopy is gaining recognition among arthroscopic procedures as it is considered a relatively low morbidity procedure; also, continuing studies of this technique are making it safer. Scapulothoracic arthroscopy can be used for removal of a foreign body. This case report describes the removal of a firearm projectile using image-guided arthroscopy, highlighting the anatomical aspects and characteristics of the surgical technique. In this case, the patient recovered uneventfully, with complete remission of symptoms in 30 days, returning to his usual activities within 2 months after surgery.
r e v b r a s o r t o p . 2 0 1 5;5 0(4):416-421 w w w . r b o . o r g . b r Artigo original Lesão parcial do manguito rotador no atletabursal ou articular? ଝ informações sobre o artigo Histórico do artigo: Recebido em 24 de outubro de 2013 Aceito em 7 de julho de 2014 On-line em 7 de março de 2015 Palavras-chave: Bainha rotadora/lesões Bursite Esportes Treinamento de resistência r e s u m o O ombro doloroso é uma queixa muito comum entre os atletas, especialmente no caso dos arremessadores. As lesões parciais do manguito rotador podem ser muito dolorosas e causar limitação funcional importante na pratica esportiva do atleta. A incidência das lesões parciais do manguito é variável (13% a 37%). O diagnóstico clínico e radiológico é difícil e deve ser considerado em todo atleta que apresente sintomatologia da síndrome do manguito rotador, inclusive nos pacientes diagnosticados apenas com tendinopatia. Objetivo: Avaliar o comportamento epidemiológico das lesões parciais do manguito rotador nos atletas tanto amadores como profissionais de diferentes modalidades esportivas. Métodos: Avaliamos 720 prontuários de atletas atendidos no serviço de ombro da disciplina de medicina esportiva no Centro de Traumatologia do Esporte da Universidade Federal de São Paulo, a maioria (65%) homens. Dentre todos, 83 pacientes foram diagnosticados com lesão parcial do manguito rotador por meio da ultrassonografia ou ressonância magnética e em alguns casos por ambas. Aplicamos o teste binomial para comparar as proporç ões encontradas.Resultado: Verificou-se um predomínio das lesões intra-articulares (67,6%) e que essas ocorreram com maior frequência nos arremessadores (66%). Já com relação às lesões bursais, essas ocorreram em 32,4% dos atletas e predominam nos de musculação (75%).Conclusão: As lesões intra-articulares são mais frequentes em relaç ões às bursais e predominam nos atletas arremessadores, enquanto que as lesões bursais foram mais prevalentes nos atletas de musculação.
Objective To evaluate the clinical and functional behavior of patients undergoing cuff tear arthroplasty at different stages of the disease.Methods Cuff tear arthroplasty hemiarthroplasties were performed in 34 patients with rotator cuff arthropathy and associated comorbidities, classified according to Seebauer. The mean age was 76.3 years, and the sample comprised 23 females (67.6%) and 11 males (32.4%). The mean follow-up period was 21.7 months, and evaluations were performed using the Visual Analog Scale for pain and the Constant scale.Results There were no statistically significant differences in the mean reduction in the Visual Analog Scale or in the Constant scale increase between the female and male groups. The variation between the pre- and postoperative Visual Analog Scale and Constant scale evaluations was significant. There was also no statistically significant difference between the Seebauer classification groups regarding the mean Visual Analog Scale reduction, or the mean Constant scale increase.Conclusion Cuff tear arthroplasty shoulder hemiarthroplasty is a good option for rotator cuff arthropathy in patients with comorbidities.
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