Rotator cuff injuries and factors associated with reoperation

Abstract

ObjectiveTo evaluate the prevalence of rotator cuff tears and describe the profile of reoperated patients, causes of repeated tendon tears, tear evolution and range of times between surgical procedures.MethodThis was a cross-sectional study involving 604 surgical procedures performed at two regional referral hospitals between January 2006 and December 2012. After approval by the ethics committee, data describing the patients’ epidemiological profile were gathered at a single time, using Cofield's classification to measure the extent of the tears, all of which underwent arthroscopic surgery. The data were entered into Epi Info 3.5.3 and were analyzed using SPSS version 18.0.ResultsAmong the 604 surgical procedures, females were affected in more cases (351; 58.1%). When the dominant limb was the right limb, it was affected in 90% of the cases (p < 0.05). The supraspinatus tendon was affected in 574 cases (95%) and the tears were of medium size in 300 cases (49.7%). Eighteen reoperations were performed (2.98%) and the upper right limb was the most affected (66.6%). The cause was non-traumatic in 12 patients. The repeated tears were mostly smaller (44%), and the length of time between the two surgical procedures ranged from 6 to 298 weeks.ConclusionFemale gender, smaller extent in the second procedure and non-traumatic cause were found in most of the cases analyzed.

Reparo artroscópico da lesão de manguito rotador: Uma análise da função, força muscular e dor entre técnicas de fileira simples e fileira dupla

“…This data is in line with what is presented in the literature, which indicates that, in general, patients undergoing arthroscopic repair of the RC are mostly women. 2,11,23 In both groups, the dominant shoulder was the most operated, a majority also found in other national studies. 2,23 Biomechanical studies emphasize the potential increase in the contact area in footprint and maximization of repair forces in DR, which can decrease the rate of anatomical failure.…”

“…2,11,23 In both groups, the dominant shoulder was the most operated, a majority also found in other national studies. 2,23 Biomechanical studies emphasize the potential increase in the contact area in footprint and maximization of repair forces in DR, which can decrease the rate of anatomical failure. 27,28 However, in an analysis of clinical outcomes, controversies still persist.…”

A cicatrização do manguito rotador

“…Milgron et al 4 stated that the prevalence of lesions increases significantly in the population after 70 years of age, and it is more frequent on the dominant side, a fact that has been proven by other authors. 5 In the seventh decade of life, this incidence increases to more than 80%.…”

“…Milgron et al 4 afirmaram que a prevalência das lesões aumenta significativamente na população após os 70 anos de idade, sendo mais frequente no lado dominante, fato este comprovado por outros autores. 5 Na sétima década de vida, essa incidência aumenta para mais de 80%.…”

Tratamento Cirúrgico da Ruptura do Manguito Rotador Através da Transferência do Grande Dorsal Artroscopicamente Assistida

“…Programa de Residência Médica em Ortopedia e Traumatologia pela Universidade Federal do Ceará (UFC), Fortaleza-CE. * E-mal: crisbenicio1016@gmail.com2 Hospital Universitário Walter Cantídio da Universidade Federal do Ceará (UFC), Fortaleza-CE 3. Universidade de Fortaleza (UNIFOR), Fortaleza-CE.…”