Evaluation of functional results from shoulders after arthroscopic repair of complete rotator cuff tears associated with traumatic anterior dislocation

Abstract

ObjectiveTo evaluate the clinical outcome of arthroscopic rotator cuff fixation and, when present, simultaneous repair of the Bankart lesion caused by traumatic dislocation; and to assess whether the size of the rotator cuff injury caused by traumatic dislocation has any influence on the postoperative clinical outcomes.MethodsThirty-three patients with traumatic shoulder dislocation and complete rotator cuff injury, with at least two years of follow up, were retrospectively evaluated. For analysis purposes, the patients were divided into groups: presence of fixed Bankart lesion or absence of this lesion, and rotator cuff lesions smaller than 3.0 cm (group A) or greater than or equal to 3.0 cm (group B). All the patients underwent arthroscopic repair of the lesions and were evaluated postoperatively by means of the UCLA (University of California at Los Angeles) score and strength measurements.ResultsThe group with Bankart lesion repair had a postoperative UCLA score of 33.96, while the score of the group without Bankart lesion was 33.7, without statistical significance (p = 0.743). Group A had a postoperative UCLA score of 34.35 and group B, 33.15, without statistical significance (p = 0.416).ConclusionThe functional outcomes of the patients who only presented complete rotator cuff tearing after traumatic shoulder dislocation, which underwent arthroscopic repair, were similar to the outcomes of those who presented an associated with a Bankart lesion that was corrected simultaneously with the rotator cuff injury. The extent of the original rotator cuff injury did not alter the functional results in the postoperative evaluation.

Instabilidade glenoumeral anterior: Revisão sistemática dos desfechos usados no Brasil

“…Muscle strength after anterior glenohumeral instability treatment was determined in 4 studies 16 20 22 24 (33%). Three papers (25%) used a quantitative measurement of muscle strength aided by a dynamometer and reported the position of the patient (orthostatic or neutral).…”

“…Three papers (25%) used a quantitative measurement of muscle strength aided by a dynamometer and reported the position of the patient (orthostatic or neutral). One study 20 (8%) evaluated only the elevation strength of the patients, while the remaining papers (25%) evaluated the strength of medial shoulder rotation. Among the 3 studies evaluating the outcomes of Laterjet-Patte surgery, 2 (66%) assessed the strength of medial shoulder rotation.…”

“…The Rowe score for instability 28 was used in 9 studies 16 17 18 19 22 23 24 26 27 (75%), whereas 7 studies 17 19 20 22 23 24 26 (58%) used the University of California, Los Angeles Shoulder Rating Scale (UCLA), 29 and 1 paper 16 (8%) evaluated its results with the Walch-Duplay Score ( Fig. 3 ).…”

“…The included studies had an average follow-up period of 35.4 months, and only 42% of the papers 16 17 18 19 20 presented cases with a minimum follow-up period of 2 years. This number is lower compared to international studies that have an average follow-up period of 59.7 months 14 .…”

“…There were no prospective randomized studies or prospective cohorts, and 83% of the papers referred to case series (level IV of evidence). 17 18 20 21 22 23 24 25 26 27…”