Avaliação de pacientes submetidos à sutura do manguito rotador com a técnica de mason-allen modificada

Abstract

OBJECTIVE: The purpose of this study was to clinically evaluate patients who underwent Arthroscopic Rotator Cuff Repair (RC) using the Modified Manson-Allen technique. METHODS: We evaluated 79 patients who underwent shoulder arthroscopy. The lesions were repaired using the modified Mason-Allen suture between 2003 and 2009, divided by Cofield classification and clinically evaluated by the scoring system of the University of Los Angeles (UCLA) in the pre- and postoperative periods. RESULTS: The evaluation of lesion sizes showed 7 small lesions (<1cm), 55 average lesions (1-3cm) and 17 large lesions (3-5cm), and in this last group there were 5 reruptures and the patients were reoperated by the same technique. Comparing the pre (14.1) and postoperative (32.6) values by UCLA system there was a significant improvement of score (142.3%), regardless of lesion size. The modified Mason-Allen suture provided satisfactory clinical results, regardless of lesion size, similar to those found in literature. The rerupture rate was high in large lesions. New suture techniques have been developed with the aim of reducing the incidence of rerupture. CONCLUSION: The modified Mason-Allen suture technique provided clinical improvement, regardless of lesion size. Level of Evidence IV, Cases Series.

Outcome assessment in the treatment of rotator cuff tear: what is utilized in Brazil?

“…In the period evaluated, 712 original articles were published in the Brazilian Journal of Orthopedics and 588 in Acta Ortopédica Brasileira, or 1300 publications. Among these, 84 (6.7% of the total) were clinical articles on shoulder diseases; 25 publications (1.9% of the total) 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 evaluated the clinical results of treatment of rotator cuff tears ( Table 1 ); twenty studies (80%) were case series (level of evidence IV), one (4%) case–control study (level of evidence III) and four (16%) cohorts (level of evidence II). No randomized study was published in the period.…”

Perfil nociceptivo e uso de analgésicos em pacientes submetidos à cirurgia de reparo do manguito rotador: Coorte prospectiva

“…Supraspinatus injury can be divided into partial or complete. 12 Partial rotator cuff injuries has an incidence of 13% to 37% of world population. 13 However, rotator cuff surgical repair, either open or arthroscopic, is the best conduct in case of persistent pain and evolutive muscle weakness.…”

“…A lesão supraespinhal pode ser dividida em parcial ou completa. 12 As lesões parciais do manguito rotador são observadas em incidência de 13% a 37% da população mundial. 13 No entanto, o reparo cirúrgico do manguito rotador, seja aberto ou artroscópico, é a melhor conduta em caso de dor persistente e fraqueza muscular progressiva.…”

Modified Mason–Allen Knot for Arthroscopic Complex Bankart Lesion Repair in Recurrent Anterior Shoulder Instability

“…6 for rotator cuff repair, with good clinical outcomes and biomechanical results. 7 , 8 In this indication, it is also known as BRUMA (Bankart lesion Repair Using a modified Mason–Allen stitch) and is defined as the combination of a simple stitch positioned in the middle of a horizontal mattress suture which is supposed to constitute a blockage in order to reduce the risk of cutting through capsular–labral tissue. It is supposed to improve the tissue-holding properties.…”