Evaluation of the Results From Reoperations on Patients With Rotator Cuff Lesions

Miyazaki, Alberto Naoki; Fregoneze, Marcelo; Santos, Pedro Doneux; Silva, Luciana Andrade da; Sella, Guilherme do Val; Santos, Ruy Mesquita Maranhão; Souza, Adriano de; Estelles, José Renato Depari; Checchia, Sérgio Luiz

doi:10.1016/s2255-4971(15)30175-0

Cited by 8 publications

(13 citation statements)

References 16 publications

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“…Injuries classified as large and extensive according to Cofield 23 are the ones that present the worst results, with the greatest numbers of cases of failure to heal and reopening. 17 , 31 , 32 , 33 These are therefore the injuries that most evidently demonstrate the influence of factors for worse prognoses. 17 …”

Section: Discussionmentioning

confidence: 99%

“… 17 , 31 , 32 , 33 These are therefore the injuries that most evidently demonstrate the influence of factors for worse prognoses. 17 …”

Section: Discussionmentioning

confidence: 99%

“… 3 , 4 Other variables such as sex, 5 smoking, 6 , 7 , 8 , 9 , 10 tendon quality shown on magnetic resonance imaging, 11 humerus-acromion distance <7 mm shown on X-rays 12 and impairment of the long head of the biceps have been considered to be deleterious for the final result from the treatment. 13 , 14 , 15 , 16 , 17 …”

Section: Introductionmentioning

confidence: 99%

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Comparative analysis on arthroscopic sutures of large and extensive rotator cuff injuries in relation to the degree of osteopenia

Almeida¹,

Atti

Agostini³

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo analyze the results from arthroscopic suturing of large and extensive rotator cuff injuries, according to the patient's degree of osteopenia.Method138 patients who underwent arthroscopic suturing of large and extensive rotator cuff injuries between 2003 and 2011 were analyzed. Those operated from October 2008 onwards formed a prospective cohort, while the remainder formed a retrospective cohort. Also from October 2008 onwards, bone densitometry evaluation was requested at the time of the surgical treatment. For the patients operated before this date, densitometry examinations performed up to two years before or after the surgical treatment were investigated. The patients were divided into three groups. Those with osteoporosis formed group 1 (n = 16); those with osteopenia, group 2 (n = 33); and normal individuals, group 3 (n = 55).ResultsIn analyzing the University of California at Los Angeles (UCLA) scores of group 3 and comparing them with group 2, no statistically significant difference was seen (p = 0.070). Analysis on group 3 in comparison with group 1 showed a statistically significant difference (p = 0.027).ConclusionThe results from arthroscopic suturing of large and extensive rotator cuff injuries seem to be influenced by the patient's bone mineral density, as assessed using bone densitometry.

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Section: Discussionmentioning

confidence: 99%

“… 17 , 31 , 32 , 33 These are therefore the injuries that most evidently demonstrate the influence of factors for worse prognoses. 17 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative analysis on arthroscopic sutures of large and extensive rotator cuff injuries in relation to the degree of osteopenia

Almeida¹,

Atti

Agostini³

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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“…While some studies indicate poor results, others state that there is no clinically negative impact. 8,9 In 1996, Mormino et al 10 described a form of complication of open and arthroscopic repair of total and partial ruptures of the RC, calling it the "captured shoulder" (CS). The criteria for confirming the diagnosis were defined as subdeltoid adhesions of the RC, healed tendon repair and associated osteochondral lesions.…”

Section: Introductionmentioning

confidence: 99%

Manguito capturado: Um fator de mau prognóstico no reparo do manguito rotador

França

Freitas

Medeiros

et al. 2020

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Descrever uma nova apresentação de ruptura e rerruptura do manguito rotador (MR), a qual denominamos manguito capturado (MC). Objetivamos também avaliá-la clinicamente e por meio de imagens. Métodos Foram avaliados retrospectivamente 16 pacientes com diagnóstico intraoperatório de MC no período de março de 2005 a setembro de 2017; por meio de exames de imagem (radiografia e ressonância magnética [RM]) e escores funcionais (UCLA e Constant & Murley). Nas imagens, analisamos a evolução para artropatia do manguito rotador e presença de rerrupturas. Funcionalmente, comparamos o lado afetado com o contralateral e as lesões extensas com nãoextensas. Resultados Cinco (31,25%) pacientes evoluíram com artropatia do manguito rotador e 10 (62,5%) tiveram rerrupturas. Três (75%) pacientes com lesões não extensas tiveram UCLA e Constant & Murley bons/excelentes. Nos pacientes com lesões extensas, quando avaliado Constant & Murley, 6 (50%) apresentaram resultados bons/excelentes, e no escore UCLA, 7 (58,3%). Comparando o lado acometido (Constant 74,72 pontos; UCLA 20 pontos) com o contralateral (Constant 96,96 pontos; UCLA 25,63 pontos), houve pior resultado funcional com significância estatística. Conclusão O diagnóstico de MC é suspeitado por achados característicos na RM e confirmado na artroscopia. Os ombros acometidos apresentam piores escores funcionais pós-operatórios.

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“…There are high dehiscence rates, especially in relation to extensive injuries, and the incidence can range from 13% to 94% of the cases. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

Biomechanical evaluation between the modified Mason-Allen stitch and the locked double-tie stitch on the infraspinatus of sheep

Miyazaki

Fregoneze

Santos

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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ObjectivesTo evaluate and compare the in vitro biomechanical results from two stitches: the Mason-Allen stitch, as modified by Habermeyer; and the locked double-tie stitch developed at our service, on tendons of the infraspinatus muscle of sheep.MethodsTwenty tendons from the infraspinatus muscle of sheep were randomly divided into two groups: LDT, on which the locked double-tie stitch was performed; and MA, with the modified Mason-Allen stitch. The evaluation was performed in the mechanics laboratory, using a standard test machine with unidirectional traction, constant velocity of 20 mm per second and a 500 N load cell, without force cycling.ResultsWe observed that LDT was superior to MA, for the force needed to form spaces of both 5 mm (p = 0.01) and 10 mm (p = 0.002) and also for the maximum traction resistance (p = 0.003).ConclusionWe confirmed our hypothesis that LDT stitches are superior to MA stitches from a biomechanical point of view. This is a further stitching option for surgeons, when fragile and poorly vascularized tendons need to be sutured, and it improves the quality of fixation without increasing the “strangulation” and, consequently, the ischemic area.

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Evaluation of the Results From Reoperations on Patients With Rotator Cuff Lesions

Cited by 8 publications

References 16 publications

Comparative analysis on arthroscopic sutures of large and extensive rotator cuff injuries in relation to the degree of osteopenia

Comparative analysis on arthroscopic sutures of large and extensive rotator cuff injuries in relation to the degree of osteopenia

Manguito capturado: Um fator de mau prognóstico no reparo do manguito rotador

Biomechanical evaluation between the modified Mason-Allen stitch and the locked double-tie stitch on the infraspinatus of sheep

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