Resultados do tratamento artroscópico das rupturas do manguito rotador

Ramos, Carlos Henrique; Sallum, João Said; Sobania, Roberto Luis; Borges, Luis Gustavo Sabino; Sola, Wilson Carlos; Ribeiro, Leandro Yuji Pereira

doi:10.1590/s1413-78522010000100002

Cited by 12 publications

(10 citation statements)

References 12 publications

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“…Our results were similar to studies that showed improvement in pain and discomfort after rotator cuff repair, and that showed improvement in functional scores [3] and pain [31][32][33]. Another study that also evaluated two groups submitted to rotator cuff repair and used platelet rich plasma reported better pain reduction in the platelet rich group in comparison to the control group [28,34]. Movement amplitude was also associated with better improvement ratings in the stem cell group in comparison to the control group; the improvement, however, was only for the shoulder flexion movement.…”

Section: Discussionsupporting

confidence: 89%

Influence on Functional Recovery of Mononuclear Cell Transplantation in Rotator Cuff Repair: A Preliminary Report

Ritzel¹

2014

J Cell Sci Ther

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Rotator cuff tears occur mainly due to overload of the tendons, which leads to a progressive degenerative process and to rotator cuff tears. Surgical treatment is indicated in more advanced stages of the lesion. Retear affects approximately 35% of patients. The goal of the present study was to investigate the effect of mononuclear cell transplantation in rotator cuff repairs in relation to patient functional recovery. Thirty patients with rotator cuff tear were divided into two groups and submitted to rotator cuff repair. In addition to the surgical procedure, the experimental group was submitted to transplantation of mononuclear bone marrow cells. One to two years post-op, both groups were submitted to evaluation of pain, amplitude of movement, retears, and isokinetic evaluation of flexion-extension movements, external and internal rotations, and abduction and adduction of the shoulder. The operated shoulder was compared to the healthy shoulder. Mann-Whitney test was used to evaluate the percentage improvement of the operated shoulder in relation to the healthy shoulder. SPSS (13.0) was used for statistical analyses; the level of significance was p<0.05. The control and the experimental groups presented near-normal values for the variables analyzed in the comparison between shoulders. However, the experimental group showed better results than the control group. Functional recovery of patients submitted to repair with mononuclear cell transplantation was different than that of controls: the incidence of retear was lower in the experimental group; also, the muscle torque and balance values were closer to the healthy shoulder values for the experimental group than the controls.

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Section: Discussionsupporting

confidence: 89%

Influence on Functional Recovery of Mononuclear Cell Transplantation in Rotator Cuff Repair: A Preliminary Report

Ritzel¹

2014

J Cell Sci Ther

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“…This surgery provides satisfactory clinical results in more than 85% of patients. 4 , 5 , 6 , 7 , 8 However, the trend of increase in the number of rotator cuff repairs, from 31% to 238% in published historical series, 9 , 10 , 11 , 12 , 13 , 14 increases expenses of the healthcare system. 14 Thus, it is necessary to outline the Brazilian panorama to determine public policies that best serve the population.…”

Section: Introductionmentioning

confidence: 99%

Rotator cuff repair in the Brazilian Unified Health System: Brazilian trends from 2003 to 2015

Malavolta

Assunção

Beraldo

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo assess the historical trend of rotator cuff repairs in Brazil between 2003 and 2015, using the database of the Brazilian Unified Health System's (Sistema Único de Saúde [SUS]) Department of Informatics (DataSUS).MethodsHistorical series using DataSUS. Surgeries performed between 2003 and 2015 were included and data relating to cuff tear repair were assessed, including decompression procedures were included. The numerator was the total number of rotator cuff repair and the denominator, the total population of the assessed locality. Population data were based on information from the Instituto Brasileiro de Geografia e Estatística (IBGE).ResultsDuring the period, 50,207 surgeries were performed. The rate was presented as number of procedures per 100,000 inhabitants, and increased from 0.83 to 2.81, a growth of 238%. In 2015, the South region had the highest rate, 6.32, followed by the Southeast, 3.62, while the North had the lowest rate, 0.13. The growing trend can be observed in the Southeast, South, and Midwest, while the rate is stable in the North and Northeast.ConclusionThe rate of rotator cuff repairs in Brazil performed through the SUS increased from 0.83 to 2.81 between 2003 and 2015, representing a growth of 238%, but remains lower than that of developed countries. A trend of growth can be observed in the Southeast, South, and Midwest, while the rate is stable in the North and Northeast.

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“…The tendinous sutures on shoulder are efficient and, in a retrospective study, arthroscopic repair of injuries of the rotator cuff (RC) provides low surgical morbidity and enables diagnosis of associated joint injuries. The benefit of the procedure was corroborated especially by significant pain improvement, even in cases of larger injuries (27) . The knee movement pattern in the rest phase was different between children (mean age 9.7 years) and adults (mean age 25 years), which suggests that the maturation process of the normal gait may extend until the second decade of life (28) .…”

Section: Sports Orthopedics and Traumatologymentioning

confidence: 87%

Artigos publicados em periódicos brasileiros de interesse para a medicina do exercício e do esporte: uma revisão

Hernandez¹

2011

Rev Bras Med Esporte

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The purpose of this new series of 34 articles is to alert national and international readers to some of the most important recent contributions of the Brazilian medical literature in other areas of specialization. These are works that offer support to many lines of research in this area. The most relevant original articles are selected by experienced editors, who provided us with key words, which are highlighted in order to attract readers' attention. To facilitate reading, the articles are organized by area of interest. To make the maximum use of the limited editorial space, the authors' names are omitted. The final result brings the best of each article, in the authors' opinion, with a personal summary interpretation. Targeted at busy doctors, we hope this initiative will help further knowledge of scientific evidence for use in clinical practice, facilitating access to works of specific interest to the reader.

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Resultados do tratamento artroscópico das rupturas do manguito rotador

Cited by 12 publications

References 12 publications

Influence on Functional Recovery of Mononuclear Cell Transplantation in Rotator Cuff Repair: A Preliminary Report

Influence on Functional Recovery of Mononuclear Cell Transplantation in Rotator Cuff Repair: A Preliminary Report

Rotator cuff repair in the Brazilian Unified Health System: Brazilian trends from 2003 to 2015

Artigos publicados em periódicos brasileiros de interesse para a medicina do exercício e do esporte: uma revisão

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