Base de dados : LILACS
Pesquisa : C26.761.340 [Categoria DeCS]
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Id: biblio-1288662
Autor: Checchia, Caio Santos; Silva, Luciana Andrade da; Sella, Guilherme do Val; Fregoneze, Marcelo; Miyazaki, Alberto Naoki.
Título: Current Options in Tendon Transfers for Irreparable Posterosuperior Rotator Cuff Tears / Opções atuais de transferências tendíneas para lesões posterossuperiores irreparáveis do manguito rotador
Fonte: Rev. bras. ortop;56(3):281-290, May-June 2021. graf.
Idioma: en.
Resumo: Abstract Massive irreparable posterosuperior rotator-cuff tears are debilitating lesions that usually require surgical treatment. Even though there is no consensus regarding the best surgical technique, tendinous transfers around the shoulder are the most commonly performed procedures. The latissimus dorsi tendon remains the most commonly used, but different modifications to the original technique have been shown to minimize complications and to improve functional results and satisfaction. Other techniques, such as the transfer of the lower trapezius tendon, are promising and should be considered, especially for patients with isolated loss of external rotation. The present paper is a literary review regarding tendon transfers for irreparable posterosuperior rotator-cuff tears.

Resumo As grandes lesões posterossuperiores irreparáveis do manguito rotador são debilitantes e, de modo geral, requerem tratamento cirúrgico. Embora não haja consenso sobre a melhor técnica cirúrgica, as transferências tendíneas no ombro são os procedimentos mais realizados. O tendão do grande dorsal continua a ser o mais utilizado, mas diferentes modificações na técnica original têm minimizado as complicações e melhorado os resultados funcionais e a satisfação com o procedimento. Outras técnicas, como a transferência do tendão do trapézio inferior, são promissoras e devem ser consideradas, principalmente em pacientes com perda isolada da rotação externa. Este artigo é uma revisão da literatura a respeito da transferência de tendões para tratamento das lesões posterossuperiores irreparáveis do manguito rotador.
Descritores: Ombro
Transferência Tendinosa
Lesões do Manguito Rotador
Limites: Humanos
Responsável: BR26.1 - Biblioteca Central


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Id: biblio-1288674
Autor: de Almeida Filho, Ildeu Afonso; Coelho, Daniel Andrade.
Título: Rotator Cuff Healing / A cicatrização do manguito rotador
Fonte: Rev. bras. ortop;56(3):291-298, May-June 2021. tab, graf.
Idioma: en.
Resumo: Abstract The present article broadly addresses the aspects that interfere with the healing process of the rotator cuff. Life habits, such as smoking and alcoholism, are considered, systemic factors such as diabetes mellitus, hypertension, and obesity, as well as local factors, among which are those related to the pre, peri, and postoperative periods. From an extensive literature review, with the citation of 60 scientific articles from both Western and Eastern literature, the authors intend to deepen the theme by bringing to medical practice conducts based on new established concepts.

Resumo O presente artigo aborda de forma ampla os aspectos que interferem no processo de cicatrização do manguito rotador. São considerados hábitos de vida como tabagismo e alcoolismo, fatores sistêmicos como diabetes mellitus, hipertensão arterial e obesidade bem como fatores locais, dentre os quais aqueles relacionados ao pré, per e pós operatório. A partir de uma extensa revisão da literatura, com a citação de 60 artigos científicos tanto da literatura ocidental como oriental, os autores pretendem aprofundar no tema trazendo para a prática médica condutas embasadas em novos conceitos estabelecidos.
Descritores: Período Pós-Operatório
Cicatrização
Diabetes Mellitus
Alcoolismo
Lesões do Manguito Rotador/cirurgia
Lesões do Manguito Rotador/diagnóstico
Lesões do Manguito Rotador/epidemiologia
Obesidade
Responsável: BR26.1 - Biblioteca Central


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Id: biblio-1094517
Autor: Franco, Eduardo Signorini Bicas; Puga, Maria Eduarda dos Santos; Imoto, Aline Mizusaki; Almeida, Jhony de; Mata, Vitor da; Peccin, Stella.
Título: What do Cochrane Systematic Reviews say about conservative and surgical therapeutic interventions for treating rotator cuff disease? Synthesis of evidence
Fonte: Säo Paulo med. j;137(6):543-549, Nov.-Dec. 2019. tab.
Idioma: en.
Projeto: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.
Resumo: ABSTRACT BACKGROUND: Shoulder pain is considered to be the third largest cause of musculoskeletal functional alterations in individuals presenting pain during movement. OBJECTIVE: The purpose of this synthesis of evidence was to identify the clinical effectiveness of conservative and surgical treatments reported in Cochrane systematic reviews among individuals diagnosed with rotator cuff disease. DESIGNAND SETTING: Review of systematic reviews, conducted in the Federal University of São Paulo (Universidade Federal de São Paulo, UNIFESP). METHODS: This synthesis of evidence included systematic reviews that had been published in the Cochrane database. The inclusion criteria were that these systematic reviews should involve individuals aged ≥ 16 years with rotator cuff disease, comparing surgical procedures with or without associated nonsurgical procedures versus placebo, no treatment or other nonsurgical interventions. RESULTS: Thirty-one systematic reviews were included, involving comparisons between surgical procedures and conservative treatment; procedures either combined or not combined with drugs, versus other procedures; and procedures involving exercises, manual therapy and electrothermal or phototherapeutic resources. CONCLUSIONS: The findings suggest that strengthening exercises, with or without associated manual therapy techniques and other resources, were the interventions with greatest power of treatment over the medium and long terms, for individuals with shoulder pain. These had greater therapeutic power than surgical procedures, electrotherapy or photobiomodulation. Protocol registration number in the PROSPERO database: ID - CRD42018096578.
Descritores: Medicina Baseada em Evidências
Lesões do Manguito Rotador/terapia
-Fototerapia/métodos
Exercício Físico
Resultado do Tratamento
Dor de Ombro/terapia
Manejo da Dor/métodos
Lesões do Manguito Rotador/cirurgia
Lesões do Manguito Rotador/tratamento farmacológico
Tratamento Conservador/métodos
Revisões Sistemáticas como Assunto
Limites: Humanos
Tipo de Publ: Revisão
Responsável: BR1.1 - BIREME


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Id: biblio-1139710
Autor: Hospital das Clinicas HCFMUSPRamadan, Lucas Busnardo; Hospital das Clinicas HCFMUSPBaptista, Eduardo; Hospital das Clinicas HCFMUSPSouza, Felipe Ferreira de; Hospital das Clinicas HCFMUSPGracitelli, Mauro Emilio Conforto; Hospital das Clinicas HCFMUSPAssunção, Jorge Henrique; Hospital das Clinicas HCFMUSPAndrade-Silva, Fernando Brandao; Hospital das Clinicas HCFMUSPFerreira-Neto, Arnaldo Amado; Hospital das Clinicas HCFMUSPMalavolta, Eduardo Angeli.
Título: Diagnostic accuracy of preoperative magnetic resonance imaging for detecting subscapularis tendon tears: a diagnostic test study
Fonte: Säo Paulo med. j;138(4):310-316, July-Aug. 2020. tab.
Idioma: en.
Projeto: Fundação de Amparo à Pesquisa do Estado de São Paulo.
Resumo: ABSTRACT BACKGROUND: The accuracy of magnetic resonance imaging (MRI) for making the diagnosis of subscapularis tears presents wide variation in the literature and there are few prospective studies. OBJECTIVE: To compare the findings from MRI and arthroscopy for diagnosing subscapularis tears. DESIGN AND SETTING: Diagnostic test study performed in a tertiary care hospital. METHODS: We included patients who underwent arthroscopic rotator cuff repair and who had firstly undergone high magnetic field MRI without contrast. The images were independently evaluated by a shoulder surgeon and two musculoskeletal radiologists. Sensitivity, specificity, positive and negative predictive values, accuracy and inter and intra-observer agreement were calculated. RESULTS: MRIs on 200 shoulders were evaluated. The incidence of subscapularis tears was 69.5% (41.5% partial and 28.0% full-thickness). The inter and intra-observer agreement was moderate for detection of subscapularis tears. The shoulder surgeon presented sensitivity of 51.1% to 59.0% and specificity of 91.7% to 94.4%. The radiologists showed sensitivity of 83.5% to 87.1% and specificity of 41% to 45.9%. Accuracy ranged from 60.5% to 73.0%. CONCLUSION: The 1.5-T MRIs without contrast showed mean sensitivity of 70.2% and mean specificity of 61.9% for detection of subscapularis tears. Sensitivity was higher for the musculoskeletal radiologists, while specificity was higher for the shoulder surgeon. The mean accuracy was 67.6%, i.e. lower than that of rotator cuff tears overall.
Descritores: Traumatismos dos Tendões/diagnóstico por imagem
Imageamento por Ressonância Magnética/métodos
Manguito Rotador/diagnóstico por imagem
Lesões do Manguito Rotador/diagnóstico por imagem
-Artroscopia
Variações Dependentes do Observador
Valor Preditivo dos Testes
Estudos Prospectivos
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Manguito Rotador/cirurgia
Testes Diagnósticos de Rotina
Lesões do Manguito Rotador/cirurgia
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Idoso
Tipo de Publ: Estudo de Avaliação
Responsável: BR1.1 - BIREME


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Id: biblio-1282676
Autor: Barcellos Terra, Bernardo; Ejnisman, Benno; Santoro Belangero, Paulo; Sassine, Tannous Jorge; Souza Sena, Gaudio Germano; de Almeida, Joelmar Cesar.
Título: Arthroscopic repair of small and medium-sized rotator cuff tears. Technique and results
Fonte: Artrosc. (B. Aires);28(2):118-125, 2021.
Idioma: en.
Resumo: Introduction: this study describes the technique and results of arthroscopic repair of small and medium-sized rotator cuff tears in a philanthropic hospital linked to an educational institution.Materials and methods: we assessed fifty-seven patients who underwent arthroscopic surgery to treat complete rotator cuff tears (<3 cm) from January to December 2014 (mean age: 54.7) and were followed for at least two years (mean follow-up time: 147 weeks).Cases evaluated with the UCLA Shoulder Rating Scale after at least two years of follow-up were classified as poor in 1.8% of cases, 15.8% as fair, 52.6% as good, and 29.8% as excellent. Average preoperative and postoperative UCLA scores were 12.4 and 31.7, respectively. Mean values for pain assessed by the Visual Analog Scale (VAS) also improved significantly, from 8.6 to 1.9.Results: for patients over age fifty-five, age was positively associated (r = 0.577) with a greater difference in VAS score between preoperative and postoperative evaluations; in other words, older patients experienced less pain after at least two years of follow-up.Conclusion: arthroscopic repair yielded good and excellent results in 82.4% of cases with at least two years of follow-up, especially for patients in the 55+ age group. The technique described proved effective for treating these types of tears, as well as a good low-cost option
Descritores: Artroscopia/métodos
Lesões do Manguito Rotador
-Resultado do Tratamento
Responsável: AR337.1 - Biblioteca A.A.O.T.


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Id: biblio-1045832
Autor: Bullock, R; Shah, S; Dundas, T; Mansingh, A; Frankson, M; Soares, D.
Título: Accuracy of Magnetic Resonance Arthrography in Detecting Rotator Cuff Tears / Precisión de la artrografía por resonancia magnética en la detección de desgarros del manguito rotador
Fonte: West Indian med. j;67(2):143-147, Apr.-June 2018. graf.
Idioma: en.
Resumo: ABSTRACT Objective: Shoulder pain, a common cause of productivity loss and health-related expense, is commonly due to rotator cuff tears. Magnetic resonance (MR) imaging with intra-articular gadolinium, MR arthrography, is accepted internationally as an excellent modality for evaluating the rotator cuff. Ultrasound is cheaper and only slightly less sensitive in detecting rotator cuff tears, but MR is superior in detecting ancillary lesions. Magnetic resonance arthrography was introduced at the University Hospital of the West Indies (UHWI), Jamaica, in July 2003. This study aimed to evaluate our experience with MR arthrography and assess its accuracy. Methods: A retrospective study was carried out. All MR arthrography cases performed at UHWI between July 2003 and July 2006 were reviewed. Medical records were reviewed to determine surgical correlation. Results: A total of 140 MR arthrograms were performed; 55% of the patients were female. Ages ranged from the second to the ninth decade, having a distribution approaching but not attaining a normal distribution (p = 0.03) with clustering in the middle years. Magnetic resonance arthrography demonstrated torn rotator cuffs in 40 patients, none of whom was under the age of 40 years (p < 0.001). Fifteen patients had surgery which confirmed torn rotator cuffs in all 15. Conclusion: Magnetic resonance arthrography was found to be accurate in detecting rotator cuff tears. It should be considered in the evaluation of patients with suspected rotator cuff tears. For patients under the age of 40 years, sonography could be used as an alternative.

RESUMEN Objetivo: El dolor en el hombro, el cual es causa común de pérdida de productividad y gastos relacionados con la salud, se debe comúnmente a desgarros del manguito rotador. La imagen por resonancia magnética (IRM) con gadolinio intra-articular - conocida como artrografía RM - se acepta internacionalmente como una excelente modalidad para evaluar el manguito rotador. El ultrasonido es más barato y sólo ligeramente menos sensible a la hora de detectar desgarros del manguito rotador, pero la RM es superior en la detección de lesiones secundarias. La artrografía por resonancia magnética se introdujo en el Hospital Universitario de West Indies (HUWI), Jamaica, en julio de 2003. Este estudio tuvo como objetivo evaluar nuestra experiencia con la artrografía RM y evaluar su precisión. Métodos: Se realizó un estudio retrospectivo. Se revisaron todos los casos de artrografías RM realizadas en HUWI entre julio de 2003 y julio de 2006. Se revisaron las historias clínicas a fin de determinar la correlación quirúrgica. Resultados: Un total de 140 artogramas RM fueron realizados. El 55% de los pacientes eran mujeres. Las edades variaron del segundo al noveno decenio, con una distribución que se acercaba pero no llevaba a alcanzar una distribución normal (p = 0.03), concentrándose en los años intermedios. La artrografía de resonancia magnética mostró desgarros de los manguitos rotadores en 40 pacientes, ninguno de los cuales tenía menos de 40 años (p < 0.001). Quince pacientes tuvieron cirugía que confirmaba desgarros de los manguitos rotadores en los 15. Conclusión: Se halló que la artrografía por resonancia magnética era exacta a la hora de detectar los desagarros del manguito rotador. Debe considerarse en la evaluación de pacientes con sospecha de desgarros del manguito rotador. Para los pacientes menores de 40 años de edad, la sonografía podría ser utilizada como alternativa.
Descritores: Imageamento por Ressonância Magnética/métodos
Artrografia/métodos
Lesões do Manguito Rotador/diagnóstico por imagem
-Estudos Retrospectivos
Sensibilidade e Especificidade
Confiabilidade dos Dados
Limites: Humanos
Masculino
Feminino
Adolescente
Adulto
Pessoa de Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Adulto Jovem
Responsável: BR1.1 - BIREME


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Id: biblio-1253505
Autor: Venezuela Millán, María.
Título: Efectividad de la técnica Single-Row en pacientes con ruptura en "U" del manguito rotador tratado mediante artroscopia / Effectiveness of Single-Row technique in patients with "U" shape rotator cuff injury treated by arthroscopy
Fonte: Rev. venez. cir. ortop. traumatol;48(1), jun. 2016. tab.
Idioma: es.
Resumo: La técnica Single-Row, se describió hace mucho tiempo para la reparación de las lesiones del manguito rotador, también se ha descrito una técnica double-Row que ha reportado ser más efectiva que la anterior. Debido a la situación actual del país y del sistema de salud, donde cada vez es más difícil el acceso a materiales quirúrgicos, en el Complejo Hospital Universitario Luis Razetti (CHULR) de Barcelona, Venezuela, se ha mantenido el uso de la técnica Single-Row, y hasta la implementación de un anclaje único para casos de ruptura amplia en "U", el objetivo de este trabajo es analizar la efectividad de la técnica Single-Row en pacientes con lesión en "U" del manguito rotador, tratados mediante artroscopia en el servicio de traumatología y ortopedia del CHULR desde enero a diciembre del 2012. Este estudio es tipo descriptivo, transeccional, con un diseño de campo y un nivel explicativo. Fueron tratados 20 pacientes. El grupo etario más afectado fue el de 40 a 60 años, predominando el sexo femenino en un 75%, donde el 55% eran trabajadores activos, 55% resulto afectado el miembro superior no dominante, y se evidencio que todos los paciente del estudio, cursaron con resultados funcionales malos, según la escala UCLA. Durante el pre operatorio, el 90% no realizó terapia física y 50% de estos pacientes tuvo una buena evolución según UCLA durante el post operatorio, un 15% regular y un 1% excelente, concluyendo que ha sido una técnica efectiva en estos pacientes(AU)

Single-Row The technique was described long time to repair the rotator cuff injuries ago, it has also been reported double-Row technique that has been reported to be more effective than the last. Due to the current situation in the country and health system where it is increasingly difficult access to surgical materials, in the Complex Hospital Universitario Luis Razetti (CHULR) of Barcelona, Venezuela it has maintained the use of Single-Row technique and up the implementation of a single anchor in case of wide break in "U". The aim of this paper is to analyze the effectiveness of the single-Row technique in patients with injury "U" rotator cuff treated by arthroscopy in the trauma unit and orthopedic HULR. From January to December 2012. This study is descriptive, transeccional, with a field design and an explanatory level type. They were treated 20 patients. The most affected age group was 40 to 60 years, mainly female 75%, where 55% were active workers, 55% were affected the nondominant upper limb, and showed that all patient study coursed with functional outcomes bad according to UCLA scale. During the preoperative, 90% did not perform physical therapy and 50% of these patients had a good evolution, according to UCLA during the postoperative period, 15% regularly and 1% excellent, concluding that has been an effective technique in these patients(AU)
Descritores: Artroscopia
Procedimentos Ortopédicos
Lesões do Manguito Rotador
-Dor Musculoesquelética
Lesões do Ombro
Limites: Humanos
Masculino
Feminino
Pessoa de Meia-Idade
Tipo de Publ: Estudo de Avaliação
Responsável: VE1.1 - Biblioteca Humberto Garcia Arocha


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Id: biblio-1252447
Autor: Calvo, Andrés; Valenzuela, Alfonso; Montenegro, Diego; Reinares, Felipe.
Título: Reparación del tendón del supraespinoso con técnica transósea equivalente en población sujeta a compensación laboral. ¿Cuál es el porcentaje de cicatrización? / Supraspinatus tendon repair using an equivalent transosseous technique to workers compensation. What is the percentage of cicatrization?
Fonte: Artrosc. (B. Aires);28(1):56-61, 2021.
Idioma: es.
Resumo: Introducción: El objetivo de este trabajo es evaluar el porcentaje de cicatrización y los resultados funcionales de una cohorte de pacientes sometidos a reparación artroscópica del tendón del supraespinoso mediante una técnica de doble fila transósea equivalente. Materiales y métodos: durante el período de enero de 2015 a diciembre de 2017, se realizó una reparación artroscópica del supraespinoso a cuarenta y ocho pacientes utilizando una técnica transósea equivalente, todas por el mismo cirujano; al cuarto mes de evolución, se evaluó la tasa de cicatrización del tendón mediante ecografía. Los resultados funcionales se analizaron mediante la escala de Constant-Murley (CS), valoración subjetiva del hombro (SSV) y la escala visual análoga (EVA) para objetivar el dolor. Para el análisis estadístico se utilizó t test para muestras pareadas. Población sometida a compensación laboral.Resultados: el seguimiento ecográfico objetivó una tasa de re-ruptura del 6%. El promedio de incremento en la escala de Constant-Murley fue de 55 puntos, del SSV de 55%, de flexión anterior 32° y de rotación externa de 13°. La escala visual análoga tuvo un descenso de 6 puntos. Todos estos cambios fueron estadísticamente significativos (p < 0.05). Conclusión: la reparación del tendón del supraespinoso, mediante una técnica transósea equivalente mejora los resultados clínicos y funcionales de los pacientes, objetivados con los índices de Constant-Murley y SSV. En nuestra serie obtuvimos una tasa de cicatrización en el 94% de los pacientes. Tipo de estudio: Serie de casos. Nivel de Evidencia: IV

Introduction: the objective of this work was to evaluate the healing rate and functional results in a retrospective cohort of patients undergoing arthroscopic repair of the supraspinatus tendon, using a double row transosseous equivalent technique. Materials and methods: during the period from January 2015 to December 2017, an arthroscopic repair of the supraspinatus was performed on forty-eight patients, using a transosseous technique, by the same surgeon. We evaluated the healing rate by an ultrasound exam at the fourth month of evolution. Functional results were evaluated using the Constant-Murley scale (CS), subjective shoulder assessment (SSV) and the visual analog scale (VAS) to objectify the pain. For the statistical analysis, t-tests were used for paired samples. This cohort of patients is subject to workers compensation. Results: the ultrasound follow-up showed a 6% re-rupture rate. The average increase in the Constant scale was 55 points, the SSV had a mean increase of 55% and the VAS score decrease 6 points. All these changes were statistically significant (p < 0.05).Conclusions: the supraspinatus tendon repair, using an equivalent transosseous technique, improves the clinical and functional results of patients, objectified with the Constant-Murley and SSV scores. In our series we obtained a healing rate on 94% of the patients. Type study: Case Series. Level of Evidence: IV
Descritores: Artroscopia/métodos
Articulação do Ombro/cirurgia
Resultado do Tratamento
Manguito Rotador/cirurgia
Lesões do Manguito Rotador
-Indenização aos Trabalhadores
Limites: Adulto
Pessoa de Meia-Idade
Responsável: AR337.1 - Biblioteca A.A.O.T.


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Id: biblio-1133409
Autor: Choi, Hoon; Roh, Kyungmoon; Joo, Mina; Hong, Sang Hyun.
Título: Continuous suprascapular nerve block compared with single-shot interscalene brachial plexus block for pain control after arthroscopic rotator cuff repair
Fonte: Clinics;75:e2026, 2020. tab, graf.
Idioma: en.
Resumo: OBJECTIVES: We compared the analgesic efficacy of a continuous suprascapular nerve block (C-SSNB) and a single-shot interscalene brachial plexus block (S-ISNB) for postoperative pain management in patients undergoing arthroscopic rotator cuff repair. METHODS: A total of 118 patients undergoing arthroscopic rotator cuff repair were randomly allocated to the S-ISNB or C-SSNB groups. Postoperative pain was assessed using the visual analog scale (VAS) at 1, 2, 6, 12, and 24 h postoperatively. Supplemental analgesic use was recorded as total equianalgesic fentanyl consumption. RESULTS: The C-SSNB group showed significantly higher VAS scores at 0−1 h and 1−2 h after the surgery than the S-ISNB group (4.9±2.2 versus 2.3±2.2; p<0.0001 and 4.8±2.1 versus 2.4±2.3; p<0.0001, respectively). The C-SSNB group showed significantly lower VAS scores at 6−12 h after the surgery than the S-ISNB group (4.1±1.8 versus. 5.0±2.5; p=0.031). The C-SSNB group required significantly higher doses of total equianalgesic fentanyl in the post-anesthesia care unit than the S-ISNB group (53.66±44.95 versus 5.93±18.25; p<0.0001). Total equianalgesic fentanyl in the ward and total equianalgesic fentanyl throughout the hospital period were similar between the groups (145.99±152.60 versus 206.13±178.79; p=0.052 and 199.72±165.50 versus 212.15±180.09; p=0.697, respectively) CONCLUSION: C-SSNB was more effective than S-ISNB at 6−12 h after the surgery for postoperative analgesia after arthroscopic rotator cuff repair.
Descritores: Bloqueio do Plexo Braquial
Lesões do Manguito Rotador/cirurgia
-Dor Pós-Operatória/prevenção & controle
Dor Pós-Operatória/tratamento farmacológico
Artroscopia
Manguito Rotador/cirurgia
Anestésicos Locais
Limites: Humanos
Tipo de Publ: Ensaio Clínico Controlado Aleatório
Responsável: BR1.1 - BIREME


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Id: biblio-1133459
Autor: Fang, Yushun; Zhang, Qingsong.
Título: Outcomes after rotator cuff repair in the elderly as assessed by the American Shoulder and Elbow Surgeons shoulder score
Fonte: Clinics;75:e1817, 2020. tab, graf.
Idioma: en.
Resumo: Rotator cuff tears are common among the elderly, and studies on the outcomes after rotator cuff repair in the elderly are limited. We carried out this meta-analysis with systematic literature search, aiming to clarify the outcomes after rotator cuff repair in the elderly as assessed by the American Shoulder and Elbow Surgeons (ASES) shoulder score. We conducted a literature search through October 2019 in PubMed and EMBASE databases and performed meta-analysis to calculate the summary mean difference comparing the post- and pre-operation ASES scores under both fixed-effect and random-effect models. Among 4978 studies identified through literature search, four studies (two in the United States, one in France, and one in Republic of Korea) were eligible for the meta-analysis, including 282 patients who were aged over 70 years. These studies had low heterogeneity as measured by Cochran's Q test (p=0.88) and I2 statistic (0%). The ASES scores on average increased by 39.7 (95% confidence interval 28.3-51.1, p<0.001) after rotator cuff repair, in both fixed-effect and random-effect models. No substantial publication bias was indicated. Our findings suggest improved outcomes after rotator cuff repair in the elderly population as measured by the ASES score, and such improvements have been consistent in previous studies.
Descritores: Cirurgiões
Lesões do Manguito Rotador/cirurgia
-Artroscopia
Ombro
Estados Unidos
Resultado do Tratamento
Manguito Rotador/cirurgia
Cotovelo
Limites: Humanos
Idoso
Tipo de Publ: Metanálise
Responsável: BR1.1 - BIREME



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