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

Almeida, Alexandre; Atti, Vinícius; Agostini, Daniel Cecconi; Valin, Márcio Rangel; Almeida, Nayvaldo Couto de; Agostini, Ana Paula

doi:10.1016/j.rboe.2015.01.004

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Original Articles • Rev. bras. ortop. 50 (1) • Jan-Feb 2015 • https://doi.org/10.1016/j.rboe.2015.01.004 copy

Comparative analysis on arthroscopic sutures of large and extensive rotator cuff injuries in relation to the degree of osteopenia ^☆ ☆ Work developed at Hospital Saude and in the Orthopedics Residency Service of Hospital Pompeia, Caxias do Sul, RS, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

To analyze the results from arthroscopic suturing of large and extensive rotator cuff injuries, according to the patient's degree of osteopenia.

METHOD:

138 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).

RESULTS:

In 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).

CONCLUSION:

The 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.

Bone density; Osteoporosis; Rotator cuff; Shoulder

	G. mini-invasivo	Grupo controle	Valor de p
Idade (média)	56,1 anos	55,8 anos	0,85
Gênero (masculino/feminino)	55/48	69/52	0,59
Lado (direito/esquerdo)	52/51	62/59	1
Índice de massa corpórea – IMC	27,7	27,1	0,4

	Diagnosis	n	Gender n (%)		p ^a
			Male	Female
Group 1	Osteoporosis	16	4 (25.0)	12 (75.0)	0.233
Group 2	Osteopenia	33	7 (21.2)	26 (78.8)	0.009
Group 3	Normal	55	26 (47.3)	29 (52.7)	0.680

	Diagnosis	n	Median age (years) (IIQ^a)		p ^b
			Male	Female
Group 1	Osteoporosis	16	57.0 (53.5–60.5)	64.5 (56–70)	0.129
Group 2	Osteopenia	33	58.0 (55.5–64.5)	59.5 (55–68)	0.708
Group 3	Normal	55	58.0 (53–65)	53.0 (53–65)	0.846

UCLA	Normal n = 55	Osteopenic n = 33	p ^a
Median (IIQ^b)	30 (27–32)	32 (29–34)	0.070
Minimum	9	16
Maximum	35	35

UCLA	Normal n = 55	Osteoporotic n = 16	p ^a
Median (IIQ^b)	30 (27–32)	27 (21.5–29)	0.027
Minimum	9	12
Maximum	35	35

UCLA	Normal n = 55	Group 1 + group 2 n = 49	p ^a
Median (IIQ^b)	30 (27–32)	30 (27–32)	0.746
Minimum	9	12
Maximum	35	35

Densitometry	Strength n (%)		p ^a
	Altered	Normal
Osteoporosis	11 (68.8)	5 (31.2)	0.165
Normal	27 (49.1)	28 (50.9)

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] * Corresponding author. E-mail: bone@visao.com.br (A. Almeida).

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Comparative analysis on arthroscopic sutures of large and extensive rotator cuff injuries in relation to the degree of osteopenia ☆ ☆ Work developed at Hospital Saude and in the Orthopedics Residency Service of Hospital Pompeia, Caxias do Sul, RS, Brazil.

OBJECTIVE:

METHOD:

RESULTS:

CONCLUSION:

Comparative analysis on arthroscopic sutures of large and extensive rotator cuff injuries in relation to the degree of osteopenia ^☆ ☆ Work developed at Hospital Saude and in the Orthopedics Residency Service of Hospital Pompeia, Caxias do Sul, RS, Brazil.