Comparative Clinical Evaluation of Two Techniques of Arthroscopic Treatment of Partial Articular Rotator Cuff Tears

Sella, Guilherme do Val; Silva, Luciana Andrade da; Checchia, Caio Santos; Marmille, Hector Carmona; Santili, Cláudio; Miyazaki, Alberto Naoki

doi:10.1055/s-0041-1729583

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Original Article • Rev. bras. ortop. 56 (06) • Nov-Dec 2021 • https://doi.org/10.1055/s-0041-1729583 copy

Comparative Clinical Evaluation of Two Techniques of Arthroscopic Treatment of Partial Articular Rotator Cuff Tears^* * Study carried out in the Shoulder and Elbow Surgery Group of the Department of Orthopedics and Traumatology of the Faculty of Medical Sciences of Santa Casa de São Paulo, "Pavilhão Fernandinho Simonsen" (DOT - FCMSCSP) (Director: Professor Maria Fernanda Silber Caffaro), São Paulo/SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives

To evaluate the clinical results of patients submitted to arthroscopic treatment of partial lesion of the articular part of the rotator cuff by transtendon suture techniques and after completing the lesion and to compare the postoperative recovery time of the two techniques.

Method

Retrospective study based on the identification of all cases with partial lesion of the articular part of the rotator cuff submitted to arthroscopic treatment from October 1999 to December 2016 at the Shoulder and Elbow Group of our institution. Thirty-nine patients were included and divided intotwo groups: those who underwent the transtendon technique and those in whom the lesion was completed. The two groups were statistically similar. The respective medical records were analyzed as well as the identification of the applied technique, the postoperative results, and the related complications. The functional evaluation was performed using the score of the University of California at Los Angeles (UCLA).

Results

There was no statistically relevant difference between the groups, with a mean UCLA score of 32, and no difference in the time required for rehabilitation.

Conclusion

There was no difference between the clinical outcome of the patients, regardless of the technique used to repair the partial lesions of the articular part of the rotator cuff, with satisfactory results in 93% of the cases.

Keywords
rotator cuff; arthroscopy; treatment

Nr. of patients	Gender	Age	Dominant side	Δtt	UCLA	Δt	COMPLICATIONS
1	F	50		03 a.	TOTAL:35	4 m
2	M	70		02 a.	TOTAL: 35	5 m
3	F	49	+	03 a.	TOTAL: 35	5 m
4	F	39	+	02 a.	TOTAL: 35	5 m
5	M	51	+	03 a.	TOTAL: 35	4 m
6	M	43	+	07 a.	TOTAL: 22	9 m
7	M	49	+	02 a.	TOTAL: 35	4 m
8	M	40	+	09 a.	TOTAL: 32	6 m
9	M	34	+	2 a.	TOTAL: 35	5m
10	M	44	+	09 a.	TOTAL: 32	4 m
11	F	56		09 a.	TOTAL: 31	5 m
12	M	41	+	12 a.	TOTAL: 34	4 m
13	F	54	+	02 a.	TOTAL: 32	9 m
14	M	52	+	09 a.	TOTAL: 31	8 m
15	M	58		04 a.	TOTAL: 23	10 m
16	M	59	+	09 a.	TOTAL: 34	5 m
17	F	53		05 a.	TOTAL: 33	6 m
18	M	44	+	05 a.	TOTAL: 33	4 m
19	M	35	+	07 a.	TOTAL: 33	12 m	REVIEW FOR RELEASE WITH 8 MONTHS DUE TO CAPSULITIS

Case	Sex	Age	Dominant side	Δtt	UCLA	Δt	COMPLICATIONS
1	M	58	+	02 a.	TOTAL: 32	6 m
2	F	63	+	02 a, 10 m	TOTAL: 31	5 m
3	F	65	+	02 a.	TOTAL: 32	4 m
4	F	67	+	02 a.	TOTAL: 33	5 m
5	M	75		03 a.	TOTAL: 34	4 m
6	F	57		05 a.	TOTAL: 34	6 m
7	M	39	+	08 a.	TOTAL: 32	6 m
8	F	73	+	05 a.	TOTAL: 35	5 m
9	F	59	+	02 a.	TOTAL: 32	5 m
10	M	43	+	04 a.	TOTAL: 32	7 m
11	M	38	+	02 a.	TOTAL: 33	7 m
12	F	29	+	11 a.	TOTAL: 34	4 m
13	M	44		13 a.	TOTAL: 23	6 m
14	M	42	+	02 a.	TOTAL: 32	5 m
15	F	51		08 a.	TOTAL: 33	4 m
16	M	39	+	06 a.	TOTAL: 32	4 m
17	M	49	+	02 a.	TOTAL: 33	4 m
18	M	51	+	03 a.	TOTAL: 32	5 m
19	M	56	+	03 a.	TOTAL: 33	7 m	CAPSULITIS AFTER 3 MONTHS, PERFORMING BLOCKS AND PHYSIOTHERAPY.
20	F	47	+	02 a.	TOTAL: 35	5 m

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] *
Study carried out in the Shoulder and Elbow Surgery Group of the Department of Orthopedics and Traumatology of the Faculty of Medical Sciences of Santa Casa de São Paulo, "Pavilhão Fernandinho Simonsen" (DOT - FCMSCSP) (Director: Professor Maria Fernanda Silber Caffaro), São Paulo/SP, Brazil.