medigraphic.com
ISSN 1561-3100 (Impreso)

2012, Número 1

<< Anterior Siguiente >>

Revista Cubana de Ortopedia y Traumatología 2012; 26 (1)


Reparación artroscópica de las rupturas completas del manguito rotador

García MO, Hernández RAR, Candelario ÁJL, González HD, Buess E

Idioma: Español
Referencias bibliográficas: 33
Paginas: 40-52
Archivo PDF: 211.13 Kb.


RESUMEN

Introducción: la ruptura del manguito rotador (tendones del subescapular, supraespinoso, infraespinoso y redondo menor) es una enfermedad que afecta el hombro con alta incidencia. La padecen con mayor frecuencia las personas que practican ejercicios repetitivos y existe el antecedente de trauma. El diagnóstico artroscópico con sus ventajas es definitivo y exacto, su correcta interpretación garantiza el éxito de la reparación.
Objetivo: evaluar los resultados de las reparaciones artroscópicas con el método de sutura y anclaje, en las rupturas completas del manguito rotador aplicado en el servicio de ortopedia, desde octubre de 2007 hasta abril de 2009.
Métodos: se analizaron los resultados en 42 pacientes con rupturas completas del manguito rotador, evaluados con la escala de Constant-Murley. Se realizó un seguimiento promedio de 15,5 meses, con predominio del sexo masculino (69 %) y un promedio de edad de 56 años en el momento de la cirugía.
Resultados: de los pacientes incluidos, la cirugía se realizó en el miembro dominante en 66,6 %. La primera evaluación general de los resultados a los 6 meses del posoperatorio mostró 83,3 % de resultados excelentes, buenos y regulares. Los resultados mejoraron con el tiempo, a los 12 meses se obtuvo 97,6 % de resultados excelentes, buenos y regulares en la serie.
Conclusiones: los resultados de las reparaciones artroscópicas de esta serie de casos son comparables a los reportes que existen en la literatura


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Bjelle A. Epidemiology of shoulder problems. Baillieres Clin Rheumatol.1989;(3):437-51.

  2. Chard MD, Hazelman R, Hazelman BL, King RH, Reiss BB. Shoulder disorders in the elderly: a community survey. Arthritis Rheumatism. 1991;34(6):766-9.

  3. Green S, Buchbinder R, Glazier R, Forbes A. Systematic Review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy. British Med J. 1998;316:345-60.

  4. Bot SDM, van der Waal JM, Terwee CB. Incidence and prevalence of complaints of the neck and upper extremity in general practice. Annals Rheumatis Disease. 2005;64(1):118-23.

  5. Bridges-Webb C, Britt H, Miles D, Neary S, Charles J, Traynor V, et al. Morbidity and treatment in general practice in Australia 1990-1991. Med J Australia. 1992;(Suppl 157):S1-S56.

  6. Gomoll AH, Katz JN, Warner JJP, Millett PJ. Rotator cuff disorders: recognition and management among patients with shoulder pain. Arthritis Rheumatism. 2004;50:3751-61.

  7. Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin BM. Abnormal findings on magnetic resonance images of asymptomatic shoulder. J Bone Joint Surg (Am). 1995;77:10-5.

  8. Ogata S, Uhthoff HK. Acromial enthesopathy and rotator cuff tear. Clin Orthopaedics Related Research. 1990;254:39-48.

  9. Yamaguchi K, Tetro A, Blam O, Evanoff B, Teefey S, Middleton W, et al. Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg. 2001;10:199-203.

  10. Croft P, Pope D, Silman A. The clinical course of shoulder pain: prospective cohort in primary care. British Med J. 1996;313:601-2.

  11. Van der Windt DA, Koes BW, Boeke AJ, Deville W, De Jong BA, Bouter LM. Shoulder Disorders in general practice: prognostic indicators of outcome. British J General Practice. 1996;46(410):519-23.

  12. Gary M, Gartsman MD, Samer S, Hasan MD. What's new in shoulder and elbow surgery. J Bone Joint Surg (Am). 2005;87:226-40.

  13. Burkhart SS, Danaceau SM, Pearce CEJr. Arthroscopic rotator cuff repair: Analysis of results by tear size and by repair technique margin convergene versus direct tendon-to-bone repair. Arthroscopy: J Arthroscopic Related Surg. 2001;17(9):905-12.

  14. Burkhart SS, Danaceau SM, Pearce ChE. Arthroscopic rotator cuff repair: Analysis of results by tear size and by repair technique- margin convergene versus direct tendon-to-bone repair. Arthroscopy: J Arthroscopic Related Surg. 2001;17(9):905-12.

  15. Gartsman GM, Khaan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am. 1998;80:832-40.

  16. Bennet WF. Arthroscopic repair of full-thickness supraspinatus tears (small-to-medium): A prospective study with 2-4 year follow-up. Arthroscopy. 2003;19(3):249-56.

  17. Wolf E, Pennington T, Agrawal V. Arthroscopic rotator cuff repair: 4- to 10-year results. Arthroscopy. 2004;20(1):5-12.

  18. Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG, et al. Arthroscopic repair of full-thickness tears of the supraspinatus: Does the tendon really heal? J Bone Joint Surg Am. 2005;87(6):1229-40.

  19. Charousset C, Grimberg J, Duranthon LD, Bellaiche L. Arthro-C-scan analysis of rotator cuff tears healing after arthroscopic repair: Analysis of predictive factors in a consecutive series of 167 arthroscopic repairs. Rev Chir Orthop Reparatrice Appar Mot. 2006;92:223-34.

  20. Buess E, Steuber KU, Waibl B. Open versus arthroscopic rotator cuff repair: A comparative view of 96 cases. Arthroscopy. 2005;21(5):597-604.

  21. Snyder SJ. Shoulder Arthroscopy. 2nd ed. New York: MGraw-Hill Lippincott Williams and Wilkins; 2003.

  22. Ellman H, Kay SP, Wirth M. Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy. 1993;9(2):195-200.

  23. Burkhart SS, Athanasiou KA, Wirth MA. Margin convergence: A method of reducing strain in massive rotator cuff tears. Arthroscopy: J Arthroscopic Related Surg. 1996;12(3):335-8. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;(214):160-4.

  24. Posada A, Uribe JW, Hechtman KS, Tjin-A-Tsoi EW, Zvijac JE. Mini-deltoid splitting rotator cuff repair: Do results deteriorate with time? Arthroscopy: J Arthroscopic Related Surg. 2000;16(2):137-41.

  25. Burkhart SS. A stepwise approach to arthroscopic rotator cuff repair based on biomechanical principles. Arthroscopy: J Arthroscopic Related Surg. 2000;16(1):82-90.

  26. Cole BJ, ElAttrache NS, Anbari A. Arthroscopic rotator cuff repairs: An anatomic and biomechanical rationale for different suture-anchor repair configurations. Arthroscopy: J Arthroscopic Related Surg. 2007;23(6):662-9.

  27. Nho SJ, Yadav H, Pensak M, Dodson CC, Good CR, MacGillivray JD . Biomechanical fixation in arthroscopic rotator cuff repair. Arthroscopy: J Arthroscopic Related Surg. 2007;23(1):94-102.

  28. Flurin PH, Landreau P, Gregory T. Cuff integrity after arthroscopic rotator cuff repair: Correlation with clinical. Arthroscopy: J Arthroscopic Related Surg. 2007;23:340-6.

  29. Sugaya H, Maeda K, Matsuki K, Moriishi J. Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair. J Bone Joint Surg Am. 2007; 89(5): 953-60.

  30. Grasso A, Milano G, Salvatore M , Falcone G, Fabbriciani C. Single-row versus double row arthroscopic rotator cuff repair: A prospective randomized clinical study. Arthroscopy: J Arthroscopic Related Surg. 2009;25(1): 4-12.

  31. Charousset Ch, Bellache L, Kalra K, Petrover D. Arthroscopic repair of full-thickness rotator cuff tears: is there tendon healing in patients aged 65 years or older? Arthroscopy: J Arthroscopic Related Surg. 2010;26(3):302-9.

  32. Slabaugh MA, Nho SJ, Grumet, RC, Wilson JB, Seroyer ST, Frank RM, et al. Does the literature confirm superior clinical results in radiographically healed hotator cuffs after rotator cuff repair. Arthroscopy: J Arthroscopic Related Surg. 2010;26(3):393-403.

  33. Prasathaporn N, Kuptniratsaikul S, Kongrukgreatiyos K. Single-row repair versus double row repair of full-thickness rotator cuff tears. Arthroscopy: J Arthroscopic Related Surg. 2011;27(7):978-85.




2020     |     www.medigraphic.com