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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(04): 463-469
DOI: 10.1055/s-0039-3402469
Artigos Originais
Ombro e Cotovelo

Artroplastia de ombro: tenotomia do subescapular versus osteotomia do tubérculo menor

Article in several languages: português | English
Flávio Oliveira França 
1   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
2   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil
3   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil
,
José Márcio Alves Freitas
1   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
2   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil
3   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil
,
Carlos Alberto Menezes Mariosa
1   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
2   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil
3   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil
,
Carlos Eduardo Bastiani
1   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
2   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil
3   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil
,
Glaydson Gomes Godinho
1   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
2   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil
3   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil
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Resumo

Objetivo Avaliar e comparar a função do músculo subescapular entre os grupos submetidos a tenotomia do subescapular (Grupo A) e osteotomia do tubérculo menor (Grupo B), em pacientes tratados por artroplastia anatômica total e parcial de ombros apresentando osteoartrose primária.

Métodos Estudo retrospectivo de pacientes portadores de osteoartrose primária glenoumeral tratados cirurgicamente com prótese anatômica total ou parcial de ombro, avaliados por exame clínico, exames de imagens, escala visual analógica de dor e escore funcional de Constant e Murley. Foram avaliados 28 pacientes, totalizando uma amostra de 32 ombros operados. O seguimento mínimo foi de 12 meses (média 47,45 meses).

Resultados Nos pacientes submetidos à tenotomia do tendão subescapular, dez obtiveram resultado ultrassonográfico com ruptura de sua espessura total (56%). A consolidação ocorreu em todos pacientes submetidos a osteotomia do tubérculo menor. Não houve diferença entre os grupos na comparação do teste Lift Off, da força nos testes Belly Press e Bear hug, e no escore de Constant e Murley.

Conclusões Não encontramos diferença entre os grupos A e B na comparação do teste Lift Off, da força nos testes Belly Press e Bear hug, e no escore de Constant e Murley.

Palavras-chave

prótese de ombro - artrose - manguito rotador


Publication History

Received: 10 April 2018

Accepted: 12 February 2019

Article published online:
29 May 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

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