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

Flávio Oliveira França; José Márcio Alves Freitas; Carlos Alberto Menezes Mariosa; Carlos Eduardo Bastiani; Glaydson Gomes Godinho

doi:10.1055/s-0039-3402469

Revista Brasileira de Ortopedia, Inhaltsverzeichnis

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

Artikel in mehreren Sprachen: português | English

Authors

Flávio Oliveira França

¹Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil

²Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil

³Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil
José Márcio Alves Freitas

¹Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil

²Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil

³Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil
Carlos Alberto Menezes Mariosa

¹Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil

²Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil

³Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil
Carlos Eduardo Bastiani

¹Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil

²Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil

³Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil
Glaydson Gomes Godinho

¹Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil

²Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil

³Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil

Abstract

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

Volltext

Referenzen

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