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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(01): 083-090
DOI: 10.1055/s-0040-1702963
Artigo Original
Ombro e Cotovelo

Captured Rotator Cuff: A Poor Prognostic Factor in Rotator Cuff Repair

Article in several languages: português | English
Flavio Oliveira de França 
1   Departamento de Cirurgia do ombro, Hospital Ortopédico, Belo Horizonte, MG, Brazil
2   Departamento de Cirurgia do ombro, Hospital Lifecenter, Belo Horizonte, MG, Brazil
,
José Márcio Alves Freitas 
1   Departamento de Cirurgia do ombro, Hospital Ortopédico, Belo Horizonte, MG, Brazil
2   Departamento de Cirurgia do ombro, Hospital Lifecenter, Belo Horizonte, MG, Brazil
3   Departamento de Cirurgia do ombro, Hospital Belo Horizonte, Belo Horizonte, MG, Brazil
,
Ricardo Palombini Medeiros 
1   Departamento de Cirurgia do ombro, Hospital Ortopédico, Belo Horizonte, MG, Brazil
2   Departamento de Cirurgia do ombro, Hospital Lifecenter, Belo Horizonte, MG, Brazil
3   Departamento de Cirurgia do ombro, Hospital Belo Horizonte, Belo Horizonte, MG, Brazil
,
Romero Ruan Cartaxo de Queiroga 
1   Departamento de Cirurgia do ombro, Hospital Ortopédico, Belo Horizonte, MG, Brazil
2   Departamento de Cirurgia do ombro, Hospital Lifecenter, Belo Horizonte, MG, Brazil
3   Departamento de Cirurgia do ombro, Hospital Belo Horizonte, Belo Horizonte, MG, Brazil
,
Tiago Prause Nunes 
1   Departamento de Cirurgia do ombro, Hospital Ortopédico, Belo Horizonte, MG, Brazil
2   Departamento de Cirurgia do ombro, Hospital Lifecenter, Belo Horizonte, MG, Brazil
3   Departamento de Cirurgia do ombro, Hospital Belo Horizonte, Belo Horizonte, MG, Brazil
,
Glaydson Gomes Godinho 
1   Departamento de Cirurgia do ombro, Hospital Ortopédico, Belo Horizonte, MG, Brazil
2   Departamento de Cirurgia do ombro, Hospital Lifecenter, Belo Horizonte, MG, Brazil
3   Departamento de Cirurgia do ombro, Hospital Belo Horizonte, Belo Horizonte, MG, Brazil
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Abstract

Objective To describe a new presentation of tears and retears of the rotator cuff, which we denominate captured rotator cuff (CRC). We also aim to evaluate it clinically and through images.

Methods We assessed retrospectively 16 patients with intraoperative diagnosis of CRC between March 2005 and September 2017; by means of imaging (radiography and magnetic resonance imaging [MRI]) and functional scores (UCLA and Constant & Murley). In images we analyzed the evolution for rotator cuff arthropathy and presence of retears. Functionally, we compared the affected side with the contralateral side and extensive lesions with nonextensive.

Results Five (31.25%) patients presented with rotator cuff arthropathy, and 10 (62.5%) with retears. Three (75%) patients with nonextensive lesions had good/excellent UCLA and Constant & Murley scores. In patients with extensive lesions, when the Constant & Murley score was evaluated, 6 (50%) presented good/excellent results, and in the UCLA score, 7 (58.3%). Comparing the affected side (Constant 74.72 points; UCLA 20 points) with the contralateral side (Constant 96.96 points; UCLA 25.63 points), there were worse functional results with statistical significance.

Conclusion The diagnosis of CRC is suspected by characteristic findings on MRI and confirmed in arthroscopy. The affected shoulders present worse functional postoperative scores.

Keywords

rotator cuff - shoulder - rupture - subacromial adhesions


Publication History

Received: 18 March 2019

Accepted: 05 December 2019

Article published online:
17 July 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. 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/)

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