CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(06): 722-727
DOI: 10.1055/s-0040-1713760
Artigo Original
Quadril

Impacto subespinhal do quadril: Resultados clínicos e radiográficos do tratamento artroscópico[]

Article in several languages: português | English
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Milton Valdomiro Roos
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Antero Camisa Júnior
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Ezequiel Moreno Ungaretti Lima
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Mariano Feraboli Fontana
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Roger Pires Okamoto
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
› Author Affiliations

Resumo

Objetivo Avaliar os resultados clínicos e radiográficos assim como as complicações relacionadas a pacientes submetidos ao tratamento artroscópico do impacto subespinhal do quadril.

Métodos Foram avaliados retrospectivamente 25 pacientes (28 quadris) submetidos ao tratamento artroscópico de impacto subespinhal entre janeiro de 2012 e junho de 2018. O seguimento médio foi de 29,5 meses, e os pacientes foram avaliados clinicamente pelo Harris hip score modificado por Byrd (MHHS), o non-arthritic hip score (NAHS), e quanto à rotação interna e flexão do quadril. Além disso, foram avaliados por exames de imagem: o ângulo center-edge (CE) acetabular, o ângulo alfa, a presença de sinal da parede posterior, o grau de artrose, a presença de ossificação heterotópica do quadril e a classificação de Hetsroni para Impacto Subespinhal.

Resultados Observou-se aumento médio pós-operatório de 26,9 pontos para o MHHS, 25,4 para o NAHS (p < 0,0001), 10,5° na rotação interna (p < 0,0024) e 7,9° para flexão do quadril (p < 0,0001). Quanto à avaliação radiográfica, observou-se redução média de 3,3° no ângulo CE e de 31,6° para o ângulo alfa (p < 0,0001). Foram classificados 18 casos (64,3%) como artrose grau 0 de Tönnis e 10 (35,7%) como Tönnis 1. Dois casos (7,1%) apresentaram ossificação grau 1 de Brooker. A maioria dos quadris (n = 15; 53,6%) foi classificada como tipo II de Hetsroni et al.

Conclusão No presente estudo, os pacientes submetidos a tratamento artroscópico de impacto subespinhal apresentaram melhora nos aspectos clínicos e nos padrões radiográficos aferidos pós-operatoriamente, com seguimento médio de 29,5 meses.

Trabalho desenvolvido no Departamento de Ortopedia e Traumatologia do Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil.




Publication History

Received: 05 January 2020

Accepted: 15 April 2020

Article published online:
22 September 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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