Avalia??o funcional do reparo de les?es labrais circunferenciais da glenoide – Série de casos ☆

摘要

ResumoObjetivo Avaliar os resultados clínicos dos pacientes submetidos a reparo artroscópico de les?o labral circunferencial. Métodos Estudo retrospectivo de 10 pacientes submetidos ao reparo artroscópico de les?o labral circunferencial do ombro de setembro de 2012 a setembro de 2015. Os pacientes foram avaliados pelo escore de Carter‐Rowe, pelo escore de Dash, pelo escore de Ucla, pela classifica??o visual analógica de dor (EVA) e pelo Short‐Form 36 (SF36). A média de idade na cirurgia foi de 29,6 anos. O seguimento médio foi de 27,44 (varia??o de 12‐41,3) meses. Resultados A média dos escores foi de 16 pontos no Dash; 32 pontos no Ucla, seis (60%) resultados excelentes, três (30%) bons e um ruim (10%); 1,8 ponto na EVA, nove (90%) dores leves e um (10%) dores moderadas; SF‐36 de 79,47; e na escala de Rowe 92,5 pontos, nove (90%) resultados excelentes e um (10%) bom. Degenera??o articular esteve presente em um (10%) caso, de grau 1. N?o observamos complica??es significativas, a n?o ser a artrose glenoumeral grau 1, desenvolvida no pós‐operatório de um paciente. Conclus?o O reparo artroscópico da les?o labral circunferencial do ombro com o uso de ancoras absorvíveis é eficaz, com melhoria de todos escores aplicados, e apresenta baixos índices de complica??o. Os casos associados a luxa??o glenoumeral apresentam menor dor residual em longo prazo. Abstract Objective To evaluate the clinical results among patients undergoing arthroscopic repair of circumferential labral lesions. Methods This was a retrospective study on 10 patients who underwent arthroscopic repair to circumferential labral lesions of the shoulder, between September 2012 and September 2015. The patients were evaluated by means of the Carter‐Rowe score, {DASH} score, {UCLA} score, visual analogue scale (VAS) for pain and Short‐Form 36 (SF36). The average age at surgery was 29.6 years. The mean follow‐up was 27.44 months (range: 12 ‐ 41.3). Results The mean score was 16 points for DASH; 32 points for UCLA, among which six patients (60%) had excellent results, three (30%) good and one (10%) poor; 1.8 points for VAS, among which nine patients (90%) had minor pain and one (10%) moderate pain; 79.47 for SF‐36; and 92.5 for Carter‐Rowe, among which nine patients (90%) had excellent results and one (10%) good. Joint degeneration was present in one case (10%), of grade 1. We did not observe any significant complications, except for grade 1 glenohumeral arthrosis, which one patient developed after the operation. Conclusion Arthroscopic repair of circumferential labral lesions of the shoulder through use of absorbable anchors is effective, with improvements in all scores applied, and it presents low complication rates. Cases associated with glenohumeral dislocation have lower long‐term residual pain.