Arthroscopic repair of total ruptures of rotator cuff

摘要

Introduction: the rupture of rotator cuff (tendons of the subscapularis, supraspinatus, infraspinatus and teres minor muscles) is a disease affecting the shoulder with a high incidence. It is more frequent present in persons practicing repetitive exercises and there is a background of trauma. Arthroscopic diagnosis with its advantages is definite and exact and the appropriate interpretation of it guarantees the success of repair. Objective: to assess the results of the arthroscopic repairs with the method of suture and anchorage in the total ruptures of rotator cuff applied in the Orthopedics service from October, 2007 to April, 2009. Methods: authors analyzed the results from 42 patients with total ruptures of rotator cuff, assessed using the Constant-Muley scale. A mean follow-up of 15.5 months was carried out with predominance of male sex (69 %) and an average age of 56 years at surgery. Results: in the patients included surgery was carried out in the dominant limb in the 66.6 %. The first general assessment of results at 6 postoperative months showed an 83.3 % of excellent, goods and fair results. With time the results improved, at 12 months it was obtained the 97.6 % of excellent, good and fair results in the series. Conclusions: the results of arthroscopic repairs of present series of cases are comparable with reports available in literature.