RESUMO
Objective:To investigate the clinical characteristics of hip rotator-cuff tear, arthroscopic repair techniques, and short-term clinical efficacy.Methods:A retrospective analysis was performed on the patient cohort from our department who underwent arthroscopic repair for hip rotator-cuff tears from September 2019 to May 2021, with a minimum follow-up duration of two years. The sample included 17 subjects, composed of 6 males and 11 females, with a median age of 56 years (interquartile range 49.5-62.5). Notably, 9 patients (53%) reported nocturnal pain, and 10 patients (59%) exhibited a positive hip flexion resistance test. Patients' demographic details, clinical manifestations, radiographic findings, and intraoperative observations were analyzed. Pain amelioration was gauged by the visual analogue scale (VAS) at preoperative, 1 month, 3 months, and 6 months postoperative intervals. Enhancement in hip functionality was assessed by comparing the modified Harris hip score (mHHS), and the International hip outcome tool-12 (iHOT-12) at preoperative, 6 months, 12 months, and 24 months postoperative junctures.Results:All interventions were successfully completed, with an average surgical duration of 91.2±18.3 minutes. The follow-up period averaged 29 months. Every patient presented with a hip rotator-cuff tear, which was corrected using anchor suturing. 10 patients also had concomitant labrum injuries, with 5 cases undergoing labrum repair. The VAS score decreased from preoperative 5.24±1.15 to postoperative 2.29±0.69 at 1 month, 1.77±0.56 at 3 months, and 1.59±0.62 at 6 months ( F=79.31, P<0.001); The mHSS score increased from preoperative 49.59±6.11 to postoperative 81.00±3.89 at 6 months, 81.71±3.41 at 12 months, and 81.94±3.29 at 24 months ( F=232.00, P<0.001); The iHOT-12 score increased from preoperative 42.65±6.04 to postoperative 6 months 66.53±3.43, 12 months 68.12±3.48, and 24 months 69.06±3.53 ( F=150.00, P<0.001). Conclusion:Diagnosing hip rotator-cuff tears necessitates specific physical examinations complemented by high-definition magnetic resonance imaging. Arthroscopic surgery represents a potent treatment modality for hip rotator-cuff injuries, demonstrating substantial short-term clinical efficacy.
RESUMO
This study aimed to determine the changes in the Gluteus medius of 4 year-old Brasileiro de Hipismo (BH) horses submitted to light physical activity for 10 months. The study involved 11 horses from the "Nove de Julho" Battalion of the Military Police of São Paulo State (PM-SP). Percutaneous muscle biopsy was performed in horses at maintenance and in those that had participated in routine police work for 10 months with the PM-SP. Fragments of the left Gluteus medius muscle was removed at depths of 20mm and 60mm. To determine the fiber types, the histochemical analyses were performed for myofibrillar adenosine triphosphatase (mATPase) and nicotinamide adenine dinucleotide tetrazolium reductase (NADH-TR). The morphometry of the fibers was performed by calculating the cross sectional area (CSA), relative frequency distribution (F) and relative cross-sectional area (RCSA). After the period of physical activity, type IIA fibers showed an increase in F and RCSA at both depths. The type I fibers showed a decrease in F at a depth of 60mm and the type IIX fibers showed no change in F at the two depths. With regard to the results for RCSA, type I and IIX fibers also did not show alterations after 10 months of light physical activity. Low intensity physical activity produced significant adaptations in the Gluteus medius muscle of horses of the BH breed, including changes in metabolic and contractile properties as evidenced by the increase in the area occupied by type IIA fibers at both depths of the biopsy.
Este estudo objetivou determinar as adaptações do músculo Gluteus medius de cavalos da raça Brasileiro de Hipismo (BH), que participaram de atividades físicas leves por 10 meses. Foram utilizados 11 eqüinos, machos, da raça BH e com idade de 4 anos, provenientes do "Batalhão Nove de Julho" da Polícia Militar do Estado de São (PM-SP). Realizou-se a biópsia muscular percutânea nos animais inativos e, após participarem das atividades de ronda e policiamento desenvolvido pela PM-SP por 10 meses, foram retirados fragmentos do músculo Gluteus medius nas profundidades de 20mm e 60mm. Para a determinação dos tipos de fibra muscular, foram feitas análises histoquímicas por meio das técnicas de adenosina trifosfatase miofibrilar (mATPase) e nicotinamida adenina dinucleotídeo tetrazólio redutase (NADH-TR). Na análise morfométrica das fibras, calculou-se a área de secção transversal (AST), a freqüência média (F) e a área de secção transversal relativa (ASTR). Após o período de atividade física, as fibras tipo IIA apresentaram aumento da F e da ASTR nas duas profundidades. As fibras tipo I apresentaram diminuição da F na profundidade de 60mm e as fibras tipo IIX não sofreram alteração da F nas duas profundidades. A ASTR das fibras tipo I e IIX não apresentaram alteração após os 10 meses. A atividade física de baixa intensidade produziu adaptações significativas no músculo Gluteus medius de cavalos da raça BH, incluindo mudança nas propriedades metabólicas e contráteis evidenciadas pelo aumento da área ocupada pelas fibras tipo IIA, nas duas profundidades de biópsia.