RESUMO
We reviewed the cases of 100 patients who were operated on for a tear of the rotator cuff and found significant improvements in pain in all of them and in function in the majority of patients. The size of the cuff tear did not significantly affect the results, although patients with a smaller tear tended to fare slightly better.
Assuntos
Lesões do Ombro , Traumatismos dos Tendões/cirurgia , Acrômio/lesões , Acrômio/cirurgia , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Movimento , Dor/etiologia , Ruptura/cirurgia , Articulação do Ombro/cirurgia , CicatrizaçãoRESUMO
The repetitive overhead use of the arm required by many sports may lead to impingement in the vulnerable avascular region of the supraspinatus and biceps tendons. The impingement syndrome may spill over at any time to involve the adjacent biceps tendon, subacromial bursa, and acromioclavicular joint and, as a continuum, with the passage of time, may eventuate in degeneration and partial, even complete thickness, rotator cuff tears later in life. Physical findings, particularly a positive impingement sign, confirm the diagnosis. In the young competing athlete, therapeutic measures consist of careful warm-up exercises, occasional rest by avoidance of the offending movement, and local modalities of ice, ultrasound, and transcutaneous stimulation along with anti-inflammatory medications. Surgical decompression achieved by resecting the coracoacromial ligament or a more definitive anterior acromioplasty may rarely be indicated.
