Avaliação clínico-funcional de pacientes com rupturas do manguito rotador submetidos ao reparo artroscópico sem acromioplastia

Marcos Rassi Fernandes; Lucca de Almeida Andrade Pereira; John Elias Yusuf; Rafael Abrantes Jacinto; Marcos Paulo Miranda

doi:10.29327/2396527.65.65-3

Autores/as

Marcos Rassi Fernandes Universidade Federal de Goiás (UFG) Autor https://orcid.org/0000-0001-8078-528X
Lucca de Almeida Andrade Pereira Universidade Federal de Goiás (UFG) Autor https://orcid.org/0009-0002-7730-5956
John Elias Yusuf Universidade Federal de Goiás (UFG) Autor https://orcid.org/0009-0006-9754-7433
Rafael Abrantes Jacinto Universidade Federal de Goiás (UFG) Autor https://orcid.org/0009-0007-2414-4761
Marcos Paulo Miranda Universidade Federal de Goiás (UFG) Autor https://orcid.org/0009-0006-7103-6387

DOI:

https://doi.org/10.29327/2396527.65.65-3

Palabras clave:

Artroscopia, Lesões do Manguito Rotador, Artropatia de Ruptura do Manguito Rotador, Dor de Ombro, Ombro

Resumen

Objetivo: Avaliar os reultados clínico-funcionais dos pacientes com rotura do manguito rotador submetidos ao procedimento de artroscopia sem acromioplastia.
Métodos: Estudo retrospectivo com coleta de dados prospectiva em pacientes submetidos à artroscopia sem acromioplastia, em hospital terciário de ortopedia, devido a lesão de manguito rotador. Foram realizadas medidas da amplitude de movimento (ADM) do ombro operado. Além disso, foram aplicados quatro instrumentos de análise funcional: Western Ontario Rotator Cuff (WORC) Index, Elbow Society (ASES) Shoulder Index, Simple Shoulder Text (SST) e Subjective Shoulder Value (SSV). Foi analisada também a Escala Visual Analógica (EVA), a fim de avaliar a dor em três momentos: em repouso, à movimentação do ombro, e ao dormir.
Resultados: Foram avaliados os resultados clínico-funcionais de 10 pacientes. A média obtida na EVA foi de 1.33 em repouso, 3.33 em movimento e 1.44 noturna. Na avaliação funcional, obtiveram-se médias de 8.7 no SST, 80 no ASES e 74.44 no SSV. Os resultados de ADM demonstraram boa evolução clínica pós-operatória.
Conclusão: os pacientes com rupturas completas do MR operados por videoartroscopia sem a realização de acromioplastia apresentaram, no pósoperatório, bons resultados na avaliação da dor, da funcionalidade e da amplitude dos movimentos.

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