Abstract
OBJETIVOS: Analisar os resultados do tratamento cirúrgico de pacientes com lesão isolada do tendão do músculo subescapular. PACIENTES E MÉTODOS: Foram avaliados 12 pacientes com lesão isolada do tendão do músculo subescapular submetidos a tratamento cirúrgico entre junho de 1987 a abril de 2005. Em 10 pacientes a lesão era de origem traumática. Oito eram do sexo masculino e quatro do feminino. O tempo de dor no período pré-operatório variou de três dias até 72 meses. Sete pacientes foram submetidos a tratamento artroscópico e cinco por cirurgia aberta. Sete possuíam lesão completa do tendão e cinco lesões parciais. RESULTADOS: A mobilidade no período pós-operatório dos pacientes passou de elevação média de 135º para 150º, a rotação lateral média de 60º para 50º e a rotação medial passou de média de T12 para T9. Os seis pacientes que praticavam esportes, retornaram ao nível de atividade prévio. Pelo método da UCLA, 11 pacientes tiveram resultados excelentes e bons. Houve associação de 33,3% de lesão do tendão da cabeça longa do bíceps braquial. CONCLUSÃO: O tratamento cirúrgico da lesão isolada do tendão subescapular propicia bons resultados e satisfação na parte dos pacientes.
Highlights
Subscapularis muscle tendon ruptures have received a lot of attention in orthopaedic literature, but the treatment of an isolated injury is described on few studies, always with a limited number of patients.[4,5,6]
The objective of this study is to review the results of surgical treatment on patients with isolated rupture of the subscapularis muscle tendon
By assessing the results by UCLA method, we found eight excellent results, three good results, and one poor result, in an average of 33, ranging from 25 to 35. (Table 1) As complications, we had one patient with complaints of residual pain on acromion-clavicular joint, and another still suffering reduced global shoulder strength and joint motion. (Table 1)
Summary
Study conducted at Santa Casa de São Paulo Medical Sciences School “Pavilhão Fernandinho Simonsen”, Department of Orthopaedics and Traumatology – Shoulder and Elbow Group (DOT – FCMSCSP). Subscapularis muscle tendon ruptures have received a lot of attention in orthopaedic literature, but the treatment of an isolated injury is described on few studies, always with a limited number of patients.[4,5,6] Rotator cuff injury repair by arthroscopy has been increasingly performed by orthopaedic surgeons as their experience and trust on this technique increase. Suture of the isolated injury of subscapularis muscle tendon is increasingly performed.[7] The objective of this study is to review the results of surgical treatment on patients with isolated rupture of the subscapularis muscle tendon
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