Interprofessional analysis of esthetical deformity from long head biceps tenotomy

OBJECTIVE: To evaluate the perception of an esthetical deformity resultant from arthroscopic long head biceps (LHB) tenotomy according to the degree of experience of the assisting professional. METHODS: 120 patients submitted to shoulder surgery were photographed and photos were mounted in a PowerPo...

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Main Authors: Alexandre Almeida, Márcio Rangel Valin, Cleber Lotti, Nayvaldo Couto de Almeida, Ana Paula Agostini
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2015-06-01
Series:Acta Ortopédica Brasileira
Subjects:
Online Access:http://www.scielo.br/pdf/aob/v23n3/1413-7852-aob-23-03-00123.pdf
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author Alexandre Almeida
Márcio Rangel Valin
Cleber Lotti
Nayvaldo Couto de Almeida
Ana Paula Agostini
author_facet Alexandre Almeida
Márcio Rangel Valin
Cleber Lotti
Nayvaldo Couto de Almeida
Ana Paula Agostini
author_sort Alexandre Almeida
collection DOAJ
description OBJECTIVE: To evaluate the perception of an esthetical deformity resultant from arthroscopic long head biceps (LHB) tenotomy according to the degree of experience of the assisting professional. METHODS: 120 patients submitted to shoulder surgery were photographed and photos were mounted in a PowerPoint presentation. Three shoulder specialist surgeons, three generalist orthopedic surgeons and three graduated residents analyzed the presentation. RESULTS: On all patients we observed most agreement among the shoulder specialists. When just the patients with LHB tenotomy were analyzed, the specialists agreed moderately, the generalists had small agreement and the residents, a poor one. Analyzing patients with BMI < 30, there was major agreement between the specialists, while the generalists and residents had poor agreement. Analyzing patients with BMI ≥ 30, the generalists had small kappa agreement, while the specialists and residents had no agreement. CONCLUSIONS: The perception of an esthetical deformity regarding a LHB tenotomy did not have significant agreement between different level of professionals, even though the specialists showed similar perception on tenotomy patients. The evaluation of obese patients lowered the agreement on the three groups of professionals. Level of Evidence III. Case Control Study.
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spelling doaj.art-090d82bfc15c4bf1ab352bb68ef4fa362022-12-21T20:10:48ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522015-06-0123312312810.1590/1413-78522015230300898Interprofessional analysis of esthetical deformity from long head biceps tenotomyAlexandre AlmeidaMárcio Rangel ValinCleber LottiNayvaldo Couto de AlmeidaAna Paula AgostiniOBJECTIVE: To evaluate the perception of an esthetical deformity resultant from arthroscopic long head biceps (LHB) tenotomy according to the degree of experience of the assisting professional. METHODS: 120 patients submitted to shoulder surgery were photographed and photos were mounted in a PowerPoint presentation. Three shoulder specialist surgeons, three generalist orthopedic surgeons and three graduated residents analyzed the presentation. RESULTS: On all patients we observed most agreement among the shoulder specialists. When just the patients with LHB tenotomy were analyzed, the specialists agreed moderately, the generalists had small agreement and the residents, a poor one. Analyzing patients with BMI < 30, there was major agreement between the specialists, while the generalists and residents had poor agreement. Analyzing patients with BMI ≥ 30, the generalists had small kappa agreement, while the specialists and residents had no agreement. CONCLUSIONS: The perception of an esthetical deformity regarding a LHB tenotomy did not have significant agreement between different level of professionals, even though the specialists showed similar perception on tenotomy patients. The evaluation of obese patients lowered the agreement on the three groups of professionals. Level of Evidence III. Case Control Study.http://www.scielo.br/pdf/aob/v23n3/1413-7852-aob-23-03-00123.pdfShoulder/surgeryArthroscopyTenotomyObesity
spellingShingle Alexandre Almeida
Márcio Rangel Valin
Cleber Lotti
Nayvaldo Couto de Almeida
Ana Paula Agostini
Interprofessional analysis of esthetical deformity from long head biceps tenotomy
Acta Ortopédica Brasileira
Shoulder/surgery
Arthroscopy
Tenotomy
Obesity
title Interprofessional analysis of esthetical deformity from long head biceps tenotomy
title_full Interprofessional analysis of esthetical deformity from long head biceps tenotomy
title_fullStr Interprofessional analysis of esthetical deformity from long head biceps tenotomy
title_full_unstemmed Interprofessional analysis of esthetical deformity from long head biceps tenotomy
title_short Interprofessional analysis of esthetical deformity from long head biceps tenotomy
title_sort interprofessional analysis of esthetical deformity from long head biceps tenotomy
topic Shoulder/surgery
Arthroscopy
Tenotomy
Obesity
url http://www.scielo.br/pdf/aob/v23n3/1413-7852-aob-23-03-00123.pdf
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