Acetabularization as a Protective Factor in Rotator Cuff Arthropathy

Abstract Objective To check if shoulders with acetabularization have better functional results in cases of rotator cuff arthropathy. Methods A clinical and radiological cross-sectional evaluation of 65 shoulders with rotator cuff arthropathy by measuring the range of motion (RoM) of the shoulder,...

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Main Authors: Leonardo Roure Esteves, Carlos Vicente Andreoli, Eduardo Antonio de Figueiredo, Paulo Santoro Belangero, Alberto de Castro Pochini, Benno Ejnisman
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2020-09-01
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000400476&tlng=en
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author Leonardo Roure Esteves
Carlos Vicente Andreoli
Eduardo Antonio de Figueiredo
Paulo Santoro Belangero
Alberto de Castro Pochini
Benno Ejnisman
author_facet Leonardo Roure Esteves
Carlos Vicente Andreoli
Eduardo Antonio de Figueiredo
Paulo Santoro Belangero
Alberto de Castro Pochini
Benno Ejnisman
author_sort Leonardo Roure Esteves
collection DOAJ
description Abstract Objective To check if shoulders with acetabularization have better functional results in cases of rotator cuff arthropathy. Methods A clinical and radiological cross-sectional evaluation of 65 shoulders with rotator cuff arthropathy by measuring the range of motion (RoM) of the shoulder, the Constant-Murley score, and the radiological classifications of Hamada and Seebauer. The clinical findings were compared with the radiographic findings. Results According to the classification of Seebauer, we observed better results regarding the RoM in type-A shoulders. There was a statistically significant difference regarding anterior elevation and medial rotation between types A and B (p< 0.05). Lateral rotation did not show a statistically significant difference between types A and B. The Constant-Murley score presented better results in type A, and there was a statistically significant difference between groups A and B (p< 0.05). According to the classification of Hamada, we observed that the RoM had better results in types 3, 2 and 1, and there was a statistically significant difference regarding anterior elevation and medial rotation (p< 0.05) compared with groups 4A, 4B and 5. There was no statistically significant difference between the Hamada groups regarding lateral rotation. According to Hamada, the Constant-Murley score showed better results in types 3, 1 and 2, and there was a statistically significant difference between groups 3 and 5. Conclusion The RoM and shoulder function were better in patients with acetabularization (Seebauer 1A and Hamada 3), and worse in those with glenohumeral arthrosis (Seebauer 1B, 2B and Hamada 4A, 4B and 5).
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spelling doaj.art-b8295e1a47624bbfb0f25e3263de35382024-02-03T00:24:59ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782020-09-0155447648210.1055/s-0039-3402475Acetabularization as a Protective Factor in Rotator Cuff ArthropathyLeonardo Roure Esteveshttps://orcid.org/0000-0002-4747-3476Carlos Vicente Andreolihttps://orcid.org/0000-0003-3761-0745Eduardo Antonio de Figueiredohttps://orcid.org/0000-0003-0046-1598Paulo Santoro Belangerohttps://orcid.org/0000-0003-4441-4742Alberto de Castro Pochinihttps://orcid.org/0000-0003-3229-2063Benno Ejnismanhttps://orcid.org/0000-0002-3301-1457Abstract Objective To check if shoulders with acetabularization have better functional results in cases of rotator cuff arthropathy. Methods A clinical and radiological cross-sectional evaluation of 65 shoulders with rotator cuff arthropathy by measuring the range of motion (RoM) of the shoulder, the Constant-Murley score, and the radiological classifications of Hamada and Seebauer. The clinical findings were compared with the radiographic findings. Results According to the classification of Seebauer, we observed better results regarding the RoM in type-A shoulders. There was a statistically significant difference regarding anterior elevation and medial rotation between types A and B (p< 0.05). Lateral rotation did not show a statistically significant difference between types A and B. The Constant-Murley score presented better results in type A, and there was a statistically significant difference between groups A and B (p< 0.05). According to the classification of Hamada, we observed that the RoM had better results in types 3, 2 and 1, and there was a statistically significant difference regarding anterior elevation and medial rotation (p< 0.05) compared with groups 4A, 4B and 5. There was no statistically significant difference between the Hamada groups regarding lateral rotation. According to Hamada, the Constant-Murley score showed better results in types 3, 1 and 2, and there was a statistically significant difference between groups 3 and 5. Conclusion The RoM and shoulder function were better in patients with acetabularization (Seebauer 1A and Hamada 3), and worse in those with glenohumeral arthrosis (Seebauer 1B, 2B and Hamada 4A, 4B and 5).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000400476&tlng=enrotator cuff tear arthropathyshoulder jointrotator cuff injuries
spellingShingle Leonardo Roure Esteves
Carlos Vicente Andreoli
Eduardo Antonio de Figueiredo
Paulo Santoro Belangero
Alberto de Castro Pochini
Benno Ejnisman
Acetabularization as a Protective Factor in Rotator Cuff Arthropathy
Revista Brasileira de Ortopedia
rotator cuff tear arthropathy
shoulder joint
rotator cuff injuries
title Acetabularization as a Protective Factor in Rotator Cuff Arthropathy
title_full Acetabularization as a Protective Factor in Rotator Cuff Arthropathy
title_fullStr Acetabularization as a Protective Factor in Rotator Cuff Arthropathy
title_full_unstemmed Acetabularization as a Protective Factor in Rotator Cuff Arthropathy
title_short Acetabularization as a Protective Factor in Rotator Cuff Arthropathy
title_sort acetabularization as a protective factor in rotator cuff arthropathy
topic rotator cuff tear arthropathy
shoulder joint
rotator cuff injuries
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000400476&tlng=en
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