Publication
Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy
| Summary: | Abstract Objective To evaluate the functional results of patients submitted to reverse shoulder arthroplasty for the treatment of rotator cuff arthropathy refractory to conservative treatment. Methods A retrospective study of 20 patients (21 shoulders), 17 women (81%) and 3 men (19%), underwent a reverse shoulder arthroplasty between October 2012 and September 2017, for a rotator cuff arthropathy treatment, operated by a single surgeon in a single center. The patients were assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) score, the Short-Form (36) Health Survey (SF-36), the visual analogue scale (VAS) of pain rating, and the University of California - Los Angeles (UCLA) score. The mean age at surgery was of 66 years old (range: 55 to 83 years old). The duration of symptoms before surgery was of ∼ 2.5 years (range: 12 months to 6 years). The mean follow-up was of 42.4 months (range: 19 to 56.7 months). Results The mean postoperative scores were 18.2 points in DASH; 2 points in EVA, of which 16 (77%) corresponded to mild pain, 4 (18%) to moderate pain, and 1 (5%) to severe pain; 29 points in UCLA, of which 6 patients presented a regular result (28%), 10 patients a good result (48%), and 5 patients an excellent result (24%); and 63 points in the SF-36. The complications were four cases of notching, one case of acromial fracture due to stress, and one case of postoperative infection. Conclusions Reverse arthroplasty of the shoulder presents good functional results in the evaluated scores, providing a significant improvement in the quality of life of the patients. |
|---|---|
| Main Authors: | Nascimento,Alexandre T. |
| Other Authors: | Claudio,Gustavo K.; Rocha,Pedro B. |
| Subject: | arthroplasty, replacement, shoulder rotator cuff arthropathy shoulder arthrosis rotator cuff tear shoulder/surgery |
| Year: | 2020 |
| Country: | Brazil |
| Document type: | article |
| Access type: | open access |
| Associated institution: | IBICT |
| Language: | English |
| Origin: | Oasisbr |
| _version_ | 1871507230126243840 |
|---|---|
| author | Nascimento,Alexandre T. |
| author2 | Claudio,Gustavo K. Rocha,Pedro B. |
| author2_role | author author |
| author_facet | Nascimento,Alexandre T. Claudio,Gustavo K. Rocha,Pedro B. |
| author_role | author |
| country_str | BR |
| creators_json_txt | [{\"Person.name\":\"Nascimento,Alexandre T.\"},{\"Person.name\":\"Claudio,Gustavo K.\"},{\"Person.name\":\"Rocha,Pedro B.\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Nascimento,Alexandre T. Claudio,Gustavo K. Rocha,Pedro B. |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | arthroplasty, replacement, shoulder rotator cuff arthropathy shoulder arthrosis rotator cuff tear shoulder/surgery |
| datacite.titles.title.fl_str_mv | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy |
| dc.creator.none.fl_str_mv | Nascimento,Alexandre T. Claudio,Gustavo K. Rocha,Pedro B. |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000100106 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Sociedade Brasileira de Ortopedia e Traumatologia |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Revista Brasileira de Ortopedia v.55 n.1 2020 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
| dc.subject.none.fl_str_mv | arthroplasty, replacement, shoulder rotator cuff arthropathy shoulder arthrosis rotator cuff tear shoulder/surgery |
| dc.title.fl_str_mv | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Abstract Objective To evaluate the functional results of patients submitted to reverse shoulder arthroplasty for the treatment of rotator cuff arthropathy refractory to conservative treatment. Methods A retrospective study of 20 patients (21 shoulders), 17 women (81%) and 3 men (19%), underwent a reverse shoulder arthroplasty between October 2012 and September 2017, for a rotator cuff arthropathy treatment, operated by a single surgeon in a single center. The patients were assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) score, the Short-Form (36) Health Survey (SF-36), the visual analogue scale (VAS) of pain rating, and the University of California - Los Angeles (UCLA) score. The mean age at surgery was of 66 years old (range: 55 to 83 years old). The duration of symptoms before surgery was of ∼ 2.5 years (range: 12 months to 6 years). The mean follow-up was of 42.4 months (range: 19 to 56.7 months). Results The mean postoperative scores were 18.2 points in DASH; 2 points in EVA, of which 16 (77%) corresponded to mild pain, 4 (18%) to moderate pain, and 1 (5%) to severe pain; 29 points in UCLA, of which 6 patients presented a regular result (28%), 10 patients a good result (48%), and 5 patients an excellent result (24%); and 63 points in the SF-36. The complications were four cases of notching, one case of acromial fracture due to stress, and one case of postoperative infection. Conclusions Reverse arthroplasty of the shoulder presents good functional results in the evaluated scores, providing a significant improvement in the quality of life of the patients. |
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| person_str_mv | Nascimento,Alexandre T. Claudio,Gustavo K. Rocha,Pedro B. |
| publishDate | 2020 |
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| spelling | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathyNascimento,Alexandre T.Claudio,Gustavo K.Rocha,Pedro B.arthroplasty, replacement, shoulderrotator cuff arthropathyshoulder arthrosisrotator cuff tearshoulder/surgeryopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000100106URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000100106URLHasVersion2020-02-01Abstract Objective To evaluate the functional results of patients submitted to reverse shoulder arthroplasty for the treatment of rotator cuff arthropathy refractory to conservative treatment. Methods A retrospective study of 20 patients (21 shoulders), 17 women (81%) and 3 men (19%), underwent a reverse shoulder arthroplasty between October 2012 and September 2017, for a rotator cuff arthropathy treatment, operated by a single surgeon in a single center. The patients were assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) score, the Short-Form (36) Health Survey (SF-36), the visual analogue scale (VAS) of pain rating, and the University of California - Los Angeles (UCLA) score. The mean age at surgery was of 66 years old (range: 55 to 83 years old). The duration of symptoms before surgery was of ∼ 2.5 years (range: 12 months to 6 years). The mean follow-up was of 42.4 months (range: 19 to 56.7 months). Results The mean postoperative scores were 18.2 points in DASH; 2 points in EVA, of which 16 (77%) corresponded to mild pain, 4 (18%) to moderate pain, and 1 (5%) to severe pain; 29 points in UCLA, of which 6 patients presented a regular result (28%), 10 patients a good result (48%), and 5 patients an excellent result (24%); and 63 points in the SF-36. The complications were four cases of notching, one case of acromial fracture due to stress, and one case of postoperative infection. Conclusions Reverse arthroplasty of the shoulder presents good functional results in the evaluated scores, providing a significant improvement in the quality of life of the patients.engtext/htmlSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.55 n.1 2020reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOTjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85 |
| spellingShingle | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy Nascimento,Alexandre T. arthroplasty, replacement, shoulder rotator cuff arthropathy shoulder arthrosis rotator cuff tear shoulder/surgery |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | arthroplasty, replacement, shoulder rotator cuff arthropathy shoulder arthrosis rotator cuff tear shoulder/surgery |
| title | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy |
| title_full | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy |
| title_fullStr | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy |
| title_full_unstemmed | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy |
| title_short | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy |
| title_sort | Reverse shoulder arthroplasty: Functional results in rotator cuff arthropathy |
| topic | arthroplasty, replacement, shoulder rotator cuff arthropathy shoulder arthrosis rotator cuff tear shoulder/surgery |
| topic_facet | arthroplasty, replacement, shoulder rotator cuff arthropathy shoulder arthrosis rotator cuff tear shoulder/surgery |
| url | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000100106 |
| visible | 1 |
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