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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(04): 584-589
DOI: 10.1055/s-0041-1724081
Artigo Original
Ombro e Cotovelo

Rotator Cuff Lesion in Wheelchair Users with Spinal Cord Injury: Does Time of Injury and Medullary Level Interfere? A Retrospective Evaluation

Article in several languages: português | English
Cládis Sanches Lopes Filho 
1   Cirurgia Ortopédica, Rede SARAH de Hospitais de Reabilitação, Brasília, DF, Brasil
,
Mauro Coura Perez 
1   Cirurgia Ortopédica, Rede SARAH de Hospitais de Reabilitação, Brasília, DF, Brasil
,
Pedro Cordeiro Moraes 
1   Cirurgia Ortopédica, Rede SARAH de Hospitais de Reabilitação, Brasília, DF, Brasil
,
Gabriel Costa Serrão de Araújo 
1   Cirurgia Ortopédica, Rede SARAH de Hospitais de Reabilitação, Brasília, DF, Brasil
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Abstract

Objective To describe magnetic resonance imaging (MRI) characteristics of shoulders from patients with spinal cord injury (SCI) and to correlate these findings with age, duration of SCI and neurological level.

Method The study sample included patients with thoracic SCI over 18 years of age, who were active wheelchair users and had undergone an MRI of the shoulder from January 2004 to December 2015.

Results We studied 41 shoulders (37 patients), including 27 men (65.9%) and 14 women (34.1%). At the time of MRI, the mean age was 41.9 years and the mean duration of SCI was 9.4 years. The analysis of the relationship between the duration of trauma and severity of the rotator cuff lesion (RCL), as well as between age and the severity of the shoulder injury showed a statistically significant difference (p < 0.001), with a positive association in both cases. No statistically significant difference (p = 0.095) was observed between the neurological level of the SCI and RCL.

Conclusion In this study, a progressive increase in the severity of the shoulder lesions can be noted with advancing age and a longer duration of SCI. However, level of the SCI does not seem to interfere with RCL.

Level of Evidence Level IV, case series.

Keywords

magnetic resonance imaging - shoulder - spinal cord injuries - wheelchairs

Note

Work developed at the Sarah Network of Rehabilitation Hospitals, Brasília, DF, Brazil.




Publication History

Received: 05 August 2020

Accepted: 02 October 2020

Article published online:
19 April 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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