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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 467-471
DOI: 10.1055/s-0041-1735945
Artigo Original

Correlação do exame físico com achados artroscópicos no tratamento da ruptura do manguito rotador

Article in several languages: português | English
Flávio de Oliveira França 
1   Serviço de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
Glaydson Gomes Godinho 
1   Serviço de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
José Márcio Alves Freitas 
1   Serviço de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
Augusto Silveira Lang 
2   Especializando em Cirurgia do Ombro e Cotovelo do Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
Charles Diogo Ammar 
2   Especializando em Cirurgia do Ombro e Cotovelo do Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
Fabrício Martinelli 
2   Especializando em Cirurgia do Ombro e Cotovelo do Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
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Resumo

Objetivo Comparar dados clínicos do exame físico com os achados artroscópicos na ruptura do manguito rotador.

Métodos Foram selecionados 177 pacientes submetidos ao tratamento artroscópico de ruptura do manguito rotador e foram comparados os achados artroscópicos com o exame físico.

Resultados Os testes irritativos de impacto apresentaram alta sensibilidade para ruptura do manguito rotador. Dentre os testes de força, o de maior sensibilidade foi o teste de Patte (85,7%) e o de maior valor preditivo positivo (VPP) foi o teste de Jobe (95%). O teste Drop Sign apresentou maior especificidade e valor preditivo negativo (VPN) (98,7 e 95,9%, respectivamente). Pacientes com história de trauma possuíam 3,5 vezes mais chances de apresentarem o teste Lift Off positivo.

Conclusão Os testes irritativos tiveram alta sensibilidade para rupturas do manguito rotador. O teste de Jobe apresentou sensibilidade semelhante entre os pacientes que tinham lesão parcial ou total do supraespinhal. Para as lesões completas do subescapular, as testes Lift Off e Belly Press apresentaram alta sensibilidade e especificidade.

Palavras-chave

artroscopia - exame físico - manguito rotador - ombro - ruptura

Suporte Financeiro

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Trabalho realizado pelo Grupo de Cirurgia e Reabilitação do Ombro do Hospital Ortopédico, Belo Horizonte, MG, Brasil




Publication History

Received: 05 July 2020

Accepted: 02 June 2021

Article published online:
30 June 2022

© 2022. 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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