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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(04): 599-605
DOI: 10.1055/s-0041-1741025
Artigo Original
Ombro e Cotovelo

Arthroscopic Treatment of Rotator Cuff Rupture in Patients Under 55 years Old versus Patients Older than 65 Years Old

Article in several languages: português | English
Thiago Medeiros Storti 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
2   Instituto de Pesquisa e Ensino IPE HOME, Brasília, DF, Brasil
,
Antônio Carlos Pontes Júnior 
3   Centro Universitário de Brasília, Brasília, DF, Brasil
,
João Eduardo Simionatto 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Carolina Simionatto 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Rafael Salomon Silva Faria 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Alexandre Firmino Paniago 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
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Abstract

Objective To evaluate patients submitted to arthroscopic repair of the rotator cuff (RC) comparing the results of muscle, functional strength, and pain obtained in 2 distinct groups: patients < 55 years old (G55) and patients > 65 years old (G65).

Methods Data collection was performed with 63 participants (29 < 55 years old and 34 > 65 years old), in 2 moments, analyzing: A) demographic, surgical and RC lesion characteristics; B) functional variables, muscle strength, and pain.

Results Higher levels of anterior elevation force, lateral, and medial rotation of the operated shoulder were observed in group G55. However, when the difference between these forces of the operated shoulder and of the contralateral shoulder was evaluated, there was no significant difference between the groups. The other variables of function and pain were similar (p > 0.05). There was also no difference between the groups in the University of California at Los Angeles Shoulder Rating Scale (UCLA) (p = 0.56) and Constant-Murley Score (p = 0.99) scores.

Conclusion Arthroscopic repair of the RC in older, active, selected patients may achieve functional improvement and quality of life similar to that performed in younger patients.

Keywords

rotator cuff break - aged - arthroscopy - pain measurement - muscle strength

Financial Support

There was no financial support from public, commercial, or not-for-profit sources.


Work developed at the Instituto do Ombro de Brasília, Brasília, DF and the Centro Universitário de Brasília, Brasília, DF, Brazil.




Publication History

Received: 08 June 2021

Accepted: 09 September 2021

Article published online:
09 February 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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