Shoulder Arthroplasty: Tenotomy of the Subscapularis Tendon versus the Lesser Tuberosity Osteotomy.

Autor:	França FO; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil., Freitas JMA; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil., Mariosa CAM; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil., Bastiani CE; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil., Godinho GG; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Lifecenter, Belo Horizonte, MG, Brasil.; Grupo de Cirurgia do Ombro e Cotovelo, Hospital Belo Horizonte, Belo Horizonte, MG, Brasil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2020 Aug; Vol. 55 (4), pp. 463-469. Date of Electronic Publication: 2020 May 29.
DOI:	10.1055/s-0039-3402469
Abstrakt:	Objective  To evaluate and compare subscapular muscle function among patients undergoing subscapular tenotomy (Group A) and lesser tuberosity osteotomy (Group B), in patients treated with total and partial anatomic shoulder arthroplasty for primary osteoarthrosis. Methods  Retrospective study of patients with primary glenohumeral osteoarthrosis surgically undergoing total or partial anatomic shoulder prosthesis implant, evaluated by clinical examination, imaging exams, analogue pain scale and Constant and Murley functional score. A total of 28 patients were evaluated, totalizing a sample of 32 operated shoulders. The minimum follow-up was of 12 months (mean 47.45 months). Results  Among patients submitted to subscapularis tendon tenotomy, 10 had an ultrasound with total rupture of its thickness (56%). All of the patients of the group B showed lesser tuberosity healing. There was no difference between groups comparing strength evaluated by Belly press and Bear hug tests as well as clinical outcome, through the Constant and Murley score. Conclusions  We did not find differences between Groups A and B evidenciated by comparing strength in the Lift-off test, in the Belly press and Bear hug tests and through he Constant and Murley score. Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses. (The Author(s). 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 commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze:	MEDLINE
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