Outcomes of lower trapezius transfer with hamstring tendons for irreparable rotator cuff tears.

Autor: Almeida TB; Shoulder and Elbow Department, Hospital IFOR - Rede D'Or, São Bernardo do Campo, SP, Brazil.; Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil., Pascarelli L; Shoulder and Elbow Department, Hospital IFOR - Rede D'Or, São Bernardo do Campo, SP, Brazil., Bongiovanni RR; Shoulder and Elbow Department, Hospital IFOR - Rede D'Or, São Bernardo do Campo, SP, Brazil., Tamaoki MJ; Orthopaedics and Traumatology Department, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Rodrigues LM; Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil.
Jazyk: angličtina
Zdroj: Shoulder & elbow [Shoulder Elbow] 2023 Nov; Vol. 15 (4 Suppl), pp. 63-71. Date of Electronic Publication: 2022 Nov 01.
DOI: 10.1177/17585732221135181
Abstrakt: Background: The aim of this study was to evaluate the results of the transfer of the lower trapezius with a graft from hamstring tendons in the treatment of irreparable rotator cuff tears . Level IV; Case Series; Treatment Study.
Methods: Ten patients diagnosed with irreparable tears of the supraspinatus and infraspinatus tendons, were evaluated retrospectively -preoperatively, 6 and 12 months postoperatively. They underwent transfer of the prolonged lower trapezius with an autologous graft of the knee flexor tendons.
Results: The Shoulder Subjective Value increased from 47 (preoperative) to 71 (1 year after surgery), American Shoulder and Elbow Surgeons Score increased from 26.63 to 75.24. Pain improved from 7.9 to 2.5 on the Visual Analogue Scale. The mean lateral rotation improved from 31° to 51°, flexion from 84° to 122°, and abduction from 76° to 101°. These results have not changed significantly between 6 and 12 months.
Discussion: The transfer of the lower trapezius with autologous grafts from the hamstring tendons showed good results in patients under 65 years of age with irreparable rotator cuff tears . Longer follow-up and a greater number of cases are necessary to confirm the efficacy of the transfer.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2022.)
Databáze: MEDLINE