Navegando por Palavras-chave "Shoulder pain"
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- ItemAcesso aberto (Open Access)Dor no ombro em pacientes com lesão medular(Sociedade Brasileira de Ortopedia e Traumatologia, 2006-01-01) Gianini, Priscila Elisa Siqueira; Chamlian, Therezinha Rosane [UNIFESP]; Arakaki, Juliano Coelho; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP); Centro de Reabilitação Diretora Técnica do Lar Escola São FranciscoThe spinal cord injury (SCI) is one of the most severe forms of disabling syndromes. Patients with SCI usually apply an excessive overload on the upper limbs, especially the shoulders, using them more frequently and in a greater range of activities when compared to healthy subjects. Moreover, the search for the improvement of the quality of life in the last years has led an increasingly number of SCI patients to practice physical activities. Many SCI patients use wheelchairs for functional locomotion and sports practice. However, this functional demand on shoulder's joint may lead to a painful picture, interfering on these patient's daily activities. With the improvements on technology and healthcare life expectancy for SCI patients has been increased. Since then, issues regarding quality of life and age-related diseases are very important for this population. The purpose of this paper was to better understand shoulder pain in SCI patients by reviewing available literature.
- ItemAcesso aberto (Open Access)Functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair(Baishideng Publishing Group Inc, 2017) Kitagaki Abechain, Jose Jorge [UNIFESP]; Godinho, Glaydson Gomes; Matsunaga, Fabio Teruo [UNIFESP]; Netto, Nicola Archetti [UNIFESP]; Daou, Julia Pozzetti [UNIFESP]; Sugawara Tamaoki, Marcel Jun [UNIFESP]AIM To compare the functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair. METHODS Eighty-seven patients with rotator cuff tears following arthroscopic treatment were divided into traumatic and non-traumatic tear groups. Postoperative muscle strength and outcomes using the modified University of California, Los Angeles score were evaluated. Sex, age, affected limb and dominant limb were correlated between groups. Muscle strength of the repaired and unaffected shoulders was compared. Rotator cuff injury size was measured. RESULTS Of the 87 patients who underwent rotator cuff repairs, 35 had traumatic tears and 52 had non-traumatic tears. In patients with non-traumatic tears, the average age was 59 years, 74.5% were female, 96.1% were righthand dominant and 92.3% had their dominant shoulder affected. Patients with traumatic tears were 59.5 years hand dominant and 88.5% had their dominant shoulder affected. No difference existed in the mean modified University of California, Los Angeles score between patients with traumatic tears (33.7) compared with those with non-traumatic tears (32.8). No strength differences were observed between groups: The strength difference between the non-affected and affected sides was 1.21 kg in the non-traumatic group and 1.39 kg in the traumatic group (P = 0.576), while the strength ratio between the non-affected/affected sides was 0.805 in the nontraumatic group and 0.729 in the traumatic group (P = 0.224). CONCLUSION The functional results of traumatic rotator cuff repairs are similar to non-traumatic tears. Both outcomes are satisfactory.