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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(05): 579-586
DOI: 10.1016/j.rbo.2017.12.020
Artigo Original | Original Article
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Estudo comparativo entre artrotomografia computadorizada multi-slice e artroscopia na avaliação das lesões do manguito rotador[*]

Article in several languages: português | English
Luis Alfredo Gómez-Vieira 
1   Serviço de Cirurgia de Ombro e Cotovelo, Hospital Português da Bahia, Salvador, BA, Brasil
,
Nicolas Gerardo Gómez-Cordero
2   Serviço de Ortopedia, Hospital Português da Bahia, Salvador, BA, Brasil
,
Paulo Mauricio Almeida Geambastiani
3   Curso Superior de Tecnologia em Radiologia, Instituto Federal de Educação, Ciência e Tecnologia da Bahia (IFBA), Salvador, BA, Brasil
,
Marcos Almeida Matos
4   Escola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, BA, Brasil
› Author Affiliations
Further Information

Publication History

16 October 2017

14 December 2017

Publication Date:
29 October 2019 (online)

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Resumo

Objetivo Comparar os achados por imagem das alterações anatômicas da artrotomografia computadorizada multi-slice na avaliação das lesões do manguito rotador do ombro e correlacioná-los com os achados da artroscopia (exame diagnóstico padrão-ouro).

Materiais e Métodos Estudo longitudinal, prospectivo, comparativo de acurácia diagnóstica, feito de junho de 2016 a junho de 2017, em pacientes de ambos os sexos, com idades entre 40 e 70 anos, com lesão dos tendões do manguito rotador do ombro, e que tinham necessidade terapêutica de fazer artroscopia do ombro. Foram incluídos pacientes com contraindicação à realização de ressonância magnética. Após a artrotomografia computadorizada multi-slice, todos os pacientes foram submetidos a artroscopia.

Resultados Para a obtenção dos resultados, os seguintes parâmetros foram considerados: sensibilidade, especificidade, acurácia, valor preditivo positivo, valor preditivo negativo, coeficiente Kappa, e contraposição do método de imagem com a artroscopia.

Conclusão Na impossibilidade da realização da ressonância magnética (exame de imagem padrão-ouro), a artrotomografia computadorizada multi-slice se mostra um exame de imagem capaz de avaliar/diagnosticar as lesões do manguito rotador.

Palavras-chave

artrografia/métodos - manguito rotador - lesões do ombro/classificação - artroscopia

* Trabalho desenvolvido no Hospital Português da Bahia, Salvador, BA, Brasil. Publicado Originalmente por Elsevier Ltda.


 

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