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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 472-479
DOI: 10.1055/s-0041-1735943
Artigo Original

Arthroscopic Repair of Rotator Cuff Injury: An Analysis of Function, Muscular Strength and Pain Between Single Row and Double Row Techniques

Article in several languages: português | English
Thiago Medeiros Storti 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
2   Hospital Ortopédico e Medicina Especializada, Instituto de Pesquisa e Ensino, Brasília, DF, Brasil
,
Thiago da Silva Ribeiro 
3   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Rafael Salomon Silva Faria 
1   Instituto do Ombro 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
,
Alexandre Firmino Paniago 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
2   Hospital Ortopédico e Medicina Especializada, Instituto de Pesquisa e Ensino, Brasília, DF, Brasil
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Abstract

Objective To evaluate the patients submitted to arthroscopic repair of the rotator cuff (RC), comparing the functional results, muscle strength, and pain obtained after single row (SR) and double row (DR) techniques.

Methods Data were collected at the postoperative follow-up (minimum of 12 months) of 128 patients submitted to arthroscopic RC repair from 2011 to 2018. The clinical-functional variables were collected through the clinical examination, and the demographic, surgical and injury variables of the RC were collected from the electronic medical records. The results were compared between the SR and DR groups.

Results The DR group showed higher anterior elevation strength when compared with the SR group (SF: 4.72 ± 2.73 kg versus DR: 5.90 ± 2.73 kg; p = 0.017). The other variables of muscle strength, Constant-Murley Score, University of California at Los Angeles Shoulder Rating Scale (UCLA), and pain, were similar. Performing the stratification by size, in the analysis of small and medium injuries, no differences were found between the groups. However, in the analysis of large and extensive injuries, patients submitted to DR presented superiority of both muscle lifting strength (SF: 3.98 ± 2.24 kg versus DR: 6.39 ± 2.73 kg) and Constant score (SF: 81 ± 10 versus DR: 88 ± 7).

Conclusion The use of the DR technique in arthroscopic RC repair allowed higher levels of muscle strength for anterior shoulder elevation when compared with the SF technique. Data stratification in large and extensive injuries showed superiority of anterior shoulder elevation muscle strength and of the Constant score in patients submitted to DR.

Keywords

rotator cuff - arthroscopy - muscle strength - functional evaluation - shoulder

Financial Support

There was no financial support from public, commercial, or non-profit sources.


* Work developed at the Hospital Ortopédico e Medicina Especializada, Instituto de Pesquisa e Ensino, Brasília, DF, Brazil.




Publication History

Received: 29 July 2020

Accepted: 23 April 2021

Article published online:
21 January 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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