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DOI: 10.1055/s-0044-1788784
Lesões irreparáveis do manguito: Opções de tratamento e desfechos clínicos
Article in several languages: português | EnglishSuporte Financeiro Os autores declaram que não houve suporte financeiro de fontes públicas, comerciais, ou sem fins lucrativos.
Resumo
A lesão do manguito rotador é uma fonte frequente de dor e incapacidade funcional na população em geral, e sua prevalência aumenta com o envelhecimento. O tratamento não cirúrgico é adequado para muitos pacientes, e, quando necessário, o reparo cirúrgico resulta em alívio da dor e bons resultados funcionais. Entretanto, lesões extensas e não reparáveis devido ao tamanho da lesão, grau de retração, atrofia muscular e substituição gordurosa apresentam desafios ao tratamento. Nos casos de lesões irreparáveis que coexistem com degeneração articular/osteoartrite (artropatia do manguito rotador), a indicação de artroplastia reversa é o padrão ouro. Porém, nos casos de pacientes mais jovens e sem osteoartrite, as indicações que preservam a articulação, desde o debridamento até as transferências tendinosas, são preferíveis. A escolha do tratamento mais apropriado não está claramente estratificado na literatura e cada modalidade tem suas indicações, vantagens e desvantagens.
Trabalho desenvolvido no Hospital Unimed BH, Belo Horizonte, MG, Brasil.
Publication History
Received: 23 February 2023
Accepted: 04 September 2023
Article published online:
04 September 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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