43-236
Lesiones en el manguito rotador tras luxación anterior de hombro en pacientes mayores de 40 años.
Rotator cuff tears after anterior dislocation of the shoulder in patients older than forty years.
GARCÍA-RELLÁN, J.E., FRANCO FERRANDO, N., DOMINGO FERNÁNDEZ, R., HERRERO MEDIAVILLA, D., PELLICER GARCÍA, V., PINA MEDINA, A., SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL LA FE, VALENCIA.
Recepción:
09/02/2009
Aceptación:
09/02/2009
Publicación:
09/02/2009
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Resumen (ES)
A prospective study of the evolution of 32 anterior dislocations of the shoulder in patients older than fortyyears has been done with the objective of establishing the incidence, location and kind of tear caused by thedislocation, to know the evolution and to establish the clinical parameters that allow us to suspect an injury of therotator cuff without the help of magnetic resonance (MR) in the beginning. All the patients were studied with MR,doing a classification of the tears in five degrees, depending on the extension of the tears, being the group 1 the integrity of the rotator cuff. In 90% of the cases a rotator cuff tear has been found to be associated with the dislocation.After the rehabilitation, a significative difference in the recovery of the abduction has been demonstrated in thepatients with integrity of the rotator cuff, being an important clinical sign to know the state of the rotator cuff.
Palabras clave (ES):
Hombro
Luxación
Glenohumeral
Escapulohumeral
Anterior
Rotura
Manguito
Resumen (EN)
A prospective study of the evolution of 32 anterior dislocations of the shoulder in patients older than fortyyears has been done with the objective of establishing the incidence, location and kind of tear caused by thedislocation, to know the evolution and to establish the clinical parameters that allow us to suspect an injury of therotator cuff without the help of magnetic resonance (MR) in the beginning. All the patients were studied with MR,doing a classification of the tears in five degrees, depending on the extension of the tears, being the group 1 the integrity of the rotator cuff. In 90% of the cases a rotator cuff tear has been found to be associated with the dislocation.After the rehabilitation, a significative difference in the recovery of the abduction has been demonstrated in thepatients with integrity of the rotator cuff, being an important clinical sign to know the state of the rotator cuff.
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