López EOF, Pérez SA, Mejía RLC

Language: Spanish
References: 13
Page: 173-176
PDF size: 103.86 Kb.

ABSTRACT

Objective: To describe which type of rotator cuff tears is more frequent in this study population.
Material and methods: Twenty patients with diagnosis of rotator cuff tears in stages II and III of Neer were studied from January 1^st to August 30, 2006. Patients with concomitant pathologies that affect directly the shoulder were excluded, as well as patients with previous surgical reparation of the rotator cuff tears. The study was observational and transversal, and revised retrospectively clinical files, and prospectively surgical findings describing the characteristics of the rotator cuff tears according to the tears type, involved muscle, size and localization. Rockwood acromioplasty and reparation of the rotator cuff tears were carried out.
Results: 20 patients were studied, six male (30%) and 14 female (70%), with an average age at the moment of the surgery of 53 ± 9 years. In five patients the affected shoulder was the left one (25%) and in 15 was the right one (75%). According to the classification of Patte, all of the patients presented supraspinatus tear. In 18 patients (90%), the lesion was smaller than 3 cm (medium), in a 5% smaller than 1 cm (small) and in other 5% was of 3-5 cm (big). About the extension of the lesions, in 18 patients (90%) were complete, and in two patients (10%) were partial. The most frequent lesions were subacromial, according to the classification of Fukuda. A 33 year-old patient was classified in the stage II of Neer, and the rest was classified in the stage III.
Conclusion: The most affected muscle is the supraespinatus, with medium and complete tears in the stage III of Neer. An early repair produces a better outcome, since elderly have a worse prognosis.

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