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Rotator Cuff Lesion in Wheelchair Users with Spinal Cord Injury: Does Time of Injury and Medullary Level Interfere? A Retrospective Evaluation / Lesão do manguito rotador em cadeirantes com lesão medular: O tempo de lesão e o nível medular interferem? Uma avaliação retrospectiva
Lopes Filho, Cládis Sanches; Perez, Mauro Coura; Moraes, Pedro Cordeiro; Araújo, Gabriel Costa Serrão de.
  • Lopes Filho, Cládis Sanches; Sarah Network of Rehabilitation Hospitals. Brasília. BR
  • Perez, Mauro Coura; Sarah Network of Rehabilitation Hospitals. Brasília. BR
  • Moraes, Pedro Cordeiro; Sarah Network of Rehabilitation Hospitals. Brasília. BR
  • Araújo, Gabriel Costa Serrão de; Sarah Network of Rehabilitation Hospitals. Brasília. BR
Rev. bras. ortop ; 57(4): 584-589, Jul.-Aug. 2022. tab, graf
Article in English | LILACS | ID: biblio-1394872
ABSTRACT
Abstract Objective To describe magnetic resonance imaging (MRI) characteristics of shoulders from patients with spinal cord injury (SCI) and to correlate these findings with age, duration of SCI and neurological level. Method The study sample included patients with thoracic SCI over 18 years of age, who were active wheelchair users and had undergone an MRI of the shoulder from January 2004 to December 2015. Results We studied 41 shoulders (37 patients), including 27 men (65.9%) and 14 women (34.1%). At the time of MRI, the mean age was 41.9 years and the mean duration of SCI was 9.4 years. The analysis of the relationship between the duration of trauma and severity of the rotator cuff lesion (RCL), as well as between age and the severity of the shoulder injury showed a statistically significant difference (p< 0.001), with a positive association in both cases. No statistically significant difference (p= 0.095) was observed between the neurological level of the SCI and RCL. Conclusion In this study, a progressive increase in the severity of the shoulder lesions can be noted with advancing age and a longer duration of SCI. However, level of the SCI does not seem to interfere with RCL. Level of Evidence Level IV, case series.
RESUMO
Resumo Objetivo Descrever as características de ressonância magnética (RM) dos ombros de pacientes com lesão medular (LM) e correlacionar esses achados com idade, duração da LM e nível neurológico. Método A amostra do presente estudo incluiu pacientes maiores de 18 anos com LM torácica, que eram cadeirantes ativos e haviam sido submetidos a uma ressonância magnética do ombro de janeiro de 2004 a dezembro de 2015. Resultados Foram estudados 41 ombros (37 pacientes), incluindo 27 de pacientes do sexo masculino (65,9%) e 14 de pacientes do sexo feminino (34,1%). Na época da ressonância magnética, a média de idade era de 41,9 anos e a duração média da LM era de 9,4 anos. A análise da relação entre a duração do trauma e a gravidade da lesão do manguito rotador (LMR), bem como entre a idade e a gravidade da lesão do ombro mostrou diferença estatisticamente significativa (p< 0,001), com associação positiva em ambos os casos. Não foi observada diferença estatisticamente significativa (p= 0,095) entre o nível neurológico da LM e da LMR. Conclusão Neste estudo, pode-se notar um aumento progressivo da gravidade das lesões do ombro com o avanço da idade e uma maior duração da LM. No entanto, o nível da LM não parece interferir com a LMR. Nível de Evidência Nível IV, série de casos.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Spinal Cord Injuries / Wheelchairs / Magnetic Resonance Imaging / Retrospective Studies / Shoulder Injuries Type of study: Observational study / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Sarah Network of Rehabilitation Hospitals/BR

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Full text: Available Index: LILACS (Americas) Main subject: Spinal Cord Injuries / Wheelchairs / Magnetic Resonance Imaging / Retrospective Studies / Shoulder Injuries Type of study: Observational study / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Sarah Network of Rehabilitation Hospitals/BR