Translation and Cultural Adaptation to Portuguese of the Long Head of Biceps Tendon Score.

Objective To translate and culturally adapt the Long Head of Biceps Tendon (LHB) score into Brazilian Portuguese. Methods The process involved translations by professionals fluent in the target language, followed by independent back translations. Next, a committee compared the original and translated versions, pretested the final version, and concluded it. Results We translated and adapted the questionnaire according to the proposed methodology. In the first version in Portuguese (VP1) there was divergence regarding the translation of twelve terms. Compared to the original version, the back translation of VP1 presented eight diverging terms. A committee prepared a second version in Portuguese (VP2) and applied it to a pretest group consisting of 30 participants. Finally, we conceived the third version in Portuguese, called LHB-pt. Conclusion The translation and cultural adaptation into Brazilian Portuguese of the LBH score was successfully accomplished.

Translation and Cultural Adaptation to Portuguese of the Long Head of Biceps Tendon Score / Tradução e adaptação cultural à língua portuguesa do Long Head Biceps Score

Abstract Objective To translate and culturally adapt the Long Head of Biceps Tendon (LHB) score into Brazilian Portuguese. Methods The process involved translations by professionals fluent in the target language, followed by independent back translations. Next, a committee compared the original and translated versions, pretested the final version, and concluded it. Results We translated and adapted the questionnaire according to the proposed methodology. In the first version in Portuguese (VP1) there was divergence regarding the translation of twelve terms. Compared to the original version, the back translation of VP1 presented eight diverging terms. A committee prepared a second version in Portuguese (VP2) and applied it to a pretest group consisting of 30 participants. Finally, we conceived the third version in Portuguese, called LHB-pt. Conclusion The translation and cultural adaptation into Brazilian Portuguese of the LBH score was successfully accomplished.

Arthroscopic Bankart Procedure: Clinical Outcomes with a Minimum Follow-Up of 10 Years.

Objective To evaluate the functional outcome of patients submitted to arthroscopic Bankart repair in the long-term. Methods Retrospective evaluation of 41 patients (45 shoulders) operated between 1996 and 2009 followed-up for a mean period of 14.89 years. Functional scores were analyzed by the University of California, Los Angeles (UCLA) and Carter-Rowe scores, physical examination, and analysis of medical records. Results The Carter-Rowe score showed an average improvement of 46.11 points, with a final average of 85.89 points, and the UCLA score showed an average improvement of 31.33 points. Ten patients (22.22%) relapsed, with the number of preoperative dislocations being the most correlated factor. Conclusion It was demonstrated that the number of preoperative dislocations negatively influenced the failure rate.

Arthroscopic Bankart Procedure: Clinical Outcomes with a Minimum Follow-Up of 10 Years / Cirurgia de Bankart artroscópica: Resultados clínicos com seguimento mínimo de 10 anos

Abstract Objective To evaluate the functional outcome of patients submitted to arthroscopic Bankart repair in the long-term. Methods Retrospective evaluation of 41 patients (45 shoulders) operated between 1996 and 2009 followed-up for a mean period of 14.89 years. Functional scores were analyzed by the University of California, Los Angeles (UCLA) and Carter-Rowe scores, physical examination, and analysis of medical records. Results The Carter-Rowe score showed an average improvement of 46.11 points, with a final average of 85.89 points, and the UCLA score showed an average improvement of 31.33 points. Ten patients (22.22%) relapsed, with the number of preoperative dislocations being the most correlated factor. Conclusion It was demonstrated that the number of preoperative dislocations negatively influenced the failure rate.

Resumo Objetivo Avaliar o desfecho funcional dos pacientes submetidos ao reparo de Bankart artroscópico no longo prazo. Métodos Avaliação retrospectiva de 41 pacientes (45 ombros) operados entre 1996 e 2009 acompanhados por um período médio de 14,89 anos. Foram feitas análises das pontuações funcionais de University of California, Los Angeles (UCLA) e Carter-Rowe, exame físico e análises de prontuários. Resultados O escore Carter-Rowe apresentou melhora média de 46,11 pontos, com média final de 85,89 pontos, e o UCLA apresentou melhora de 31,33 pontos. Um total de 10 pacientes (22,22%) apresentou recidiva, sendo o número de luxações pré- operatórias o fator mais correlacionado. Conclusão Foi demonstrado que o número de luxações pré-operatórias influenciou negativamente na taxa de falha.

Evaluation of the Glenoid Track Tomographic Method in Magnetic Resonance Imaging/Arthro-MRI.

Objective To evaluate and compare the glenoid track method in 3D-reconstructed computed tomography (3D-CT) scans with magnetic resonance imaging (MRI) and/or arthro-MRI. Methods Forty-four shoulders with clinical and radiographic diagnosis of traumatic anterior instability were assessed using 3D-CT, MRI, and/or arthro-MRI scans. Glenoid track (GT), Hill-Sachs interval (HSI), and glenoid bone loss (GBL) were determined by a radiologist using 3D-CT images, and classified as on-track/off-track. Three surgeons, blinded to the radiologist's evaluation, performed the same determinations using MRI/arthro-MRI. Descriptive analysis, variance analysis, results disagreement analysis, and receiver operating characteristic (ROC) curves were performed. Results Results from the 4 examiners were fully consistent in 61.4% of the cases. Magnetic resonance imaging/arthro-MRI diagnosed off-track injuries with 35 to 65% sensitivity and on-track injuries, with 91.67 to 95.83% specificity. Accuracy ranged from 68.1 to 79.5%. The greatest data divergence occurred for off-track injuries diagnosed by MRI/arthro-MRI. The greatest data variability referred to HSI calculation. Higher HSI and GBL values were associated with greater disagreement among examiners. Hill-Sachs interval values were lower at MRI/arthro-MRI when compared to 3D-CT. Agreement between CT and MRI/arthro-MRI for the GT method was only moderate (kappa value, 0.325-0.579). Conclusion Magnetic resonance imaging/arthro-MRI showed low accuracy and moderate agreement for the GT method; as such, it should be used with caution by surgeons.

Evaluation of the Glenoid Track Tomographic Method in Magnetic Resonance Imaging/Arthro-MRI / A avaliação do método tomográfico glenoid track na ressonância magnética/artro RM

Abstract Objective To evaluate and compare the glenoid track method in 3D-reconstructed computed tomography (3D-CT) scans with magnetic resonance imaging (MRI) and/or arthro-MRI. Methods Forty-four shoulders with clinical and radiographic diagnosis of traumatic anterior instability were assessed using 3D-CT, MRI, and/or arthro-MRI scans. Glenoid track (GT), Hill-Sachs interval (HSI), and glenoid bone loss (GBL) were determined by a radiologist using 3D-CT images, and classified as on-track/off-track. Three surgeons, blinded to the radiologist's evaluation, performed the same determinations using MRI/arthro-MRI. Descriptive analysis, variance analysis, results disagreement analysis, and receiver operating characteristic (ROC) curves were performed. Results Results from the 4 examiners were fully consistent in 61.4% of the cases. Magnetic resonance imaging/arthro-MRI diagnosed off-track injuries with 35 to 65% sensitivity and on-track injuries, with 91.67 to 95.83% specificity. Accuracy ranged from 68.1 to 79.5%. The greatest data divergence occurred for off-track injuries diagnosed by MRI/arthro-MRI. The greatest data variability referred to HSI calculation. Higher HSI and GBL values were associated with greater disagreement among examiners. Hill-Sachs interval values were lower at MRI/arthro-MRI when compared to 3D-CT. Agreement between CT and MRI/arthro-MRI for the GT method was only moderate (kappa value, 0.325-0.579). Conclusion Magnetic resonance imaging/arthro-MRI showed low accuracy and moderate agreement for the GT method; as such, it should be used with caution by surgeons.

Resumo Objetivo Comparar a avaliação do método glenoid-track (GT) em exames de tomografia computadorizada com reconstrução 3-D (TC-3D) com a avaliação realizada em exames de ressonância magnética (RM) e/ou artro-ressonância magnética (ARM). Métodos Quarenta e quatro ombros com diagnóstico clínico e radiográfico de instabilidade anterior traumática foram avaliados por meio de exames de TC-3D, RM e/ou ARM. As variáveis GT, intervalo de Hill-Sachs (IHS) e a perda óssea da glenoide (POG) foram realizadas por um médico radiologista, utilizando imagens de TC-3D, e classificadas em on-track/off-track. Três cirurgiões cegos à avaliação do radiologista realizaram o mesmo método utilizando RM/ARM. O estudo realizou análise descritiva, de variância, de associação da discordância de resultados, de concordância e curva característica de operação do receptor. Resultados Os resultados dos 4 examinadores foram totalmente concordantes em 61,4%. A RM/ARM diagnosticou lesões off-track com a sensibilidade variando de 35 a 65%, e lesões on-track com a especificidade variando de 91,67 a 95,83%. A acurácia variou de 68,1 a 79,5%. A maior divergência de dados ocorreu para o diagnóstico por RM/ARM de lesões off-track. A maior variabilidade dos dados ocorreu para o cálculo do IHS. Valores maiores de IHS e de POG foram associados a maior discordância entre os examinadores. A RM/ARM apresentou menor medida de valores de IHS quando comparado com a TC-3D. Ocorreu apenas moderada concordância no método GT entre a TC e a RM/ARM (Kappa 0,325-0,579). Conclusão A RM/ARM apresentou baixa acurácia e moderada concordância para o método GT, devendo ser utilizada com cautela por cirurgiões.

Protocol of BRICS: Brazilian multicentric pragmatic randomised trial of surgical interventions for displaced diaphyseal clavicle fracture study: MIPO versus ORIF for the treatment of displaced midshaft clavicle fractures.

INTRODUCTION: Fractures of the diaphysis of the clavicle are common; however, treatment guidelines for this condition are lacking. Surgery is associated with a lower risk of non-union and better functional outcomes but a higher risk of complications. Open reduction and internal fixation with plates and screws are the most commonly performed techniques, but they are associated with paraesthesia in the areas of incisions, extensive surgical exposure and high rates of implant removal. Minimally invasive techniques for treating these fractures have a lower rate of complications. The aim of this study is to evaluate which surgical treatment option (minimally invasive osteosynthesis or open reduction and internal fixation) has better prognosis in terms of complications and reoperations. METHODS AND ANALYSIS: The study proposed is a multicentric, pragmatic, randomised, open-label, superiority clinical trial between minimally invasive osteosynthesis and open reduction and internal fixation for surgical treatment of patients with displaced fractures of the clavicle shaft. In the proposed study, 190 individuals with displaced midshaft clavicle fractures, who require surgery as treatment, will be randomised. The assessment will occur at 2, 6, 12, 24 and 48 weeks, respectively. The primary outcome of the study will be the number of complications and reoperations. For sample size calculation, a moderate effective size between the techniques was considered in a two-tailed test, with 95% confidence and 90% power. Complications include cases of infection, hypertrophic scarring, non-union, refracture, implant failure, hypoesthesia, skin irritation and shoulder pain. Reoperations are defined as the number of surgeries for pseudoarthrosis, implant failure, infection and elective removal of the implant. ETHICS AND DISSEMINATION: Study approved by the institutional ethics committee (number 34249120.9.0000.5505-V.3). The results will be disseminated by publications in peer-reviewed journals and presentations in medical meetings. TRIAL REGISTRATION NUMBER: RBR-3czz68)/UTN U1111-1257-8953.

Influence of the glenoid track and glenoid bone loss on the apprehension test for shoulder instability.

BACKGROUND: The investigation of Hill-Sachs and bony Bankart lesions continues to evolve. Patients with large bone lesions can present with a positive apprehension test even at ranges below 45° of abduction and external rotation of the shoulder. Modern concepts, such as glenoid track and quantification of glenoid bone loss, have been increasingly applied to shoulder instability. The objective of this study was to assess the correlation of the glenoid track and glenoid bone loss on the apprehension test conducted at 0°, 45°, and 90° of shoulder abduction. METHODS: Ninety-four shoulders of 90 patients with anterior glenohumeral instability were retrospectively assessed. The apprehension test was performed at 0°, 45°, and 90° of shoulder abduction. Computed tomography, magnetic resonance imaging, or magnetic resonance arthrogram scans were performed to calculate the glenoid track and glenoid bone loss. A descriptive analysis, an association analysis, and a logistic regression analysis were used in this study. Logistic regression analysis was used to assess the influence of glenoid track and glenoid bone loss when the apprehension test was positive in lower degrees of abduction. RESULTS: A positive apprehension test at 0°, 45°, and 90° of abduction revealed significant association with off-track lesions, glenoid bone losses greater than 13.5%, and bipolar bone lesions. Shoulders classified as off-track were 36.4 times more likely to test positive at 0°, 45°, and 90° than on-track shoulders. The logistic regression analysis revealed that the positive apprehension test at 0°, 45°, and 90° of abduction seems to be more influenced by off-track lesions than by glenoid bone loss greater than the 13.5% threshold. CONCLUSION: Shoulders with a positive apprehension test at 0°, 45°, and 90° are significantly associated with off-track lesions, bipolar bone lesions, and glenoid bone losses greater than 13.5%.

Clinical and functional evaluation of patients submitted to reverse arthroplasty with minimum one year of follow-up / Avaliação clínica e funcional de pacientes submetidos a artroplastia reversa com seguimento mínimo de um ano

ABSTRACT Objective: To assess the clinical and functional results of patients submitted to reverse arthroplasty with a minimum follow-up of one year. Methods: Twenty-two patients submitted to shoulder reverse arthroplasty by the Surgery and Shoulder Rehabilitation Group were retrospectively evaluated with pre and postoperative imaging analysis, analog pain scale, range of motion, and ASES functional score. Results: Out of 19 (86.3%) patients with preoperative ASES classified as poor/bad, 11 (57.9%) progress to good/excellent after intervention, showing improvement of function, ranging from a mean preoperative ASES score of 22 (± 18.8) to a postoperative mean of 64.8 (± 27.7) (p = 0.031). Regarding the pain, there was an improvement in analog pain scale, presenting a preoperative mean of 7.64 (1-10) and a postoperative mean of 2.09 (0-7; p < 0.001). Regarding mobility, of 22 patients, 15 (68.2%) had preoperative pseudoparalysis and, of these, ten (66.7%) had an active anterior elevation greater than 90° after reverse arthroplasty. In turn, patients without pseudoparalysis had no significant gain in range of motion (p = 0.002). The authors observed active anterior elevation gain, with a preoperative mean of 76° (0-160°) and a postoperative mean of 111° (0-160°; p = 0.002). Conclusion: Despite being a relatively new procedure in Brazil, reverse shoulder arthroplasty can be used effectively and safely in patients who were previously without treatment options such as rotator cuff arthropathy and revisions providing pain relief, improvement of function, and mobility of the upper limb.

RESUMO Objetivo: Avaliar os resultados clínicos e funcionais de pacientes submetidos a artroplastia reversa com seguimento mínimo de um ano. Métodos: Foram avaliados retrospectivamente 22 pacientes submetidos a artroplastia reversa de ombro pelo grupo de cirurgia e reabilitação de ombro da nossa instituição com análise pré e pós-operatória de exames de imagem, escala analógica da dor, amplitude de movimento e escala funcional ASES. Resultados: Dos 19 (86,3%) pacientes que apresentavam ASES pré-operatória classificada como péssimo/ruim, 11 (57,9%) evoluíram para bom/excelente após a intervenção, apresentaram melhoria da função, saíram de uma escala ASES pré-operatória média de 22 (±18,8) para uma pós-operatória de 64,8 (± 27,7; p = 0,031). Quanto à dor, observou-se melhoria da escala analógica da dor, apresentaram média pré-operatória de 7,64 (1-10) e pós-operatória de 2,09 (0-7; p < 0,001). Em relação à mobilidade, dos 22 pacientes, 15 (68,2%) apresentavam pseudoparalisia pré-operatória; desses, dez (66,7%) passaram a apresentar elevação anterior ativa superior a 90° após artroplastia reversa. Por outro lado, os pacientes sem pseudoparalisia não apresentaram ganho significativo de amplitude de movimento (p = 0,002). Foi observado ganho de elevação anterior ativa, com média pré-operatória de 76° (0-160°) e pós-operatória de 111° (0-160°; p = 0,002). Conclusão: Apesar de ser um procedimento relativamente novo no Brasil, a artroplastia reversa de ombro pode ser usada com eficácia e segurança em pacientes que previamente apresentavam-se sem opções terapêuticas como artropatia do manguito rotador e revisões que proporcionam alívio de dor, melhoria da função e mobilidade do membro superior.

Clinical and functional evaluation of patients submitted to reverse arthroplasty with minimum one year of follow-up.

OBJECTIVE: To assess the clinical and functional results of patients submitted to reverse arthroplasty with a minimum follow-up of one year. METHODS: Twenty-two patients submitted to shoulder reverse arthroplasty by the Surgery and Shoulder Rehabilitation Group were retrospectively evaluated with pre and postoperative imaging analysis, analog pain scale, range of motion, and ASES functional score. RESULTS: Out of 19 (86.3%) patients with preoperative ASES classified as poor/bad, 11 (57.9%) progress to good/excellent after intervention, showing improvement of function, ranging from a mean preoperative ASES score of 22 (± 18.8) to a postoperative mean of 64.8 (± 27.7) (p = 0.031). Regarding the pain, there was an improvement in analog pain scale, presenting a preoperative mean of 7.64 (1-10) and a postoperative mean of 2.09 (0-7; p < 0.001). Regarding mobility, of 22 patients, 15 (68.2%) had preoperative pseudoparalysis and, of these, ten (66.7%) had an active anterior elevation greater than 90° after reverse arthroplasty. In turn, patients without pseudoparalysis had no significant gain in range of motion (p = 0.002). The authors observed active anterior elevation gain, with a preoperative mean of 76° (0-160°) and a postoperative mean of 111° (0-160°; p = 0.002). CONCLUSION: Despite being a relatively new procedure in Brazil, reverse shoulder arthroplasty can be used effectively and safely in patients who were previously without treatment options such as rotator cuff arthropathy and revisions providing pain relief, improvement of function, and mobility of the upper limb.

OBJETIVO: Avaliar os resultados clínicos e funcionais de pacientes submetidos a artroplastia reversa com seguimento mínimo de um ano. MÉTODOS: Foram avaliados retrospectivamente 22 pacientes submetidos a artroplastia reversa de ombro pelo grupo de cirurgia e reabilitação de ombro da nossa instituição com análise pré e pós-operatória de exames de imagem, escala analógica da dor, amplitude de movimento e escala funcional ASES. RESULTADOS: Dos 19 (86,3%) pacientes que apresentavam ASES pré-operatória classificada como péssimo/ruim, 11 (57,9%) evoluíram para bom/excelente após a intervenção, apresentaram melhoria da função, saíram de uma escala ASES pré-operatória média de 22 (±18,8) para uma pós-operatória de 64,8 (± 27,7; p = 0,031). Quanto à dor, observou-se melhoria da escala analógica da dor, apresentaram média pré-operatória de 7,64 (1-10) e pós-operatória de 2,09 (0-7; p < 0,001). Em relação à mobilidade, dos 22 pacientes, 15 (68,2%) apresentavam pseudoparalisia pré-operatória; desses, dez (66,7%) passaram a apresentar elevação anterior ativa superior a 90° após artroplastia reversa. Por outro lado, os pacientes sem pseudoparalisia não apresentaram ganho significativo de amplitude de movimento (p = 0,002). Foi observado ganho de elevação anterior ativa, com média pré-operatória de 76° (0-160°) e pós-operatória de 111° (0-160°; p = 0,002). CONCLUSÃO: Apesar de ser um procedimento relativamente novo no Brasil, a artroplastia reversa de ombro pode ser usada com eficácia e segurança em pacientes que previamente apresentavam-se sem opções terapêuticas como artropatia do manguito rotador e revisões que proporcionam alívio de dor, melhoria da função e mobilidade do membro superior.

Evaluation of functional results from shoulders after arthroscopic repair of complete rotator cuff tears associated with traumatic anterior dislocation.

OBJECTIVE: To evaluate the clinical outcome of arthroscopic rotator cuff fixation and, when present, simultaneous repair of the Bankart lesion caused by traumatic dislocation; and to assess whether the size of the rotator cuff injury caused by traumatic dislocation has any influence on the postoperative clinical outcomes. METHODS: Thirty-three patients with traumatic shoulder dislocation and complete rotator cuff injury, with at least two years of follow up, were retrospectively evaluated. For analysis purposes, the patients were divided into groups: presence of fixed Bankart lesion or absence of this lesion, and rotator cuff lesions smaller than 3.0 cm (group A) or greater than or equal to 3.0 cm (group B). All the patients underwent arthroscopic repair of the lesions and were evaluated postoperatively by means of the UCLA (University of California at Los Angeles) score and strength measurements. RESULTS: The group with Bankart lesion repair had a postoperative UCLA score of 33.96, while the score of the group without Bankart lesion was 33.7, without statistical significance (p = 0.743). Group A had a postoperative UCLA score of 34.35 and group B, 33.15, without statistical significance (p = 0.416). CONCLUSION: The functional outcomes of the patients who only presented complete rotator cuff tearing after traumatic shoulder dislocation, which underwent arthroscopic repair, were similar to the outcomes of those who presented an associated with a Bankart lesion that was corrected simultaneously with the rotator cuff injury. The extent of the original rotator cuff injury did not alter the functional results in the postoperative evaluation.

OBJETIVO: Avaliar o desfecho clínico da fixação artroscópica do manguito rotador (MR) e, quando presente, a correção simultânea da lesão de Bankart, causadas por luxação traumática. Avaliar se a dimensão da lesão do MR causada por luxação traumática influenciou nos resultados clínicos pós-operatórios. MÉTODOS: Foram avaliados retrospectivamente 33 pacientes com luxação traumática do ombro e lesão completa do manguito rotador e seguimento mínimo de dois anos. Para fins de análise, os pacientes foram divididos em grupos: presença de lesão de Bankart fixada ou ausência da lesão e lesões do MR menores do que 3 cm (grupo A) ou iguais a ou maiores do que 3 cm (grupo B). Todos foram submetidos a reparo artroscópico das lesões e avaliados, pós-operatoriamente, pelo escore da UCLA (University of California at Los Angeles) e medida da força. RESULTADOS: O grupo em que houve o reparo da lesão de Bankart apresentou UCLA pós-operatório de 33,96, em relação ao grupo em que essa lesão não estava presente 33,7, sem significância estatística (p = 0,743). O grupo A apresentou resultado de UCLA pós-operatório de 34,35 e grupo B 33,15, sem significância estatística (p = 0,416). CONCLUSÃO: Os resultados funcionais dos pacientes que apresentaram apenas rotura completa do manguito rotador após luxação traumática do ombro, submetidos ao reparo artroscópico, mostrou-se semelhante àqueles que apresentaram associação da lesão de Bankart, corrigida simultaneamente com a lesão do manguito rotador. A extensão da lesão inicial do manguito rotador não alterou os resultados funcionais na avaliação pós-operatória.

Evaluation of functional results from shoulders after arthroscopic repair of complete rotator cuff tears associated with traumatic anterior dislocation / Avaliação dos resultados funcionais dos ombros submetidos ao reparo artroscópico de roturas completas do manguito rotador associadas a luxações traumáticas anteriores

OBJECTIVE: To evaluate the clinical outcome of arthroscopic rotator cuff fixation and, when present, simultaneous repair of the Bankart lesion caused by traumatic dislocation; and to assess whether the size of the rotator cuff injury caused by traumatic dislocation has any influence on the postoperative clinical outcomes. METHODS: Thirty-three patients with traumatic shoulder dislocation and complete rotator cuff injury, with at least two years of follow up, were retrospectively evaluated. For analysis purposes, the patients were divided into groups: presence of fixed Bankart lesion or absence of this lesion, and rotator cuff lesions smaller than 3.0 cm (group A) or greater than or equal to 3.0 cm (group B). All the patients underwent arthroscopic repair of the lesions and were evaluated postoperatively by means of the UCLA (University of California at Los Angeles) score and strength measurements. RESULTS: The group with Bankart lesion repair had a postoperative UCLA score of 33.96, while the score of the group without Bankart lesion was 33.7, without statistical significance (p = 0.743). Group A had a postoperative UCLA score of 34.35 and group B, 33.15, without statistical significance (p = 0.416). CONCLUSION: The functional outcomes of the patients who only presented complete rotator cuff tearing after traumatic shoulder dislocation, which underwent arthroscopic repair, were similar to the outcomes of those who presented an associated with a Bankart lesion that was corrected simultaneously with the rotator cuff injury. The extent of the original rotator cuff injury did not alter the functional results in the postoperative evaluation.

OBJETIVO: Avaliar o desfecho clínico da fixação artroscópica do manguito rotador (MR) e, quando presente, a correção simultânea da lesão de Bankart, causadas por luxação traumática. Avaliar se a dimensão da lesão do MR causada por luxação traumática influenciou nos resultados clínicos pós-operatórios. MÉTODOS: Foram avaliados retrospectivamente 33 pacientes com luxação traumática do ombro e lesão completa do manguito rotador e seguimento mínimo de dois anos. Para fins de análise, os pacientes foram divididos em grupos: presença de lesão de Bankart fixada ou ausência da lesão e lesões do MR menores do que 3 cm (grupo A) ou iguais a ou maiores do que 3 cm (grupo B). Todos foram submetidos a reparo artroscópico das lesões e avaliados, pós-operatoriamente, pelo escore da UCLA (University of California at Los Angeles) e medida da força. RESULTADOS: O grupo em que houve o reparo da lesão de Bankart apresentou UCLA pós-operatório de 33,96, em relação ao grupo em que essa lesão não estava presente 33,7, sem significância estatística (p = 0,743). O grupo A apresentou resultado de UCLA pós-operatório de 34,35 e grupo B 33,15, sem significância estatística (p = 0,416). CONCLUSÃO: Os resultados funcionais dos pacientes que apresentaram apenas rotura completa do manguito rotador após luxação traumática do ombro, submetidos ao reparo artroscópico, mostrou-se semelhante àqueles que apresentaram associação da lesão de Bankart, corrigida simultaneamente com a lesão do manguito rotador. A extensão da lesão inicial do manguito rotador não alterou os resultados funcionais na avaliação pós-operatória.