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Functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair

World Journal of Orthopedics 2017年第8期8卷 631-637页

作者： José Jorge Kitagaki Abechain Glaydson Gomes Godinho Fabio Teruo Matsunaga Nicola Archetti Netto Julia Pozzetti Daou Marcel Jun Sugawara Tamaoki shoulder and Elbow surgery sector of the Hand and Upper Limb surgery Course Orthopedics and Traumatology Department Universidade Federal de S?o Paulo shoulder surgery sector of hospital ortopédico de belo horizonte

AIM To compare the functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair. METHODS Eighty-seven patients with rotator cuff tears following arthroscopic treatment were divided into traumatic and non-traumatic tear groups. Postoperative muscle strength and outcomes using the modified University of California, Los Angeles score were evaluated. Sex, age, affected limb and dominant limb were correlated between groups. Muscle strength of the repaired and unaffected shoulders was compared. Rotator cuff injury size was measured. RESULTS Of the 87 patients who underwent rotator cuff repairs, 35 had traumatic tears and 52 had non-traumatic tears. In patients with non-traumatic tears, the average age was 59 years, 74.5% were female, 96.1% were righthand dominant and 92.3% had their dominant shoulder affected. Patients with traumatic tears were 59.5 yearsold on average, 51.4% were female, 91.4% were righthand dominant and 88.5% had their dominant shoulder affected. No difference existed in the mean modified University of California, Los Angeles score between patients with traumatic tears(33.7) compared with those with non-traumatic tears(32.8). No strength differences were observed between groups: The strength difference between the non-affected and affected sides was 1.21 kg in the non-traumatic group and 1.39 kg in the traumatic group(P = 0.576), while the strength ratio between the non-affected/affected sides was 0.805 in the nontraumatic group and 0.729 in the traumatic group(P = 0.224). CONCLUSION The functional results of traumatic rotator cuff repairs are similar to non-traumatic tears. Both outcomes are satisfactory.

关键词： Rotator cuff shoulder pain Arthroscopy Tendon injuries Orthopedics

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delivery of essential pediatric congenital surgical care within Brazil’s universal health coverage system:a national survey of pediatric surgeons

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World Journal of Pediatric surgery 2023年第3期6卷 136-146页

作者： Paul R Truche Abbie E Naus Fabio Botelho Julia Ferreira Alexis Bowder Luke Caddell Kathrin Zimmerman Isabella Maria de Freitas Faria Bellisa Caldas Lopes Eduardo Corrêa Costa Fernanda Lage Lima Dantas Augusto J S A Cavalcante Carlos A L B Carvalho Simone Abib David P Mooney Nivaldo Alonso Program in Global surgery and Social Change Harvard Medical SchoolBostonMassachusettsUSA department of surgery Rutgers Robert Wood Johnson Medical SchoolNew BrunswickNew JerseyUSA department of Pediatric surgery McGill UniversityMontrealQuébecCanada department of surgery Medical College of WisconsinMilwaukeeWisconsinUSA Division of Otolaryngology-Head and Neck surgery Department of SurgeryUniversity of Wisconsin-Madison School of Medicine and Public HealthMadisonWisconsinUSA School of Medicine UFMGBelo HorizonteMinas GeraisBrazil department of Pediatric surgery Instituto de Medicina Integral Professor Fernando FigueiraRecifeBrazil department of Pediatric surgery Hospital de Clinicas de Porto AlegrePorto AlegreBrazil department of Pediatric surgery Federal University of AcreRio BrancoBrazil department of Pediatric surgery Hospital Santa Casa de Belo HorizonteBelo HorizonteBrazil department of Pediatric surgery Federal University of Mato GrossoCuiabaBrazil department of Pediatric surgery UNIFESPSao PauloBrazil department of Pediatric surgery Boston Children's HospitalBostonMassachusettsUSA department of Plastic surgery University of São Paulo Institute of Biomedical SciencesSao PauloBrazil

Objective In this study,we assess the delivery of congenital pediatric surgical care under Brazil’s system of universal health coverage and evaluate differences in delivery between public and private *** A cross-sectional national survey of pediatric surgeons in Brazil was *** were asked which of 23 interventions identified through the Disease Control Priorities 3(Surgical Interventions for Congenital Anomalies)they perform and to report barriers faced while providing surgical *** were weighted by state and stratified by sector(public vs private).Results A sample of 352 responses was obtained and weighted to represent 1378 practicing pediatric surgeons registered in Brazil during the survey time.73%spend the majority of their time working in the public sector(‘SistemaÚnico de Saúde’and Foundation hospitals),and most of them also work in the private ***,Brazilian pediatric surgeons have the expertise to provide thoracic,abdominal,and urologic *** working mostly in the public sector were more likely to report a lack of access to essential medications(25%vs 9%,phospital beds for surgical patients(52%vs 32%,phospitals face barriers related to infrastructure,which may impact Brazilians who rely on Brazil’s universal health coverage *** that support pediatric surgeons working in the public sector may promote the workforce available to provide congenital pediatric surgical care.

关键词： pediatric survey Brazil

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