Correlation between the UCLA and Constant-Murley scores in rotator cuff repairs and proximal humeral fractures osteosynthesis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMALAVOLTA, Eduardo Angeli
dc.contributor.authorASSUNÇÃO, Jorge Henrique
dc.contributor.authorGRACITELLI, Mauro Emilio Conforto
dc.contributor.authorSIMÕES, Pedro Antonio Araújo
dc.contributor.authorSHIDO, Danilo Kenji
dc.contributor.authorFERREIRA NETO, Arnaldo Amado
dc.date.accessioned2018-10-11T19:06:58Z
dc.date.available2018-10-11T19:06:58Z
dc.date.issued2018
dc.description.abstractABSTRACT Objective: To evaluate the correlation between the UCLA and Constant-Murley scores in the surgical treatment of rotator cuff tears and proximal humeral fractures (PHF). Methods: Retrospective study evaluating patients submitted to arthroscopic rotator cuff repair and surgical treatment of PHF with 2-year follow-up. Patients were evaluated by the UCLA and Constant-Murley scores in the preoperative period for the rotator cuff repairs, and 3, 6, 12 and 24 months after surgery for both diagnoses. Pearson's correlation coefficient (r) was calculated to measure the degree of correlation between the two clinical scales. Results: We evaluated 109 patients: 54 with rotator cuff tear and 55 with PHF. Twenty-four months after surgical treatment, the scores according to the UCLA and Constant-Murley scores were 32.6 ± 4.0 and 85.0 ± 12.0 for the rotator cuff tears and 30.3 ± 5.3 and 73.8 ± 13.9 for the PHF, demonstrating significant improvements in both, in relation to the initial evaluation (p < 0.001). The scales demonstrated high correlation (r = 0.88, p < 0.001). The scores obtained in the two scales showed high or very high correlation in all the postoperative clinical evaluations (r = 0.79-0.91, p < 0.001). The correlation was high in the preoperative evaluation (r = 0.73, p < 0.001). Conclusion: The UCLA and Constant-Murley scores presented high or very high correlation in the evaluation of surgical treatment of rotator cuff tears and PHF. The correlation in the preoperative evaluation was high.
dc.description.abstractRESUMO Objetivo: Avaliar a correlação entre as escalas da UCLA e de Constant-Murley no tratamento cirúrgico de roturas do manguito rotador e de fraturas da extremidade proximal do úmero (FEPU). Métodos: Estudo retrospectivo, que avaliou pacientes submetidos ao reparo do manguito rotador por via artroscópica e tratamento cirúrgico de FEPU com dois anos de seguimento. Os pacientes foram avaliados pelas escalas da UCLA e de Constant-Murley no período pré-operatório nas roturas do manguito rotador e após seis, 12 e 24 meses da cirurgia em ambos os diagnósticos. O coeficiente de correlação de Pearson (r) foi calculado para medir o grau de correlação entre as duas escalas clínicas. Resultados: Avaliamos 109 pacientes, 54 com rotura do manguito rotador e 55 com FEPU. Após 24 meses do tratamento cirúrgico, as pontuações pelas escalas da UCLA e da Constant-Murley foram de 32,6 ± 4,0 e 85,0 ± 12,0 nas roturas do manguito rotador e 30,3 ± 5,3 e 73,8 ± 13,9 nas FEPU, com melhoria significativa em ambas em relação à avaliação inicial (p < 0,001). As escalas demostraram alta correlação (r = 0,88, p < 0,001). Em todas as avaliações clínicas pós-operatórias as pontuações obtidas nas duas escalas se correlacionaram de modo alto ou muito alto (r = 0,79 a 0,91, p < 0,001). No pré-operatório a correlação foi alta (r = 0,73, p < 0,001). Conclusão: As escalas da UCLA e de Constant-Murley apresentam uma correlação alta ou muito alta na avaliação do tratamento cirúrgico das roturas do manguito rotador e das FEPU. No pré-operatório a correlação é alta.
dc.description.indexSciELO
dc.identifier.citationREVISTA BRASILEIRA DE ORTOPEDIA, v.53, n.4, p.441-447, 2018
dc.identifier.doi10.1016/j.rboe.2018.02.003
dc.identifier.issn1982-4378
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/28750
dc.language.isoeng
dc.language.isopor
dc.publisherSociedade Brasileira de Ortopedia e Traumatologia
dc.relation.ispartofRevista Brasileira de Ortopedia
dc.rightsopenAccess
dc.rights.holderCopyright Sociedade Brasileira de Ortopedia e Traumatologia
dc.subjectRotator cuff
dc.subjectArthroscopy
dc.subjectShoulder fractures
dc.subjectRehabilitation
dc.subjectShoulder
dc.subjectClinical scales
dc.subjectManguito rotador
dc.subjectArtroscopia
dc.subjectFraturas do ombro
dc.subjectReabilitação
dc.subjectOmbro
dc.subjectEscalas clínicas
dc.subject.wosOrthopedics
dc.titleCorrelation between the UCLA and Constant-Murley scores in rotator cuff repairs and proximal humeral fractures osteosynthesis
dc.title.alternativeCorrelação entre as escalas da UCLA e Constant-Murley nas roturas do manguito rotador e fraturas da extremidade proximal do úmero
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus8
hcfmusp.contributor.author-fmusphcEDUARDO ANGELI MALAVOLTA
hcfmusp.contributor.author-fmusphcJORGE HENRIQUE ASSUNCAO
hcfmusp.contributor.author-fmusphcMAURO EMILIO CONFORTO GRACITELLI
hcfmusp.contributor.author-fmusphcPEDRO ANTONIO ARAUJO SIMOES
hcfmusp.contributor.author-fmusphcDANILO KENJI SHIDO
hcfmusp.contributor.author-fmusphcARNALDO AMADO FERREIRA NETO
hcfmusp.description.beginpage441
hcfmusp.description.endpage447
hcfmusp.description.issue4
hcfmusp.description.volume53
hcfmusp.origemsciELO
hcfmusp.origem.pubmed30027076
hcfmusp.origem.scieloSCIELO:S0102-36162018000400441
hcfmusp.origem.scopus2-s2.0-85037036385
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