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Introducción: El objetivo de este trabajo es valorar los resultados funcionales, porcentaje de re-roturas y tiempo de reintegro laboral en pacientes con lesiones completas del manguito rotador (MR) reparadas artroscópicamente con fila simple.Materiales y métodos: se valoraron en forma retrospectiva ciento siete pacientes. Se incluyeron las lesiones completas tipo 1 y 2 de la clasificación Davidson y Burkhart, laborales, agudas. Se excluyeron lesiones parciales, masivas (mayores a 3 cm), evolucionadas más de seis meses, o que requirieron tratamientos adicionales. Se utilizaron para la valoración: Simple Shoulder Test (SST), Escala Visual Analógica (EVA), American Shoulder and Elbow Surgeons (ASES). En los casos de re-rotura se compararon los resultados finales para ambos grupos mediante Quick Disabilities of the Arm, Shoulder and Hand (QDASH).Resultados: con un seguimiento de 37.8 meses se obtuvieron los siguientes datos: scores SST 8.2 (68.8 ± 2.9%), EVA para valoración del dolor, el resultado fue 93.3% con dolor leve; ASES, la media fue 89%. Porcentaje de re-roturas: 7.5%. QDASH se diferenció en pacientes sin re-roturas 24.1 ± 2.4% y en los casos con re-rotura, 60.2 ± 4.1%. La media de tiempo al reintegro laboral fue de 7.5 ± 0.3 meses. Conclusión: consideramos que la técnica fila simple es una opción válida que nos permite obtener buenos resultados funcionales en lesiones seleccionadas, agudas, móviles de hasta 3 cm, incluso en pacientes con compensación laboral

Introduction: The objective of this study is to assess the functional results, the percentage of re-tears and the time to return to work, in patients with complete tears of the rotator cuff arthroscopically repaired using simple row suture.Materials and methods: one hundred and seven patients were retrospectively evaluated. Complete acute tears types 1 and 2 of the Davidson and Burkhart classification, in workers, were included. Partial, massive tears (greater than 3 cm), evolving for more than six months, or requiring additional treatments, were excluded. The following scores were used for the assessment of results: the Simple Shoulder Test (SST), the Visual Analog Scale (VAS) and the scale of the American Shoulder and Elbow Surgeons Society (ASES).Results: with a follow-up of 37.8 months, the following results were obtained: SST scores was 8.2 (68.8 ± 2.9%), VAS used for pain assessment was 93.3%, and the mean ASES was 89%. The percentage of re-tears was 7.5%. The QDASH differed in patients without re-rupture 27 ± 2.5% from the cases of re-rupture 60.2 ± 4.1%. Conclusion: we considered that the single row suture technique performed arthroscopically is a valid option that allows to obtain good functional results in selected acute rotator cuff injuries of up to 3 cm in worker population

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Valgus slipped capital femoral epiphysis (SCFE), is rare. This study describes the diagnosis, treatment and outcome of valgus SCFE in Uruguay. The medical records and radiographs were reviewed in eight consecutive children [mean age 11.9 years (range 9-13; six female)] with valgus SCFE between 1997-2017. In 2018-2019, all patients were reexamined clinically, new radiographs obtained, and patient-reported outcomes completed using the international tool of hip results (iHOT-12). The prevalence of clinical femoroacetabular impingement (FAI), avascular necrosis, and surgical complications were also studied. There were 11 valgus SCFEs in eight patients; two had primary bilateral SCFEs, and one child later developed a valgus SCFE in the contralateral hip. Seven out of eight patients were overweight. All were stable idiopathic SCFEs. The mean femoral head shaft angle on the anteroposterior radiographs for the 11 SCFEs was 145° (range 140-168) and 141° (range 139-145) for the six healthy contralateral hips. Slip severity measured on the Lauenstein projection was mild (<30°) in eight hips and moderate (30°-60°) in three hips. At a mean follow-up of 87 months (range 24-252), there were no cases of avascular necrosis. The mean iHOT12 was 74 (range 13-97). Significant remodeling was detected in both head shaft angle (8°) and alpha angle (10°) in the affected hips. Nine hips (81%) demonstrated clinical signs of FAI. Our study is the first to describe long-term results using both clinical and patient outcome measures (iHOT-12). A majority of patients have residual symptoms, likely associated with FAI.

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