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Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population.
Silva, Christine M M; Teixeira, Gisele Façanha Diógenes; de Brito, Gabriella Cristina Coelho; Lacerda, Marco A A; Rocha, Francisco A C.
Afiliação
  • Silva CMM; Orthopaedic Service, Shoulder and Elbow Group, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
  • Teixeira GFD; Orthopaedic Service, Shoulder and Elbow Group, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
  • de Brito GCC; Orthopaedic Service, Shoulder and Elbow Group, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
  • Lacerda MAA; Orthopaedic Service, Shoulder and Elbow Group, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
  • Rocha FAC; Department of Internal Medicine, Faculdade de Medicina da Universidade Federal do Ceará, Fortaleza, Brazil. arocha@ufc.br.
BMC Musculoskelet Disord ; 25(1): 13, 2024 Jan 02.
Article em En | MEDLINE | ID: mdl-38167047
ABSTRACT

BACKGROUND:

Reverse shoulder arthroplasty (RSA) is a valuable treatment for rotator cuff arthropathy (RCA) in developed regions. Socioeconomic issues impact access to specialized care and there is a lack of data on RSA outcomes in developing regions. We present our 24-month follow-up on RSA surgeries to treat RCA in our low-income population.

METHODS:

Prospective evaluation of 26 patients subjected to RSA at Hospital Geral de Fortaleza-CE, Brazil, between January 2018 and December 2020. Literacy [>/≤ 8 school years(SY)] and income were documented. Outcomes considered pain (visual analogue scale; VAS) as well as SSV, SPADI, ASES, and UCLA scoring, and range of motion [forward flexion (FF); external rotation (ER)].

RESULTS:

Patients were 68.5 ± 7.6 years-old with 16(61.5%) females; 65% had hypertension and 7 (26.9%) had diabetes. Over 90% declared < 900.00 US$ monthly family earnings and 10 (38.4%) patients declared ≤8 SY with > 80% exerting blue-collar jobs. Pain showed a significant reduction from baseline (8 ± 2) to 24 months (2.1 ± 2.3; p < 0.001). UCLA (10.3 ± 5.6 and 28.6 ± 7.2), ASES (16.7 ± 10.8 and 63.1 ± 28.4), SSV (326 ± 311 and 760 ± 234), and SPADI (98.3 ± 26.5) scores significantly improved from baseline to 24 months, achieving minimal clinically important difference. FF (89.2° ± 51.2° to 140.6 ± 38.3°) and ER (19.2° ± 22.5 to 33.4° ± 20.6°) significantly improved from baseline to 24 months (p = 0.004 and 0.027, respectively). There were 5 non-serious adverse events with one surgical revision. All patients returned to daily life activities.

CONCLUSION:

This is the first outcome report 2 years following RSA in a low-income population. Data indicate this procedure is justifiable regardless of socioeconomic issues.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Articulação do Ombro / Lesões do Manguito Rotador / Artroplastia do Ombro / Artropatias Tipo de estudo: Observational_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Musculoskelet Disord Assunto da revista: FISIOLOGIA / ORTOPEDIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Articulação do Ombro / Lesões do Manguito Rotador / Artroplastia do Ombro / Artropatias Tipo de estudo: Observational_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Musculoskelet Disord Assunto da revista: FISIOLOGIA / ORTOPEDIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido