{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T12:24:19Z","timestamp":1776947059571,"version":"3.51.4"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T00:00:00Z","timestamp":1617148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>Objetivo\u2003O objetivo prim\u00e1rio do presente trabalho \u00e9 avaliar os resultados funcionais de uma modifica\u00e7\u00e3o na transfer\u00eancia do grande dorsal no ombro para o tratamento de les\u00f5es p\u00f3stero-superiores irrepar\u00e1veis do manguito rotador. O objetivo secund\u00e1rio \u00e9 avaliar as vari\u00e1veis que podem influenciar os resultados.<\/jats:p><jats:p>T\u00e9cnica cir\u00fargica\u2003Por meio de uma \u00fanica abordagem deltopeitoral, o tend\u00e3o do m\u00fasculo grande dorsal \u00e9 desinserido refor\u00e7ado e alongado com um enxerto tend\u00edneo hom\u00f3logo, transferido para o \u00famero e fixado em posi\u00e7\u00e3o superolateral ao tub\u00e9rculo maior e anterior ao m\u00fasculo subescapular.<\/jats:p><jats:p>M\u00e9todos\u2003Avalia\u00e7\u00e3o funcional retrospectiva de 16 casos. O per\u00edodo m\u00e9dio de acompanhamento foi de 21 meses (12\u201347 meses). Os resultados p\u00f3s-operat\u00f3rios (no \u00faltimo acompanhamento) foram comparados aos pr\u00e9-operat\u00f3rios, bem como a outras vari\u00e1veis pr\u00e9, intra e p\u00f3s-operat\u00f3rias.<\/jats:p><jats:p>Resultados\u2003Todos os pacientes ficaram satisfeitos (exceto um). A pontua\u00e7\u00e3o m\u00e9dia da University of California, Los Angeles (UCLA) aumentou de 11,6 (8\u201316) para 27,3 (17\u201330) (p\u2009&lt;\u20090,001). A dor, a fun\u00e7\u00e3o e a for\u00e7a do ombro apresentaram melhora estatisticamente significativa (p\u2009&lt;\u20090,001). A for\u00e7a, por\u00e9m, n\u00e3o voltou ao valor normal. A amplitude de movimento ativa m\u00e9dia apresentou as seguintes melhoras: eleva\u00e7\u00e3o frontal, de 106\u00b0 (60\u2013140\u00b0) para 145\u00b0 (130\u2013160\u00b0) (p\u2009&lt;\u20090,001); rota\u00e7\u00e3o externa, de 30\u00b0 (0\u201360\u00b0) para 54\u00b0 (40\u201370\u00b0) (p\u2009&lt;\u20090,001); e rota\u00e7\u00e3o interna, de L1 (gl\u00fateo a T7) para T10 (T12\u2013T3) (p\u2009&lt;\u20090,05). Nenhuma complica\u00e7\u00e3o foi observada. A pseudoparesia pr\u00e9-operat\u00f3ria foi revertida em todos os seis casos em que foi observada. Nenhuma das vari\u00e1veis analisadas influenciou os desfechos, nem mesmo a pseudoparesia.<\/jats:p><jats:p>Conclus\u00f5es\u2003A curto prazo essa t\u00e9cnica \u00e9 segura e eficaz na recupera\u00e7\u00e3o da pseudoparesia e na melhora da dor, da fun\u00e7\u00e3o e da for\u00e7a do ombro.<\/jats:p>","DOI":"10.1055\/s-0041-1724073","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T07:29:50Z","timestamp":1617262190000},"page":"590-598","source":"Crossref","is-referenced-by-count":3,"title":["Resultados da transfer\u00eancia do grande dorsal alongado com enxerto tend\u00edneo hom\u00f3logo por via delto-peitoral para les\u00f5es p\u00f3stero-superiores irrepar\u00e1veis do manguito rotador"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3121-463X","authenticated-orcid":false,"given":"Alberto Naoki","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia em Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ci\u00eancias M\u00e9dicas, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1562-9795","authenticated-orcid":false,"given":"Caio Santos","family":"Checchia","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia em Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ci\u00eancias M\u00e9dicas, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8876-2605","authenticated-orcid":false,"given":"Jo\u00e3o Manoel","family":"Fonseca Filho","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia em Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ci\u00eancias M\u00e9dicas, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"},{"name":"Departamento de Cirurgia 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