{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T04:07:53Z","timestamp":1745899673739,"version":"3.40.4"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":86,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar os desfechos funcionais ap\u00f3s o reparo artrosc\u00f3pico do manguito rotador em uma popula\u00e7\u00e3o adulta e estabelecer os fatores de risco para o progn\u00f3stico ruim deste procedimento.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Este estudo de coorte retrospectiva analisou os prontu\u00e1rios m\u00e9dicos de 302 ombros submetidos \u00e0 artroscopia para reparo do manguito rotador entre 1\u00b0 de outubro de 2014 e 31 de dezembro de 2017. Os pacientes foram inclu\u00eddos se tivessem uma les\u00e3o completa do manguito rotador e atendessem a outros crit\u00e9rios espec\u00edficos. Os procedimentos cir\u00fargicos foram realizados de forma consistente e o tratamento p\u00f3s-operat\u00f3rio envolveu um protocolo de reabilita\u00e7\u00e3o estruturado. A principal medida de desfecho foi a necessidade de cirurgia adicional ou um escore de ombro da University of California, Los Angeles (UCLA)\u2009&lt;\u200928 em 2 anos ap\u00f3s a cirurgia. As an\u00e1lises estat\u00edsticas inclu\u00edram m\u00e9todos descritivos, inferenciais e de regress\u00e3o log\u00edstica.<\/jats:p><jats:p>\n          Resultados\u2003O sucesso do tratamento foi observado em 234 ombros (77,5%), enquanto 68 ombros (22,5%) foram classificados como falhas de tratamento. Fatores significativamente associados \u00e0 falha do tratamento inclu\u00edram o acometimento de mais de 2 tend\u00f5es (raz\u00e3o de chances [RC]: 2,8; intervalo de confian\u00e7a de 95% [IC95%]: 1,5\u20135,0) e les\u00e3o com mais de 25\u2009mm de tamanho (RC: 2,9; IC95%: 1,6\u20135,3). Pacientes com 75 anos ou mais apresentaram taxa de falha de 54,5% em compara\u00e7\u00e3o a 21,3% em pacientes mais jovens (p\u2009=\u20090,019). A classifica\u00e7\u00e3o de Goutallier de degenera\u00e7\u00e3o gordurosa foi significativamente pior em pacientes mais velhos (p\u2009=\u20090,001). Pacientes cr\u00edticos, definidos como aqueles com idade \u2265 75 anos, classifica\u00e7\u00e3o de Goutallier\u2009&gt;\u20092 e tamanho de les\u00e3o\u2009&gt;\u200925\u2009mm, apresentaram taxa de falha do tratamento de 75,0% (RC: 11,2; IC95%: 2,2\u201357,0).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A artroscopia do manguito rotador n\u00e3o mostrou pior progn\u00f3stico com base somente na idade at\u00e9 os 75 anos. No entanto, nos pacientes com mais de 75 anos, degenera\u00e7\u00e3o muscular significativa e les\u00f5es grandes tiveram chances substancialmente maiores de desfechos ruins. Tratamentos alternativos devem ser considerados para melhorar a qualidade de vida e a funcionalidade dos membros superiores desses pacientes cr\u00edticos.<\/jats:p>","DOI":"10.1055\/s-0045-1802963","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T23:07:57Z","timestamp":1745881677000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["Principais fatores preditivos dos desfechos do reparo artrosc\u00f3pico do manguito rotador"],"prefix":"10.1055","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1822-3160","authenticated-orcid":false,"given":"Mauro Coura","family":"Perez","sequence":"additional","affiliation":[{"name":"Divis\u00e3o de Ortopedia, Rede Sarah Hospitais de Reabilita\u00e7\u00e3o, Bras\u00edlia, DF, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8387-9142","authenticated-orcid":false,"given":"Cl\u00e1dis Lopes","family":"Sanches Filho","sequence":"additional","affiliation":[{"name":"Divis\u00e3o de Ortopedia, Rede Sarah Hospitais de Reabilita\u00e7\u00e3o, Bras\u00edlia, DF, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8159-6867","authenticated-orcid":false,"given":"Pedro Cordeiro","family":"Moraes","sequence":"additional","affiliation":[{"name":"Divis\u00e3o de Ortopedia, Rede Sarah Hospitais de Reabilita\u00e7\u00e3o, Bras\u00edlia, DF, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0003-1304","authenticated-orcid":false,"given":"Rodrigo de Almeida","family":"Chame de Castro","sequence":"additional","affiliation":[{"name":"Divis\u00e3o de Ortopedia, Rede Sarah Hospitais de Reabilita\u00e7\u00e3o, Bras\u00edlia, DF, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7048-6726","authenticated-orcid":false,"given":"Gabriel de","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Geral e Especializada, Faculdade de Medicina, Universidade Federal Fluminense, Niter\u00f3i, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3353-575X","authenticated-orcid":false,"given":"Vinicius Schott","family":"Gameiro","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Geral e Especializada, Faculdade de Medicina, Universidade Federal Fluminense, Niter\u00f3i, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s10195-021-00565-z","article-title":"Arthroscopic rotator cuff repair in patients over 70 years of age: a systematic review","volume":"22","author":"C Fossati","year":"2021","journal-title":"J Orthop Traumatol"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"2771","DOI":"10.1177\/0363546512462677","article-title":"Intraoperative determinants of rotator cuff repair integrity: an analysis of 500 consecutive repairs","volume":"40","author":"X L Wu","year":"2012","journal-title":"Am J Sports Med"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1177\/0363546514525336","article-title":"Factors predicting rotator cuff retears: an analysis of 1000 consecutive rotator cuff repairs","volume":"42","author":"B T Le","year":"2014","journal-title":"Am J Sports Med"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"1947","DOI":"10.1016\/j.arthro.2016.01.067","article-title":"Morphologic Risk Factors in Predicting Symptomatic Structural Failure of Arthroscopic Rotator Cuff Repairs: Tear Size, Location, and Atrophy Matter","volume":"32","author":"G Gasbarro","year":"2016","journal-title":"Arthroscopy"},{"issue":"9596","key":"ref5","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"E von Elm","year":"2007","journal-title":"Lancet"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"S63","DOI":"10.1016\/j.otsr.2018.06.012","article-title":"Failed rotator cuff repair","volume":"105","author":"P Desmoineaux","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"issue":"06","key":"ref7","first-page":"415","article-title":"Fatty infiltration of disrupted rotator cuff muscles","volume":"62","author":"D Goutallier","year":"1995","journal-title":"Rev Rhum Engl Ed"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/S1058-2746(99)90097-6","article-title":"Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging","volume":"8","author":"B Fuchs","year":"1999","journal-title":"J Shoulder Elbow Surg"},{"issue":"12","key":"ref9","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1302\/2058-5241.1.160005","article-title":"Classification of full-thickness rotator cuff lesions: a review","volume":"1","author":"A L\u00e4dermann","year":"2017","journal-title":"EFORT Open Rev"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1300\/J079v21n04_02","article-title":"Qualitative descriptors of strength of association and effect size","volume":"21","author":"J A Rosenthal","year":"1996","journal-title":"J Soc Serv Res"},{"key":"ref11","volume-title":"An\u00e1lise de dados: modelagem multivariada para tomada de decis\u00f5es","author":"L P Favero","year":"2009"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"2325967121992154","DOI":"10.1177\/2325967121992154","article-title":"Poor Prognostic Factors in Patients With Rotator Cuff Retear","volume":"9","author":"D M Kim","year":"2021","journal-title":"Orthop J Sports Med"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1207\/S15327752JPA7502_10","article-title":"Development and validation of a scale to measure perceived control of internal states","volume":"75","author":"J F Pallant","year":"2000","journal-title":"J Pers Assess"},{"key":"ref14","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9780511761676","volume-title":"The Essential Guide to Effect Sizes: Statistical Power, Meta-Analysis, and the Interpretation of Research Results","author":"P D Ellis","year":"2010"},{"key":"ref15","volume-title":"Epidemiologia. 2\u00aa ed","author":"R A Medronho","year":"2008"},{"issue":"01","key":"ref16","first-page":"3","article-title":"Calculating and reporting effect sizes on scientific papers (1): p < 0.05 limitations in the analysis of mean differences of two groups.","volume":"1","author":"H Esp\u00edrito Santo","year":"2015","journal-title":"Rev Port Inv Comp Soc"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"2325967120975754","DOI":"10.1177\/2325967120975754","article-title":"Clinical Outcomes for Isolated Subscapularis Tears With Advanced Fatty Infiltration: Nonoperative Treatment Versus Arthroscopic Single-Row Repair","volume":"9","author":"T H Yoon","year":"2021","journal-title":"Orthop J Sports Med"},{"issue":"11","key":"ref18","doi-asserted-by":"crossref","first-page":"2660","DOI":"10.1016\/j.jse.2021.05.010","article-title":"Risk factors affecting rotator cuff retear after arthroscopic repair: a meta-analysis and systematic review","volume":"30","author":"J Zhao","year":"2021","journal-title":"J Shoulder Elbow Surg"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1802963.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T23:08:17Z","timestamp":1745881697000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1802963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":18,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,1,16]]},"published-print":{"date-parts":[[2025,2]]}},"alternative-id":["s00451802963"],"URL":"https:\/\/doi.org\/10.1055\/s-0045-1802963","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"value":"0102-3616","type":"print"},{"value":"1982-4378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]}}}