肩袖损伤治疗管理的科学更新：随机临床试验的系统回顾和荟萃分析

The American Journal of Medical Sciences and Pharmaceutical Research Pub Date : 2024-04-01 DOI:10.37547/tajmspr/volume06issue04-02

Matheus Pedroso Cavalcanti de Souza, Renan Toledo Curti, Bianca Gabriella de Oliveira

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引用次数: 0

摘要

评估手术和非手术疗法治疗肩袖损伤的效果。研究方法：本系统综述根据系统综述和元分析首选报告项目（PRISMA）指南进行。使用以下术语在在线 Cochrane 图书馆、EMBASE、CINAHL、Medline 和 PubMed 数据库中进行了检索：肩袖损伤或肩袖和骨科手术。结果：共纳入 688 例患者，其中 479 例接受了手术治疗，209 例接受了非手术治疗。本系统综述分析的研究显示，接受手术治疗的患者在VAS（视觉模拟量表）、Constant Murley评分和肢体活动范围方面的效果更好。结论与物理治疗相比，手术治疗肩袖损伤的预后更好。

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SCIENTIFIC UPDATE ON THE THERAPEUTIC MANAGEMENT OF ROTATOR CUFF INJURIES: SYSTEMATIC REVIEW WITH META-ANALYSIS OF RANDOMIZED CLINICAL TRIALS

To evaluate the effectiveness of operative and non-operative management in the treatment of rotator cuff injuries. Methodology: This systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A search was conducted using the online Cochrane Library, EMBASE, CINAHL, Medline and PubMed databases, using the following terms: Rotator Cuff Injuries OR Rotator Cuff AND Orthopedic Procedures. Results: 688 patients were included, of whom 479 underwent surgical treatment and 209 non-operative treatment. The studies analyzed in this systematic review showed better results for the VAS (Visual analog scale), the Constant Murley Score and for limb range of motion in patients who underwent surgical treatment. Conclusion: Surgical treatment for rotator cuff injuries was associated with a better prognosis than physiotherapeutic treatment.

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