Entenda a Ruptura Parcial do Manguito Rotador

#orthopedicsandtraumatology #orthopedics #orthopedicsinfocus Understanding partial rotator cuff tears Consultations and Lectures (49) 34414562 Concórdia, SC Whatsapp (49) 91319191 Campos Novos, SC Help build the content https://docs.google.com/forms/d/e/1FA... Ebook Take care of your shoulder - Guidance on rotator cuff surgery https://go.hotmart.com/V72015252R?dp=1 Hello friends and colleagues of the channel, today a new video, we will talk about partial rotator cuff tears, we have already talked about the tendon when it becomes inflamed, when it tears, But what about when there's a small tear? Let's discuss that now. I'm Dr. Mateus Franceschi Dallanora, an orthopedist and traumatologist. This is Orthopedics in Focus. Don't forget to like the video, share it with your friends, and follow the channel. To begin, let's always talk about the basics, starting with the anatomy of the rotator cuff: four muscles—supraspinatus, infraspinatus, subscapularis, and teres minor—each with its own function. And what causes the injuries? They can be intrinsic (from the individual) or extrinsic (external environment). Intrinsic causes are based on changes related to metabolism (causing degenerative lesions). Extrinsic factors are based on acromiohumeral impingement, shoulder instability, and internal impingement (all problems due to shoulder biomechanics), with one or more of these factors frequently being responsible for developing tears. Of course, we cannot ignore smoking, diabetes, repetitive strain injuries, tendinitis, and trauma. So, translated into Portuguese, these ruptures can result from trauma, inflammation, and wear and tear, and depending on their size and location, they can progress. The doctor classifies them based on size, muscle quality, and the location of the injury (in the articular area, or in the bursal area, or intrasubstance). The patient should seek medical attention when experiencing symptoms such as pain, fatigue, weakness, and sometimes numbness, usually at night. The orthopedist will evaluate and may use diagnostic tools such as X-rays, ultrasound, and MRI, which will contribute to the best treatment. Unfortunately, there is no algorithm or recipe; the doctor will treat depending on the size of the lesion and the likelihood of it worsening, and always according to the patient's wishes! Treatment can generally be of two types: conservative, i.e., without surgery, and surgical. Conservative treatment focuses on relieving the patient's pain and allowing them to perform some type of strengthening, which will maintain the strength of the rotator cuff. Avoiding overhead activities or activities that cause pain can help in treatment. When treatment fails, corticosteroid injections can be used, but it is important to be careful not to overuse them, as the more injections, the lower the quality of the tendon will be. Surgical treatment is usually chosen when initial treatment fails and if the injury does not have a high chance of progression. The goal is to attempt to repair the injury, either laparoscopically or through open surgery. The objective of surgical treatment is to repair the injury. The doctor may simply clean the injury, repair the injury (suturing one edge to the other), or simply remove the injury and the damaged tissue and repair it. This decision regarding technique will also be based on the size of the injury and the risk of progression. After surgical treatment, there is a period during which the patient must remain immobilized so that the tendon can heal in the best way and avoid the risk of re-rupture, that is, that the repaired tendon does not withstand the repair and ends up rupturing. After this rupture, the patient can have a normal life, without pain and with a great chance of an excellent result, avoiding the risk of disease progression, always remembering that the patient must strengthen and maintain the muscle in good condition, this will prevent new problems in the future. Thank you for watching this video and I hope it helps everyone in some way. A hug and see you in the next video Dr. Mateus Franceschi Dallanora CRM 18661-SC / RQE 14996