POSTER ABSTRACTS - ISAKOS

Discussion:The arthroscopic technique has
advantage of allowing accurate inspection of the
articular side tear, and treating coexsting intraarticular
lesions. In this series, five of the eight
cases were articular side tear, and three patients
who suffered from shoulder stiffness were
undergone arthroscopic capsular release in
addition of rotator cuff repair. There are many
reports of the arthroscopic debridement and
subacromial decompression for PRCT, but there
are few reports of the ARCR of PRCT, which
involved more than 50% depth of the tendon. In
this study, this arthroscopic treatment revealed
the good results as rated by the UCLA Shoulder
Rating Scale.
E-poster #925
Muscle Tendinous Lesions in Athletes
Benno Ejnisman, Sao Paulo, BRAZIL, Presenter
Carlos Vicente Andreoli, Sao Paulo, BRAZIL
Alberto Castro Pochini, Sao Paulo, BRAZIL
Gustavo Cara Monteiro, Sao Paulo, BRAZIL
Wander Guimaraes Ama, Sao Paulo, BRAZIL
Moises Cohen, Sao Paulo, BRAZIL
unifesp, Sao Paulo, BRAZIL
Muscle injuries-lacerations, contusions or strains
are the most common injuries in sports. Most
muscle injuries can be treated conservatively with
excellent recovery, but complete ruptures with
complete loss of function should be managed
surgically. This retrospective study examined 252
shoulder muscle lesions for 4 years and age
between 16 and 65 years old (media 29,32).
Contusions and muscle pain were most often
lesions(132- 52%), cuff rotator tendon tears (92-
36,5%), pectoralis major lesions (15- 5,95%), 6
proximal biceps ruptures, 2 triceps braquial
ruptures, 1 latissimus dorsi lesion and 1 anterior
serratil lesion. SLAP lesions were excluded.
Volleyball(20%),
weightlifting(19,1%),swimming(7,4%),
handball(5,3) and contact fight(5,3%) were the
most often sports involved . Of them, 87% return
to competitive sport pratice. The muscletendinous
lesions are the most common injuries
and needs treatement protocols and clinicals
studies more specifics.
E-poster #926
Arthroscopic Findings of Biceps Pulley in
Shoulder Pathology
Chang-Hyuk Choi, Taegu, KOREA, Presenter
Shin-Kun Kim, Taegu, Taegu KOREA
Catholic University of Taegu, Taegu, KOREA
Purpose: The role of biceps pulley is stabilizing
sling for the long head of the biceps tendon
against anterior shearing stress in the rotator
interval. The purpose of this study was to classify
arthroscopic findings of biceps pulley and to
evaluate the relationship with shoulder pathology.
Materials and Methods: From January 2002
through July 2003, we observed biceps pulley in
128 cases of shoulder pathology treated with
arthroscopically, including 42 cases of anterior
instability, 42 of rotator cuff tear, 14 of
impingement syndrome, 10 of frozen shoulder, 5
of superior labral injury, 2 of snapping scapula, 6
of calcific tendinitis, 5 of biceps dislocation or
tear, each 1 of acromioclavicular arthritis and
suprascapular ganglion. We classified biceps
pulley as four types according to the arthroscopic
appearance. Type I as stretched type, type II as
sling type, type III as detached sling type, and type
IV as concealed type.
Results: We observed stretched type in 85
cases(66%), sling type in 9 cases(7%), detached
sling type in 4cases(3%), concealed type in 2
cases, and unidentified cases in 28 cases(22%).
Conclusion : Development and variation of biceps
pulley may have symptomatic correlation
according to the degree of shoulder motion or
pathologic status.
E-poster #927
Interscalene Block Anesthesia for Shoulder
Surgery. Is It Safe and Effective?
Guillermo R. Arce, Buenos Aires, ARGENTINA,
Presenter
Carlos A Bollini, Buenos Aires ARGENTINA
Pablo Lacroze, Buenos Aires, ARGENTINA
Juan Pablo Previgliano, Buenos Aires,
ARGENTINA
Eduardo Humberto Costanza, Buenos Aires,
ARGENTINA
Matias Canete, Buenos Aires, ARGENTINA
IADT, Buenos Aires, ARGENTINA
Backgound: There has been resistance to the use
of Interscalene Regional Block (ISB) for shoulder
surgery due to concerns about potential
complications and failed blocks.
Objective: The purpose of this study was to clarify
the advantages of the IB in shoulder surgery and
to review its complications.
Method: Out of 521 cases of shoulder procedures
a retrospective review was performed of 445
consecutive patients in a six year period.