Orthopedist and Traumatologist, Santa Casa Ourinhos, Ourinhos, SP., Brazil Bianca Gabriella de Oliveira Medical student at Universidade Salvador-UNIFACS, Salvador, BA., Brazil

Аннотация

INTRODUCTION and leads to a greater possibility of disability, with The shoulder is a joint with an important functional an increase in its prevalence in recent years. role due to its extensive range of movement and flexibility. Due to excessive mechanical overload This pathology is due to the anatomical importance caused by ergonomics, overweight or muscle of the four composing muscles: supraspinatus, hypotrophy, rotator cuff injury is one of the most infraspinatus, teres minor and subscapularis common degenerative lesions of the shoulder joint tendon, which establish stability in the https://www.theamericanjournals.com/index.php/tajmspr 7 THE USA JOURNALS THE AMERICAN JOURNAL OF MEDICAL SCIENCES AND PHARMACEUTICAL RESEARCH (ISSN – 2689-1026) VOLUME 06 ISSUE04 glenohumeral joint. The rotator cuff also plays an language. All results up until 1april 2024 were important role in the stability and function of the included.The SPICE strategy was used to identify shoulder joint. Given its clinical relevance, there is the most relevant studies. currently much discussion about diagnostic and - Setting: patients diagnosed with rotator cuff therapeutic management. injury. The scapulothoracic joint has a great connection - Perspective: individuals undergoing a non- with the glenohumeral joint due to the fact that it surgical approach using orthoses for the treatment has no real articular anatomy; however, the of rotator cuff injury. combination of bones and scapular location result in participation in the biomechanics of the - Intervention: Surgical treatment shoulder. The anteriorization of the scapula in the - Comparison: patients undergoing treatment of anteriorization of the thorax, head and neck due to rotator cuff injury through non-surgical treatment a pain crisis can result in infrascapular stenosis and compared to the surgical group tendinopathy of the infrascapular rotator cuff. - Evaluation: efficacy of non-surgical treatment In view of this, the literature points out that Inclusion and exclusion criteria scapular muscle strength training, especially training of the rotator cuff muscles, generates We included: (1) studies with patients with rotator better stability of the glenohumeral joint, cuff injury (2) studies addressing patients expanding shoulder range of motion (ROM) and diagnosed with rotator cuff injury treated using improving the healing effect of patients with non-operative and operative treatment (3) studies rupture of the glenoid labrum of the scapula. The published between 2016-2024 (5) original studies, theory is that prolonged immobilization leads to preferably randomized studies. fatigue of the serratus anterior muscle, causing a Exclusion: (1) studies evaluating surgical reduction in the degree of rotation and extension of techniques for other shoulder injuries (2) studies the scapula and generating secondary injury due to published more than 15 years ago (3) non-original impingement of the acromion and rupture of the studies. rotator cuff. This systematic review has a positive registration The aim of this study is to compare the efficacy of with CRD42024530880, conservative versus surgical treatment for rotator cuff injury, through a systematic review with meta- RESULTS analysis of randomized clinical trials of the results After selecting 201 articles, 71 were excluded before and after therapeutic intervention. because they had been published for more than 15 METHOD years, leaving 130 to evaluate the titles and abstracts. Those that did not involve surgical or This systematic review was conducted according to conservative treatment for rotator cuff injuries Preferred Reporting Items for Systematic Reviews were eliminated. In this context, 44 articles were and Meta-Analysis (PRISMA) guidelines.6 excluded, leaving 27 for full reading. Finally, 05 Search strategy studies were selected for evaluation and preparation of this systematic review with meta- A search was conducted using the online Cochrane analysis (Figure 1). Library, EMBASE, CINAHL , Medline and PubMed databases, using the following terms: Rotator Cuff The 05 articles selected presented patients Injuries OR Rotador Cuff AND Orthopedic diagnosed with rotator cuff injuries who Procedures. The search was repeated using various underwent surgical or conservative treatment. 04 alternative spellings for arthroereisis. No articles corresponded to arthroscopic intervention limitations were placed on gender, date or compared to motor physiotherapy to correct the https://www.theamericanjournals.com/index.php/tajmspr 8 THE USA JOURNALS THE AMERICAN JOURNAL OF MEDICAL SCIENCES AND PHARMACEUTICAL RESEARCH (ISSN – 2689-1026) VOLUME 06 ISSUE04 injury and 01 article evaluated only the clinical and from 49.8º ± 13.9 to 49.5º ± 11.8 in the non-trauma functional efficacy of surgical treatment. A total of group. With regard to limb flexion, the variation 688 patients were included, of whom 479 was from 138º ± 43.7 to 160º ± 14.6 in the trauma under