A ultra-sonografia na avalia????o da s??ndrome do ombro doloroso - An??lise de urna s??rie de casos

Com objetivo de estudar os poss??veis achados uitra-sonogr??ficos na S??ndrome do Ombro Doloroso (SOD), foram avallados 77 pacientes com diagn??stico cl??nico de ombro doloroso encaminhados para investiga????o atrav??s da ultra-sonografia (USG). Al??m dos achados de exame, procurou-se identificar vari??veis cl??nicas e epidemiol??gicas, as quais, pudessem estar associadas ?? presen??a de altera????es patol??gicas. Dos 77 pacientes incluidos no estudo foram encontradas altera????es no exame de USG de 47(61%), destes 38 (80%) apresentaram algum tipo de les??o no manguito rotador (MR), classificadas de tendinose ou tendinopatia, ruptura parcial e ruptura completa. Dentre os outros nove (20%) pacientes, cinco (11%) apresentaram bursite e quatro (9%) derrame articular como diagn??sticos isolados. Dentre as vari??veis cl??nicas e epidemiol??gicas avaliadas, a idade acima de 51 anos e limita????o funcional articular estiveram associadas a presen??a de altera????es no exame ultra-sonogr??fico destes pacientes. A les??o do MR al??m de ter sido a altera????o mais freq??ente, esteve associada ao diagn??stico ultra-sonogr??fico de derrame articular e a necessidade de uso de drogas antiinflamat??rias. Concluiu-se que a USG ?? um importante m??todo de avalia????o de pacientes com SOD e que fatores como idade, limita????o funcional articular apresentam associa????o com a presen??a de les??o do manguito rotador.Seventy-seven patients with clinical diagnostic of painful shoulder sent to ultrasonographic investigation were assessed in order to study the possible ultrasonographic findings of the painful shoulder syndrome (PSS). Besides the image findings, we tried to identify clinical and epidemiological variables which could be associated to the presence of pathological disorders. Among the 77 patients included in the study, we found ultrasonographic abnormalities in 47 patients (61%). The most common finding among the abnormal exams was the lesion of the rotator cuff in 38 patients (80%), classified as tendinopathy, partial rupture or complete rupture. Nine patients (20%) with abnormal exams presented other lesions, such as bursitis (5 cases) and joint effusion (4 cases), without other associated alterations. Among the clinical and epidemiologic variables assessed, age over 51 years and the presence of joint disability were associated to abnormal ultrasound results for these patients. The rotator cuff lesion was associated to the presence of joint effusion and the need of the use of anti-infiammatory drugs. We have reached the conclusion that sonography is an important method of assessing patients with PSS. In this study, factors such as age and joint disability were associated with the presence of the rotator cuff lesio