title: FUNCTIONAL EVALUATION OF PATIENTS WHO HAVE UNDERGONE ARTHROSCOPIC DEBRIDEMENT TO TREAT MASSIVE AND IRREPARABLE TEARS OF THE ROTATOR CUFF.
abstract: To evaluate the results from patients who underwent arthroscopic debridement of extensive irreparable rotator cuff injuries.
  
  
  METHODS
  27 patients were operated between 2003 and 2007, and 22 of them were evaluated. The surgical procedure consisted of arthroscopic debridement of the stumps of the tendons involved, bursectomy, removal of acromial osteophytes and, possibly, biceps tenotomy and tuberoplasty.
  
  
  RESULTS
  All the patients showed involvement of the supraspinatus and infraspinatus tendons at the preoperative stage. In the postoperative evaluation, 14 patients had a complete teres minor muscle, and three had partial tears of the subscapularis tendon. There was an improvement in the UCLA criteria, from 15 preoperatively to 31 postoperatively. There was no improvement in muscle strength, but there was a reduction in the pain.
  
  
  CONCLUSIONS
  Arthroscopic debridement is a recommended procedure for elderly patients with irreparable rotator cuff tears, good range of motion and low functional demand, when the main objective is to diminish pain.
authors.affiliation: Professor in the School of Medical Sciences of Minas Gerais; Surgeon in the Shoulder and Elbow Group of Hospital Mater Dei and Hospital Israel Pinheiro de Minas Gerais (IPSEMG).
authors.forename: Marco Antônio de Castro
authors.initials: MA
authors.lastname: Veado
authors.affiliation: Surgeon in the Shoulder and Elbow Group of Hospital Mater Dei, Belo Horizonte, MG.
authors.forename: Alessandro Ulhôa
authors.initials: AU
authors.lastname: Rodrigues
keywords: Arthroscopy; Bursitis; Debridement; Rotator Cuff