<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032020000300312</article-id>
<article-id pub-id-type="doi">10.35366/95412</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo artroscópico en rupturas masivas del manguito rotador con espaciador subacromial]]></article-title>
<article-title xml:lang="en"><![CDATA[Arthroscopic management of massive rotator cuff tears with subacromial spacer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ochoa Cázares]]></surname>
<given-names><![CDATA[René]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Narváez Corona]]></surname>
<given-names><![CDATA[René Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Parás]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Campus  Facultad Mexicana de Medicina]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad La Salle Campus Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario &#8220;Dr. José Eleuterio Gómez&#8221; Hospital Universitario &#8220;Dr. José Eleuterio Gómez&#8221; ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>3</numero>
<fpage>312</fpage>
<lpage>315</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032020000300312&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032020000300312&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032020000300312&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Con los avances en cirugía artroscópica se ha logrado actualmente el manejo de lesiones masivas, sean reparables o irreparables, ofreciendo una mejoría importante en el dolor y la funcionalidad, y en ocasiones la fuerza muscular. Para elegir el tipo de tratamiento más adecuado debe tenerse en cuenta el síntoma principal, la edad, el grado funcional, la anatomía de la lesión y síntomas asociados. Entre las opciones terapéuticas se encuentran la debridación, la reparación parcial del manguito, la aumentación con parche, la reparación capsular superior y recientemente, la colocación de espaciador subacromial biodegradable. Éste último dispositivo es una adición importante al manejo en pacientes con tejidos deficientes, así como en la protección de reparaciones parciales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Arthroscopic surgery has reached a point where it has become a useful tool in the management of massive tears of the rotator cuff, reparable or not. This allows for an improvement in pain, functionality, and even muscular strength. Chief symptom, age, functional degree, lesion anatomy and associated symptoms must be evaluated to choose the best treatment. The available surgical options are debridement, partial rotator cuff repair, patch augmentation, superior capsule reconstruction and the use of a subacromial spacer. This option allows to improve shoulder function in patients with soft tissue compromise. It can also be used to protect partial repairs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lesiones masivas]]></kwd>
<kwd lng="es"><![CDATA[manguito rotador]]></kwd>
<kwd lng="es"><![CDATA[cirugía artroscópica]]></kwd>
<kwd lng="en"><![CDATA[Massive tears]]></kwd>
<kwd lng="en"><![CDATA[rotator cuff]]></kwd>
<kwd lng="en"><![CDATA[arthrospic surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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