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Year 2006 Vol. 14 No 4

REVIEWS

ASKERKO E.A.

PROBLEMS CONNECTED WITH TREATMENT OF PARTIAL DAMAGE OF SHOULDER ROTATOR CUFFS

Chronic instability of the shoulder joint due to partial damage of tendons of short rotators of the shoulder is the most common and at the same time the most diverse from a standpoint of treatment which is explained by the variety of nature, mechanism and polymorphism of the origin of this particular pathology. The article concerns the analysis of native and world literature on the problems connected with the nature of origin and treatment of partial damage of shoulder rotator cuffs from the 30s of the last century to the present time. It is shown that there is great percentage of patients with unsatisfactory long-term results of treatment. The conclusion is made that the volume of operations used by the authors helps to increase the subacromial space, to free the coracoid-acromial interval, thereby to eliminate or reduce the pain syndrome by extracting the damaged tendon. The drawback of the described methods of treatment of partially damaged cuffs is the instability of the restoration of the active adduction of the shoulder due to the increased length of the unextracted tendon of the supraspinous muscle. This shows that the diagnosis of such conditions is very difficult and the final diagnosis can be made only by means of MRI or US investigation.

Keywords: instability of the shoulder joint, impingement-syndrome, diagnostics, treatment
p. 117 - 125 of the original issue
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