Year 2006 Vol. 14 No 4

MODERN DIAGNOSTICS AND THERAPY

ASKERKO E. A.

TREATMENT OF SHOULDER ROTATOR CUFF WITH FUNCTIONAL DEFICIENCY OF SUPRASPINAL MUSCLE PARTIAL DAMAGES

In the article the original therapy method of the shoulder joint instability in case of shoulder rotator cuff with functional deficiency of supraspinal muscle partial damages was described. The method has been worked out in the traumatology and orthopedics clinic of Vitebsk State Medical University (patent № 4949). The given method of treatment has been used in 14 patients. Analysis of the immediate and distant results is performed. It is shown that in the patients with lateralization of the supraspinal muscle ligaments, the percentage of improvements of shoulder joint function according to the majority of clinical indexes is significantly higher in the nearest post-operative period (on average 2,85±0,95 months) than in the subsequent period (on average 8,07±0,99 months). Activity index increase is 26% higher, self-service index – 29,8% higher, rotator movement index – 40% and 37,2% higher, elevation and abruptness of movements index – 35,6% and 37,2% higher correspondingly. Considerable pain syndrome presence as well as the presence of slight importance humeral-scapular angle opening during the first four months (IP=3,86±0,36, HAS= 60,93±2,34°) in the patients is due to the expanded operative volume and corresponding tissue traumatism. During a four months period (on average 8,07±0,99 months)such operative volume and subsequent recovery treatment have helped to increase humeral-scapular angle up to 100,42±4,91° when MCI is 4,79±0,10; it has been caused by the optimal stabilization of the joint as well as restoration of supraspinal muscle tension.

Keywords: shoulder joint instability, shoulder rotator cuff damage, supraspinal muscle deficiency, treatment methods, distant results
p. 50 - 56 of the original issue
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