Shoulder instability treatment on a base of complex diagnostics
Author Affiliations1Rusian Medical Academy of Postgraduate Education 123995, Moscow, Barrikadnaya str., 2/1
2Central Clinical Hospital of RAS 117593, Moscow, Litovsiy blvd., 1A
3Central Clinical Hospital of RAS 117593, Moscow, Litovsiy blvd., 1A
4Rusian Medical Academy of Postgraduate Education 123995, Moscow, Barrikadnaya str., 2/1
5Rusian Medical Academy of Postgraduate Education 123995, Moscow, Barrikadnaya str., 2/1
Abstract
Aim. To design diagnostic algorithm helping to specifically apply existing shoulder instability surgical treatment methods. Materials and methods: 118 anterior shoulder instability patients. The comparison of diagnostic methods significance for the methods of surgical treatment was carried out. The results of treatment were evaluated approximately in 26 month, using Rowe's scale. Results. In 50 % of cases Latarjet procedure was performed, in 32 % - Bankart procedure, in 12 % Bankart procedure was supplemented with remplisage, in 6 % Bankart procedure was performed in combination with capsulae plication. Average mark before treatment was 55.2, after treatment - 94.1. Conclusions: Shoulder instability recurrence development risk depends on anatomical, physiological and social factors, that determines the expediency of applying complex diagnostics.
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References1. Arkhipov S.V. Arthroscopic treatment of posttraumatic shoulder instability (critical analysis of different arthroscopic shoulder stabilization methods application) // VII meeting of Russian orthopaedic surgeons and traumatologists. Novosibirsk, 2002. 386-387. (in Russian)
2. Tikhilov R.M., Trachuk A.P., Dokolin S.Yu. Arthroscopic and biomechanical substantiation of anterior shoulder instability treatment // VI Russian national congress "Man and his health". St. Petersburg, 2001. 78-79. (in Russian)
3. Bankart A.S.B. The pathology and treatment of recurrent dislocation of the shoulder joint // Br. J. Surg. 1938. 26. 23-29.
4. Boileau P., Villalba M., Hery J.Y. et al. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair // J. Bone Joint Surg. Am. 2006. 88. 1755-1763.
5. Burkhart S.S., de Beer J.F. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion // Arthroscopy. 2000. 16. 677-694.
6. Emami M.J., Solooki S., Meshksari Z., Vosoughi A.R. The effect of open Bristow-Latarjet procedure for anterior shoulder instability: a 10-year study // Musculoskelet. Surg. 2011. 95. 231-235.
7. Gerber C., Nyffeler R.W. Classification of glenohumeral joint instability // Clin. Orthop. Relat. Res. 2002. 400. 65-76.
8. Hill H.A., Sachs M.D. The grooved defect of the humeral head. A frequently unrecognized complication of dislocations of the shoulder joint // Radiology. 1940. 35. 690-700.
9. Robinson C.M., Howes J., Murdoch H. et al. Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients // J. Bone Joint Surg. Am. 2006. 88. (11). 2326-2336.
About Authors (Correspondence):
Goncharov E.N. - researcher of traumatology and orthopedic surgery department, e-mail: goncharoven@gmail.com
Devis A.E. - the head of orthopaedics department, e-mail: andreydevis@rambler.ru
Akimkina A.M. - head of radiologic department c, e-mail: nakimkina@mail.ru
Dadaev M.Kh. - researcher of traumatology and orthopedic surgery department, e-mail: drdadaev@mail.ru
Golubev V.G. - doctor of medical sciences, professor, head of traumatology and orthopedic surgery department, e-mail: golubeff@mail.ru
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