Shoulder surgery in the trauma department of a small city multidisciplinary hospital
https://doi.org/10.52420/2071-5943-2022-21-2-97-100
Abstract
Issues of shoulder joint surgery, in particular, with recurrent instability and pathology of the rotator cuff, especially with its «irrecoverable» injuries, are currently of considerable practical interest to traumatologists and orthopedists. In this article, we will present our experience in treating patients with this pathology in the period 2020-2021. The results of treatment were assessed by the DASH-score scale, were evaluated at 6 and 12 months after the operations. Arthroscopic and open surgery of the shoulder joint are popular and effective methods of treating patients. The number of these interventions is steadily increasing. The problematic issue remains the ignorance of outpatient doctors, and the fact that arthroscopic surgery of the shoulder joint is a rather expensive method in terms of consumables, equipment, which is hardly covered by means of compulsory medical insurance.
About the Author
V. A. KrylovRussian Federation
Vladimir A. Krylov – MD.
Sverdlovsk region.
References
1. Mckee M. D., Yoo D. J. The effect of surgery for rotator cuff disease on general health status. Results of a prospective trial // J. Bone Joint Surg. – 2000. – Т.82-A, № 7. P. 970-979.
2. Ненашев Д. В., Варфоломеев А. П., Майков С. В. Анализ отдаленных результатов эндопротезирования плечевого сустава // Травматология и ортопедия России. – 2012. – Т. 2. – С. 71-78.
3. Fukuda H. Partial-thickness rotator cuff tears: a modern view on Codman's classic // Journal of Shoulder and Elbow Surgery. – 2000. – Т. 9. № . 2. P. 163-168.
4. Ненашев Д. В., Закревский К. В., Варфоломеев А. П. Консервативное лечение больных с неосложненными переломами большого бугорка плечевой кости // Травматология и ортопедия России. – 2003. – № 1.– С. 8-11.
5. The Clinicaland Structural Long-Term Results of Open Repair of Massive Tears of the Rotator Cuff / Zumstein M. A., Jost B., Hempel J. [et al.] // J. Bone Joint Surg. Am., – 2008. – № 90. – P. 2423-2431.
6. Архипов C. B., Кавалерский Г. М. Плечо: современные хирургические технологии: (Атлас). – 2009. С. – 109-126.
7. Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years' follow-up / Kim S. H., Ha K. I., Park J. H. [et al.] // Arthroscopy. – 2003. – № 19. – P. 746-754.
8. Chang W. K. Shoulder impingement syndrome //Physical medicine and rehabilitation clinics of North America. – 2004. B. 15. № . 2. P. 493-510.
9. Balg F., Boileau P. The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. References // J Bone Joint Surg Br. –2007 Nov;89(11):1470-7.
10. Montgomery T. J., Yerger B., Savoie F. H. Management of rotator cuff tears: a comparison of arthroscopic debridement and surgical repair // Journal of shoulder and elbow surgery. – 1994. B. 3. № . 2. P. 70-78.
11. The relationship of preoperative factors to patient-reported outcome in rotator cuff repair: a systematic review / Woollard J. D. et al. // Physical Therapy Reviews. – 2016. P. 1-13.
Review
For citations:
Krylov VA. Shoulder surgery in the trauma department of a small city multidisciplinary hospital. Ural Medical Journal. 2022;21(2):97-100. (In Russ.) https://doi.org/10.52420/2071-5943-2022-21-2-97-100