Open AccessSURGICAL APPROACH TO ELIMINATING THE POST-TRAUMATIC INSTABILITY OF THE SHOULDER JOINT
Author(s) -
О. А. Даниленко,
Е. Р. Макаревич,
N. S. Serduchenko
Publication year - 2018
Publication title -
doklady nacionalʹnoj akademii nauk belarusi
Language(s) - English
Resource type - Journals
eISSN - 2524-2431
pISSN - 1561-8323
DOI - 10.29235/1561-8323-2018-62-3-311-321
Subject(s) - instability , task (project management) , identification (biology) , scale (ratio) , physical medicine and rehabilitation , medicine , physical therapy , orthodontics , psychology , engineering , biology , botany , physics , systems engineering , quantum mechanics , mechanics
The results of treatment of 290 patients with chronic post-traumatic instability of the shoulder joint treated for the period 2004–2017 are studied. In accordance with the task, the authors identified 3 clinical variants of post-traumatic instability depending on the prevailing direction of the dislocation. Taking into account the revealed variants, the authors studied their morphogenesis and developed a differentiated tactic and ways of their elimination. The proposed approaches based on the identification and elimination of damages of the rotary-bicepital complex, as well as the developed methods of surgical treatment made it possible to improve the subjective feelings of patients on the OOP scale from 56 [48; 58] to 24 [12; 28] (Me [Q25; Q75]) and indicators of objective evaluation of the function on the Rowe scale from 15 [15; 55] to 75 [75; 100] points.