Saratov JOURNAL of Medical and Scientific Research

shoulder joint

Surgical management of humeral shaft comminuted fractures

Year: 2019, volume 15 Issue: №3 Pages: 636-640
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Grazhdanov КА, Barabash АР, Barabash YuA, Chibrikov AG, Kauts OA, Ermolaev PE.
Organization: Saratov State Medical University

Objective: based on retrospective outcome review of surgical rehabilitation perform assessment of possible usage for intramedullary locking rod structures meant to treat comminuted fractures of humeral shafts. Material and Methods. The intramedullary cross-locking rods were used to fix the fragments. The structures were inserted into humeral shafts by antegrade or retrograde techniques. In most cases surgical interventions were conducted as fracture closed reductions, at that the length and the axis of the limbs were restored without any additional fixation of separate fragments. Results. The review of outcomes for 33 patients with complicated traumatic destructions of humeral shafts showed high efficiency of intramedullary locking rod structures at managing patients with this type of injuries. Conclusion. Small surgical trauma and solid fixation provide for early functional rehabilitation of injured extremities as well as patients» quick return to everyday routine and activity before the fracture heals completely.

2019_03_363-640.pdf635.55 KB

Evaluation results of arthroscopic reconstruction of rotator cuff using single-row anchor fixation

Year: 2018, volume 14 Issue: №3 Pages: 401-407
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Chirkov А.А., Spiridonova O.V., Yakovlev V.N.

The purpose was to evaluate the results of arthroscopic reconstruction of the rotator cuff of a shoulder using the single-row anchor fixation method, to evaluate the dependence of the results of treatment on the size of the rupture of the rotator cuff of the shoulder. Material and Methods. This report provides an analysis of results of surgical treatment of 84 patients with the damage of the rotator cuff of a shoulder, who underwent arthroscopic reconstruction of the rotational cuff of a shoulder using single-row anchor fixation. The size of rupture of the rotator cuff of the shoulder was measured with the use of MRI and during surgery itself. All ruptures were subdivided into small (less than 1 cm), medium (1-3 cm) and large (3-5 cm). The exclusion criteria were patients with a massive rupture of the rotator cuff of a shoulder, with retraction of the tendon to the level of the articular process of the scapula or fatty degeneration of the muscles of the short shoulder rotators. The paper presents the features of operative technique and original algorithm for postoperative rehabilitation at different stages of treatment. Evaluation of the results of treatment was performed according to the rating scale of the Constant score, ASES, UCLA. Results. The average age of the patients was 56.0±7.4 (36-71 years). Of these, 22.6% patients had a small degree of rupture of the rotator cuff of a shoulder, 50% middle and 27.4% patients had a large degree of rupture. The nearest results (up to one year) were evaluated in 5 patients, long-term results in 79 patients (more than a year). The average rating score according to the Constant score was 89,8±9,2; the average value according to the ASES scale was 83,7±17,6; the average value according to the UCLA scale was 29.3±5.9. In all other patients complete recovery was observed in the period from 6 months to a year after the operation, there was a decrease in the pain syndrome, an increase in the volume of movements, an improvement in the quality of life. Conclusion. Arthroscopic reconstruction of the rotator cuff of a shoulder using the method of single-row anchor fixation, if necessary, with the help of seams which reapproximate the edges of the rupture, and with the help of the accompanying procedures, provides good results. Reduction in pain, increase in movement and in muscle strength in the arm were noted in all patients, regardless of the size of the damage to the rotator cuff of the shoulder. The rehabilitative protocol used ensures the creation of favorable conditions for engraftment of the restored tendon and, at the same time, provides prevention of the development of the stiffness of the shoulder joint.

2018_3_401-407.pdf1.04 MB

Pain syndrome features in Parkinson's disease

Year: 2016, volume 12 Issue: №4 Pages: 706-712
Heading: Neurology Article type: Review
Authors: Bril Е.М., Udalov U.D., Anikina M.A., Zimnyakova O.S.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency

Pain in Parkinson disease take the special place among all of disease symptoms due to it pathogenetics and clinical diversity. In spite of the plurality of resent studies, the majority of clinical practioners and neurologists didn't pay attention to significant decline of the quality of life in patients with Parkinson disease and pain disorders. This article was created with aim to summarize all important results of studies, focused on pain pathogenesis and clinical features on different stages of disease.

2016_04-1_706-712.pdf319.5 KB

Modern Treatment Methods of Habitual Shoulder Dislocation (Literature Review)

Year: 2010, volume 6 Issue: №3 Pages: 687-692
Heading: Traumatology and Orthopedics Article type: Review
Authors: Dlyasin N.G., Norton A.I., Gramma S.A., Gorshkov V.Ju., Derevjanov A.V.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics

In the literature review the groups of the most applicable surgical interventions in treatment of patients with habitual shoulder dislocation are cited. The tendency to increase an application of arthroscopic operations seek to eliminate some realizing factors of dislocation of the humeral head is observed

201003_687_692.pdf281.95 KB