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Травматология и ортопедия России. 2011; : 7-15

ВОЗМОЖНОСТИ АРТРОСКОПИИ В ЛЕЧЕНИИ ПОВРЕЖДЕНИЙ ВРАЩАЮЩЕЙ МАНЖЕТЫ ПЛЕЧА

Тихилов Р. М., Доколин С. Ю., Кузнецов И. А., Трачук А. П., Зайцев Р. В., Заболотский Д. В., Артюх В. А., Базаров И. С., Трухин К. С.

https://doi.org/10.21823/2311-2905-2011-0-2-7-15

Аннотация

Проведен анализ результатов артроскопического лечения 58 пациентов с различными вариантами повреждения вращающей манжеты плеча. Срок наблюдения составил от от 4 месяцев до 3 лет (в среднем 18±5,2 месяцев) после операции. Даны количественные МРТ характеристики, позволяющие определять прогностически неблагоприятные варианты повреждений вращающей манжеты, и рассмотрены хирургические способы выхода из таких ситуаций, включая частичное восстановление структур вращающей манжеты артроскопическим способом и реверсивное эндопротезирование плечевого сустава.

Список литературы

1. Макаревич Е.Р. Лечение повреждений вращательной манжеты плеча / Е.Р. Макаревич, А.В. Белецкий. – Минск : БГУ, 2001. – 163 с.

2. Burkhar, S. Reconciling the paradox of rotator cuff repair versus debridement: a unified biomechanical rationale for the treatment of rotator cuff tears / S. Burkhart // Arthroscopy. – 1994. – Vol. 10, N 1. – P. 4–19.

3. Burkhart, S. Articular arc length mismatch as a cause of failed bankart repair / S. Burkhart, S. Danaceau // Arthroscopy. – 2000. – Vol. 16, N 7. – P. 740–744.

4. Burkhart, S. A cowboy's guide to advanced shoulder arthroscopy / S. Burkhart, I. Lo, P. Brady. – Philadelphia : Lippincott Williams & Wilkins, 2006. – 316 p.

5. Burkhart, S. Arthroscopic repair of massive rotator cuff tears with stage 3 and 4 fatty degeneration / S. Burkhart, J. Barth // Arthroscopy. – 2007. – Vol. 23, N 4. – P. 347–354.

6. Davidson, J. The geometric classification of rotator cuff tears: a system linking tear pattern to treatment and prognosis / J. Davidson, S. Burkhart // Arthroscopy. – 2010. – Vol. 26, N 3. – P. 417–424.

7. Golish, R. Interference screw versus suture anchor fixation for subpectoral tenodesis of the proximal biceps tendon: a cadaveric study / R. Golish, I. Caldwell, M. Miller // Arthroscopy. – 2008. – Vol. 24, N 10. – P. 1103–1108.

8. Lafosse, L. A new technique to improve tissue grip: "The Lasso-Loop Stitch" / L. Lafosse // Arthroscopy. – 2006. – Vol. 22, N 11. – P. 1246–1249.

9. Lee, G. The supraspinatus distension sign: an indicator of supraspinatus integrity / G. Lee, T. Busfield // Arthroscopy. – 2009. – Vol. 25, N 6. – P. 617–619.

10. Lo, I. Arthroscopic revision of failed rotator cuff repairs: technique and results / I. Lo, S. Burkhart // Arthroscopy. – 2004. – Vol. 20, N 3. – P. 250–267.

11. McLaughlin, H.L. Lesions of the musculotendinous cuff of the shoulder. The exposure and treatment of tears with retraction. 1944 / H.L. McLaughlin // Clin. Orthop. – 1994. – N 304. – P. 3–9.

12. Scheibel, M. A modified Mason-Allen technique for rotator cuff repair using suture anchors / M. Scheibel, P. Habermeyer // Arthroscopy. – 2003. – Vol. 19, N 3. – P. 330–333.

13. Snyder, S.J. Diagnostic arthroscopy of the shoulder. Normal anatomy and variations / S.J. Snyder // Shoulder arthroscopy. – Philadelphia : Lippincott Williams & Wilkins, 2003. – P. 22–38.

14. Wolf, E. Arthroscopic side-to-side rotator cuff repair / E. Wolf, W. Pennington // Arthroscopy. – 2005. – Vol. 21, N 7. – P. 881–887.

Traumatology and Orthopedics of Russia. 2011; : 7-15

ARTHROSCOPY POSSIBILITIES IN TREATMENT OF INJURIES OF THE SHOULDER ROTATOR CUFF

Tikhilov R. M., Dokolin S. Y., Kuznetsov I. A., Trachuk A. P., Zaitsev R. V., Zabolotsky D. V., Artyukh V. A., Bazarov I. S., Trukhin K. S.

https://doi.org/10.21823/2311-2905-2011-0-2-7-15

Abstract

The authors analyzed the results of arthroscopic treatment 58 patients with various injuries of rotator cuff. Follow-up was from 4 months to 3 years (average 18 ± 5,2 months) after surgery. The quantitative MRI characteristics allowing to define prognostically unfavorable variants of rotator cuff surgery are presented. The authors considered the ways out of such situations including the partial restoration of the rotator cuff structures by arthroscopic method and reverse shoulder arthroplasty.

References

1. Makarevich E.R. Lechenie povrezhdenii vrashchatel'noi manzhety plecha / E.R. Makarevich, A.V. Beletskii. – Minsk : BGU, 2001. – 163 s.

2. Burkhar, S. Reconciling the paradox of rotator cuff repair versus debridement: a unified biomechanical rationale for the treatment of rotator cuff tears / S. Burkhart // Arthroscopy. – 1994. – Vol. 10, N 1. – P. 4–19.

3. Burkhart, S. Articular arc length mismatch as a cause of failed bankart repair / S. Burkhart, S. Danaceau // Arthroscopy. – 2000. – Vol. 16, N 7. – P. 740–744.

4. Burkhart, S. A cowboy's guide to advanced shoulder arthroscopy / S. Burkhart, I. Lo, P. Brady. – Philadelphia : Lippincott Williams & Wilkins, 2006. – 316 p.

5. Burkhart, S. Arthroscopic repair of massive rotator cuff tears with stage 3 and 4 fatty degeneration / S. Burkhart, J. Barth // Arthroscopy. – 2007. – Vol. 23, N 4. – P. 347–354.

6. Davidson, J. The geometric classification of rotator cuff tears: a system linking tear pattern to treatment and prognosis / J. Davidson, S. Burkhart // Arthroscopy. – 2010. – Vol. 26, N 3. – P. 417–424.

7. Golish, R. Interference screw versus suture anchor fixation for subpectoral tenodesis of the proximal biceps tendon: a cadaveric study / R. Golish, I. Caldwell, M. Miller // Arthroscopy. – 2008. – Vol. 24, N 10. – P. 1103–1108.

8. Lafosse, L. A new technique to improve tissue grip: "The Lasso-Loop Stitch" / L. Lafosse // Arthroscopy. – 2006. – Vol. 22, N 11. – P. 1246–1249.

9. Lee, G. The supraspinatus distension sign: an indicator of supraspinatus integrity / G. Lee, T. Busfield // Arthroscopy. – 2009. – Vol. 25, N 6. – P. 617–619.

10. Lo, I. Arthroscopic revision of failed rotator cuff repairs: technique and results / I. Lo, S. Burkhart // Arthroscopy. – 2004. – Vol. 20, N 3. – P. 250–267.

11. McLaughlin, H.L. Lesions of the musculotendinous cuff of the shoulder. The exposure and treatment of tears with retraction. 1944 / H.L. McLaughlin // Clin. Orthop. – 1994. – N 304. – P. 3–9.

12. Scheibel, M. A modified Mason-Allen technique for rotator cuff repair using suture anchors / M. Scheibel, P. Habermeyer // Arthroscopy. – 2003. – Vol. 19, N 3. – P. 330–333.

13. Snyder, S.J. Diagnostic arthroscopy of the shoulder. Normal anatomy and variations / S.J. Snyder // Shoulder arthroscopy. – Philadelphia : Lippincott Williams & Wilkins, 2003. – P. 22–38.

14. Wolf, E. Arthroscopic side-to-side rotator cuff repair / E. Wolf, W. Pennington // Arthroscopy. – 2005. – Vol. 21, N 7. – P. 881–887.