Abstract
The effectiveness of the developed approaches to the conservative treatment of traumatic injuries of the rotatory-bicepital complex is assessed. The long-term results of conservative treatment of 29 patients for the period from 2004 to 2017 and treated in the Mogilyov regional hospital and the SCTC of the 6th Minsk city clinical hospital were studied. The conservative treatment indications were considered to be the cases with traumatic partial local or extensive injuries of the rotator-bicepital complex in the presence of clinical manifestations in the form of pain syndrome and limitation of limb movements and in the absence of a decrease in limb strength in the sectoral testing of elements. The proposed tactical approaches implied immobilization, physiotherapy, local injection therapy.The developed conservative approaches to treating patients with damage to the rotary element of RBC allowed one to achieve a favorable outcome in the absolute majority of cases with long periods of patient follow-up, which improved the performance evaluation indicators according to the Oxford questionnaire for Me shoulder from 56 [48–58] to 12 [12–32] (Me [Q25–Q75]). The applied conservative approaches to treating patients with damage to the rotary element of RBC are a promising way to improve the clinical treatment results of patients with partial injuries of the rotator-bicepital complex.
Highlights
The developed conservative approaches to treating patients with damage to the rotary element of RBC allowed one to achieve a favorable outcome in the absolute majority of cases with long periods of patient follow-up, which improved the performance evaluation indicators according to the Oxford questionnaire for Me shoulder from 56 [48–58] to 12 [12–32] (Me [Q25–Q75])
Damages of the rotator-bicepital complex identified in patients (n = 29)
Damages revealed in patients (n = 29) with the use of a diagnostic algorithm
Summary
16-я городская клиническая больница, Минск, Республика Беларусь 2Белорусский государственный медицинский университет, Минск, Республика Беларусь. Оценена эффективность разработанных подходов к консервативному лечению травматических повреждений ротаторно-бицепитального комплекса (РБК). Показанием к консервативному лечению считали случаи с травматическими частичными локальными или обширными повреждениями РБК при наличии клинических проявлений в виде болевого синдрома и ограничения движений конечности и при отсутствии снижения силы конечности при посекторальном тестировании элементов. Благодаря разработанным консервативным подходам к лечению пациентов с повреждением ротаторного элемента РБК достигнут благоприятный исход в абсолютном большинстве случаев при длительных сроках наблюдения, что позволило улучшить показатели оценки функции, согласно Oксфордскому опроснику для плеча, с 56 [48–58] до 12 [12–32] (Me [Q25–Q75]). Перспективность примененных консервативных подходов заключается в том, что они позволяют улучшить клинические результаты лечения пациентов с частичными повреждениями РБК. А. Консервативное лечение травматических повреждений ротаторно-бицепитального комплекса / О. 16th City Clinical Hospital, Minsk, Republic of Belarus 2Belarusian State Medical University, Minsk, Republic of Belarus 3Presidium of the National Academy of Sciences of Belarus, Minsk, Republic of Belarus
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Proceedings of the National Academy of Sciences of Belarus, Medical series
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
