scholarly journals Experience in Arthroscopic Treatment of Massive Rotator Cuff Injuries in Elderly Patients

2014 ◽  
Vol 21 (4) ◽  
pp. 67-69
Author(s):  
A. A Kubashev ◽  
F. L Lazko ◽  
E. A Belyak ◽  
A. P Prizov ◽  
E. Sh Lomtatidze
Keyword(s):  
Rotator Cuff ◽  
Elderly Patients ◽  
Excellent Result ◽  
Fatty Degeneration ◽  
Arthroscopic Treatment ◽  
Subacromial Space ◽  
Treatment Results ◽  
Elbow Arthroscopy ◽  
Rotator Cuff Injuries ◽  
Goutallier Classification

Arthroscopic treatment results for 6 elderly patients (mean age 64 years) with massive (over 5 cm) nonreconstructable rotator cuff tear are presented. In all cases fatty degeneration of the rotator cuff tendon above 3 rd degree by Goutallier classification was present. In all patients elbow arthroscopy with implantation of InSpace Balloon into subacromial space was performed. Mean score by UCLA scale made up 14 (12-15) preoperatively and over 30 in 6 months after intervention that corresponded to a good and excellent result. Preliminary results indicate that applied technique is a simple, mini-invasive and effective intervention enabling to reduce pain and increase range of movements in this group of patients.

scholarly journals The experience with the use of a subacromial balloon in the treatment of patients with large, massive, irreparable rotator cuff tears

2020 ◽  
Vol 11 (4) ◽  
pp. 14-22
Author(s):  
Мaksim F. Lazko ◽  
Alexey P. Prizov ◽  
Fedor L. Lazko ◽  
Evgeny A. Beliak ◽  
Ivan G. Maglaperidze ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Joint ◽  
Pain Syndrome ◽  
Rotator Cuff Tears ◽  
Average Score ◽  
Subacromial Space ◽  
Rotator Cuff Injuries ◽  
Goutallier Classification ◽  
Upper Extremity Function ◽  
A Prospective Study

Background. Large, massive irreparable rotator cuff tears lead to a significant decrease in the function of the shoulder joint together with the development of a pronounced pain syndrome. Such injuries are difficult to treat, and the number of relapses, when trying to restore them, is quite high. The installation of a subacromial balloon is the method of choice for this group of patients and allows restoring the function of the shoulder joint fairly successfully. Aim: to evaluate the results of the treatment of patients with massive irreparable rotator cuff tears injuries in a prospective study from 2016 to 2018. Methods. The results of the arthroscopic treatment of large, irreparable rotator cuff injuries in 25 patients (with the average age of 67 5 years) with the installation of a subacromial balloon are presented. In all the clinical cases, there was a pronounced (grades 34, according to the Goutallier classification) fatty dystrophy of the rotator cuff muscles (supraspinatus or in combination with subaspinatus). All the patients underwent the subacromial space release with a thorough bursectomy and subsequent installation of a subacromial balloon. Results. The average score on the UCLA scale was 14 3 points (1117) before the operation and 312 points (2933) 12 months after the operation, the results were considered good and excellent. Conclusion. The results obtained allow us to evaluate the described technique as low-traumatic, simple and fast in its accomplishment, aimed at the reduction of the pain syndrome and restoration of the upper extremity function.

Experience in Arthroscopic Treatment of Adhesive Shoulder Joint Capsulitis

2013 ◽  
Vol 20 (1) ◽  
pp. 34-37
Author(s):  
E. Sh Lomtatidze ◽  
F. L Lazko ◽  
A. A Kubashev ◽  
P. P Savitskiy ◽  
A. P Prizov
Keyword(s):  
Shoulder Joint ◽  
Surgical Procedure ◽  
Adhesive Capsulitis ◽  
Excellent Result ◽  
Mean Value ◽  
Arthroscopic Treatment ◽  
Joint Function ◽  
Treatment Results ◽  
Shoulder Joints

Arthroscopic treatment results were presented for 74 patients, aged 38— 69 years, with adhesive capsulitis (78 shoulder joints). In 68 cases idiopathic capsulitis was diagnosed. Tactics of arthroscopic intervention was proposed and surgical procedure was described in detail. Active movements were initiated on 5-7 day. Mean value of shoulder joint function prior to operation made up 11 (7—14) points, in 2 weeks after intervention — 27 (23—30) points that corresponded to good and excellent result. In 6 months after operation range of movements in the operated joint was equal to that in the healthy joint.

Reliability of MR Quantification of Rotator Cuff Muscle Fatty Degeneration Using a 2-point Dixon Technique in Comparison with the Goutallier Classification

2017 ◽  
Vol 24 (11) ◽  
pp. 1343-1351 ◽  
Author(s):  
Saya Horiuchi ◽  
Taiki Nozaki ◽  
Atsushi Tasaki ◽  
Akira Yamakawa ◽  
Yasuhito Kaneko ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Fatty Degeneration ◽  
Rotator Cuff Muscle ◽  
Goutallier Classification ◽  
Mr Quantification

scholarly journals Significance of three-point novocaine blockade in complex treatment of shoulder-scapularis periartheritis

1996 ◽  
Vol 3 (2) ◽  
pp. 40-42
Author(s):  
E. Sh. Lomtatidze ◽  
M. Yu. Solomin ◽  
S. I. Zenkina ◽  
S. V. Potseluiko
Keyword(s):  
Rotator Cuff ◽  
Exercise Therapy ◽  
Soft Tissues ◽  
Anterior Segment ◽  
Complex Treatment ◽  
Subacromial Space ◽  
Treatment Results ◽  
Subacromial Decompression ◽  
The Third ◽  
Teres Minor

The technique of three-point novocaine blockade for shoulder-scapularis periartheritis is described. It is based on the modern concepts of shoulder-scapularis periatheritis pathogenesis which assumes the impingement between greater tubercle of the humerus and anterior segment of acromion in upper expremity abduction (impingement syndrome). The aim of the blockade is the creation of subacromial decompression as a condition for free sliding of rotator cuff in abduction phase. The first point of novocaine injection is subacromial space, the second one biceps sulcus, the third the region of muscle teres minor of scapula. Addition of corticosteroids allows to cure the inflammation of periarticular soft tissues. Novocaine blockade is used in combination with exercise therapy. Complex treatment results are satisfactory. Only 18% of patients with persistent course of shoulder-scapularis periarthritis underwent the operation anterior acromial- plasty by Neer.

Serious Rotator Cuff Injuries

1983 ◽  
Vol 2 (2) ◽  
pp. 407-412 ◽  
Author(s):  
Frank W. Jobe
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Injuries

Magnetic Resonance Imaging of Pseudo-impingement of Rotator Cuff with Strength Training

2019 ◽  
Vol 1 ◽  
pp. 2-6
Author(s):  
Asad Naqvi ◽  
Timothy Ariyanayagam ◽  
Mir Akber Ali ◽  
Akhila Rachakonda ◽  
Hema N. Choudur
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rotator Cuff ◽  
Strength Training ◽  
Radiology Department ◽  
Resonance Imaging ◽  
Subacromial Space ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Training Exercises

Objective: The objective of this study was to outline a novel unique concept of secondary impingement of the muscles, myotendons, and tendons of the rotator cuff from hypertrophy as a result of strength training exercises. Methods: In this retrospective observational study, 58 patients were referred for an magnetic resonance imaging (MRI) by the orthopedic surgeon to the radiology department over a period of 1½ years. All patients gave a history of strength training exercises and presented with clinical features of rotator cuff impingement. Results: We identified features of hypertrophy of rotator cuff muscles, myotendons, and tendons in 12 of these 58 patients. This was the only abnormality on MRI. The hypertrophy of rotator cuff muscles and tendon bulk completely filling the subacromial space to the point of overfilling and resulting in secondary compressive features. Conclusion: Rotator cuff impingement is a common phenomenon that can occur with various inlet and outlet pathological conditions. However, rotator cuff impingement may also result from muscle and tendon hypertrophy from strength training regimens. Hypertrophy of the rotator cuff can result in overfilling of the subacromial space, leading to secondary impingement, which we have termed as “pseudo-impingement.”

Do elderly patients gain as much benefit from arthroscopic rotator cuff repair as their younger peers?

2019 ◽  
Vol 28 (6) ◽  
pp. 1056-1065 ◽  
Author(s):  
Caroline Witney-Lagen ◽  
Georgios Mazis ◽  
Juan Bruguera ◽  
Ehud Atoun ◽  
Giuseppe Sforza ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Elderly Patients ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair
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