scholarly journals Operative Trearment Unoperative Chronic and Massive Rotator Cuff Tendon Rupture of the Shoulder

2017 ◽  
Vol 2 (1) ◽  
pp. 398
Author(s):  
Lanshakov V.A.
Keyword(s):  
Surgical Treatment ◽  
Rotator Cuff ◽  
Shoulder Joint ◽  
Tendon Rupture ◽  
Positive Outcomes ◽  
Rotator Cuff Tendon

In clinic of traumatology and orthopedics GBOU DPO NGIUV was treated 125 patients with tendon rupture rotators of the shoulder joint, in which treatment was used as the classic methods of surgical treatment, and we have developed approaches and methods of surgical treatment with the use of sutures and staples of nickelid titanium allowing to bring the number of positive outcomes to 84.8%.

scholarly journals ROTATOR CUFF TENDON INJURY - AN AYURVEDA MANAGEMENT WITH JALOUKAVACARANA

2021 ◽  
Vol 9 (6) ◽  
pp. 1293-1298
Author(s):  
Bhavya K.G ◽  
George M.J
Keyword(s):  
Rotator Cuff ◽  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Tendon Injury ◽  
Vascular Supply ◽  
Shoulder Injury ◽  
Joint Injury ◽  
Rotator Cuff Tendon ◽  
Strenuous Activity ◽  
Tendon Strain

Most shoulder pain is related to muscle or tendon strain. Chronic pain is often triggered by prior injuries, especially if original injury was severe or was not allowed to heal completely. Shoulder injury can cause weakness, tenderness and loss of full joint mobility. More common and less traumatic causes include lifting, reaching and pulling move- ments that strain the muscles and tendons or sprain ligaments surrounding the shoulder joint. Injury may or may not be realized during the activity. Various conditions like shoulder joint impingement, frozen shoulder, and rotator cuff tendinitis have resembling symptoms under the umbrella of disease Avabahuka described in Ayurveda. Leech application was carried out in first stage where there is reduced vascular supply. Here a case report of a female aged 31years old, who had an acute on chronic rotator cuff strain from strenuous activity underwent three sittings of Jaloukavacarana. Keywords: Rotator cuff tendon injury, Avabahuka, Jaloukavacarana.

Cellular response and extracellular matrix breakdown in rotator cuff tendon rupture

2010 ◽  
Vol 131 (3) ◽  
pp. 405-411 ◽  
Author(s):  
Bing Wu ◽  
Jimin Chen ◽  
Tammyl Dela Rosa ◽  
Qian Yu ◽  
Allan Wang ◽  
...  
Keyword(s):  
Extracellular Matrix ◽  
Rotator Cuff ◽  
Cellular Response ◽  
Tendon Rupture ◽  
Rotator Cuff Tendon

scholarly journals «Terrible triad» of the shoulder. Biomechanicalsemi-natural modeling andjustificationto rotator cuff restoration

2021 ◽  
pp. 17-23
Author(s):  
Oleksii Sukhin ◽  
Sergii Strafun ◽  
Andriy Lysak ◽  
Igor Lazarev
Keyword(s):  
Rotator Cuff ◽  
Humeral Head ◽  
Shoulder Joint ◽  
Tendon Rupture ◽  
Deltoid Muscle ◽  
Axillary Nerve ◽  
Vicious Circle ◽  
Terrible Triad ◽  
Spiral Computed ◽  
Traction Load

The aim of this study: was determine the force of tension and deformation of axillary nerve in rupture rotator cuff and paresis of deltoid muscle of the shoulder joint. Material and methods: Semi-natural modelling based on the axial scans spiral computed tomography of the intact shoulder joint was performed to determine the degree of traction load on the axillary nerve with distal displacement shoulder head and tendon rupture which paresis of the deltoid muscle. Result: The values of deformations for axillary nerve being at the limit of tissue strength at distal displacement of humeral head of the model by 50 %, progressively increased with increasing distal displacement of humeral head to 100 % of its diameter, reaching values 1.7 times higher than the strength nervous tissue. Conclusion: The progressive changes occurring in the axillary nerve under the action of traction loads, and as a consequence of its ischemia, over time can lead not only to demyelination, but also to the defeat of the axons themselves atrophy of its fibers. In turn, deltoid muscle atrophy increases the traction load on the affected axillary nerve, which forms a vicious circle. The only possible option to "break" the vicious circle is restore the stabilizing structures damaged during the injury, among which one of the most important is the tendons of the rotator cuff of the shoulder. Surgical restoration of the integrity rotator cuff of the shoulder reduces the traction load acting on the axillary nerve, which in turn significantly improves the conditions for reinnervation of the deltoid muscle.

scholarly journals New approaches to the use of therapeutic gymnastics and pelotherapy in the rehabilitation of patients after arthroscopic shoulder joint operations

2019 ◽  
Vol 21 (4) ◽  
pp. 70-74
Author(s):  
A V Mikhaleva ◽  
A G Kulikov ◽  
I N Makarova
Keyword(s):  
Surgical Treatment ◽  
Rotator Cuff ◽  
Thin Layer ◽  
Shoulder Joint ◽  
Clinical Symptoms ◽  
Muscle Tension ◽  
Basic Therapy ◽  
Rotator Cuff Rupture ◽  
New Approaches ◽  
Regeneration Processes

To increase the effectiveness of the rehabilitation of patients after surgical treatment of a rotator cuff rupture, 98 patients were examined and treated. It was revealed that the inclusion of exercises with dynamic controlled muscle tension in combination with thin layer pelotherapy in the medical complex, has an impact on the main clinical symptoms of the disease, regeneration processes, and contributes to an earlier restoration of the impaired functions of the shoulder joint, which is more significant than basic therapy.

scholarly journals Cervical intervertebral disc denervation during rotator cuff tendon plasty

2021 ◽  
Vol 18 (1) ◽  
pp. 39-46
Author(s):  
A. V. Peleganchuk ◽  
O. N. Leonova ◽  
A. A. Alekperov
Keyword(s):  
Cervical Spine ◽  
Surgical Treatment ◽  
Rotator Cuff ◽  
Intervertebral Disc ◽  
Rotator Cuff Tear ◽  
Functional Activity ◽  
Shoulder Joint ◽  
Pain Syndrome ◽  
Intervertebral Discs ◽  
Cuff Tear

Objective. To analyze the effect of denervation of intervertebral discs in the cervical spine on the results of surgical treatment of patients with injuries to rotator cuff tendons of the shoulder joint.Material and Methods. Study design: descriptive hypothesis-generating study. The study included patients requiring surgical treatment of rotator cuff tear.  Two groups were identified: Group A included 28 patients who underwent plastic repair of rotator cuff tear with additional denervation of intervertebral discs, and Group B – 30 patients who underwent only plastic surgery for rotator cuff tear. The intensity of pain according to the VAS, functional activity due to neck pain (NDI), functionality of the shoulder joint (UCLA), and the degree of intervertebral disc degeneration according to MRI were assessed, and the effectiveness of treatment was determined. Statistical calculations were performed using the RStudio program.Results. In the group of patients with denervation of intervertebral discs, a more pronounced decrease in the intensity of pain syndrome at 3, 6, and 12 months (p < 0.001; p < 0.001; and p = 0.002), a more proportion of effectively treated patients at 3 months (p = 0.003), and significant increase in functional activity according to NDI at 3, 6 and 12 months of follow-up period (p < 0.001; p = 0.010; and p = 0.045) were observed.Conclusions. There is an underestimation of the role of degenerative cervical spine pathology in the occurrence of shoulder joint pain. In the case of rotation cuff plasty the additional denervation reduces the intensity of pain syndrome in the shoulder joint in the postoperative period.

Features of the treatment of full - thickness rotator cuff tendon rupture in military personnel

2021 ◽  
Vol 342 (10) ◽  
pp. 25-31
Author(s):  
L.K. Brizhan ◽  
D.V. Davydov ◽  
S.Yu. Dokolin ◽  
A.A. Kerimov ◽  
D.A. Naida ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Military Personnel ◽  
Tendon Rupture ◽  
Full Thickness ◽  
Rotator Cuff Tendon

Surgical Treatment of Rupture of the Rotator Cuff Tendon

1975 ◽  
Vol 46 (5) ◽  
pp. 751-757 ◽  
Author(s):  
Georg Bakalim ◽  
Manu Pasila
Keyword(s):  
Surgical Treatment ◽  
Rotator Cuff ◽  
Rotator Cuff Tendon

scholarly journals PHYSICAL REHABILITATION AFTER SURGICAL TREATMENT OF RUPTURE OF THE ROTATOR CUFF OF THE SHOULDER

2017 ◽  
Vol 16 (6) ◽  
pp. 307-309
Author(s):  
Alina Vladimirovna Mikhalyova ◽  
A. G Kulikov ◽  
I. N Makarova
Keyword(s):  
Surgical Treatment ◽  
Rotator Cuff ◽  
Standard Method ◽  
Shoulder Joint ◽  
Clinical Symptoms ◽  
Muscle Tension ◽  
Physical Rehabilitation ◽  
Basic Therapy ◽  
Basic Treatment ◽  
Regeneration Processes

The examination and treatment of 62 patients operated on for damage to the rotator cuff of the shoulder and received basic therapy, including symptomatic medications and curative gymnastics according to the standard method were made. Patients of the main group in addition to basic treatment were given an exercise course with dynamic controlled muscle tension in the immobilization and postimmobilization period. It has been revealed that the inclusion of exercises with dynamic controlled muscle tension in the therapeutic complex has a more significant effect on the main clinical symptoms of the disease, the regeneration processes, and also contributes to an earlier restoration of impaired functions of the shoulder joint.

scholarly journals The Effect of the Soft Tissue Structures Injury on the Development of Shoulder Joint Arthrosis

2020 ◽  
Vol 106 (3) ◽  
pp. 41-52
Author(s):  
S.S. Strafun ◽  
S.V. Bohdan ◽  
R.O. Serhiienko ◽  
V.H. Lieskov
Keyword(s):  
Articular Cartilage ◽  
Surgical Treatment ◽  
Soft Tissue ◽  
Rotator Cuff ◽  
Early Diagnosis ◽  
Shoulder Joint ◽  
Long Term Results ◽  
Glenoid Labrum ◽  
Significant Dependence ◽  
Tissue Structures

Summary. Injury of the soft tissue structures of the shoulder joint (rotator cuff, scapula labrum, etc.) is a common cause of omarthrosis. Objective: to investigate the changes in the articular cartilage of the shoulder head and the scapula glenoid in case of the soft tissue structures of the shoulder joint injury. Materials and Methods. We studied the long-term results of conservative and surgical treatment of 330 patients with soft tissue injuries of the shoulder joint, who were treated in the SI “Institute of Traumatology and Orthopedics of NAMS of Ukraine” (Kyiv) from 2009 to 2019. The age of patients ranged from 27 to 68 years (mean age 42.7±19.5 years); 225 were males (68.2%) and 105 females (31.8%). Surgical treatment was performed in 160 patients (48.5%); 170 patients (51.5%) underwent conservative treatment. For evaluation of the influence of the shoulder soft tissue structures injury on the articular cartilage, the degree of the articular cartilage damage was determined by R. Outerbridge and the obtained data were compared with the period from the onset of the disease to surgery. Conclusions: 1. The largest number of secondary omarthroses develops after ruptures of the rotator cuff tendons, both in conservative and surgical groups. Thus, a rupture of rotator cuff tendons is the most arthrosogenic factor among all soft tissue pathology of a shoulder joint. 2. Another arthrosogenic factor for the shoulder joint is rupture of the glenoid labrum in the anterior-inferior part in case of anterior shoulder dislocation and rupture of the posterior glenoid labrum without posterior dislocation (unrealized posterior instability), probably due to high energy trauma and trophic disorders of humeral head after dislocation. 3. A weak but significant dependence was found of the effect of the time from the beginning of the disease to surgery in various Pulley lesions on the degree of damage to the articular cartilage according to R. Outerbridge (r=0.4; p<0.05). Thus, early diagnosis and surgical treatment of Pulley lesions is a major prevention of omarthrosis. 4. A weak but significant dependence of the influence of the period from the onset of the disease to surgery was revealed in patients with isolated injury of the supraspinatus tendon (r=0.38; p<0.05). Early diagnosis and surgical treatment of rotator cuff tendon injuries is the main prevention of omarthrosis.

Arthroscintigraphy in Suspected Rotator Cuff Rupture

1998 ◽  
Vol 37 (08) ◽  
pp. 272-278 ◽  
Author(s):  
S. Gratz ◽  
G. Köster ◽  
T. Behr ◽  
R. Vosshenrich ◽  
E. Grabbe ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Joint ◽  
Clinical Signs ◽  
Diagnostic Efficiency ◽  
Rotator Cuff Rupture ◽  
Lower Viscosity ◽  
Rotator Cuff Lesion ◽  
Shoulder Region ◽  
Degenerative Alterations ◽  
Additional Value

Summary Aim: In order to evaluate the diagnostic efficiency of arthroscintigraphy in suspected rotator cuff ruptures this new imaging procedure was performed 20 times in 17 patients with clinical signs of a rotator cuff lesion. The scintigraphic results were compared with sonography (n = 20), contrast arthrography (n = 20) and arthroscopy (n = 10) of the shoulder joint. Methods: After performing a standard bone scintigraphy with intravenous application of 300 MBq 99m-Tc-methylene diphosphonate (MDP) for landmarking of the shoulder region arthroscintigraphy was performed after an intraarticular injection of 99m-Tc microcolloid (ALBURES 400 μCi/5 ml). The application was performed either in direct combination with contrast arthrography (n = 10) or ultrasound conducted mixed with a local anesthetic (n = 10). Findings at arthroscopical surgery (n = 10) were used as the gold standard. Results: In case of complete rotator cuff rupture (n = 5), arthroscintigraphy and radiographic arthrography were identical in 5/5. In one patient with advanced degenerative alterations of the shoulder joint radiographic arthrography incorrectly showed a complete rupture which was not seen by arthroscintigraphy and endoscopy. In 3 patients with incomplete rupture, 2/3 results were consistant. A difference was seen in one patient with a rotator cuff, that has been already revised in the past and that suffered of capsulitis and calcification. Conclusion: Arthroscintigraphy is a sensitive technique for detection of rotator cuff ruptures. Because of the lower viscosity of the active compound, small ruptures can be easily detected, offering additional value over radiographic arthrography and ultrasound, especially for evaluation of incomplete cuff ruptures.

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