vestimИзвестия Национальной академии наук Беларуси. Серия медицинских наукProceedings of the National Academy of Sciences of Belarus, Medical series1814-60232524-2350The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"10.29235/1814-6023-2018-15-3-276-285vestim-438Research ArticleКЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНАCLINICAL AND EXPERIMENTAL MEDICINEТАКТИКА ЛЕЧЕНИЯ НЕСТАБИЛЬНОСТИ СУХОЖИЛИЯ ДЛИННОЙ ГОЛОВКИ ДВУГЛАВОЙ МЫШЦЫ ПЛЕЧАTACTICS OF TREATMENT OF THE INSTABILITY OF THE TENDON OF THE LONG HEAD OF THE BICEPS BRACHIIДаниленкоО. А.DanilenkoO. A.

Даниленко Олег Анатольевич – канд. мед. наук, заведующий отделением

ул. Уральская, 5, 220032, г. Минск

Oleg A. Danilenko – Ph. D. (Med.), Head of the Department

5, Uralskaya Str., 220032, Minsk

danilenkooa@gmail.comМакаревичЕ. Р.MakarevichE. R.

Макаревич Евгений Реональдович – д-р мед. наук, профессор, заведующий кафедрой

пр. Дзержинского, 83, 220116, г. Минск

Evgenii R. Makarevich – D. Sc. (Med.), Professor, Head of the Department

83, Dzerzhynskiy Ave., 220116, Minsk

СердюченкоН. С.SerdiuchenkoN. S.

Сердюченко Николай Сергеевич – член-корреспондент, д-р мед. наук, профессор, академик-секретарь Отделения медицинских наук НАН Беларуси, Президиум НАН Беларуси

пр. Скорины, 66, 220072, г. Минск

Nikolai S. Serdiuchenko – Corresponding Member, D. Sc. (Med.), Professor, Academician-Secretary of the Department of Medical Sciences

Presidium of the National Academy of Sciences of Belarus

66, Nezavisimosti Ave., 220072, Minsk

ЛеонардС. В.LeonardS. V.

Леонард Сергей Владимирович – врач-травматолог

ул. Ленина, 15, 224005, г. Брест

Leonard Sergei V. – Traumatologist

Lenin Str., 15, 224005, Brest

6-я городская клиническая больница6th City Clinical HospitalБелорусский государственный медицинский университетBelarusian State Medical UniversityНациональная академия наук Республики БеларусьNational Academy of Sciences of BelarusБрестская городская больница СМПBrest City Emergency Hospital201816092018153276285Copyright © Даниленко О.А., Макаревич Е.Р., Сердюченко Н.С., Леонард С.В., 20182018Даниленко О.А., Макаревич Е.Р., Сердюченко Н.С., Леонард С.В.Danilenko O.A., Makarevich E.R., Serdiuchenko N.S., Leonard S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestimed.belnauka.by/jour/article/view/438

Изучены результаты лечения 66 пациентов с нестабильностью сухожилия длинной головки бицепса (СДГБ), пролеченных за период с 2004 по 2017 г. В зависимости от диагностированного типа нестабильности СДГБ обследуемые были разделены на 5 групп по классификации Bennet (2003). Задача, поставленная исследователями, состояла в формировании тактических подходов с учетом характера повреждения ротаторно-бицепитального комплекса при различных типах нестабильности СДГБ. Пациентам групп 1 и 2 назначали курс консервативной терапии, пациентам групп 3–5 рекомендовали оперативное лечение с использованием артроскопии и собственных методик. Применение тактических подходов и способов, разработанных авторами, позволило улучшить объективные показатели функции сустава и субъективные ощущения пациентов.

The authors of the article studied the results of treatment of 66 patients with an unstable tendon of the long head of the biceps treated for the period from 2004 to 2017. In the study, patients, depending on a diagnosed type of the instability of the tendon of the long head of the biceps according to the Bennet classification (2003), were divided into 5 groups. The task put forward by the researchers consisted in the formation of tactical approaches, taking into account the type of damage to a rotary-bicepital complex for the various-type instability of the tendon of the long head. In the treatment of patients of groups 1 and 2, a course of conservative therapy was prescribed. Patients of groups 3–5 were recommended surgical treatment using the arthroscopy and methods developed by the authors. With the use of the tactical approaches and methods developed by the authors, it was possible to improve objective indicators of joint functions and subjective sensations of patients.

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The authors declare that there are no conflicts of interest present.