Conservative treatment of traumatic injuries of the rotatory-bicepital complex
https://doi.org/10.29235/1814-6023-2019-16-1-7-12
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.
About the Authors
О. A. Danilenko
6th City Clinical Hospital
Belarus
Belarus
Oleg A. Danilenko – Ph. D. (Med.), Head of the Department
5, Uralskaya Str., 220032, Minsk
E. R. Makarevich
Belarusian State Medical University
Belarus
Belarus
Evgeniy R. Makarevich – D. Sc. (Med.), Professor
83, Dzerzhynskii Ave., 220116, Minsk
N. S. Serdiuchenko
Presidium of the National Academy of Sciences of Belarus
Belarus
Belarus
Nikolai S. Serdiuchenko – Corresponding Member, D. Sc. (Med.), Professor, Academician-Secretary of the Department of Medical Sciences of the National Academy of Sciences of Belarus. Presidium of the National Academy of Sciences of Belarus
66, Nezavisimosti Ave., 220072, Minsk
References
1. Linsell L., Dawson J., Zondervan K., Rose P., Randall T., Fitzpatrick R., Carr A. Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology, 2005, vol. 45, no. 2, pp. 215–221. https://doi.org/10.1093/rheumatology/kei139
2. Macfarlane G. J., Hunt I. M., Silman A. J. Predictors of chronic shoulder pain: a population based prospective study. Journal of Rheumatology, 1998, vol. 25, no. 8, pp. 1612–1615.
3. Oh L. S., Wolf B. R., Hall M. P., Levy B. A., Marx R. G. Indications for rotator cuff repair: a systematic review. Clinical Orthopaedics and Related Research, 2007, vol. 455, pp. 52–63. https://doi.org/10.1097/blo.0b013e31802fc175
4. Mitchell C., Adebajo A., Hay E., Carr A. Shoulder pain: diagnosis and management in primary care. BMJ, 2005, vol. 331, no. 7525, pp. 1124–1128. https://doi.org/10.1136/bmj.331.7525.1124
5. Allen, G. M. The diagnosis and management of shoulder pain / G. M. Allen // J. Ultrason. – 2018. – Vol. 18, N 74. – Р. 234–239. https://doi.org/10.15557/jou.2018.0034
6. Yamamoto A., Takagishi K., Osawa T., Yanagawa T., Nakajima D., Shitara H., Kobayashi T. Prevalence and risk factors of a rotator cuff tear in the general population. Journal of Shoulder and Elbow Surgery, 2010, vol. 19, no. 1, pp. 116–120. https://doi.org/10.1016/j.jse.2009.04.006
7. Ditsios K., Agathangelidis F., Boutsiadis A., Karataglis D., Papadopoulos P. Long head of the biceps pathology combined with rotator cuff tears. Advances in Orthopedics, 2012, vol. 2012, pp. 1–6. https://doi.org/10.1155/2012/405472
8. Chen C.-H., Hsu K.-Y., Chen W.-J., Shih C.-H. Incidence and severity of biceps long head tendon lesion in patients with complete rotator cuff tears. Journal of Trauma: Injury, Infection, and Critical Care, 2005, vol. 58, no. 6, pp. 1189–1193. https://doi.org/10.1097/01.ta.0000170052.84544.34
9. Chen C.-H., Chang C.-H., Su C.-I., Wang K.-C., Wang, I.-C. Liu H.-T., Yu C.-M., Hsu K.-Y., Chen C.-H. Classifcation and analysis of pathology of the long head of the biceps tendon in complete rotator cuff tears. Biomedical Journal, 2012, vol. 35, no. 3, pp. 263–270. https://doi.org/10.4103/2319-4170.106145
10. Iannotti J. P., Ciccone J., Buss D. D., Visotsky J. L., Mascha E., Cotman K., Rawool N. M. Accuracy of offcebased ultrasonography of the shoulder for the diagnosis of rotator cuff tears. Journal of Bone and Joint Surgery (American), 2005, vol. 87, no. 6, pp. 1305–1311. https://doi.org/10.2106/jbjs.d.02100
11. Morag Y., Jacobson J. A., Shields G., Rajani R., Jamadar D. A., Miller B., Hayes C. W. MR arthrography of rotator interval, long head of the biceps brachii, and biceps pulley of the shoulder. Radiology, 2005, vol. 235, no. 1, pp. 21–30. https://doi.org/10.1148/radiol.2351031455
12. Sengodan V. C., Kurian S., Ramasamy R. Treatment of partial rotator cuff tear with ultrasound-guided platelet-rich plasma. Journal of Clinical Imaging Science, 2017, vol. 7, no. 1, p. 32. https://doi.org/10.4103/jcis.jcis_26_17
Review
For citations:
Danilenko О.A., Makarevich E.R., Serdiuchenko N.S. Conservative treatment of traumatic injuries of the rotatory-bicepital complex. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2019;16(1):7-12. (In Russ.) https://doi.org/10.29235/1814-6023-2019-16-1-7-12
Views: 879
Email this article 