RESULTS OF MINIMALLY INVASIVE SURGICAL TREATMENT OF ROTATOR CUFF INJURIES OF THE SHOULDER JOINT
Keywords:
rotator cuff, arthroscopy, bone-tendon anchor suture, bridging anchor sutureAbstract
The causes of pain in the shoulder joint are most often associated with pathology of the subacromial space, reaching 70%. Rotator cuff injuries remain the most common pathology of the shoulder joint. Among the damages of the UMPS, small, medium, large and massive are distinguished, with the share of large and massive damage accounting for 56%. The study material was based on the data of 99 patients who underwent a bone-tendon anchor suture for a rupture of the umbilical cord between 2019 and 2023. There were 34 patients with grade 1 damage to the umbilical cord, 36 patients with grade 2 damage, and 29 patients with grade 3 damage. The results of the arthroscopic bone-tendon anchor suture were classified as “good,” “satisfactory,” or “poor” if they were confirmed in two or more rating systems. The use of arthroscopic methods for repairing rotator cuff injuries using anchors allows one to obtain good and satisfactory functional results. The reasons for the unsatisfactory results were the late referral of patients with massive injuries and fatty degeneration of the rotator cuff.
References
Makarevich E.R. Treatment of rotator cuff injuries / E.R. Makarevich, A.V. Beletsky. – Minsk: BSU, 2001. – 163 p.
Burkhart, S. Articular arc length mismatch as a cause of failed bankart repair / S. Burkhart, S. Danaceau // Arthroscopy. – 2000. – Vol. 16, N 7. – P. 740–744.
Burkhart, S. A cowboy's guide to advanced shoulder arthroscopy / S. Burkhart, I. Lo, P. Brady. – Philadelphia: Lippincott Williams & Wilkins, 2006. – 16 p.
Burkhart, S. Arthroscopic repair of massive rotator cuff tears with stage 3 and 4 fatty degeneration / S. Burkhart, J. Barth // Arthroscopy. – 2007. – Vol. 23, N 4. – P. 347–354.
Castagna A., Garofalo R., Cesari E. No prosthetic management of massive and irreparable rotator cuff tears. Shoulder Elbow. 2014; 6(3):147–155. doi: 10.1177/1758573214535369.
Chalmers P.N., Frank R.M., Gupta A.K., et al. All-arthroscopic patch augmentation of a massive rotator cuff tear: surgical technique. Arthrosc Tech. 2013;2(4): e 447–451. doi: 10.1016/j. eats.2013.07.003.
Mitchell C., Adebajo A., Hay E., Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005; 331(7525):1124– 1128. doi: 10.1136/bmj.331.7525.1124.
Huffman G.R., Romeo A.A. Massive rotator cuff tear. Orthopedics. 2013; 36(8):625–627. doi: 10.3928/01477447-20130724-08.
Irismetov, M. E., Jongirov, S. A., Saleev, B. V., & Mamatkulov, K. M. Chronic instability of the shoulder joint: a historical overview and a trends in the development of surgical treatment.
М.E. Irismetov, S.А. Jongirov, B.V. Soleev D.Sh. Mansurov, F.N.Begmatov., Treatment and diagnostic algorithm of Patients with chronic instability of the Shoulder joint, Тиббиётда янги кун-Бухара 2022 (6(22)) – 112-120 с.
