danДоклады Национальной академии наук БеларусиDoklady of the National Academy of Sciences of Belarus1561-83232524-2431The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"10.29235/1561-8323-2018-62-3-311-321dan-523Research ArticleМЕДИЦИНАMEDICINEХИРУРГИЧЕСКИЙ ПОДХОД К УСТРАНЕНИЮ ХРОНИЧЕСКОЙ ПОСТТРАВМАТИЧЕСКОЙ НЕСТАБИЛЬНОСТИ ПЛЕЧЕВОГО СУСТАВАSURGICAL APPROACH TO ELIMINATING THE POST-TRAUMATIC INSTABILITY OF THE SHOULDER JOINTДаниленкоО. А.DanilenkoO. A.

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

ул. Уральская, 6, 220046, Минск.

Danilenko Oleg Anatolievich – Ph. D. (Medicine), Head of the Department.

6, Uralskaya Str., 220046, Minsk.

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

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

пр. Дзержинского, 83, 220116, Минск.

Makarevich Evgenii Reonaldovich – D. Sc. (Medicine), Professor, Head of the Department.

83, Dzerzhynskiy Ave., 220116, Minsk.

СердюченкоН. С.SerduchenkoN. S.

Сердюченко Николай Сергеевич – член-коррес пондент, д-р мед. наук, профессор, академик-секретарь.

пр. Независимости, 66, 220072, Минск.

Serduchenko Nikolai Sergeevich – Corresponding Member, D. Sc. (Medicine), Professor, Academician-Secretary.

66, Nezavisimosti Ave., 220072, Minsk.

lora323@mail.ruМинский городской клинический центр травматологии и ортопедии.Minsk City Clinical Center of Trauma and Orthopedics .Белорусский государственный медицинский университет.Belarusian State Medical UniversityНациональная академия наук Беларуси.National Academy of Sciences of Belarus201829062018623311321Copyright © Даниленко О.А., Макаревич Е.Р., Сердюченко Н.С., 20182018Даниленко О.А., Макаревич Е.Р., Сердюченко Н.С.Danilenko O.A., Makarevich E.R., Serduchenko N.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://doklady.belnauka.by/jour/article/view/523

Изучены результаты лечения 290 пациентов с хронической посттравматической нестабильностью плечевого сустава, пролеченных в 2004–2017 гг. В соответствии с поставленной задачей авторами выделены 3 клинических варианта посттравматической нестабильности в зависимости от превалирующего направления дислокации. С учетом выявленных вариантов изучен их морфогенез и разработана дифференцированная тактика и способы их устранения. Предложенные подходы, в основу которых положены выявление и ликвидация повреждений ротаторно-бицепитального комплекса, а также разработанные способы оперативного лечения, позволили улучшить субъективные ощущения пациентов по шкале ООП с 56 [48; 58] до 24 [12; 28] (Me [Q25; Q75]) и показатели объективной оценки функции по шкале Rowe с 15 [15; 55] до 75 [75; 100] баллов.

The results of treatment of 290 patients with chronic post-traumatic instability of the shoulder joint treated for the period 2004–2017 are studied. In accordance with the task, the authors identified 3 clinical variants of post-traumatic instability depending on the prevailing direction of the dislocation. Taking into account the revealed variants, the authors studied their morphogenesis and developed a differentiated tactic and ways of their elimination. The proposed approaches based on the identification and elimination of damages of the rotary-bicepital complex, as well as the developed methods of surgical treatment made it possible to improve the subjective feelings of patients on the OOP scale from 56 [48; 58] to 24 [12; 28] (Me [Q25; Q75]) and indicators of objective evaluation of the function on the Rowe scale from 15 [15; 55] to 75 [75; 100] points.

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