ABSTRACT
The use of modern methods of radiodiagnostics (USI, MRT) having high information value and arthroscopic manipulations allow determination of the character of injuries of soft-tissue structures of the humeral articulation and decision on the adequate method of treatment. The arthroscopic stabilization of the humeral articulation is the operation of choice for traumatic dislocations of the shoulder, especially in people with high degree of motor activity.
Subject(s)
Shoulder Dislocation/etiology , Shoulder Dislocation/surgery , Shoulder Injuries , Adolescent , Adult , Arthroscopy/methods , Female , Humans , Male , Middle Aged , Radiography , Shoulder Dislocation/diagnostic imaging , Wounds and Injuries/complicationsABSTRACT
The article gives an analysis of results of conservative treatment of 503 patients with a primary traumatic dislocation of the shoulder. High frequency of the development of chronic instability of the shoulder joint was shown to be 31.2%. The using of arthroscopy, noninvasive methods of diagnosis (rentgenography, USI) allowed to diagnose the typical complex of morphological injuries following dislocations of the shoulder. General and local factors responsible for the development of chronic instability of the shoulder joint were established. Arthroscopy and early surgical stabilization of the joint are thought to be expedient in cases of a combination of these factors. Conservative treatment is indicated to patients older than 40 without high physical needs.
Subject(s)
Joint Instability/etiology , Shoulder Dislocation/complications , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Arthroscopy , Chronic Disease , Humans , Joint Instability/diagnosis , Joint Instability/surgery , Joint Instability/therapy , Middle Aged , Recurrence , Risk Factors , Shoulder Dislocation/diagnosis , Shoulder Dislocation/surgery , Shoulder Dislocation/therapy , Time FactorsABSTRACT
The article analyzes results of treatment of 64 patients with sequelae of traumas of the hip joint. They showed that arthrodesis of the hip joint was indicated in treatment of young patients with severe posttraumatic coxarthrosis, destruction of the cotyloid cavity or the femur head including those after fighting injuries of the joint, purulent complications after traumas or preceding operations. Intertrochanteric osteotomy of the femur is reasonable in treatment of young patients with the initial stages of coxarthrosis and preserved amplitude of movement of the joint. Endoprosthesis of the hip joint is the operation of choice in patients older than 40-45 years with posttraumatic coxarthrosis and aseptic necrosis of the femur head, as well as in patients with the recurrent pain syndrome after intertrochanteric osteotomy.
Subject(s)
Arthrodesis , Femur Head Necrosis/surgery , Hip Dislocation/complications , Hip Dislocation/surgery , Hip Fractures/complications , Hip Fractures/surgery , Hip Prosthesis , Osteoarthritis, Hip/surgery , Adolescent , Adult , Age Factors , Female , Femoral Neck Fractures/surgery , Femur Head , Follow-Up Studies , Fracture Fixation, Internal , Humans , Male , Middle Aged , Osteotomy , Time FactorsABSTRACT
On the basis of computer tomographic investigations of 28 patients with subcutaneous ruptures of the Achilles tendon in different terms after the injury and its restoration by means of open and transcutaneous suture there have been revealed possibilities of the method. Computer tomographic syndromes of the tendon damage (increase of diameter by 2-3 times, spherical form of the cross section, density decrease, presence of hematoma, deformation of the front outline of tendon) and the signs of its continuity restoration have been determined. Identity of the computer tomographic data of comparison of tendon centres by open and closed sutures has corroborated reliability of the obtained criteria. Computer tomographic investigations in dynamics testify to significant changes in damaged tendon and +para-tendon tissues as well as to the duration of the process of its healing.
