2 research outputs found
Π ΠΎΠ»Ρ Π΄ΠΈΡΠΏΠ»Π°Π·ΠΈΠΈ Π³Π»Π΅Π½ΠΎΠΈΠ΄Π° Π² ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅Π·Π΅ Ρ ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π½Π΅ΡΡΠ°Π±ΠΈΠ»ΡΠ½ΠΎΡΡΠΈ ΠΏΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΡΡΡΠ°Π²Π°
The purpose - to analyze computerized tomography data in patients with recurrent shoulder instability for signs of glenoid dysplasia. Methods. We studied the diagnostic data and the results of surgical treatment of 168 patients (137 men and 31 women) mostly of young age (under 30 years) who addressed to the clinic during the period from 2010 to 2014 with the symptoms of recurrent anterior shoulder instability. A risk group has been defined with alleged glenoid dysplasia in the amount of 27 patients who were studied by glenoid dimensions (height, width, area), glenoid version (anteversion, retroversion) and inclination angle of the glenoid. Results. In 22 cases, there has been a change in the normal anatomy of the glenoid as its excessive anteversion, increased angle of inclination, and decrease of its absolute area. Research has identified a pathogenic role of changes in the normal anatomy of the glenoid because recurrence of chronic instability in some cases after surgery, as well as in cases of nontraumatic instability in patients without anatomic lesions. Conclusions. Dysplastic changes of bony structures of the shoulder represent the risk factor for recurrent instability and can serve as one of the causes of recurrence after surgical treatment. When choosing a treatment strategy in patients of modern population is advisable to suggest the possible presence of dysplastic changes glenoid. In the event of recurrence after surgical treatment is shown holding computerized tomography to rule out dysplastic changes.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ - Π²ΡΡΠ²Π»Π΅Π½ΠΈΠ΅ ΠΏΡΠΈΠ·Π½Π°ΠΊΠΎΠ² Π΄ΠΈΡΠΏΠ»Π°Π·ΠΈΠΈ Π³Π»Π΅Π½ΠΎΠΈΠ΄Π° Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π½Π΅ΡΡΠ°Π±ΠΈΠ»ΡΠ½ΠΎΡΡΡΡ ΠΏΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΡΡΡΠ°Π²Π° Π½Π° ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΈΠΈ Π΄Π°Π½Π½ΡΡ
ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠ»ΠΈ ΠΈΠ·ΡΡΠ΅Π½Ρ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΠΈ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ 168 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² (137 ΠΌΡΠΆΡΠΈΠ½ ΠΈ 31 ΠΆΠ΅Π½ΡΠΈΠ½Π°) ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ ΠΌΠΎΠ»ΠΎΠ΄ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° (Π΄ΠΎ 30 Π»Π΅Ρ), ΠΎΠ±ΡΠ°ΡΠΈΠ²ΡΠΈΡ
ΡΡ Π² ΠΊΠ»ΠΈΠ½ΠΈΠΊΡ Π² ΠΏΠ΅ΡΠΈΠΎΠ΄ Ρ 2010 ΠΏΠΎ 2014 Π³. ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρ ΡΠΈΠΌΠΏΡΠΎΠΌΠΎΠ² ΡΠ΅ΡΠΈΠ΄ΠΈΠ²ΠΈΡΡΡΡΠ΅ΠΉ ΠΏΠ΅ΡΠ΅Π΄Π½Π΅ΠΉ Π½Π΅ΡΡΠ°Π±ΠΈΠ»ΡΠ½ΠΎΡΡΠΈ ΠΏΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΡΡΡΠ°Π²Π°. ΠΡΠ»Π° Π²ΡΠ΄Π΅Π»Π΅Π½Π° Π³ΡΡΠΏΠΏΠ° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΏΡΠ΅Π΄ΠΏΠΎΠ»Π°Π³Π°Π΅ΠΌΠΎΠΉ Π΄ΠΈΡΠΏΠ»Π°Π·ΠΈΠ΅ΠΉ Π³Π»Π΅Π½ΠΎΠΈΠ΄Π° Π² ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π΅ 27 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², Ρ ΠΊΠΎΡΠΎΡΡΡ
Π±ΡΠ»ΠΈ ΠΈΠ·ΡΡΠ΅Π½Ρ ΡΠ°Π·ΠΌΠ΅ΡΡ Π³Π»Π΅Π½ΠΎΠΈΠ΄Π° (Π²ΡΡΠΎΡΠ°, ΡΠΈΡΠΈΠ½Π°, ΠΏΠ»ΠΎΡΠ°Π΄Ρ), ΠΏΠΎΠ²ΠΎΡΠΎΡ (Π°Π½ΡΠ΅Π²Π΅ΡΡΠΈΡ, ΡΠ΅ΡΡΠΎΠ²Π΅ΡΡΠΈΡ) ΠΈ ΡΠ³ΠΎΠ» Π½Π°ΠΊΠ»ΠΎΠ½Π° Π³Π»Π΅Π½ΠΎΠΈΠ΄Π°. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. Π 22 ΡΠ»ΡΡΠ°ΡΡ
ΠΈΠΌΠ΅Π»ΠΎ ΠΌΠ΅ΡΡΠΎ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π½ΠΎΡΠΌΠ°Π»ΡΠ½ΠΎΠΉ Π°Π½Π°ΡΠΎΠΌΠΈΠΈ Π³Π»Π΅Π½ΠΎΠΈΠ΄Π° Π² Π²ΠΈΠ΄Π΅ Π΅Π³ΠΎ ΠΈΠ·Π±ΡΡΠΎΡΠ½ΠΎΠΉ Π°Π½ΡΠ΅Π²Π΅ΡΡΠΈΠΈ, ΡΠ²Π΅Π»ΠΈΡΠ΅Π½Π½ΠΎΠ³ΠΎ ΡΠ³Π»Π° Π½Π°ΠΊΠ»ΠΎΠ½Π° Π»ΠΈΠ±ΠΎ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΠ΅ Π΅Π³ΠΎ Π°Π±ΡΠΎΠ»ΡΡΠ½ΠΎΠΉ ΠΏΠ»ΠΎΡΠ°Π΄ΠΈ. ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΡΡ ΡΠΎΠ»Ρ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΠΎΠΉ Π½ΠΎΡΠΌΠ°Π»ΡΠ½ΠΎΠΉ Π°Π½Π°ΡΠΎΠΌΠΈΠΈ Π³Π»Π΅Π½ΠΎΠΈΠ΄Π° Π² ΡΠ°Π·Π²ΠΈΡΠΈΠΈ ΡΠ΅ΡΠΈΠ΄ΠΈΠ²ΠΎΠ² Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π½Π΅ΡΡΠ°Π±ΠΈΠ»ΡΠ½ΠΎΡΡΠΈ Π² Π½Π΅ΠΊΠΎΡΠΎΡΡΡ
ΡΠ»ΡΡΠ°ΡΡ
ΠΏΠΎΡΠ»Π΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ, Π° ΡΠ°ΠΊΠΆΠ΅ Π² ΡΠ»ΡΡΠ°ΡΡ
ΡΠ°Π·Π²ΠΈΡΠΈΡ Π½Π΅ΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π½Π΅ΡΡΠ°Π±ΠΈΠ»ΡΠ½ΠΎΡΡΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π±Π΅Π· Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠΉ. ΠΡΠ²ΠΎΠ΄Ρ. ΠΠΈΡΠΏΠ»Π°ΡΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΊΠΎΡΡΠ½ΡΡ
ΡΡΡΡΠΊΡΡΡ ΠΏΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΡΡΡΠ°Π²Π° ΡΠ²Π»ΡΡΡΡΡ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π½Π΅ΡΡΠ°Π±ΠΈΠ»ΡΠ½ΠΎΡΡΠΈ ΠΈ ΠΌΠΎΠ³ΡΡ ΡΠ»ΡΠΆΠΈΡΡ ΠΎΠ΄Π½ΠΎΠΉ ΠΈΠ· ΠΏΡΠΈΡΠΈΠ½ ΡΠ΅ΡΠΈΠ΄ΠΈΠ²ΠΎΠ² ΠΏΠΎΡΠ»Π΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ. ΠΡΠΈ Π²ΡΠ±ΠΎΡΠ΅ ΡΠ°ΠΊΡΠΈΠΊΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΏΠΎΠΏΡΠ»ΡΡΠΈΠΈ ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎ ΠΏΡΠ΅Π΄ΠΏΠΎΠ»Π°Π³Π°ΡΡ Π½Π°Π»ΠΈΡΠΈΠ΅ Π΄ΠΈΡΠΏΠ»Π°- ΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π³Π»Π΅Π½ΠΎΠΈΠ΄Π°. ΠΡΠΈ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΠΈ ΡΠ΅ΡΠΈΠ΄ΠΈΠ²ΠΎΠ² ΠΏΠΎΡΠ»Π΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ Π΄Π»Ρ ΠΈΡΠΊΠ»ΡΡΠ΅Π½ΠΈΡ Π΄ΠΈΡΠΏΠ»Π°ΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ