Pathology of the shoulder joint and soft tissues: clinical variants, current capabilities of pathogenesis-directed therapy

Na, Shostak; Pravdyuk, N. G.; Timofeev, V. T.; Abeldyaev, D. V.

doi:10.17650/1818-8338-2021-15-1-4-k652

Cited by 3 publications

(3 citation statements)

References 15 publications

(12 reference statements)

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“…В современной практике широко применяют нестероидные противовоспалительные препараты (НПВП), инъекции глюкокортикоидов (ГК), препаратов гиалуроновой кислоты (ГлК), обогащенной тромбоцитами плазмы (ОТП). Принципиальное значение для успешного восстановления функции имеет активная реабилитации в специализированных реабилитационных центрах [1,4,6,7].…”

Section: таблица 1 характеристика видов импинджмент-синдрома плечевог...unclassified

“…Хроническая боль в области плечевого сустава (ПС) является одной из серьезных и актуальных проблем современной ортопедии [1]. При этом в большинстве случаев (70-90%) она связана с поражением сухожилий мышц вращательной манжеты плеча (ВМП) в рамках импинджмент-синдрома (ИС) [2][3][4].…”

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Variants of impingement syndrome of the shoulder joint

Нестеренко¹,

Karateev²,

Arkhipov³

et al. 2023

Naučno-praktičeskaâ revmatologiâ

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Pain in the shoulder joint is one of the most common reasons for seeking medical help associated with the pathology of the musculoskeletal system. The most common disease in this area that causes chronic pain is impeachment syndrome (IS) of the rotator muscles of the shoulder. The domestic literature describes in sufficient detail surgical and conservative approaches for lesions of the shoulder joint, but there are only a few publications on the types of IS. This review is devoted to the description of all occurring types of compression of the tendons of the muscles of the rotator cuff of the shoulder joint within the framework of IS.

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Section: таблица 1 характеристика видов импинджмент-синдрома плечевог...unclassified

unclassified

Variants of impingement syndrome of the shoulder joint

Нестеренко¹,

Karateev²,

Arkhipov³

et al. 2023

Naučno-praktičeskaâ revmatologiâ

View full text Add to dashboard Cite

show abstract

“…Боль в плече является самой распространенной жалобой и занимает 2-е место среди причин обращения за первичной медицинской помощью среди всех пациентов со скелетно-мышечными заболеваниями. Возраст пациента подчас является фактором, определяющим спектр патологии: травма вращательной манжеты плеча чаще наблюдается у молодых людей, тогда как адгезивный капсулит, ОА аркомиально-ключичного сустава распространены в среднем и пожилом возрасте [22].…”

Section: патология связочного аппаратаunclassified

The use of sodium hyaluronate to treat upper limb disease: A review

Filatova

Ilyin

2023

Terapevticheskii arkhiv

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The most common diseases of the upper limb are osteoarthritis (OA) of the joints of the hands, lateral epiconlitis, tendinitis of the shoulder muscles, adhesive capsulitis. OA of the shoulder and acromioclavicular joints is less common. The development of acute and subacute pain in the elbow and shoulder joints in the vast majority of cases is determined by the pathology of soft tissues: muscles, ligamentous apparatus and related synovial bags, making it difficult to diagnose. A clinical and radiological heterogeneity of OA of the joints of the hands is a very complex pathology for the study, and also to create a unified algorithms for therapy. Therapy nonsteroidal anti-inflammatory drugs are effective in the short term, but it has several side effects. Despite a variety of attempts at therapy with successful and unsuccessful outcome, the attention of researchers for several decades converted to the injection therapy with hyaluronic acid. The article presents the data of studies demonstrating the anti-inflammatory effect of hyaluronic acid in the treatment of OA, as well as the results of clinical trials and data system of meta-analysis demonstrating the effectiveness of intra-articular and extra-articular therapy tendinopathy of the upper limb. Most of the cited studies demonstrated the efficacy and good tolerance of 1% sodium hyaluronate. In the domestic market it is presented in the drug Flexotron Forte. The authors provide the results of the study results, demonstrating the efficacy and safety of using Flexotron Forte to clinical practice.

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Informative Value of Radiological Methods for Diagnosing Subacromial Impingement Syndrome

Andronnikov¹,

Николаевна

Николаев³

et al. 2023

Acta med. Eurasica

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Up to 30% of the adult population suffers from impingement syndrome with severe pain. Detection of the disease in the early stages is difficult. Early diagnosis of the initial signs of degenerative changes in the subacromial space saves the patient from surgery and additional risk of postoperative complications. The aim of the study is to evaluate the informative value of radiation methods for diagnosing subacromial impingement syndrome based on the analysis of papers published by domestic and foreign authors, depending on etiopathogenetic factors and anatomical structure of the shoulder joint. Materials and methods. The authors analyzed Russian and foreign publications on anatomical, etiological, pathogenetic, clinical, diagnostic features of subacromial conflict syndrome from databases: e-library (https://www.elibrary.ru), Oxford Medicine Online (https://academic.oup.com /), PubMed (https://pubmed.ncbi.nlm.nih.gov/) and others. The applied research methods were analysis and synthesis, axiomatic method and abstraction. Results. The development of subacromial impingement syndrome was revealed to be due to the structural features of the shoulder joint, which differs from other joints in anatomical and functional complexity. At this, changes in the rotator cuff of the shoulder joint develop under the influence of various etiopathogenetic factors, which can be both external (a decrease in subacromial space, an increase in the volume of the coracoacromial arch, instability, overload of the shoulder joint) and internal (changes in vascularization, pathology of collagen fibers' microstructure, degeneration of the tendons in the rotator cuff, etc.) Currently there is no unified approach to the algorithm of radiation diagnosing the early signs of impingement syndrome and injuries to the rotator cuff of the shoulder joint. Although radiography is a simple and informative method to assess the condition of the shoulder joint, its sensitivity at an early stage of impingement syndrome is insufficient. Magnetic resonance imaging is highly informative and sensitive in the diagnosis of injuries to the rotator cuff of the shoulder joint, however, it has a number of limitations, such as the presence of some contraindications, its high cost, protracted examination time, etc. Ultrasound examination is currently considered the preferred method in the diagnosis of impingement syndrome due to its high informative value, speed of execution and the possibility of its repeatability. Conclusions. The analysis of the informative value of radiation diagnostics methods showed that in identifying the early signs of subacromial impingement syndrome, taking into account etiopathogenetic factors and the anatomical structure of the shoulder joint, the ultrasound method is optimal and preferable; for more complex and controversial cases, according to certain indications, they are the methods of X-ray computer and magnetic resonance imaging. In the absence of the possibility of using high-tech diagnostic methods, classical radiography of the shoulder joint is performed.

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Pathology of the shoulder joint and soft tissues: clinical variants, current capabilities of pathogenesis-directed therapy

Cited by 3 publications

References 15 publications

Variants of impingement syndrome of the shoulder joint

Variants of impingement syndrome of the shoulder joint

The use of sodium hyaluronate to treat upper limb disease: A review

Informative Value of Radiological Methods for Diagnosing Subacromial Impingement Syndrome

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