BACKGROUND: Surgical treatment of post-traumatic instability of the shoulder jointinvolves the use of various surgical techniques: open Latarjet procedure, BristowLatarjet operation, which was first performed in Russia at CITO named after N.N. Priorov, the founder of the clinic for sports and ballet trauma, Professor Zoya S. Mironova, also use soft tissue stabilization with anchors, etc. However, in recent years, the Latarjet arthroscopic operation has become a priority choice in the treatment of post-traumatic instability of the shoulder joint.
AIM: To improve the results and reduce the frequency of postoperative complications, reduce the time of surgical intervention, as well as evaluate the technical difficulties, nuances and improve the surgical technique when performing the arthroscopic Latarjet procedure in professional athletes and amateurs with post-traumatic defects of the shoulder joint.
MATERIALS AND METHODS: During the period from 2015 to 2021, 50 Latarjet arthroscopic procedure were performed in athletes with post-traumatic defects of the glenoid cavity of the scapula.
RESULTS: To improve postoperative results, during the Latarjet arthroscopic operation, when positioning the bone autograft, we focused on the 5 oclock in the anterior inferior section of the glenoid cavity of the scapula, which allowed us to maintain the range of motion, namely abduction, flexion and external rotation and bring it almost to the previous level in 96% of patients, the pain syndrome also regressed to 0.80.21 points. Fixation of the capsular-ligamentary apparatus exarticularly allowed to reduce the likelihood of relapse, fracture of the bone autograft, and the development of deforming osteoarthritis of the shoulder joint in the near future.
CONCLUSIONS: The arthroscopic Latarjet procedure in the treatment of post-traumatic injuries of the shoulder joint is gaining popularity due to the fact that, using low-traumatic approaches, it is possible to correctly position the bone autograft on the anterior-inferior region of the articular surface of the scapula, without subsequent restrictions on the functional component of the shoulder joint.
Aim. Evaluation of the results of surgical treatment of patients with neuropathy of the suprascapular nerve.
Materials and methods. In the department of sports and ballet injury of CITO them N.N. Priorov in 20132014 11 arthroscopic decompression of the supramandular nerve were performed. All patients underwent radiography and MRI of the shoulder joint and electroneuromyography of the brachial plexus.
Results. After decompression, all patients underwent repeated electroneuromyography 2 months after the operation, then according to indications. In all cases, an increase in M-response was noted. A complete recovery of clinically and an increase in the M-response of more than half the norm (contralateral) and more to the normal value was observed after 58 months.
Conclusion. The use of modern minimally invasive methods of surgical etiotropic treatment of the neuropathy of the suprascapular nerve helps to achieve, as a rule, good and excellent results, even in old cases.
Over the past 20 years, interest in the treatment of patellar instability has increased significantly, many actual surgical techniques have been presented in the publications. The article discusses the development of approaches, issues on the treatment of patellar instability, indications and contraindications for different interventions.
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