Search citation statements
Paper Sections
Citation Types
Year Published
Publication Types
Relationship
Authors
Journals
The history of shoulder problems dates back to ancient times, and the shoulder joint plays a significant role in various aspects of human life. Throughout history, doctors have been providing assistance to individuals experiencing shoulder pain. In the 20th century, significant advancements were made in shoulder surgery, driven by an improved understanding of joint biomechanics and the recognition of new diagnostic methods. Arthroscopy, a minimally invasive surgical technique, was first used for diagnosing shoulder conditions only about 30 years ago. Since then, it has replaced many open surgical procedures due to its enhanced visualization capabilities and lower invasiveness, leading to reduced injury rates. Suprascapular nerve decompression at the suprascapular notch is an example of a procedure that has benefited from arthroscopy. Dr. Laurent Lafosse's detailed description of arthroscopic manipulation in 2007 has been crucial in advancing this technique.This article aims to shed light on the pathogenesis of suprascapular nerve compression at the suprascapular notch following supraspinatus tendon retraction and examine the potential complications of suprascapular neuropathy. The principal author of this article has successfully performed 20 supraspinatus tendon repair operations with simultaneous decompression of the suprascapular nerve at the suprascapular notch, achieving positive outcomes in the postoperative period.
The history of shoulder problems dates back to ancient times, and the shoulder joint plays a significant role in various aspects of human life. Throughout history, doctors have been providing assistance to individuals experiencing shoulder pain. In the 20th century, significant advancements were made in shoulder surgery, driven by an improved understanding of joint biomechanics and the recognition of new diagnostic methods. Arthroscopy, a minimally invasive surgical technique, was first used for diagnosing shoulder conditions only about 30 years ago. Since then, it has replaced many open surgical procedures due to its enhanced visualization capabilities and lower invasiveness, leading to reduced injury rates. Suprascapular nerve decompression at the suprascapular notch is an example of a procedure that has benefited from arthroscopy. Dr. Laurent Lafosse's detailed description of arthroscopic manipulation in 2007 has been crucial in advancing this technique.This article aims to shed light on the pathogenesis of suprascapular nerve compression at the suprascapular notch following supraspinatus tendon retraction and examine the potential complications of suprascapular neuropathy. The principal author of this article has successfully performed 20 supraspinatus tendon repair operations with simultaneous decompression of the suprascapular nerve at the suprascapular notch, achieving positive outcomes in the postoperative period.
Complications of shoulder joint traumas stand as a significant concern in modern traumatology. Various forms of endoprosthetics offer the potential to restore lost function resulting from fractures or dislocations of the proximal humerus. In the context of a significant deficiency in the rotator cuff of the shoulder (RC) in elderly patients with notably aged injuries, reverse endoprosthetics (RE) emerges as a justifiable choice. The accrued experience from the widespread adoption of anatomical arthroplasty of the shoulder joint (PS) has significantly influenced the evolution of this approach. Complications and progressive failures with short-term outcomes prompted the quest for solutions to the challenges posed by complex fractures and dislocations through the method of reverse arthroplasty, originally devised for treating rotatory arthropathy of the shoulder. However, the extensive application of RE has not consistently yielded excellent and good results in all cases of post-fracture and dislocation consequences. Mechanical complications, particularly periprosthetic fractures, are prevalent in RE and occur three times more frequently than in anatomical total arthroplasty of the shoulder joint. The urgency of this problem, considering the diminished rehabilitation potential of patients against the backdrop of intraoperative or postoperative fractures of the humerus and scapula, leading to a persistent deficit in the function of the shoulder joint, underscores the necessity of this study.
Aim. To investigate potential strategies for enhancing the treatment outcomes of patients with fractures and injuries to the proximal humerus through delayed reverse endoprosthesis.Materials and methods. From 2014 to 2022, reverse shoulder endoprosthesis (RSE) was performed on 64 patients aged 44 to 85 with fractures and dislocations. Among them, 39 patients were classified as elderly (60—74 years) at the time of surgery. Specifically, 22 patients underwent RSE within the first 6 months after the injury, 15 within the period from 6 to 12 months post-injury, and 27 were operated on no earlier than a year after the injury. Radiographs were analyzed, and postoperative complications and treatment results were evaluated before surgery, as well as at 3, 6, 12, and 24 months using the Constant Shoulder Score, UCLA, and ASES questionnaires.Results. Over a 2-year period post reverse shoulder endoprosthesis (RSE), there was a notable improvement in average scores across all assessment scales: Constant Shoulder Score improved from 18.2 ± 10.5 to 69.9 ± 20.7 points; ASES increased from 22.0 ± 10.3 to 82.0 ± 14.4 points, and UCLA rose from 14.7 ± 21.3 to 27.8 ± 5.92 points.Conclusions. Performing reverse shoulder endoprosthesis in patients with fractures and fractures-dislocations of the humerus in the delayed period allows achieving better treatment outcomes. Reverse shoulder endoprosthesis is a complex operation and is associated with a fairly large number of complications. Hence, engaging surgeons with expertise in such procedures is recommended.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.