Email this article Features and tactics of management of patients with joint hypermobility (Clinical observation)
- Authors: Orletskiy A.K.1, Timchenko D.O.1, Kozlova E.S.1
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Affiliations:
- N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
- Issue: Vol 28, No 3 (2021)
- Pages: 59-64
- Section: Clinical case
- URL: https://journals.rcsi.science/0869-8678/article/view/89567
- DOI: https://doi.org/10.17816/vto89567
- ID: 89567
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Abstract
There are not enough studies in the literature on the treatment of patients with impaired collagen homeostasis. Dysplastic changes in the bone and ligamentous structures of the shoulder joint are a risk factor for the development of chronic instability and can be one of the reasons for relapses after surgery. Orthopedic disorders of this pathology should be corrected by operative or conservative techniques for each patient individually.
The choice of treatment tactics for patients with chronic post-traumatic multiplanar instability of the shoulder joint against the background of connective tissue dysplasia.
Surgical treatment was used, the duration of wearing the orthosis on the shoulder joint area was increased in order to ensure the centering of the humeral head, and a rehabilitation program was proposed.
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##article.viewOnOriginalSite##About the authors
Anatoliy K. Orletskiy
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: nova495@mail.ru
MD, PhD, Dr. Sci. (Med.), traumatologist-orthopedist
Russian Federation, 10 Priorova str., 127299, MoscowDmitriy O. Timchenko
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: d.o.Timchenko@mail.ru
SPIN-code: 6626-2823
MD, PhD, Cand. Sci. (Med.), traumatologist-orthopedist
Russian Federation, 10 Priorova str., 127299, MoscowElena S. Kozlova
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Author for correspondence.
Email: elenako352@gmail.com
physiotherapist
Russian Federation, 10, Priorova str., 127299, MoscowReferences
- Spivak EM. Sindrom gipermobil’nosti sustavov u detei i podrostkov. Yaroslavl; 2003. 128 p. (In Russ).
- Yagoda AV, Gladkikh NN. Autoimmune aspects of collagen homeostasis disorder in undifferentiated connective tissue dysplasia. Medical Immunology (Russia). 2007;9(1):61–68. (In Russ). doi: 10.15789/1563-0625-2007-1-61-68
- Displazii soedinitel’noi tkani. Klinicheskie rekomendatsii. Moscow; 2017. 100 p. (In Russ).
- Tsykunov MB, Builova TV. Shoulder dislocation rehabilitation program (project of the federal clinical guidelines). Sportiv-naya meditsina: nauka i praktika. 2015;(1):98–109. (In Russ). doi: 10.17238/ISSN2223-2524.2015.1.98
- Juul-Kristensen B. Generalised joint hypermobility and shoulder joint hypermobility – risk of upper body musculoskeletal symptoms and reduced quality of life in the general population. BMC Musculoskelet Disord. 2017;18(1):226. doi: 10.1186/s12891-017-1595-0
- Merolla G, Cerciello S, Chillemi C, et al. Multidirectional instability of the shoulder: biomechanics, clinical presentation and treatment strategies. Eur J Orthop Surg Traumatol. 2015;25(6):975–985. doi: 10.1007/s00590-015-1606-5
- Proshchenko YN, Baindurashvili AG, Brianskaia AI, et al. Clinical forms of shoulder instability in pediatric patients. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2016;4(4):41–46. (In Russ). doi: 10.17816/PTORS4441-46
- Bergsma A, Murgia A, Cup EH, et al. Upper extremity kinematics and muscle activation patterns in subjects with facioscapulohumeral dystrophy. Arch Phys Med Rehabil. 2014;95(9):1731–1741. doi: 10.1016/j.apmr.2014.03.033
- Lebus GF, Raynor MB, Nwosu SK, et al. Predictors for surgery in shoulder instability: a retrospective cohort study using the FEDS system. Orthop J Sports Med. 2015;3(10): 232–238. doi: 10.1177/2325967115607434
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