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Post a Comment A method for the treatment of patients with massive tears of the rotator cuff: a clinical case
- Authors: Menshova D.V.1, Kuklin I.A.1, Ponomarenko N.S.1, Tishkov N.V.1, Puseva M.E.1, Pichugina U.V.1
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Affiliations:
- Irkutsk Scientific Center of Surgery and Traumatology
- Issue: Vol 13, No 3 (2022)
- Pages: 89-94
- Section: Case reports
- URL: https://journals.rcsi.science/clinpractice/article/view/108163
- DOI: https://doi.org/10.17816/clinpract108163
- ID: 108163
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Abstract
Background: Rotator cuff tears are the most common cause of shoulder pain and dysfunction in older patients. Tears with the retraction greater than 5 cm or with the involvement of two and more tendons are considered massive. According to the literature, the incidence of massive injuries of the rotator cuff ranges from 10 to 40%. The formation of massive injuries is a long process leading to a pronounced pain syndrome, loss of function and, as a result, to pseudo-paralysis of the affected limb. There is no consensus concerning the treatment of this category of patients. Conservative methods of treatment are applicable for patients with a low activity. Among the surgical methods of treatment, the preference is given to the proximal capsule reconstruction, subacromial balloon arthroplasty, reverse arthroplasty and muscle-tendon transfers. However, today there is no single tactic for the surgical treatment of patients with massive rotator cuff tears. Clinical case description: We propose a new surgical method for this shoulder joint pathology — arthroscopically associated transposition of the tendon of the latissimus dorsi muscle using an autograft of the long peroneal muscle tendon. As an illustration of the new method, we present a successful clinical case of the treatment of a patient with a chronic massive rotator cuff injury of the right shoulder and secondary upper subluxation of the right humerus head. Conclusion: This method allows increasing the efficiency of the treatment of a massive tear of the rotator cuff tendons, restoring the correct biomechanics of the shoulder joint, reducing the pain and restoring the function of the affected limb.
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##article.viewOnOriginalSite##About the authors
Daria V. Menshova
Irkutsk Scientific Center of Surgery and Traumatology
Email: menschovadar@yandex.ru
ORCID iD: 0000-0003-1471-2482
Graduate Student
Russian Federation, 1 Bortsov Revolyutsii str., Irkutsk, 664003Igor A. Kuklin
Irkutsk Scientific Center of Surgery and Traumatology
Email: iscst@mail.ru
ORCID iD: 0000-0003-4733-9178
SPIN-code: 4824-8180
MD, PhD
Russian Federation, 1 Bortsov Revolyutsii str., Irkutsk, 664003Nikolay S. Ponomarenko
Irkutsk Scientific Center of Surgery and Traumatology
Email: Ponomarenko-ns@mail.ru
ORCID iD: 0000-0001-6210-3492
SPIN-code: 4752-4467
MD, PhD
Russian Federation, 1 Bortsov Revolyutsii str., Irkutsk, 664003Nikolay V. Tishkov
Irkutsk Scientific Center of Surgery and Traumatology
Email: zdrav@iscst.ru
ORCID iD: 0000-0003-2651-1055
SPIN-code: 2343-5366
MD, PhD, Assistant Professor
Russian Federation, 1 Bortsov Revolyutsii str., Irkutsk, 664003Marina E. Puseva
Irkutsk Scientific Center of Surgery and Traumatology
Email: iscst@mail.ru
ORCID iD: 0000-0002-9136-3354
SPIN-code: 6595-7160
MD, PhD
Russian Federation, 1 Bortsov Revolyutsii str., Irkutsk, 664003Uliana V. Pichugina
Irkutsk Scientific Center of Surgery and Traumatology
Author for correspondence.
Email: iscst@mail.ru
ORCID iD: 0000-0002-1389-5558
SPIN-code: 5180-7757
MD, PhD
Russian Federation, 1 Bortsov Revolyutsii str., Irkutsk, 664003References
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