The experience with the use of a subacromial balloon in the treatment of patients with large, massive, irreparable rotator cuff tears
- Authors: Lazko М.F.1, Prizov A.P.1, Lazko F.L.1, Beliak E.A.1, Maglaperidze I.G.1, Kyznetsov A.V.1, Akhpashev A.A.1,2
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Affiliations:
- Peoples’ Friendship University of Russia, Medical Institute
- Academy of Postgraduate Education under the FSBU “Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency”
- Issue: Vol 11, No 4 (2020)
- Pages: 14-22
- Section: Original Study Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/19268
- DOI: https://doi.org/10.17816/clinpract19268
- ID: 19268
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Abstract
Background. Large, massive irreparable rotator cuff tears lead to a significant decrease in the function of the shoulder joint together with the development of a pronounced pain syndrome. Such injuries are difficult to treat, and the number of relapses, when trying to restore them, is quite high. The installation of a subacromial balloon is the method of choice for this group of patients and allows restoring the function of the shoulder joint fairly successfully. Aim: to evaluate the results of the treatment of patients with massive irreparable rotator cuff tears injuries in a prospective study from 2016 to 2018. Methods. The results of the arthroscopic treatment of large, irreparable rotator cuff injuries in 25 patients (with the average age of 67 ± 5 years) with the installation of a subacromial balloon are presented. In all the clinical cases, there was a pronounced (grades 3–4, according to the Goutallier classification) fatty dystrophy of the rotator cuff muscles (supraspinatus or in combination with subaspinatus). All the patients underwent the subacromial space release with a thorough bursectomy and subsequent installation of a subacromial balloon. Results. The average score on the UCLA scale was 14 ± 3 points (11–17) before the operation and 31±2 points (29–33) 12 months after the operation, the results were considered good and excellent. Conclusion. The results obtained allow us to evaluate the described technique as low-traumatic, simple and fast in its accomplishment, aimed at the reduction of the pain syndrome and restoration of the upper extremity function.
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##article.viewOnOriginalSite##About the authors
Мaksim F. Lazko
Peoples’ Friendship University of Russia, Medical Institute
Author for correspondence.
Email: maxim_lazko@mail.ru
Russian Federation, Moscow
Alexey P. Prizov
Peoples’ Friendship University of Russia, Medical Institute
Email: aprizov@yandex.ru
MD, PhD, docent
Russian Federation, MoscowFedor L. Lazko
Peoples’ Friendship University of Russia, Medical Institute
Email: fedor_lazko@mail.ru
MD, PhD, Professor
Russian Federation, MoscowEvgeny A. Beliak
Peoples’ Friendship University of Russia, Medical Institute
Email: belyakevgen@mail.ru
MD, PhD, assistent
Russian Federation, MoscowIvan G. Maglaperidze
Peoples’ Friendship University of Russia, Medical Institute
Email: v.maglapheridze@mail.ru
MD, PhD, graduate student
Russian Federation, MoscowAleksandr V. Kyznetsov
Peoples’ Friendship University of Russia, Medical Institute
Email: Dr.smith_a@icloud.com
MD, PhD, graduate student
Russian Federation, MoscowAlexander A. Akhpashev
Peoples’ Friendship University of Russia, Medical Institute; Academy of Postgraduate Education under the FSBU “Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency”
Email: akhpashev@gmail.com
MD, PhD, docent
Russian Federation, MoscowReferences
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