Комбинированное повреждение сухожилия ротаторной манжеты плеча и сухожилия длинной головки двуглавой мышцы плеча

Василий Владимирович Монастырев; Иван Николаевич Михайлов; Дарья Васильевна Меньшова

Василий Владимирович Монастырев Irkutsk Scientific Center for Surgery and Traumatology http://orcid.org/0000-0003-4711-9490
Иван Николаевич Михайлов Irkutsk Scientific Center for Surgery and Traumatology http://orcid.org/0000-0003-3215-4736
Дарья Васильевна Меньшова Russian Medical Academy of Continuing Professional Education

Abstract

The presented article presents a rare case of combined damage to the tendons of the rotator cuff and the long head of the biceps muscle of the shoulder. The purpose of the publication is to describe the features of the clinic, diagnosis, surgical correction for combined damage to the rotator cuff tendons and the tendon of the long head of the biceps of the shoulder, and to evaluate the functional result of the surgical treatment. As a diagnostic, a conventional X-ray is not enough, the damage can be confirmed by an MRI scan. Differential diagnosis should be carried out with other traumatic injuries, accompanied by dysfunction of the upper limb, such as dislocation of the tendon length of the head of the biceps of the shoulder, isolated damage to the rotator cuff tendons. Patients need to be sent to a specialized hospital in the early stages after injury, with the aim of surgical treatment. Conservative treatment of patients does not give a positive effect. In the case of prolonged conservative treatment inevitably leads to fatty degeneration of the muscles of the rotator cuff of the shoulder, which later will be impossible to reinsert. In this article, we presented our opinion on the method of treating patients with combined damage to the rotator cuff tendons and the tendons of the long head of the biceps of the shoulder.

References

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Combined damage to the tendon of the rotator cuff and the tendon of the long head of the biceps of the shoulder

Abstract

References