Authors
Giniyatov A.R.1, 2, Egiazaryan K.A.2, Tamazyan V.O.2, Milenin O.N.3, Ratiev A.P.2, Povaliy A.A.1
1 St. Petersburg State University, St. Petersburg
2 Pirogov Russian National Research Medical University, Moscow
3 Pirogov National Medical and Surgical Center, Moscow
Abstract
Rationale: Surgical decision-making when planning suture surgery of the supraspinatus tendon of the shoulder joint is further complicated by the fact that many ruptures do not correspond to the final clinical picture.
Aim: retrospective results of arthroscopic suture surgery of the supraspinatus tendon of the shoulder joint, taking into account the extent of the damage.
Materials and methods: a total of 83 cases were examined. The patients were divided into 2 groups according to the type of rupture: massive and small. Assessment was carried out before the operation according to the DASH (Disabilities of the Arm, Shoulder and Hand) scales, VAS (Visual Analogue Scale), and then at the terms of 1, 6, 12 months after the operation and the degree of dystrophy according to the Goutalier classification in the T1 MRI weighted mode before surgery. and then 3, 6, 12 months after surgery.
Results: the difference between the groups divided by the type of gap in the indicator, the classification according to Gutallier as well as the VAS score and the DASH questionnaire was detected and tracked across all control points. There was no evidence of a deterioration in the outcome relative to age.
Discussion: Despite the fact that no data on the age factor have been identified, it should still be paid attention.
Conclusion: when predicting the results of surgery, attention should be paid to the size of the rupture and the age of the patient.
Keywords: arthroscopy, subacromial impingement, rotator cuff, massive rupture.
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