PERIARTICULAR SOFT TISSUE LESION OF THE SHOULDER: PATHOGENESIS, CLINICAL PRESENTATIONS, CURRENT APPROACHES TO THERAPY
Shoulder pain associated with periarticular soft tissue lesion is a common pathology and one of the most common reasons to visit rheumatologists and traumatologists. The main cause of chronic shoulder pain is subacromial impingement syndrome (shoulder rotator compression syndrome (SRCS)). This patho...
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| Format: | Article |
| Language: | Russian |
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IMA PRESS LLC
2018-11-01
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| Series: | Научно-практическая ревматология |
| Subjects: | |
| Online Access: | https://rsp.mediar-press.net/rsp/article/view/2627 |
| Summary: | Shoulder pain associated with periarticular soft tissue lesion is a common pathology and one of the most common reasons to visit rheumatologists and traumatologists. The main cause of chronic shoulder pain is subacromial impingement syndrome (shoulder rotator compression syndrome (SRCS)). This pathology is accompanied by injury and inflammation of the tendons of muscles (supraspinatus, infraspinatus, subscapularis, and teres minor ones), which determine main movements in the shoulder. This review deals with the pathophysiology of SRCS, the clinical presentations of this disease, differential diagnosis with other diseases and pathological conditions accompanied by shoulder pain. A wide range of medications, such as nonsteroidal anti-inflammatory drugs, local glucocorticoid and hyaluronic acid injections, is used to treat SRCS. The review gives the data of clinical trials evaluating the comparative efficiency of these drugs. Special attention is paid to a new method for treating SRCS – the use of platelet-rich plasma (PRP). There are the latest data on the mechanism of action of PRP, the classification of its agents, a procedure for their preparation, and the data of clinical trials that have evaluated the efficiency and safety of this agent. |
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| ISSN: | 1995-4484 1995-4492 |