Neglected injuries of the muscles of the upper arm and rotator cuff: a case of myofascial transposition
Introduction A case of a successful surgical treatment of a neglected injury of the upper arm muscles and rotator cuff in a working-age man with a history of an episode of thromboembolism of small branches of the pulmonary artery is presented. The aim of this study was to demonstrate one of the ap...
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| Format: | Article |
| Language: | English |
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2021-12-01
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| Series: | Гений oртопедии |
| Subjects: |
| _version_ | 1819243126268624896 |
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| author | Oleg A. Kaplunov Sergey A. Demkin Kamil F. Abdullaev Kirill O. Kaplunov Anastasiya А. Malyakina |
| author_facet | Oleg A. Kaplunov Sergey A. Demkin Kamil F. Abdullaev Kirill O. Kaplunov Anastasiya А. Malyakina |
| author_sort | Oleg A. Kaplunov |
| collection | DOAJ |
| description | Introduction A case of a successful surgical treatment of a neglected injury of the upper arm muscles and rotator cuff in a working-age man with a
history of an episode of thromboembolism of small branches of the pulmonary artery is presented. The aim of this study was to demonstrate one of
the approaches to surgical treatment of this pathology that resulted in the improvement of upper limb function and the quality of life of the patient.
Material and methods A comprehensive study of the patient's outpatient and inpatient records, results of clinical, instrumental and laboratory methods,
the types of intervention and rehabilitation along with medical prevention of thrombosis are described in detail. Results Eight months after the surgery,
there was an improvement in the function of the right shoulder joint. The range of active motion significantly increased; the DASH score decreased
from 136 to 52 points; pain decreased from 46 to 31 points according to VAS; the level of self-service significantly improved. Discussion Сombined
techniques of preserved muscle transposition to replace the lost function of the damaged ones was a condition and a guarantee of the achieving
significant progress in the anatomical and functional status of the patient. Nevertheless, a further search for more rational technologies for restorative
reconstruction in the disorders under consideration seems appropriate. Conclusion A correctly chosen and based on clinical and instrumental data
transposition of the tendons of the active muscles of the shoulder joint area to replace the lost shoulder antagonists provides improvement of the upper
arm function and patients’ quality of life while the justified tactics of thromboprophylaxis allows control of hemostasis and absence of vascular failures. |
| first_indexed | 2024-12-23T14:50:44Z |
| format | Article |
| id | doaj.art-edf62ceca30e4fa089cca7aa096fb014 |
| institution | Directory Open Access Journal |
| issn | 1028-4427 2542-131X |
| language | English |
| last_indexed | 2024-12-23T14:50:44Z |
| publishDate | 2021-12-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj.art-edf62ceca30e4fa089cca7aa096fb0142022-12-21T17:42:56ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2021-12-0127680881210.18019/1028-4427-2021-27-6-808-812Neglected injuries of the muscles of the upper arm and rotator cuff: a case of myofascial transpositionOleg A. Kaplunov0Sergey A. Demkin1Kamil F. Abdullaev2Kirill O. Kaplunov3Anastasiya А. Malyakina4Volgograd State Medical University, Volgograd, Russian Federation, Multidisciplinary Medical Center, Volgograd, Russian FederationMultidisciplinary Medical Center, Volgograd, Russian FederationMultidisciplinary Medical Center, Volgograd, Russian FederationVolgograd State Medical University, Volgograd, Russian FederationVolgograd State Medical University, Volgograd, Russian Federation, Multidisciplinary Medical Center, Volgograd, Russian FederationIntroduction A case of a successful surgical treatment of a neglected injury of the upper arm muscles and rotator cuff in a working-age man with a history of an episode of thromboembolism of small branches of the pulmonary artery is presented. The aim of this study was to demonstrate one of the approaches to surgical treatment of this pathology that resulted in the improvement of upper limb function and the quality of life of the patient. Material and methods A comprehensive study of the patient's outpatient and inpatient records, results of clinical, instrumental and laboratory methods, the types of intervention and rehabilitation along with medical prevention of thrombosis are described in detail. Results Eight months after the surgery, there was an improvement in the function of the right shoulder joint. The range of active motion significantly increased; the DASH score decreased from 136 to 52 points; pain decreased from 46 to 31 points according to VAS; the level of self-service significantly improved. Discussion Сombined techniques of preserved muscle transposition to replace the lost function of the damaged ones was a condition and a guarantee of the achieving significant progress in the anatomical and functional status of the patient. Nevertheless, a further search for more rational technologies for restorative reconstruction in the disorders under consideration seems appropriate. Conclusion A correctly chosen and based on clinical and instrumental data transposition of the tendons of the active muscles of the shoulder joint area to replace the lost shoulder antagonists provides improvement of the upper arm function and patients’ quality of life while the justified tactics of thromboprophylaxis allows control of hemostasis and absence of vascular failures.neglected injuryparesisupper arm musclesrotator cuffshouldermyofascial transposition |
| spellingShingle | Oleg A. Kaplunov Sergey A. Demkin Kamil F. Abdullaev Kirill O. Kaplunov Anastasiya А. Malyakina Neglected injuries of the muscles of the upper arm and rotator cuff: a case of myofascial transposition Гений oртопедии neglected injury paresis upper arm muscles rotator cuff shoulder myofascial transposition |
| title | Neglected injuries of the muscles of the upper arm and rotator cuff: a case of myofascial transposition |
| title_full | Neglected injuries of the muscles of the upper arm and rotator cuff: a case of myofascial transposition |
| title_fullStr | Neglected injuries of the muscles of the upper arm and rotator cuff: a case of myofascial transposition |
| title_full_unstemmed | Neglected injuries of the muscles of the upper arm and rotator cuff: a case of myofascial transposition |
| title_short | Neglected injuries of the muscles of the upper arm and rotator cuff: a case of myofascial transposition |
| title_sort | neglected injuries of the muscles of the upper arm and rotator cuff a case of myofascial transposition |
| topic | neglected injury paresis upper arm muscles rotator cuff shoulder myofascial transposition |
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