SU1526665A1 - Method of treatment of humeroscapular periarthritis - Google Patents
Method of treatment of humeroscapular periarthritis Download PDFInfo
- Publication number
- SU1526665A1 SU1526665A1 SU884388691A SU4388691A SU1526665A1 SU 1526665 A1 SU1526665 A1 SU 1526665A1 SU 884388691 A SU884388691 A SU 884388691A SU 4388691 A SU4388691 A SU 4388691A SU 1526665 A1 SU1526665 A1 SU 1526665A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- treatment
- periarthritis
- shoulder
- blockades
- brachial plexus
- Prior art date
Links
- 206010034464 Periarthritis Diseases 0.000 title claims abstract description 4
- 238000000034 method Methods 0.000 title claims description 3
- 208000004434 Calcinosis Diseases 0.000 claims abstract description 4
- 210000003461 brachial plexus Anatomy 0.000 claims abstract description 4
- 230000002308 calcification Effects 0.000 claims abstract description 4
- 201000010099 disease Diseases 0.000 claims abstract description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 3
- 230000003444 anaesthetic effect Effects 0.000 claims abstract 2
- 210000005036 nerve Anatomy 0.000 claims abstract 2
- 230000002889 sympathetic effect Effects 0.000 claims abstract 2
- GOZBHBFUQHMKQB-UHFFFAOYSA-N trimecaine Chemical compound CCN(CC)CC(=O)NC1=C(C)C=C(C)C=C1C GOZBHBFUQHMKQB-UHFFFAOYSA-N 0.000 abstract description 3
- 239000003814 drug Substances 0.000 abstract description 2
- 230000000399 orthopedic effect Effects 0.000 abstract description 2
- 208000002193 Pain Diseases 0.000 description 5
- 230000036407 pain Effects 0.000 description 5
- 210000000323 shoulder joint Anatomy 0.000 description 3
- 206010002091 Anaesthesia Diseases 0.000 description 2
- 230000037005 anaesthesia Effects 0.000 description 2
- 210000003109 clavicle Anatomy 0.000 description 2
- XPYGGHVSFMUHLH-UUSULHAXSA-N falecalcitriol Chemical compound C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@@H](CCCC(O)(C(F)(F)F)C(F)(F)F)C)=C\C=C1\C[C@@H](O)C[C@H](O)C1=C XPYGGHVSFMUHLH-UUSULHAXSA-N 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 208000008035 Back Pain Diseases 0.000 description 1
- 206010006811 Bursitis Diseases 0.000 description 1
- 235000008733 Citrus aurantifolia Nutrition 0.000 description 1
- 235000005979 Citrus limon Nutrition 0.000 description 1
- 244000248349 Citrus limon Species 0.000 description 1
- 206010015995 Eyelid ptosis Diseases 0.000 description 1
- 208000008930 Low Back Pain Diseases 0.000 description 1
- 206010027646 Miosis Diseases 0.000 description 1
- 206010062519 Poor quality sleep Diseases 0.000 description 1
- 235000011941 Tilia x europaea Nutrition 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000008034 disappearance Effects 0.000 description 1
- 208000001936 exophthalmos Diseases 0.000 description 1
- 210000000281 joint capsule Anatomy 0.000 description 1
- 239000004571 lime Substances 0.000 description 1
- 230000003547 miosis Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 208000035824 paresthesia Diseases 0.000 description 1
- 238000000554 physical therapy Methods 0.000 description 1
- 201000003004 ptosis Diseases 0.000 description 1
- 229950002569 trimecaine Drugs 0.000 description 1
Landscapes
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Abstract
Изобретение относитс к медицине, а именно к ортопедии и травматологии в лечении плече-лопаточного периартрита. С целью предупреждени рецидива заболевани при очаговом обызвествлении провод т одномоментные проводниковые блокады раствором анестетика тримекаина надлопаточного нерва, плечевого сплетени и шейного симпатического ствола.The invention relates to medicine, namely to orthopedics and traumatology in the treatment of shoulder-blade periarthritis. In order to prevent the recurrence of the disease in case of focal calcification, simultaneous conduction blockades are performed with the anesthetic solution of trimekain of the suprascapular nerve, brachial plexus and cervical sympathetic trunk.
Description
Изобретение относитс к медицине, а именно к травматологии и ортопедии в лечении плече-лопаточного периарт- рита.The invention relates to medicine, namely to traumatology and orthopedics in the treatment of shoulder-scapular periarthritis.
Целью изобретени вл етс уменьшение возможности возникновени ре- цедива заболевани при очаговом обызвествлении .The aim of the invention is to reduce the possibility of occurrence of a disease regimen in focal calcification.
Способ осуществл етс следующим образом.The method is carried out as follows.
Больному со стороны пораженного плечевого сустава в положении лежа на спине и повороте головы в противоположную сторону производ т вкол инъекционной иглы с предварительной анестезией кожи созданием лимонной корочки на 3 см выше верхнего кра ключицы и на 1 см медиальнее ее середины . Иглу ориентируют на вершину межлестничного промежутка, что соот ветствует пучкам плечевого сплетени . Ввод т при получении парастезии 20 мл 1,5%-ный раствор тримекаина. При правильно выполненной анестезии через 5-10 мин по вл етс симптом Горнера (птоз, миоз экзофтальм) на стороне блокады. Блокады повтор ют через 2- 3 дн . На курс лечени производ т отThe patient with the affected shoulder joint in the supine position and turning the head in the opposite direction is subjected to injection of the injection needle with preliminary anesthesia of the skin creating a lemon peel 3 cm above the upper edge of the clavicle and 1 cm medial to its middle. The needle is oriented to the top of the inter-spinal gap, which corresponds to the brachial plexus bundles. When receiving parasthesia, 20 ml of a 1.5% solution of trimecaine is injected. With properly performed anesthesia, Horner's symptom (ptosis, miosis exophthalmos) appears on the blockade after 5–10 minutes. The blocks are repeated after 2 to 3 days. The course of treatment is from
2до 5 блокад в зависимости от клинических про влений до стихани болевого синдрома и восстановлени активных движений в плече. Рентгенологи - ческий контроль выполн ют через 23недели после окончани лечебных сеансов.2 to 5 blockades depending on the clinical manifestations until the pain subsides and the active movements in the shoulder are restored. Radiological monitoring is performed 23 weeks after the end of treatment sessions.
Пример. Больна &., 42 года поступила в клинику с диагнозом: калькулезный бурсит правого плечевого сустава. В момент поступлени выражен болевой синдром. Ограничены движени в плечевом суставе, плохой сон. На рентгенограмме четко видны известковые отложени в капсуле сустава . Больной произведена блокада плечевого сплетени в надключичной области путем вкола иглы на 3,0 смExample. Sick &., 42 years old, was admitted to the hospital with a diagnosis of calculous bursitis of the right shoulder joint. Pain at the time of admission. Movement in the shoulder joint is limited, poor sleep. On radiographs, lime deposits in the joint capsule are clearly visible. The patient produced a blockade of the brachial plexus in the supraclavicular region by injecting a 3.0 cm needle.
(Л(L
выше верхнего кра ключицы и на 1 см медиальнее ее середины с проведением иглы в межлестничный промежуток. Получена перестези в виде прострела в область плеча.above the upper edge of the clavicle and 1 cm medial to its middle with the needle in the interlaminar gap. Received perestesi in the form of lumbago in the shoulder area.
Введено 20 мл 1,5 -ного раствора тримекаина. Боли исчезли сразу. По вилс симптом Горнера. На курс лече ки выполнено 5 блокад, повтор ющиес через два-три дн . В промежутках между блокадами больна отмечала снижение интенсивности боли, что позвол ло заниматьс лечебной физкультурой дл восстановлени функции. После п той блокады боли исчезли. На контрольной рентгенограмме через 3 неделиIntroduced 20 ml of a 1.5% solution of trimekain. The pain disappeared immediately. By Wilse symptom Horner. During the course of treatment, 5 blockades were performed, repeated after two to three days. In the intervals between blockades, the patient noted a decrease in the intensity of pain, which allowed them to exercise physical therapy to restore function. After the fifth blockade, the pain disappeared. On the control radiograph after 3 weeks
после блокад во врем контрольного осмотра, вы влено исчезновение очага обызвествлени . Больна признана полностью трудоспособной.after blockades during the control examination, the disappearance of the calcification site was revealed. The patient is recognized fully able-bodied.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU884388691A SU1526665A1 (en) | 1988-03-04 | 1988-03-04 | Method of treatment of humeroscapular periarthritis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU884388691A SU1526665A1 (en) | 1988-03-04 | 1988-03-04 | Method of treatment of humeroscapular periarthritis |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1526665A1 true SU1526665A1 (en) | 1989-12-07 |
Family
ID=21359781
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU884388691A SU1526665A1 (en) | 1988-03-04 | 1988-03-04 | Method of treatment of humeroscapular periarthritis |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1526665A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2361578C1 (en) * | 2007-12-04 | 2009-07-20 | Константин Генрихович Утемов | Method of treatment of facioscapulohumeral periarthrosis |
-
1988
- 1988-03-04 SU SU884388691A patent/SU1526665A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Ортопеди , травматологи , протезирование, 1987, f i, с. 29-31. * |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2361578C1 (en) * | 2007-12-04 | 2009-07-20 | Константин Генрихович Утемов | Method of treatment of facioscapulohumeral periarthrosis |
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