Title Skausmas peties sąnario srityje: priežastys, klinikiniai simptomai, diagnostika ir gydymas /
Translation of Title Pain in the region of shoulder joint: causes, clinical symptoms,diagnostics and treatment.
Authors Broga, Rimvaldas
DOI 10.15388/LietChirur.2003.2.2433
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Is Part of Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2003, t. 1, Nr. 2, p. 192-204.. ISSN 1392-0995. eISSN 1648-9942
Keywords [eng] shoulder joint ; clinical examination ; small rotator muscles ; degeneration ; compartment syndrome
Abstract [eng] At the age over 40 many patients experience shoulder pain. Due to this pain they are refered to doctors of different specialities. The anatomy of the shoulder joint as well as its biomechanics is very complicated and not similar to any other joint. The range of motion in the shoulder joint is very wide in all axes and planes. The wide motion is achieved by means of three true joints and two junctions. In the function of the shoulder joint 26 muscles and their parts take part, but most important in the biomechanics are the smallest rotation muscles and the deltoid muscle. The patient experiences pain and aches and the function of the shoulder is impaired in the case of dysfunction of the above mentioned muscles. In the paper, causes of shoulder joint degeneration are mentioned and a clinical examination scheme is presented. Some of the accents from the anamnesis and evaluation are very common to shoulder sicknesses. The most popular examination tests concerning pain, function and strength restriction are discussed. Roentgenological examination is rather cheap but very informative. The most informative and most common roentgenological features are discussed. In case of early diagnosis of the degenerative and traumatic impairment of small rotator muscles operative treatment is very effective. In cases of delayed and inveterate illnesses when the above mentioned muscles have been disrupted long ago, are shortened and cannot perform their basic function (stable and mobile fixation of the humeral head), the results of operative treatment are worse.
Published Vilnius : Vilniaus universiteto leidykla
Type Journal article
Language Lithuanian
Publication date 2003
CC license CC license description