Author/Editor		Fokter, Samo K
Title		Rekonstrukcija rotatorne manšete ramenog zgloba
Type		monografija
Place		Zagreb
Publisher		Sveučilište u Zagrebu, Medicinski fakultet
Publication year		1999
Volume		str. 128
Language		cro
Abstract		By the present retrospective analysis it was attempted to give the insight into the results of surgery in fifty-one patients with rotator cuff tears, treated at the Department for Orthopaedic Surgery and Sports Trauma of the Celje General Hospital between July 1992 and December 1996. The analysis included 37 men and 14 women, with the avarage age of 53 years (ranging from 25 to 71 years). The procedure had been performed on the dominant upper limb of thirty-eight (74.5 per cent) patients. Thirty-four (66.7 per cent) patients had recalled some form of trauma at the onset of symptoms. The avrage period elapsed between the injury and surgical response was 10 months (ranged one month to three years). The cuff rupture was diagnosed before surgery by means of arthrography in 44 patients (86.3 per cent), and by sonography and/or arthroscopy in others. All patients were found to have complete, or full-thickness cuff tears. The size of the tear was small (less than one centimeter) in four patients (7.8 per cent), moderate (one to threecentimeters) in twenty-one (41.2 per cent), large (three to five centimeters) in ninteen (37.3 per cent), and massive (more than five centimeters) in seven (13.7 per cent). All patients were subject to the anterior acromioplasty with the excision of the coracoacromial ligament. The cuff was secured on a decorticated bone of the greater tuberosity in forty-five patients (88.2 per cent). In six patients (all with an old, large or massive retracted tear) this was not possible. A deltoid muscle inlay flap was required in three shoulders (5.9 per cent) and an expanded politetrafluoroethilene graft was used in two shoulders (3.9 per cent) to obtain closure of the cuff. However, in one shoulder (2 per cent) with massive, irreparable tear of the rotator cuff, only open decompression and debridement was performed. (Abstract trunacted at 2000 characters).
Descriptors		ROTATOR CUFF SHOULDER IMPINGEMENT SYNDROME TENDON INJURIES RUPTURE PHYSICAL EXAMINATION RANGE OF MOTION, ARTICULAR ELECTROMYOGRAPHY MUSCLE CONTRACTION TREATMENT OUTCOME WORKPLACE RETROSPECTIVE STUDIES