Повний спектр ортопедичних послуг від діагностики до реабілітації. Надаємо допомогу при пошкодженнях і захворюваннях суглобів, а також при спортивних травмах.
Is it possible to run with arthrosis? Answer of the specialist
When running with arthrosis is possible, in which cases it is strictly not recommended, and what alternatives should be considered in order to maintain movement without harm to the joints - says Vasily Mellen, orthopedic surgeon and traumatologist of Mashtaler Ortho&Trauma Clinic.
#knee
What are compression stockings and who needs them?
This article is about what compression stockings are, why they are important in orthopedics, and how we apply them in an integrated approach to recovery in Mashtaler Ortho&Trauma Clinic.
#foot
#knee
Rehabilitation and life after hip endoprosthetics
How life changes after hip replacement, what to expect in the first weeks, what to strive for next and how to make recovery not only effective, but also natural.
#thigh
Bikini access during hip endoprosthetics
Bikini approach is a relatively new, minimally invasive method that is distinguished by its delicacy, less trauma and expressive aesthetics.
#thigh
The First Meniscus Transplant in the Western Region
This is an important achievement, because such an operation was carried out only for the eighth time in Ukraine.
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Endoprosthetics of the shoulder joint
Shoulder joint replacement surgery is performed to relieve pain and other symptoms that arise due to damage to the shoulder joint. The operation involves removing the affected areas of the bone and replacing them with parts — special implants made of metal or plastic.
#shoulder
Arthroscopy of the ankle
Arthroscopy of the ankle joint is a surgical procedure that allows the doctor to see all components of the joint, with minimal trauma to the surrounding tissues and a low risk of complications.
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Halus-valgus
Halus valgus or valgus deformity of the big toe is a pathological condition in which the thumb shifts to the side and looks like a large “bulging” growth. It is a condition that can significantly restrict movement and cause pain when walking.
#foot
PCV rupture: causes, mechanisms, symptoms — everything you need to know
Ligaments are strong fibers that connect bones together. The anterior cruciate ligament is one of two ligaments that cross at the center of the knee and connect the femur to the tibia. The anterior cruciate ligament is the main stabilizer of the knee joint. Injuries leading to its rupture provoke further instability of the knee.
#knee
High-Intensity Laser Therapy
High-intensity laser therapy is a powerful method of overcoming pain. På (biostimulation a fotomechanical effect), the laser accelerates the healing and regeneration processes. High-intensity laser technology is based on the principle of low-level laser therapy.
#hand
#knee
#thigh
#elbow
#shoulder
Super-inductive magnetotherapy
Superinductive magnetotherapy (also called High-Intensity Magnetotherapy) is a modern, effective and safe method of treating pain without direct intervention in the human body. This is possible due to the influence on the neuromuscular tissue of the magnetic field, which creates a special superinductive apparatus. Already after the first procedure, there is a noticeable reduction in pain.
#hand
#knee
#thigh
#elbow
#shoulder
BMAC
Nós,. BMAC regenerativna terapija je upravljanje, ki se.
#hand
#knee
#thigh
#elbow
#shoulder
Arthroscopy of the shoulder joint
Arthroscopy of the shoulder joint is a surgical procedure that allows the doctor to see all components of the joint, with minimal trauma to the surrounding tissues and a low risk of complications.
Treatment of dislocation of the shoulder is aimed both at immediate relief of the patient's condition and at the prevention of other injuries and pathologies in the long term. Mashtaler Ortho&Trauma Clinic specialists apply an integrated approach that combines surgical techniques and rehabilitation. This significantly reduces the likelihood of re-dislocation and allows you to maintain the mobility of the limb.
The usual dislocation of the shoulder - what is the essence of this problem?
The usual dislocation of the shoulder is instability of the shoulder joint. It usually develops as a result of damage to the articular lip (cartilaginous rim) of the shoulder and rupture of the anterior ligaments of the joint capsule. Improper healing leads to the fact that these structures can no longer reliably hold the bone.
The result is repeated dislocations even with a slight load on the arm. The problem is accompanied by pain, discomfort and limited mobility. As a result, the patient subconsciously tries to avoid using this hand. And this leads to improper distribution of loads and the emergence of new pathologies of the musculoskeletal system.
Symptoms characterizing shoulder dislocation
Acute dislocation of the shoulder joint has the following symptoms:
sharp pain— discomfort intensifies when moving and straining muscles, and attempts to lift or push heavy objects, turn the arm in place or lie on its side aggravate the pain;
restriction of movements, the hand “does not obey”— the range of motion is significantly limited, trying to overcome this limitation can be very painful and uncomfortable;
deformation, the shoulder looks unnatural— the hand is not adjacent to the body, the contour of the joint is changed, a hollow is felt under the skin instead of the normal rounded shoulder.
The habitual dislocation of the shoulder is a chronic problem that usually develops as a result of rupture and incapacity of the structures that stabilize the shoulder.
What symptoms does a habitual dislocation have?
Repeated dislocations. With minor loads, in which the patient can exercise the shoulder independently or require medical attention.
Subluxations. Situations when the bone is not completely displaced and quite easily returns to its place. They are accompanied by brief pain, discomfort, clicking and sharp relief after restoring the normal state.
Feeling of instability. The patient is already expecting dislocations, and therefore tries to limit the movements of the hand. Fear is especially amplified when the arm is pulled back or heavy objects are lifted.
Chronic pain and weakness. The deformation leads to a weakening of the muscle belt and irritation of the tissues. The patient may experience pain and a significant difference in strength between the hands.
How is the usual shoulder dislocation diagnosed?
Mashtaler Ortho&Trauma Clinic offers treatment of dislocation of the shoulder joint in Lviv.
Our specialists conduct complex diagnostics, which involves the use of a number of methods.
Collection of anamnesis. The doctor clarifies how many times the dislocations have been observed, how long was the last, when the most severe pain occurs and what movements cause fear.
Apprensia test. The specialist slowly removes and rotates the patient's arm. If at some point the muscles tense, this indicates the expectation of a dislocation.
Radiography. In the pictures with repeated dislocations, you can sometimes find signs of bone defects: a broken piece of the scapula or a squeeze on the head of the shoulder.
MRI. Magnetic resonance imaging shows the condition of soft tissues: rupture of the articular lip, damage to the ligaments of the capsule, possible concomitant injuries. This is the most informative diagnostic method for planning future operations.
CT. Computed tomography helps to best assess the level of bone loss in the glial appendage of the scapula, which is a significant factor in instability. This affects the choice of surgical treatment method.
The doctor conducts an examination and diagnosis of the shoulder joint
Methods of treatment of dislocation of the shoulder joint
Mashtaler Ortho&Trauma Clinic specialists have modern methods of treating dislocation of the shoulder — both surgical and conservative. They select an individual mobility recovery program according to the patient's condition, lifestyle and the nature of the injury.
Fixation in the bandage
An acute dislocation of the shoulder that is detected for the first time is usually treated conservatively. After the shoulder is corrected, the doctor applies a bandage. The arm is pressed against the trunk to limit its movements and accelerate the splicing of injured ligaments and the joint capsule. The recommended recovery time is approximately 3 weeks.
Classes with a physical therapist
The physical therapist prescribes a set of exercises to strengthen the muscles that stabilize the joint. The main focus is on the muscles of the rotator cuff of the shoulder and shoulder blade. Their strengthening allows you to better hold the head of the shoulder in place. In rehabilitation, elastic bands, isometric exercises, gradual stretching and strengthening are used. Additionally, massage and physiotherapy can be prescribed to improve blood supply. Loads increase gradually to avoid relapses and new damage.
Operation Bankarta
Operation Bankarta is a minimally invasive arthroscopic procedure. During it, the surgeon inserts instruments into the joint through several small punctures. He sutures the torn articular lip back to the edge of the joint cavity, and also sutures and tightens the ruptured ligaments of the capsule. This allows you to eliminate the defect that causes the shoulder to “pop out”. The arm is fixed for 3-4 weeks, and rehabilitation lasts up to 6 months, after which the patient can return to his usual lifestyle.
Operation Latarge
Latarge surgery is performed in complicated cases, for example, in case of repeated dislocations after Bankarte surgery or in the presence of significant bone defects. It allows you to strengthen the front of the joint with an additional bone. A small bone fragment (beak-shaped appendage) is taken from the patient's own shoulder blade and attached to the anterior-lower edge of the articular cavity of the shoulder. This increases the area of the joint and prevents the head of the shoulder from shifting forward.
Latarge surgery is performed in an open or arthroscopic way. It has a very high efficiency — up to 95% even in cases where other methods do not work. The arm is fixed for 4-6 weeks. Full restoration of limb function lasts up to 6 months.
Replication
Replication of the Hill-Sachs humerus head defect. This operation is an annex to the Bankarta or Latarge operation. With a dislocation of the shoulder, a defect forms in the head of the humerus, which reduces the contact area of the glenoid appendage of the scapula and the head of the humerus. It also contributes to repeated dislocations. The essence of the procedure is to suture the rotator cuff of the shoulder into the tendon defect zone, thereby leveling the ability of this defect to promote dislocation.
Why Shoulder Pain Can Not Be Ignored: Possible Consequences
Over time, dislocation can become habitual. This will mean that the humerus will “fly out” from simple movements with minimal loads. Each new dislocation will increasingly injure the cartilage and bones of the shoulder. In the future, this will be fraught with degeneration of the joint (arthrosis) and an increase in bone defects, which will make further treatment difficult. Of great importance are the psychological consequences - the fear of dislocation leads to a subconscious restriction of movements. This problem causes muscle weakness and constant discomfort.
If you suspect a dislocation of the shoulder joint and in order to exclude other pathologies — subacromial impingement, capsulitis, osteoarthritis — it is worth making an appointment for a visit or online consultation to the Mashtaler Ortho&Trauma Clinic. Our specialists will establish an accurate diagnosis and select the optimal recovery technique that will help you return to your usual way of life as soon as possible.
The price of treatment of the usual dislocation of the shoulder in our clinic
The price of treatment for dislocation of the shoulder will depend on several factors — the nature of the injury, the patient's state of health, the chosen technique, etc. You can clarify the cost of the clinic's services by signing up for a consultation with an orthopedic surgeon.
