[Principles of treatment of spinal injuries.].
The authors describe the diagnostic and therapeutic procedure in diseases of the shoulder joint with regard to arthroscopic possibilities, assembled over a five-year period. Surgery of the shoulder joint accounts at the Clinic for 4 % of all surgical operations. This number comprises 46 arthroscopies of the shoulder, i. e. 21 % of all surgical operations of the shoulder joint. The autors describe the procedure during arthroscopy of the shoulder. The rations of arthroscopic diagnoses were folows: PHS of adhesion 11 %, instability 13 %, synovitis 11 %, arthritis, "mouse" 9 %, tendopathy of the rotator cuff, bursitis 20 %, tendinosis calcarea 9 %, rupture of the rotator cuff 20 % acromioclavicular arthritis 9 %. In half these patients an open operation followed: treatment of instability 26 %, operation sec. Neer 26 %, suture of rotator cuffs + operation sec. Neer 39 %, extirpation of calcificate 9 %. The arthroscopic procedure was: lavage 13 %, extirpation of "mouse" 4 %, smoothing of cartilage, forage 4 %, synovectomy - shaving 17 %, intraarticular elimination of adhesions 13 %, subacromial elimination of adhesions 13 %, subacromial decompression - shaving 27 %, extirpation of calcificate 9 %. Satisfactory results after Neer's open surgery, as well as after arthroscopic decompression were recorded in 84 % of patients. After Neer's open plastic operation satisfactory results are obtained after 3-6 months, after arthroscopic decompression already after 1.5 to 2 months. The authors consider arthroscopy a good diagnostic and therapeutic procedure in the framework of surgery of the shoulder joint. The advantage of arthroscopy is the shortening of the rehabilitation stage to half as compared with an open operation. Key words: arthroscopy of the shoulder, indications.
Vojtassák
J
J
I. ortopedická klinika LF UK a FN, Bratislava.
Olos
M
M