The relationship of humeroscapular periarthrosis and the spine degenerative diseases
Purpose. To study humeroscapular periarthrosis (HSPA) pathogenetic dependence on degenerative diseases of the cervical spine. Materials and methods. We performed a prospective study and identified the long-term results of disc-puncturing treatment in 140 patients with humeroscapular periarthrosis. Results. As proven, the puncturing treatment-and-diagnostic manipulation is the most objective confirmation of the humeroscapular pain syndrome relationship with pathological impulsation from the involved intervertebral disc. The syndrome familiar to the patient can be reproduced with experimental accuracy by solution infusion into the disc, and it right can be eliminated by alcohol-novocaine denervation. The humeroscapular pain syndrome is most often associated with pathological impulsation from С4-C5 spinal motion segment (SMS). An excellent result of the patient disc-puncturing treatment (on the average, 34.9 points according to UKLA scale) was obtained mostly at the initial stages of HSPA. Good and excellent long-term results of disc-puncturing treatment were obtained in 31 of 58 patients (53.3 %) with Stages 3 and 2 of the disease (totally) thereby evidencing of the practicability of vegetative denervation of the involved shoulder by elimination of pathological impulsation from the clinically relevant intervertebral discs being in the associate vegetotome (sclerotome) with the shoulder. Conclusion. The simplicity and security of the disc-puncturing treatment-and-diagnostic manipulation combined with efficiency at half of the patients, even those with gross morphological changes in the shoulder, allow recommending its using for HSPA.