IMPROVING THE EFFECTIVENESS OF REHABILITATION TREATMENT OF PATIENTS WITH INFLAMMATORY-DEGENERATIVE DISEASES OF THE ROTATOR CUFF OF THE SHOULDER
Subacromial impingement of the rotator cuff as the main cause of shoulder joint pain was identified as an independent unit more than 60 years ago by Codman. He described subacromial bunions and rotator cuff lesions caused by the impingement of tendons located between the lower acromion surface and the head of the humerus. The authors of the scientific work analyzed the case histories of 55 patients with degenerative-dystrophic diseases of the shoulder joint rotator cuff. All patients underwent X-ray and magnetic resonance imaging of the shoulder joint (MRI) before treatment. According to the MRI study, inflammatory disease of two or more tendons was revealed in 20 patients, inflammation of one tendon was diagnosed in 35 patients. The function of the upper limb was restored much faster in patients who were treated with paratendinous administration of glucocorticosteroids in combination with therapeutic physical training, heat treatment and intramuscular administration of moths in comparison with the control group of patients who were treated with magnetotherapy, physical therapy, heat treatment and intramuscular administration of moths.