Authors
Zagorodniy N.V.1, 2, Malchevskiy V.A.3, 4, Karpovich N.I.1, Malchevskiy A.V.3, 4, Karpovich A.N.1
1 Peoples’ Friendship University of Russia named after Patrice Lumumba, Moscow
2 Research Center for Traumatology and Orthopedics named after N.N. Priorov, Moscow
3 Tyumen State Medical University, Tyumen
4 Tyumen Scientific Center of the Siberian Branch of the Russian Academy of Science, Tyumen
Abstract
Introduction. Trapezius muscle paralysis is a severe pathology. Loss of its function causes significant statodynamic disorders in the patient, leading to a significant decrease in the «quality of life». Despite the availability of technical capabilities and timely appeal of this contingent of patients for qualified medical care, untimely correct diagnosis is often noted, which in turn leads to late implementation of treatment measures and a decrease in their effectiveness. This situation is associated with a lack of information in specialized literary sources on the diagnosis and treatment of patients with trapezius muscle paralysis.
The purpose of the clinical lecture is to improve the quality of medical care for patients with trapezius muscle paralysis by familiarizing a wide range of doctors of various specialties with modern views on diagnostics and neuro-orthopedic treatment of patients with this pathology.
Main part. The main part of the clinical lecture examines in detail the etiology, diagnostics, conservative and surgical treatment of patients with trapezius muscle paralysis. The importance of conducting a correct clinical examination of patients with suspected trapezius muscle paralysis is outlined. Much attention is paid to the presentation of the applied methods of surgical orthopedic treatment.
Conclusion. It is noted that a full physical examination of patients with trapezius muscle paralysis is a guarantee of establishing a correct diagnosis and further effective treatment. Due to the current lack of effective and widely available pathogenetically substantiated technologies for neurosurgical treatment of this pathology, performing an orthopedic operation using the Eden-Lange method as modified by Elhassan ensures sufficient leveling of statodynamic disorders that have arisen in patients, improving their “quality of life” indicators to an acceptable level.
Keywords: trapezius muscle, paralysis, diagnostics, orthopedic treatment, quality of life.
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