A.A. MAKOVSKY^1,2, G.V. FEDORUK², A.P. STEPANCHENKO³

¹Lomonosov Moscow State University, Moscow, Russian Federation

²Moscow Clinical Scientific Center named after A.S. Loginov of the Moscow Department of Healthcare, Moscow, Russian Federation

³Municipal Clinical Hospital named after S.S. Yudin of the Moscow Department of Healthcare, Moscow, Russian Federation

Contact details:

Makovsky A.A. – post-graduate student of the Department of General and Specialized Surgery of the Faculty of Fundamental Medicine,

Address: 27 Lomonosovskiy prospekt, building 1, Moscow, Russian Federation, 119991, e-mail: Makovskiya@yandex.ru

Objective. To assess the frequency of rotator cuff injuries in patients of different age groups with shoulder dislocation.

Material and methods. The study included the results of the observation of 101 patients after shoulder dislocation without signs of damaging the rotator cuff before injury. All patients were divided into 2 groups: older and younger than 60 years; X-ray and MRI were performed to all patients after injury. Shoulder injuries were assessed by MRI.

Results. The risk of a full-thickness rupture of the rotator cuff in patients of the 2^nd group (elderly patients) is 3.789 times (95% CI 1.521-9.443) higher than in younger patients, and the risk of damage to the rotator cuff in patients of the 2^nd group is 11.153 times (95% CI 4.047-30.734) higher than in younger patients.

Conclusion. All patients, especially those over 60, should be examined after shoulder dislocation using MRI for accurate diagnosis of soft tissue lesions in order to choose the correct treatment tactics and method.

Key words: shoulder dislocation, shoulder joint, rotator cuff, acromion-shoulder index, MRI.

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