Intraoperational prevention of piriform muscle syndrome in treatment of old fractures of the rare column of cotyloid cavity
R.Ya. KABIBYANOV1,2, I.G. GALEEV2
1Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012
2Republican Clinical Hospital, 138 Orenburgskiy trakt, building B, Kazan, Russian Federation420064
Khabibyanov R.Ya. — D.Sc. (medicine), Associate Professor of the Department of Traumatology and Orthopedics, Head of the Scientific-Research Department, e-mail: rjh59@mail.ru
Galeev I.G. — Senior Researcher of the Scientific-Research Department, e-mail: rkb_nauka@rambler.ru
The article presents a substantiated technique of intraoperational prevention of piriform muscle syndrome in treatment of old fractures of the rare column of cotyloid cavity, consisting of transposition of the crossed muscles — short external rotators of a hip during their myorrhaphy (Patent No. 2624387-2017). This prevents compression of sciatic nerve when it comes out of the pelvis minor in sub-piriform area; moreover, in cases of old lesions the short external rotators of a hip already have fibrous changes.
Key words: fracture of the rare column of chip joint, piriform muscle, piriform muscle syndrome, access.
(For citation: Khabibyanov R.Ya., Galeev I.G. Intraoperational prevention of piriform muscle syndrome in treatment of old fractures of the rare column of cotyloid cavity. Practical Medicine. 2018)
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