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  • Intraoperational prevention of piriform muscle syndrome in treatment of old fractures of the rare column of cotyloid cavity

    Редактор | 2018, Brief reports, Practical medicine part 16 №7 (part 1) Innovative technologies in medicine (2018) | 31 октября, 2018

    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)

    REFERENCES

    1. Movshovich I.A. Operativnaya ortopediya [Operative orthopedics]. Moscow: Meditsina, 1983. 414 p.
    2. Myuller M.E., Allʹgover M., Shnayder R., Villinegger X. Rukovodstvo po vnutrennemu osteosintezu [Guidelines for internal osteosynthesis]. Moscow: Ad Marginem, 1996. 750 p.
    3. Ruedi T.P., Murphy W.M. AO Principles of Fracture Management. Stuttgart N.-Y., 2000. Pp. 391– 415.
    4. Khabibʹyanov R.Ya. Lechenie nestabilʹnykh povrezhdeniy tazovogo kolʹtsa i perelomov vertluzhnoy vpadiny: avtoref. dis. … d-ra med. nauk [Treatment of unstable injuries of the pelvic ring and acetabular fractures. Synopsis of dis. Dr med. sciences]. Kazan, 2016. 39 p.
    5. Khabibʹyanov R.Ya., Galeev I.G. The method of access to the lower sections of the posterior column of the acetabulum. Patent no. 2624387. BI, 2017, no. 19 (in Russ.).

    Метки: 2018, access, fracture of the rare column of chip joint, I.G. GALEEV, piriform muscle, piriform muscle syndrome, Practical medicine part 16 №7 (part 1) Innovative technologies in medicine (2018), R.Ya. KABIBYANOV

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