Stražnji sindrom sraza lakta

Scientific paper - Original scientific paper

• Title (english): Posterior impingement syndrome of the elbow
• Author: Igor Knežević https://orcid.org/0000-0002-7946-2085
• Author: Martin Čemerin https://orcid.org/0000-0002-5293-6981
• Author: Damjan Dimnjaković
• Author: Ivan Bojanić
• Author's institution: University of Zagreb; School of Medicine; (Department of Orthopedics)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract (croatian)

Cilj istraživanja: Cilj ovog istraživanja jest prikazati rezultate artroskopskog zahvata za kirurško liječenje stražnjeg sindroma sraza lakta te usporediti dobivene rezultate s rezultatima objavljenima u literaturi. Ispitanici i metode: Pretraživanjem operacijskih protokola Klinike za ortopediju KBC-a Zagreb pronađeno je da je u osmogodišnjem razdoblju načinjeno deset uzastopnih artroskopija lakta zbog sindroma stražnjeg sraza lakta. Svu medicinsku dokumentaciju koja je bila dostupna u elektroničkoj i papirnatoj bazi podataka Klinike sustavno je pregledao liječnik koji nije sudjelovao u liječenju, a na pregledu provedenom u svrhu istraživanja procijenio je funkcionalni status operiranog lakta koristeći standardizirane upitnike. Duljina praćenja bolesnika prosječno je iznosila 23,89 (raspon 6 – 67) mjeseci. Rezultati: Artroskopski je zahvat u svih bolesnika protekao bez komplikacija, a one nisu zabilježene niti tijekom poslijeoperacijskog razdoblja. Značajna poboljšanja funkcije lakta zapažena su u kategorijama boli, opsega pokreta te mogućnosti izvođenja svakodnevnih aktivnosti. Medijan vrijednosti ukupnog rezultata koristeći upitnik kojeg su sastavili Timmerman i Andrews prije učinjenog zahvata iznosio je 155 bodova, a nakon zahvata 195. Medijan ostvarenog broja bodova bolesnika koristeći modificirani Andrewsov upitnik o funkciji lakta iznosio je 100 bodova. Funkcija lakta nakon zahvata ocijenjena je kao izvrsna u 88,89% bolesnika, a svi su se bolesnici uspješno vratili sportskim aktivnostima kojima su se bavili prije zahvata. Zaključak: Rezultati ovog istraživanja, kao i spoznaje iz literature, pokazuju da se stražnji sindrom sraza lakta može uspješno i sigurno liječiti artroskopskim zahvatom. Tim će se zahvatom u većini slučajeva značajno smanjiti bol, dobit će se bolji opseg pokreta u laktu te će se omogućiti ponovno bavljenje sportom i to će sve biti praćeno malim brojem komplikacija, kao i rijetkom potrebom za reoperacijom.

Abstract (english)

Objectives: The aim of this study is to analyse the results of arthroscopic management for posterior impingement syndrome of the elbow as well as compare them with the published literature. Methods: The analysis of the Department of Orthopaedics, UHC Zagreb operation protocols has shown that during eight years, ten consecutive elbow arthroscopies had been performed for the management of posterior elbow impingement syndrome. The available department’s electronic and paper database was systemically searched by a physician not directly involved in the patients’ care. The physician was conducting follow-up examinations using standardised questionnaires. The mean follow-up period was 23.89 (range, 6–67) months. Results: No complications were noted during the procedures as well as during the follow-up period. A significant improvement in pain levels, elbow range of motion and ability to perform daily activities was observed. The median Timmerman-Andrews Elbow Score increased from 155 before the procedure to 195 at the follow-up. The median Modified Andrews Elbow Scoring System was 100. At the follow-up, 88.89% of the patients graded their elbow function as excellent, and all of them returned to their previous sports activities. Conclusion: The results of this study, substantiated by literature examples, show that elbow arthroscopy can be effectively and safely used to treat the posterior elbow impingement syndrome. The arthroscopic procedure usually results in significant pain reduction, improved elbow range of motion and the ability to return to sports. The procedure is accompanied by low complication and reoperation rates.

• Keywords (croatian): artroskopija – metode; ozljede lakta – kirurgija; lakatni zglob – kirurgija; kumulativni traumatski poremećaji – kirurgija; športske ozljede – kirurgija; opseg zglobne pokretljivosti; ishod liječenja; povratak sportu
• Keywords (english): arthroscopy – methods; elbow injuries – surgery; elbow joint – surgery; cumulative trauma disorders – surgery; athletic injuries – surgery; range of motion, articular; treatment outcome; return to sport
• Language: croatian
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 146, no. 7-8, pp. 274-283
• p-ISSN: 0024-3477
• e-ISSN: 1849-2177
• DOI: https://doi.org/10.26800/LV-146-7-8-4
• URN:NBN: urn:nbn:hr:105:298629
• Publication: 2024
• Document URL: https://hrcak.srce.hr/320255
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-12-17 09:44:10