EXAMINATION OF PATIENTS WITH DISTRUCTIONS ACROMIAL END OF CLAVE

Non-invasive diagnostic methods in examining patients with acromioclavicular joint injuries are of great importance in determining the types of joint damage and choosing the tactics of further treatment of patients. Purpose of the study. To present the results of clinical and radiological examination of 90 patients with acromioclavicular joint injuries aged 18 to 70 years. Materials and methods. The article presents the results of clinical and radiological examination of 90 patients with acromioclavicular joint injuries of types III-V according to the Rockwood classification aged 18 to 70 years. O’Brien and E.N. Nabiev clinical tests were used in the examination. All patients underwent standard radiography of the joint in the anteroposterior projection, radiography in the anteroposterior projection with a cranial angle of 10 ° Zanca and MRI examination. Results. 89 (98.8%) patients complained of pain of varying intensity in the supraclavicular region, 69 (76.6%) – limited range of motion in the shoulder joint, 53 (57.8%) – deformation in the supraclavicular region, 75 (83.3%) – swelling in the clavicle region. 43 (47.7%) patients received injuries from a direct mechanism of injury, 47 (52.3%) – from an indirect one. In 70 (80.0%) patients, soft tissue edema was detected, in 56 (62.2%) – step-like deformation of the supraclavicular contours, in 84 (93.3%) – limited active and passive motion in the shoulder joint. Local pain in the joint area was noted in 85 (94.4%) patients. The "key" symptom was positive in 79 (87.8%) patients. O'Brien clinical test was in 43 (47.7%) patients, E.N. Nabiev test were positive. in 32 (35.5%) were positive. Radiography of the acromioclavicular joints in the anteroposterior projection with a cranial angle of 10 ° Zanca was performed in 35 (37.8%) patients, MRI examination in - 19 patients. Conclusions. The results of our study showed the importance of non-invasive diagnostic methods in examining patients with damage to the acromioclavicular joint. Well-known clinical and radiological methods of examining the joint allow a specialist to identify dislocation or fracture of the acromial end of the clavicle, damage to the capsular-ligamentous apparatus of the joint, the type of damage and choose the optimal treatment tactics.