Irkutsk, Irkutsk region, Russian Federation
The aim of the research was to study electrophysiological values in patients with blade-humerus pain syndrome at cervical osteochondrosis and posttraumatic shoulder injuries. We managed 71patients: 33patients with cervical osteochondrosis and brachialgia getting conservative treatment in the neurosurgical unit of Irkutsk Scientific Center of Surgery and Traumatology (group1) and 38patients with injuries of shoulder joint capsules and ligaments getting treatment in the unit of traumatology and orthopedics (group2). Comparison of electroneuromyographic values in pa-tients of both groups showed unidirectional changes in the values and accentuated decrease in electroneuromyographic parameters on both affected and unaffected extremities. In both cases median nerve was affected most. We registered the decrease in conduction velocity of motor fibers of intact nerves in patients of both groups. Lack of clinical signs of lesion of these nerves can be indicative of functional changes in nerve conduction which reflect generalized reaction on the lesion of certain nerve stems.
electroneuromyography, pain syndrome, osteochondrosis
1. Extraarticular dis-eases of soft tissues of locomotor system [Vnesustavnye zabolevaniya myagkikh tkaney oporno-dvigatel›nogo apparata], 151.
2. BelenkiyAG (2004). Scapulohumeral periarthritis. Farewell to the term: from approximate to precise noso-logical entity [Plechelopatochnyy periartrit. Proshchanie s terminom: ot priblizitel›nosti – k konkretnym nozolog-icheskim formam]. Consilium Medicum, 6(2), 15-20
3. VerkhozinaTK, IppolitovaEG, TsyslyakES (2013). Neurophysiological approach to the treatment of scapulohumeral periarthritis [Neyrofiziologicheskiy podkhod k lecheniyu plechelopatochnogo periartrita]. Bulleten’ Vostocno-Sibirskogo naucnogo centra, 2-2(90), 13-15
4. GekhtB M (1990). Theoretical and clinical electro-myography [Teoreticheskaya i klinicheskaya elektro-miografiya], 229
5. GordeyevaIE, MakhotinaNV (2013). Periarthropathia in neurological practice. Improvement of therapy [Peri-artropatii v praktike nevrologa: Optimizatsiya terapii]. Aktual’nye problemy sovremennoy revmatologii: sbornik nauchnykh rabot, (XXX), 26-27
6. IppolitovaEG, KoshkaryovaZV, SklyarenkoOV, Gor-bunovAV (2009). Clinical and diagnostic features of pa-tients with postoperative cicatricial epiduritis and spinal stenosis [Osobennosti kliniki i diagnostiki u bol’nykh s posleoperatsionnym rubtsovo-spaechnym epiduritom i stenozami pozvonochnogo kanala]. Sibirskiy meditsinskiy zhurnal (Irkutsk), (6), 102-105
7. IppolitovaEG, VerkhozinaTK, KoshkaryovaZV , Soro-kovikovVA, ArsentievaNI (2014). Peculiarities of evoked potential formation in patients with stenosis of lumbar spine [Osobennosti formirovaniya vyzvannykh potent-sialov u patsientov so stenozom pozvonochnogo kanala na poyasnichnom urovne]. Bulleten’ Vostocno-Sibirskogo naucnogo centra, 6(100), 14-19
8. MironovSP, LomtatidzeES, TsykunovMB, Solo-minMY,PotseluikoSV, LazkoFL, LomtatidzeVE (2006). Scapulohumeral pain syndrome [Plechelopatochnyy bolevoy sindrom], 287.
9. NikiforovAS, MendelOI (2006). Scapulohumeral pain syndrome: modern approaches to the diagnostics and treatment [Plechelopatochnyy bolevoy sindrom: sovremennye podkhody k diagnostike i lecheniyu //Russ -kiy meditsinskiy zhurnal, (8), 621-626.
10. olokhaZA, YakhnoNN (2006). Diagnostics and treatment of scapulohumeral periarthritis syndrome [Diagnostika i lechenie sindroma plechelopatochnoy pe-riartropatii]. Nevrologicheskiy zhurnal, (1), 26-31
11. TsurkoVV, KhitrovNA, IvanovaTB, AgapovaLA(2006). Shoulder pain (between the old clichés of scapulohumeral periarthritis and new data of nonsteroidalanti-inflammatory drug) therapy [Bol› v pleche (mezhdu starymi shtampami plechelopatochnogo periartrita i novymi dannymi terapii NPVP)]. Russkiy meditsinskiy zhurnal, (27), 34-39