ASSESSMENT OF CONDITION OF SOFT-TISSUE COMPONENTS OF SHOULDER JOINT AFTER PRIMARY TRAUMATIC SHOULDER DISLOCATION: DYNAMICS OF CHANGES AFTER 1, 3, 6 AND 12 MONTHS BASED ON ULTRASOUND, CT AND MRI

Abstract

Abstract. Objective. Assess the condition of soft-woven components of the shoulder joint after primary traumatic shoulder dislocation based on ultrasound, CT and MRI in dynamics. Materials and methods. The article presents a review; therefore, theoretical methods were used during the study: analysis of literary sources, results of original studies, clinical cases. We analyzed treatment outcomes in dynamics - 1, 3, 6 and 12 months after treatment initiation. Results. A month after traumatic dislocation, primary regenerative processes begin in the tissues. Regardless of whether surgical or conservative treatment is performed, it is important to assess the condition of the shoulder joint and surrounding soft tissues. Follow-up in patients with traumatic dislocation lasted from 3 to 12 months after treatment, registered results were referred as medium- or long-term follow-up results. 3 months after treatment, scar changes in the joint capsule were clearly observed. The scar began to form 3-4 weeks after the onset of restorative treatment. 2 months since the treatment began, scars gradually compacted. At about 3 months, the formation of the articular lip begins which lasts up to 6 months. 12 months after the treatment, the pattern of dislocation of the shoulder joint is maximally leveled and the state of the tissues approaches the normal. Evaluation of long-term treatment results is an important prognostic feature that allows monitoring the course of the recovery period. The main importance was attached to the results of the examination using ultrasound, MRI and CT. Based on the analysis of integral indicators of these studies, the optimal method of diagnosis in different time periods and tracking changes in dynamics was determined.