Science and Innovations in MedicineScience and Innovations in Medicine2500-13882618-754XFSBEI of Higher Education SamSMU of Ministry of Health of the Russian Federation2149610.35693/2500-1388-2017-0-3-50-54Research ArticlePREOPERATIVE EXAMINATION OF PATIENTS WITH ANTERIOR-INFERIOR AND INFERIOR HABITUAL SHOULDER DISLOCATIONLarteevYuV VPhD, associate professor, professor of the Department of traumatology, orthopaedics and extreme surgery n.a. academician Krasnov AF, Samara State Medical University.lartcev@mail.ruKobzarevVV Vassistant of the Department of traumatology, orthopaedics and extreme surgery n.a. academician Krasnov AF, traumatologist-orthopaedist of the Traumatology and Orthopaedics Department, Clinics of Samara State Medical University.vitaly_kobzarev@mail.ruSamara State Medical University1509201723505410032020Copyright © 2017, Larteev Y.V., Kobzarev V.V.2017Aim - to determine a rational method for the treatment of patients with anterior-inferior and inferior habitual shoulder dislocation based on the results of examination of patients. Material and methods. The study involved analysis of the treatment results of 98 patients with anterior-inferior and inferior chronic instability of the shoulder joint. Patients were divided into two clinical groups. The first group consisted of 52 patients, and the choice of treatment was based only on the diagnosis and did not take into account the peculiarities of pathology in each particular patient, which led to unsatisfactory results. To improve the results of treatment of patients with anterior-inferior and inferior chronic instability of the shoulder joint, a set of diagnostic measures was proposed, which made it possible to choose the proper method and volume of intervention taking into account the direction of the dislocation and the plane ofjoint displacement. The second clinical group consisted of 46 patients who underwent examination and treatment according to the proposed complex. A detailed description of the proposed diagnostic complex is presented, including a number of clinical and instrumental methods for examining patients, and a self-administered questionnaire for the patients. Based on the results of the survey, taking into account the direction of the dislocation, the patients underwent surgical intervention, which made it possible to achieve stability of the joint and restore the function of the limb. Conclusion. The choice of optimal diagnostic complex with regard to the direction of dislocation and the plane of shoulder head displacement in habitual shoulder dislocation helps to choose pathogenically justified surgical method and contributes to the full functional restoration of the limb.shoulder jointinstabilityhabitual dislocationплечевой суставнестабильностьпривычный вывих[Григорьева Е.В., Ахмеджанов Ф.М. Магнитно-резонансная томография плечевого сустава. Атлас. М., 2009. Grigoryeva EV, Akhmedzhanov FM. Magnitno-rezonansnaya tomografiya plechevogo sustava. Atlas. M., 2009. (In Russ.)][Аль Римави М.Х, Мапанин Д.А., Тетерин О.Г., Храпов Ю.В. Разработка и применение оригинальной шкалы для оценки состояния плечевого сустава у пациентов с хроническими заболеваниями плечелопаточной области. Сибирский медицинский журнал. 2007;(2):124-126][Верещагин Н.А. Оперативное лечение привычного вывиха плеча. Травматология и ортопедия России. 2005;(3):45-47. Vereshchagin NA. Operative treatment of habitual dislocation of the shoulder. Travmatologiya i ortopediya Rossii. 2005;(3):45-47. (In Russ.)][Boone JL, Arciero RA. Management of failed instability surgery: how to get it right the next time. Orthop. Clin. North Am. 2010;41(3):37-379][Архипов С.В., Кавалерский Г.М. Плечо. Современные хирургические технологии. М.: Медицина, 2009][ихилов Р.М., Доколин С.Ю., Кузнецов И.А., Трачук А.П., Бурулев А.Л., Михайлова А.М., Захаров К.И. Отдаленные результаты артроскопического лечения рецидивирующей нестабильности плечевого сустава, причины неудачных исходов. Травматология и ортопедия России. 2011;(1):5-13][Purchase RJ, Wolf EM, Hobgood ER, Pollock ME, Smalley CC. Hill-sachs "remplissage": an arthroscopic solution for the engaging hill-sachs lesion. Arthroscopy. 2008;24(6):723-6][Dodson CC, Cordasco FA. Anterior glenohumeral joint dislocations. Orthop. Clin. North Am. 2008;39(4):507-18][Owens BD, Harrast JJ, Hurwitz SR, Thompson TL, Wolf JM. Surgical trends in bankart repair: an analysis of data from the American board of orthopaedic surgery certification examination. Am. J. Sports. Med. 2011;39(9):1865-9]