md-medicaldata

Authors

 

Bojan Radojičić ^1,2, Marija Radojičić <sup>1,3

1</sup>Vojnomedicinska akademija Beograd
²Centar vojnomedicinskih ustanova Beograd
³DZ Simo Milošević Beograd

 

UDK: 616.75-009.7-085

The paper was received / Rad primljen: 25.02.2021.

Accepted / Rad prihvaćen: 08.03.2021.

 

Correspondence to:

Bojan Radojičić
Centar vojnomedicinskih ustanova
Beograd Pasterova 3
Tel: 066 466 700
e-mail: dr.bojan.r@gmail.com

 

 

Sažetak

 

Periartritis humeroskapularis (PAHS) predstavlja zapaljenje vanzglobnog tkiva ramenog pojasa. Obično se javlja jednostrano, ređe obostrano, zapažena je i naizmenična pojava. Najčešće se manifestuje kod osoba srednje životne dobi i nešto je češći kod muškaraca. Dijagnoza se postavlja na osnovu kliničke slike, kliničkog pregleda i radiološkog imidžinga. Upalni proces najčešće počinje na tetivi m. supraspinatusa, koji je rotor i abduktor ruke. Inicijalno lečenje se sastoji u aplikaciji nesteroidnih lekova protiv upale, kao i kombinaciji fizikalnih procedura i terapija vežbama. Tretman ortovoltažnom radioterapijom treba razmotriti rano nakon neuspelog konzervativnog tretmana, a pre bilo kakve invazivne terapije. Sa niskim potencijalnim rizikom od neželjenih efekata jonizujućeg zračenja i niskim troškovima lečenja otrovoltažna radioterapija pruža odličnu dopunu konvencionalnim konzervativnim metodama lečenja, ali i adekvatnu alternativu invazivnim metodama.

 

 

 

Ključne reči:

periatritis humeroskapularis, ortovoltažna radioterapija, kalcifikat, bol u ramenu

 

 

 

Abstract

Periarthritis humeroscapularis (PAHS) is an inflammation of the extra-articular tissue of the shoulder girdle. It typically occurs unilaterally, less often bilaterally, with side alternating cases recorded. It is manifested most common in middle-aged people and is somewhat more common in men. The diagnosis is made on the basis of the clinical demonstration, clinical examination and radiological image. The inflammatory process usually begins on the tendon of the supraspinatus muscle which is the arm rotator and abductor. Initial treatment consists of the application of non-steroidal anti-inflammatory drugs, as well as a combination of physical procedures and exercise therapy. Orthovoltage radiotherapy treatment should be considered early after unsuccessful conservative treatment, and before any invasive therapy. With a low potential risk of side effects of ionizing radiation and low treatment costs, orthovoltage radiotherapy provides an excellent complement to conventional conservative treatment methods but also presents an adequate alternative to invasive methods.

 

 

Key words:

periarthritis humeroscapularis, orthovoltage radiotherapy, calcification, shoulder pain

 

 

 

 

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