Logvinov Aleksej Nikolaevich (RU),Логвинов Алексей Николаевич (RU),Tormasina Yuliya Gennadevna (RU),Тормасина Юлия Геннадьевна (RU),Ilin Dmitrij Olegovich (RU),Ильин Дмитрий Олегович (RU),Gerasimov De
申请号:
RU2019142570
公开号:
RU0002718306C1
申请日:
2019.12.19
申请国别(地区):
RU
年份:
2020
代理人:
摘要:
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to traumatology and orthopedics and can be used to determine the management approach to patients with incomplete ruptures of the rotator cuff of the shoulder joint. Patient is followed with X-ray image of a shoulder joint in a straight, lateral and Y-shaped projections, as well as an MRI of a shoulder joint. Tests are carried out: "full can", "empty can", "Neer", wherein positive test result is evaluated as "1", negative test as "0". That is followed by determining presence or absence of: reducing subacute muscle strength; presence or absence of bursal type of rupture, absence or presence of suppressing force of supraspinous muscle, presence or absence of rupture of degree 2 according to Ellman, presence or absence of Ellman 3 rupture, presence or absence of incomplete fracture of the subscapular muscle tendon from the articular surface, presence or absence of central localization rupture. Absence of a feature is evaluated as "0", presence – "1". Then, all input data are added to logistic regression formula:• e is base of natural logarithm; • ρ is the probability that an event of interest will occur; • β0, β1, … β10 – logistic regression coefficients; • x1 is "full can" test; • x2 is the "empty can" test; • x3 – presence or absence of reduction of subacute muscle force; • x4 – "Neer" test; • x5 – presence or absence of bursal type of rupture; • x6 – presence or absence of suppressive force reduction; • x7 – presence or absence of grade 2 rupture by Ellman; • x8 – presence or absence of grade 3 rupture by Ellman; • x9 – presence or absence of incomplete layer rupture of the subscapular muscle of the articular surface; • x10 – presence or absence of central localization rupture. Further, result of p(x) is transformed through function σ(x). When obtaining result σ(x)=1 and without factors such as value CSA>;35°, 2-3 degree of Ellman rupture according to MRI data, tenosynovitis of tendon is long: head of