Journal of Clinical PracticeJournal of Clinical Practice2220-30952618-8627Eco-Vector1926810.17816/clinpract19268Research ArticleThe experience with the use of a subacromial balloon in the treatment of patients with large, massive, irreparable rotator cuff tearsLazkoМaksim F.maxim_lazko@mail.ruPrizovAlexey P.<p>MD, PhD, docent</p>aprizov@yandex.ruLazkoFedor L.<p>MD, PhD, Professor</p>fedor_lazko@mail.ruBeliakEvgeny A.<p>MD, PhD, assistent</p>belyakevgen@mail.ruMaglaperidzeIvan G.<p>MD, PhD, graduate student</p>v.maglapheridze@mail.ruKyznetsovAleksandr V.<p>MD, PhD, graduate student</p>Dr.smith_a@icloud.comAkhpashevAlexander A.<p>MD, PhD, docent</p>akhpashev@gmail.comPeoples’ Friendship University of Russia, Medical InstituteAcademy of Postgraduate Education under the FSBU “Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency”2612202011414223101202028012021Copyright © 2020, Lazko М.F., Prizov A.P., Lazko F.L., Beliak E.A., Maglaperidze I.G., Kyznetsov A.V., Akhpashev A.A.2020<p><strong><em>Background.</em></strong><em> Large, massive irreparable rotator cuff tears lead to a significant decrease in the function of the shoulder joint together with the development of a pronounced pain syndrome. Such injuries are difficult to treat, and the number of relapses, when trying to restore them, is quite high. The installation of a subacromial balloon is the method of choice for this group of patients and allows restoring the function of the shoulder joint fairly successfully. <strong>Aim:</strong> to evaluate the results of the treatment of patients with massive irreparable rotator cuff tears injuries in a prospective study from 2016 to 2018. <strong>Methods.</strong> The results of the arthroscopic treatment of large, irreparable rotator cuff injuries in 25 patients (with the average age of 67 5 years) with the installation of a subacromial balloon are presented. In all the clinical cases, there was a pronounced (grades 34, according to the Goutallier classification) fatty dystrophy of the rotator cuff muscles (supraspinatus or in combination with subaspinatus). All the patients underwent the subacromial space release with a thorough bursectomy and subsequent installation of a subacromial balloon. <strong>Results.</strong> The average score on the UCLA scale was 14 3 points (1117) before the operation and 312 points (2933) 12 months after the operation, the results were considered good and excellent. <strong>Conclusion.</strong> The results obtained allow us to evaluate the described technique as low-traumatic, simple and fast in its accomplishment, aimed at the reduction of the pain syndrome and restoration of the upper extremity function.</em></p>arthroscopyrotator cuff of the shoulder jointirreparable injuries of the rotator cuff of the shouldershoulder jointsubacromial balloonартроскопиявращательная манжета плечевого суставаневосстанавливаемые повреждения вращательной манжеты плечаплечевой суставсубакромиальный баллон[Bartolozzi A, Andreychik D, Ahmad S. Determinants of outcome in the treatment of rotator cuff disease. 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