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Der Unfallchirurg

, Volume 122, Issue 12, pp 917–924 | Cite as

Primäre (idiopathische) Schultersteife

Definition, Krankheitsverlauf, Epidemiologie und Ätiologie
  • Jonas PogorzelskiEmail author
  • Andreas B. Imhoff
  • Hannes Degenhardt
  • Sebastian Siebenlist
Leitthema
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Zusammenfassung

Das charakteristische Merkmal der Schultersteife ist die Einschränkung der aktiven und passiven Beweglichkeit des Glenohumeralgelenks. Ursächlich sind letztendlich eine Fibrosierung und die daraus resultierende Kontraktur der glenohumeralen Gelenkkapselstrukturen. Der Begriff „Schultersteife“ ist jedoch nur ein beschreibender Überbegriff, der zwingend weiterführend definiert werden muss, da sowohl der Krankheitsverlauf als auch die zu empfehlende Therapie entscheidend von der Ursache der Schultersteife beeinflusst werden. Die primäre Schultersteife, auch idiopathische Schultersteife oder „frozen shoulder“ genannt, muss von verschiedenen Formen der sekundären Schultersteifen unterschieden werden und verläuft häufig in 3 Stadien: der initialen „freezing phase“, der darauf folgenden „frozen phase“ und letztendlich der „thawing phase“, die alle jeweils mehrere Monate bis hin zu Jahre andauern können. Obwohl die primäre Schultersteife mit einer Prävalenz von 2–5 % in der Normalbevölkerung eine häufige pathologische Veränderung darstellt, ist die genaue Ätiologie bisher weitgehend unbekannt. Es besteht jedoch Konsensus in der Literatur, dass gewisse systemische Erkrankungen wie beispielsweise ein Diabetes mellitus mit dem vermehrten Auftreten einer primären Schultersteife assoziiert sind.

Schlüsselwörter

Schultergelenk „Frozen shoulder“ Bewegungsradius, artikulär Adhäsive Kapsulitis Diabetes mellitus 

Primary (idiopathic) shoulder stiffness

Definition, disease progression, epidemiology and etiology

Abstract

Shoulder stiffness is characterized by restriction of the active and passive movement of the glenohumeral joint. The stiffness is ultimately caused by fibrosis and the resulting contracture of the glenohumeral joint capsule and its ligaments; however, the term stiff shoulder is only a descriptive umbrella term that must be further defined as the course of the disease and the recommended treatment are decisively influenced by the cause of the shoulder stiffness. Primary shoulder stiffness, also known as idiopathic shoulder stiffness or “frozen shoulder”, must be distinguished from various forms of secondary shoulder stiffness and often occurs in three stages, which can all last for several months to years: the initial “freezing phase”, followed by a “frozen phase” and finally a “thawing phase”. Although primary shoulder stiffness is a frequent pathological alteration with an prevalence of 2–5% in the general population, the exact etiology remains largely unknown; however, there is consensus throughout the literature that certain systemic pathologies, such as diabetes mellitus are associated with a higher incidence of primary shoulder stiffness.

Keywords

Shoulder joint Frozen shoulder Range of motion, articular Adhesive capsulitis Diabetes mellitus 
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Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

J. Pogorzelski, A.B. Imhoff, H. Degenhardt und S. Siebenlist geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Jonas Pogorzelski
    • 1
    Email author
  • Andreas B. Imhoff
    • 1
  • Hannes Degenhardt
    • 1
  • Sebastian Siebenlist
    • 1
  1. 1.Abteilung und Poliklinik für SportorthopädieKlinikum rechts der Isar, Technische Universität MünchenMünchenDeutschland

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