Skip to main content

Advertisement

SpringerLink
Log in

Arthroskopie des schultergelenks

Arthroscopy of the shoulder

Technik, indikationen, operationen und komplikationen

  • Published:
Langenbecks Archiv für Chirurgie Aims and scope Submit manuscript

Abstract

Diagnostic and operative arthroscopy of the shoulder joint has gained considerable importance in traumatology and orthopedic surgery over the last years. Injuries of the limbus glenoidalis, in particular traumatic shoulder luxation, injuries of the rotator cuff, infection of the glenohumeral joint and unclear posttraumatic pain are indications for diagnostic and operative arthroscopy. Arthroscopy of the shoulder is a procedure, which offers exact diagnosis and the possibility of immediate surgery at the same time. The technique of the shoulder joint arthroscopy has to be carried out carefully and according to a standard protocol. The complication rate of around 5% of shoulder arthroscopy has not to be neglected.

Zusammenfassung

In den vergangenen 5 Jahren hat die diagnostische und operative Schulterarthroskopie in der Traumatologie und Orthopädie zunehmend an Bedeutung gewonnen. Die Indikation muβ streng und exakt gestellt und die Technik nach einem einheitlichen und reproduzierbaren Prinzip durchgeführt werden. Verletzungen des Limbus glenoidalis (v. a. nach erstmaliger traumatischer Schulterluxation bei zungen Patienten), Rotatorenmanschettenläsionen, Behandlung bei bakteriellen Infektionen und unklare posttraumatische Schmerzen sind heute klare Indikationen fur die diagnostische und operative Schulterarthroskopie. In der Behandlung von krankheitsbedingten Veränderungen am Schultergelenk ist die Arthroskopie ebenfalls nicht mehr wegzudenken. Keine andere Untersuchung liefert so viele und so genaue Informationen. Neben der exakten Diagnosestellung bieten die arthroskopischen Operationen am Schultergelenk die Möglichkeit einer gleichzeitigen und definitiven Therapie. Die Indikation sollte daher großzügig gestellt werden, trotz einer Komplikationsrate von rund 5%.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Literatur

  1. Adolfsson L, Lysholm J (1991) Arthroscopy for the diagnosis of shoulder pain. Int Orthop 15:275–278

    Google Scholar 

  2. Bankart ASB (1923) Recurrent or habitual dislocation of the shoulder. Br Med J 2:1131–1133

    Google Scholar 

  3. Bankart ASB (1938) The pathology and treatment of recurrent dislocation of the shoulder joint. Br J Surg 26:23–29

    Google Scholar 

  4. Benedetto KP, Glötzer W (1988) Die arthroskopische Bankart-Operation mittels Nahttechnik, Indikation, Technik und Ergebnisse. Arthroskopie 1:185–189

    Google Scholar 

  5. Benedetto KP, Glötzer W, Künzel KH (1987) Anatomische Grundlagen für die Arthroskopie des Schultergelenkes. Fortschr Arthroskopie 3:17–20

    Google Scholar 

  6. Berner W, Tscherne H (1983) Arthroskopische Diagnostik von Schulterverletzungen. Hefte Unfallheilkd 165:165–187

    Google Scholar 

  7. Bigliani LU, Flatow EL, Deliz ED (1991) Complications of shoulder arthroscopy. Orthop Rev 20:743–751

    Google Scholar 

  8. Blachut PA, Day B (1989) Arthroscopic anatomy of the shoulder. Arthoscopy 5:1–10

    Google Scholar 

  9. Brändli PA, Munzinger U, Steiger U (1987) Die Bedeutung der Arthroskopie bei der Behandlung von Rotatorenmanschettenrupturen. Fortschr Arthroskopie 3:61–62

    Google Scholar 

  10. Burkart S (1990) Deep venous thrombosis after shoulder arthroscopy. J Arthrosc Relat Surg 6:61–63

    Google Scholar 

  11. Burkhart SS (1991) Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop 6/267:45–56

    Google Scholar 

  12. Burns TP, Turba JE (1992) Arthroscopic treatment of shoulder impingement in athletes. Am J Sports Med 20:13–16

    Google Scholar 

  13. Carson WG jr (1992) Arthroscopy of the shoulder: anatomy and technique. Orthop Rev 21:143–153

    Google Scholar 

  14. Caspari RB, Thal R (1992) A technique for arthroscopic subacromial decompression. Arthroscopy 8:23–30

    Google Scholar 

  15. Cofield RH (1983) Arthroscopy of the shoulder. Mayo Clin Proc 8:501–508

    Google Scholar 

  16. Committee on Complications of the Arthroscopy Association of North America (1986) Complications in arthroscopy: The knee and other joints. Arthroscopy 2:253–258

    Google Scholar 

  17. Daubient G (1992) L'arthroscopie de l'epaule. Schweiz Z Sportmed 40:103–111

    Google Scholar 

  18. Detrisac DA, Johnson LL (1986) Arthroscopic shoulder anatomy. Pathologic and surgical complications. Slack New Jersey

    Google Scholar 

  19. Dick W, Glinz W, Hench HR, Ruckstuhl J, Zollinger H (1978) Komplikationen der Arthroskopie. Arch Orthop Trauma Surg 92:69–73

    Google Scholar 

  20. Gächter A, Gubler M (1992) Schulterarthroskopie bei degenerativen und entzündlichen Erkrankungen. Orthopäde 21:236–240

    Google Scholar 

  21. Gächter A, Seelig W (1988) Schulterarthroskopie. Arthroskopie 1:162–170

    Google Scholar 

  22. Gachter A, Seelig W (1992) Arthroscopy of the shoulder. Arthroscopy 8:89–97

    Google Scholar 

  23. Gartsman GM (1990) Arthroscopic acromioplasty for lesions of the rotator cuff. J Bone Joint Surg [Am] 72:169–180

    Google Scholar 

  24. Glasgow SG, Bruce RA, Yacobucci GN, Torg JS (1992) Arthroscopic resection of glenoid labral tears in the athlete: a report of 29 cases. Arthroscopy 8:48–54

    Google Scholar 

  25. Glinz W (1988) Die Jagd nach dem freien Gelenkkörper. Arthroskopie 1:153–154

    Google Scholar 

  26. Hayes JM (1989) Arthroscopic treatment of steroid-induced osteonecrosis of the humeral head. Arthroscopy 5:218–221

    Google Scholar 

  27. Hempfling H (1989) Komplikationen bei der Schulter-arthroskopie. Arthroskopie 2:53–57

    Google Scholar 

  28. Hertz H (1988) Indikationen und Technik der diagnostischen Schulterarthroskopie. Arthroskopie 1:182–184

    Google Scholar 

  29. Hunter JC, Blatz DJ, Escopedo EM (1992) SLAP lesions of the glenoid labrum: CT arthrographic and arthroscopic correlation. Radiology 184:513–518

    Google Scholar 

  30. Hurley JA, Anderson TE (1990) Shoulder arthroscopy: its role in evaluating shoulder disorders in the athlete. Am J Sports Med 18:480–483

    Google Scholar 

  31. Jakob RB, Stäubli HU (1987) Stellenwert der Schulter-arthroskopie. Fortschr Arthroskopie 3:44–56

    Google Scholar 

  32. Jerosch J (1990) Einfluß der Gelenkmobilität auf die Ergebnisse der transarthroskopischen subakromialen Dekompression. Arthroskopie 3:146–152

    Google Scholar 

  33. Johnson LL (1986) Arthroscopic surgery: Principles and practice. 3rd edn. Mosby St Louis Toronto Princeton

    Google Scholar 

  34. Johnson LL (1987) The shoulder joint: an arthroscopic perspective of anatomy and pathology. Clin Orthop Relat Res 223:113–125

    CAS  PubMed  Google Scholar 

  35. Krämer J (1988) Arthroskopische Therapie der Arthrose: Hoffnung und Verführung. Arthroskopie 1:107–108

    Google Scholar 

  36. Matthews LS, Fadale PD (1989) Subacromial anatomy for the arthroscopist. Arthroscopy 5:36–40

    Google Scholar 

  37. Müller W (1987) Biomechanik der Schulter. Fortschr Arthroskopie 3:6–13

    Google Scholar 

  38. Neer CS (1972) Anterior acromioplasty for the chronic impingement of the shoulder. J Bone Joint Surg [Am] 54:41–50

    Google Scholar 

  39. Neer CS (1983) Impingement lesions. Clin Orthop 173:70–77

    PubMed  Google Scholar 

  40. Norlin R (1989) Arthroscopic subacromial decompression versus open acromioplasty. Arthroscopy 5:321–323

    Google Scholar 

  41. Ogilvie-Harris DJ, D'Angelo G (1990) Arthroscopy surgery of the shoulder. Sports Med 9:120–128

    Google Scholar 

  42. Ogilvie-Harris DJ, Wiley AM (1986) Arthroscopic surgery of the shoulder. J Bone Joint Surg 68:201–207

    Google Scholar 

  43. Okutsu I, Ninomiya-S, Takatori Y, Hamanaka I, Schonholz GJ (1992) Coracoacromial ligament release for shoulder impingement syndrome using the Universal Subcutaneous Endoscope system. Arthroscopy 8:2–9

    Google Scholar 

  44. Parisien JS, Shaffer B (1992) Arthroscopic management of pyarthrosis. Clin Orthop 275:243–247

    Google Scholar 

  45. Richman JD, Rose DJ (1990) The role of arthroscopy in the management of synovial chondromatosis of the shoulder. A case report. Clin Orthop 257:91–93

    Google Scholar 

  46. Sampson TG, Nisbet JK, Glick JM (1991) Precision acromioplasty in arthroscopic subacromial decompression of the shoulder. Arthroscopy 7:301–307

    Google Scholar 

  47. Schimmer RC, Morgenthaler W, Zünd G, Brülhart KB, Glinz W (1992) Arthroskopische Operationen: Warn ambulant? Warm Hospitalisation? Arthroskopie 5:212–218

    Google Scholar 

  48. Small NC (1986) Complications in arthroscopy: the knee and other joints. Arthroscopy 2:253–258

    Google Scholar 

  49. Snyder SJ (1991) Rotator cuff lesions. Acute and chronic. Clin Sports Med 10:595–614

    Google Scholar 

  50. Snyder SJ, Kapp K (1992) Arthroscopic evaluation and treatment of rotator cuff pathology. A nursing perspecitve. AORN-J 56:225–241

    Google Scholar 

  51. Snyder SJ, Karzel RP, Del-Pizzo W, Ferkel RD, Friedman MJ (1990) SLAP lesions of the shoulder. Arthroscopy 6:274–279

    Article  CAS  PubMed  Google Scholar 

  52. Snyder SJ, Pachelli AF, Del-Pizzo W, Friedman MJ, Ferkel RD, Pattee G (1991) Partial thickness rotator cuff tears: results of arthroscopic treatment. Arthroscopy 7:1–7

    Google Scholar 

  53. Speer KP, Lohnes J, Garrett WE Jr (1991) Arthroscopic subacromial decompression: results in advanced impingement syndrome. Arthroscopy 7:291–296

    Google Scholar 

  54. Wasilewski SA, Frankl U (1991) Rotator cuff pathology. Arthroscopic assessment and treatment. Clin Orthop 267:65–70

    Google Scholar 

  55. Wirth CJ, Kohn D, Melzer C, Markl A (1990) Wertigkeit diagnostischer Maßnahmen bei Weichteilerkrankungen und Weichteilschaden des Schultergelenks. Unfallchirurg 93:339–345

    Google Scholar 

  56. Witwity T, Uhlmann R, Nagy MH, Bhasin VB, Bahgat MM, Singh AK (1991) Shoulder rheumatoid arthritis associated with chondromatosis, treated by arthroscopy. Arthroscopy 7:233–236

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departement Chirurgie, Universitatsspital Zürich, Schweiz

    K. B. Brülhart, A. Roggo, T. Kossmann, C. Duff, R. Schimmer & W. Glinz

Authors
  1. K. B. Brülhart
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Roggo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Kossmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Duff
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. R. Schimmer
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. W. Glinz
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brülhart, K.B., Roggo, A., Kossmann, T. et al. Arthroskopie des schultergelenks. Langenbecks Arch Chir 378, 200–205 (1993). https://doi.org/10.1007/BF00184361

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00184361

Key words

Search

Navigation