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Arthroskopie des schultergelenks

Arthroscopy of the shoulder

Technik, indikationen, operationen und komplikationen

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%.

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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

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

Key words

  • Arthroscopy
  • Shoulder
  • Technique
  • Indications
  • Operations
  • Complications