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Update Schulterchirurgie 2010

Aktuelle Therapiestrategien bei Verletzungen des Schultergürtels

Update on shoulder surgery 2010

Current treatment strategies for traumatic lesions of the shoulder

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Zusammenfassung

Der folgende Artikel behandelt die Neuerungen und Erkenntnisse der vergangenen 3 Jahre in der Therapie traumatischer Verletzungen des Schultergürtels. Behandelt werden Verletzungen des Akromioklavikulargelenks, die traumatische Schulterinstabilität, Rotatorenmanschettenrupturen und Humeruskopffrakturen. Den Schwerpunkt bilden dabei prospektive klinische Studien mit hohem Evidenzgrad, die sich mit der Abwägung zwischen konservativer und operativer Therapie befassen und den optimalen Operationszeitpunkt untersuchen. Ziel ist dabei die Ableitung einer direkten Konsequenz für den klinischen Therapiealgorithmus.

Abstract

The article summarizes the basic literature findings and innovations in the treatment of traumatic shoulder lesions published during the last 3 years. It covers trends in acromioclavicular joint dislocation, traumatic shoulder instability, rotator cuff tears as well as fractures of the humeral head. In particular prospective clinical studies with a high level of evidence are cited, which concern about the outcome of surgical and non-surgical treatment methods and the optimal point for treatment. The aim of this review is therefore to provide direct implications for the clinical treatment algorithm of such lesions.

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  1. Praxis für Schulter- und Ellenbogenchirurgie, ATOS Klinik Heidelberg, Bismarckstr. 9-15, 69115, Heidelberg, Deutschland

    M. Wellmann &  P. Habermeyer

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  1. M. Wellmann
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  2. P. Habermeyer
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Correspondence to M. Wellmann or P. Habermeyer.

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Wellmann, M., Habermeyer, P. Update Schulterchirurgie 2010. Unfallchirurg 113, 481–490 (2010). https://doi.org/10.1007/s00113-010-1747-2

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  • DOI: https://doi.org/10.1007/s00113-010-1747-2

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