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Schulterinstabilitäten

Klassifikation und Behandlung

Shoulder instability

Classification and treatment

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Zusammenfassung

Der Begriff der Schulterinstabilität fasst verschiedene Schweregrade von der schmerzhaften Hyperlaxität über die Subluxation bis zur Luxation zusammen. Bisher wurden verschiedene Klassifikationen mit dem Ziel der erleichterten Therapiefindung beschrieben. Keine der Klassifikationen hat sich jedoch durchsetzen können, da sich die oftmals vorliegenden Mischformen der Schulterinstabilität nicht in einer Klassifikation vollständig abbilden lassen. Nach Akutversorgung kann die Schulterluxation je nach Indikation konservativ oder operativ behandelt werden. Der Artikel gibt eine Übersicht über die verschiedenen arthroskopischen und offenen Operationsverfahren in Abhängigkeit von der Indikation sowie deren Resultate.

Abstract

Shoulder instability includes different degrees of instability from painful hyperlaxity to subluxation to dislocation. Different classifications of shoulder instability have been created in order to facilitate decision making for treatment. None of these, however, has gained acceptance. Subject to the indications, shoulder instability can be treated conservatively or surgically after repositioning the acute dislocation. A survey of arthroscopic and open stabilization procedures and their results are given in relation to the indications.

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Notes

  1. Bei Adoleszenten mit noch offenen Epiphysenfugen kann die Op.-Notwendigkeit bestehen, wenn eine Hyperlaxität ausgeschlossen und eine Bankart-Perthes-Läsion nachgewiesen ist.

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  1. ATOS-Klinik, Heidelberg

    P. Habermeyer, P. Magosch & S. Lichtenberg

  2. ATOS-Klinik, Bismarckstraße 9–15, 69115, Heidelberg

    P. Habermeyer

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Habermeyer, P., Magosch, P. & Lichtenberg, S. Schulterinstabilitäten. Orthopäde 33, 847–874 (2004). https://doi.org/10.1007/s00132-004-0687-3

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