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Sekundäre Arthrose des Ellenbogengelenkes

Endoprothetische Möglichkeiten beim jungen Patienten

Post-traumatic osteoarthritis of the elbow joint

Endoprosthetic options in young patients

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Zusammenfassung

Hintergrund

Die posttraumatische Arthrose des Ellenbogens beim jungen Patienten ist ein seltenes Krankheitsbild. Typischerweise treten belastungsabhängige Schmerzen und Ruheschmerz sowie Bewegungseinschränkungen bis hin zur Ellenbogensteife auf. Allerdings differieren das klinische Bild und der radiologische Befund in vielen Fällen. Für die operative Entscheidung müssen das Alter, der Aktivitätsanspruch, der Leidensdruck sowie die Lokalisation und Schwere der arthrotischen Veränderungen Berücksichtigung finden. Zudem ist die Stabilität des Ellenbogengelenkes grundlegend. Instabilitäten oder Subluxationen resultieren nicht selten frühzeitig in massiven arthrotischen Veränderungen.

Therapie

Sind die gelenkerhaltenden Therapiemöglichkeiten ausgeschöpft, stehen entsprechend der Ausprägung der posttraumatischen Veränderungen diverse prothetische Behandlungsoptionen zu Verfügung. Das Behandlungsziel für den jungen Patienten ist dabei die Schmerzreduktion und die Wiederherstellung einer angepassten Funktion des Ellenbogengelenkes.

Abstract

Background

In young patients, post-traumatic osteoarthritis of the elbow is a rare condition. Whereas clinical manifestations often differ from radiological findings, pain and stiffness are variably combined in symptomatic forms. In deciding whether to perform surgery, the patient’s age, activity level, and symptoms, as well as the location and severity of the osteoarthritis have to be taken into account. Elbow joint instability has to be identified to stop the post-traumatic osteoarthritic progress. If joint preserving surgical methods fail, diverse options for partial or total joint replacement are available.

Therapy

The treatment goal in young patients, therefore, is to reduce pain with a sufficient range of elbow motion.

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Authors and Affiliations

  1. Orthopädie, Unfall-, Handchirurgie und Sportorthopädie, Helios Klinikum München West, Steinerweg 5, 81245, München, Deutschland

    A. Lenich

  2. Abteilung und Poliklinik für Sportorthopädie, Klinikum Rechts der Isar, Technische Universität München, München, Deutschland

    A. B. Imhoff & S. Siebenlist

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  1. A. Lenich
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  2. A. B. Imhoff
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  3. S. Siebenlist
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Correspondence to A. Lenich.

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Interessenkonflikt

A. Lenich, A. B. Imhoff und S. Siebenlist geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Lenich, A., Imhoff, A.B. & Siebenlist, S. Sekundäre Arthrose des Ellenbogengelenkes. Orthopäde 45, 844–852 (2016). https://doi.org/10.1007/s00132-016-3328-8

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  • DOI: https://doi.org/10.1007/s00132-016-3328-8

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