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Der Orthopäde

, Volume 47, Issue 2, pp 148–157 | Cite as

Arthroskopische Frakturversorgung des Schultergelenks

  • C. Gerhardt
  • L. J. Lehmann
Leitthema

Zusammenfassung

In den letzten Jahren hat sich das Verständnis der Frakturversorgung im Bereich der Schulter aufgrund des Fortschritts der Arthroskopie verändert. Neben dem kosmetischen Ergebnis muss die Zugangsmorbidität, insbesondere der Integritätserhalt des Subscapularis bei Glenoid- und Scapulafrakturen, als Vorteil eines minimalinvasiven Vorgehens genannt werden. Des Weiteren können unumgängliche Sekundäreingriffe, z. B. bei der Hakenplattenentfernung, durch moderne Implantate verhindert bzw. minimiert werden.

Allerdings beschränken sich die bisherigen Daten und Publikationen fast ausschließlich auf Technikbeschreibungen oder kleine Fallserien, sodass Aussagen über frühere Belastungsfähigkeit oder potenzielle Reduktion des Infektrisikos nicht getroffen werden können. In wieweit die Adressierung von Begleitverletzungen eine Auswirkung auf das klinische und funktionelle Ergebnis hat, ist zum jetzigen Zeitpunkt nicht geklärt.

Schlüsselwörter

Arthroskopie Rotatorenmanschette Scapula Schulterfrakturen Schulterpfanne 

Abkürzungen

AC-Gelenk

Akromioklavikulargelenk

AO/OTA

AO Foundation and Orthopaedic Trauma Association

ASES

American Shoulder and Elbow Surgeons

BV

Bildgebendes Verfahren

CT

Computertomographie

K-Draht

Kirschner-Draht

MRT

Magnetresonanztomographie

SLAP

Superiores Labrum von anterior nach posterior

SSSC

Superior Shoulder Suspensory Complex

SSV

Subjective Shoulder Value

UCLA Shoulder Score

University of California at Los Angeles Shoulder Score

Arthroscopic fracture treatment of the shoulder joint

Abstract

In recent years, the understanding of shoulder fractures has changed due to the progress of arthroscopy. In addition to the cosmetic result, the access morbidity, particularly the integrity of the subscapularis muscle in glenoid and scapular fractures, must be mentioned as an advantage of a minimally invasive approach. Furthermore, necessary secondary interventions, e. g. hook plate removal, can be prevented or minimized by modern implants and arthroscopic techniques.

However, the available data and publications are almost exclusively limited to technical notes or small case series, so statements about faster recreation or potential reduction of infection risk cannot be made. Whether addressing concomitant injuries has an effect on the clinical and functional outcome is also unclear at the present time.

Keywords

Arthroscopy Rotator cuff Scapula Shoulder fractures Glenoid cavity 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

C. Gerhardt und L. J. Lehmann haben einen Referentenvertrag bei der Firma Arthrex.

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

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Klinik für Unfall- und HandchirurgieViDia Christliche Kliniken Karlsruhe, St. Vincentius-KlinikenKarlsruheDeutschland

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