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Grenzen der arthroskopischen Schulterstabilisierung

Limits of arthroscopic shoulder stabilization

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Bei der arthroskopischen Schulterstabilisierung spielen die verbesserten Techniken, Materialien und Fixierungsmöglichkeiten neben der arthroskopischen Erfahrung und den Fertigkeiten des Operateurs eine wichtige Rolle. Der wichtigste Faktor ist jedoch unverändert die richtige Indikation. Bestimmte Grenzen kann die arthroskopische Operationstechnik auch im Jahre 2004 nicht überspringen, die Bedingungen sind anatomisch-pathologische Gegebenheiten, welche aufgrund ihrer Lage offene Zugangsmöglichkeiten erfordern. Zunächst ist im Rahmen der arthroskopischen Therapie eine gute Befunddarstellung notwendig, anschließend erörtern wir einige Problembereiche des arthroskopischen Operierens bei Schulterinstabilitäten.

Abstract

Improved techniques and materials of capsuloligamentous fixation are the important items of today’s arthroscopic shoulder stabilization besides the arthroscopic experience and ability of the surgeon. The most decisive factor still is the correct indication. There are limitations that can not be passed even in 2004, i.e. pathoanatomical issues demanding for open surgery. First the surgeon needs an adequate arthroscopic clinical finding of the shoulder’s problem. We discuss some difficult areas of arthroscopic repair of shoulder instability.

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Reichwein, F., Nebelung, W. Grenzen der arthroskopischen Schulterstabilisierung. Arthroskopie 17, 179–185 (2004). https://doi.org/10.1007/s00142-004-0256-0

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