Zusammenfassung
Das Problem der Rotatorenmanschettenruptur als Komplikation der Schulterluxation beim jüngeren Patienten sowie die Luxation als Komplikation der Rotatorenmanschettenruptur des älteren Patienten sind mittlerweile hinreichend bekannt. In der Literatur finden sich nur wenige Empfehlungen zur Therapie dieser Befundkonstellation, die häufig nur als Untergruppe beschrieben wird.
Anhand der Literatur wird eine Strategie zur Therapie in Abhängigkeit des Patientenalters, des Funktionsanspruchs und der vorherrschenden Pathologie entwickelt.
Abstract
The rotator cuff tear as a complication of a shoulder dislocation in younger patients as well as the shoulder dislocation as a complication of a rotator cuff tear in elderly patients is well known. Only a few reports, mostly subgroups concerning this combination of pathology were reported in the literature.
We developed a strategy for the therapy of rotator cuff tears and shoulder instability related to the age of the patients, their functional demand as well as the pathologic findings.
Literatur
Berbig R, Weishaupt D et al. (1999) Primary anterior shoulder dislocation and rotator cuff tears. J Shoulder Elbow Surg 8: 220–225
Bier A, Braun, Kühn (1912) Chirurgische Operationslehre. Barth, Leipzig
Blom S, Dahlback LO (1970) Nerve injuries in dislocations of the shoulder joint and fractures of the neck of the humerus. A clinical and electromyographical study. Acta Chir Scand 136: 461–466
Craig EV (1984) The posterior mechanism of acute anterior shoulder dislocations. Clin Orthop Relat Res 190: 212–216
Gleyze P, Habermeyer P, Lehmann M, Schneider M (1994) What is the role of the long head of the biceps and rotator cuff in posttraumatic shoulder instability: a retrospective study. 8th SECEC Meeting. Barcelona, Spain, June 16–18, 1994
Gonzalez D, Lopez R (1991) Concurrent rotator-cuff tear and brachial plexus palsy associated with anterior dislocation of the shoulder. A report of two cases. J Bone Joint Surg [Am] 73: 620–621
Groh GI, Rockwood CA jr (1995) The terrible triad: anterior dislocation of the shoulder associated with rupture of the rotator cuff and injury to the brachial plexus. J Shoulder Elbow Surg 4: 51–53
Gumina S, Postacchini F (1997) Anterior dislocation of the shoulder in elderly patients.“ J Bone Joint Surg [Br] 79: 540–543
Habermeyer P, Jung D et al. (1998) Treatment strategy in first traumatic anterior dislocation of the shoulder. Plea for a multi-stage concept of preventive initial management. Unfallchirurg 101: 328–341; discussion 327
Hawkins RJ, Bell RH et al. (1986) Anterior dislocation of the shoulder in the older patient. Clin Orthop Relat Res 206: 192–195
Hawkins RJ, Morin WD et al. (1999) Surgical treatment of full-thickness rotator cuff tears in patients 40 years of age or younger. J Shoulder Elbow Surg 8: 259–265
Itoi E, Tabata S (1993) Rotator cuff tears in the adolescent. Orthopedics 16: 78–81
Levy O, Pritsch M et al. (1999) An operative technique for recurrent shoulder dislocations in older patients. J Shoulder Elbow Surg 8: 452–457
Loew M, Thomsen M et al. (2001) Injury pattern in shoulder dislocation in the elderly patient. Unfallchirurg 104: 115–118
McLaughlin H, Cavallaro WU (1950) Primary anterior dislocation of the shoulder. Am J Surg 80: 615–621; passim
McLaughlin HL, MacLellan DI (1967) Recurrent anterior dislocation of the shoulder. II. A comparative study. J Trauma 7: 191–201
Neer CS 2nd, Craig EV et al. (1983) Cuff-tear arthropathy. J Bone Joint Surg [Am] 65: 1232–1244
Neviaser RJ, Neviaser TJ et al. (1993) Anterior dislocation of the shoulder and rotator cuff rupture. Clin Orthop Relat Res 291: 103–106
Pasila M, Jaroma H et al. (1978) Early complications of primary shoulder dislocations. Acta Orthop Scand 49: 260–263
Pouliart N, Gagey O (2006) Concomitant rotator cuff and capsuloligamentous lesions of the shoulder: a cadaver study. Arthroscopy 22: 728–735
Prudnikov OE (1994) Simultaneous lesions of the rotator cuff and the brachial plexus. Rev Chir Orthop Reparatrice Appar Mot 80: 602–609
Robinson CM, Kelly M et al. (2002) Redislocation of the shoulder during the first six weeks after a primary anterior dislocation: risk factors and results of treatment. J Bone Joint Surg [Am] 84-A: 1552–1559
Simank HG, Dauer G et al. (2006) Incidence of rotator cuff tears in shoulder dislocations and results of therapy in older patients. Arch Orthop Trauma Surg 126: 235–240
Simonich SD, Wright TW (2003) Terrible triad of the shoulder. J Shoulder Elbow Surg 12: 566–568
Sonnabend DH (1994) Treatment of primary anterior shoulder dislocation in patients older than 40 years of age. Conservative versus operative. Clin Orthop Relat Res 304: 74–77
Stevens JH (1926) Dislocaton of he shoulder. Ann Surg 83: 84
Walch G, Boileau P (1997) Rotator cuff tears associated with anterior instability. In: Warnerr JJP, Iannotti JP, Gerber C (eds) Complex and revision problems in shoulder surgery. Lippincott-Raven, Philadelphia
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Habermeyer, P., Lichtenberg, S. & Magosch, P. Rotatorenmanschettenruptur und Schulterinstabilität. Arthroskopie 20, 217–222 (2007). https://doi.org/10.1007/s00142-007-0405-3
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DOI: https://doi.org/10.1007/s00142-007-0405-3