Skip to main content
Log in

Rotatorenmanschettenruptur und Schulterinstabilität

Rotator cuff tear and shoulder instability

  • Leitthema
  • Published:
Arthroskopie Aims and scope

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1

Literatur

  1. Berbig R, Weishaupt D et al. (1999) Primary anterior shoulder dislocation and rotator cuff tears. J Shoulder Elbow Surg 8: 220–225

    Article  PubMed  CAS  Google Scholar 

  2. Bier A, Braun, Kühn (1912) Chirurgische Operationslehre. Barth, Leipzig

  3. 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

    PubMed  CAS  Google Scholar 

  4. Craig EV (1984) The posterior mechanism of acute anterior shoulder dislocations. Clin Orthop Relat Res 190: 212–216

    PubMed  Google Scholar 

  5. 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

  6. 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

    Google Scholar 

  7. 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

    Article  PubMed  CAS  Google Scholar 

  8. Gumina S, Postacchini F (1997) Anterior dislocation of the shoulder in elderly patients.“ J Bone Joint Surg [Br] 79: 540–543

    Google Scholar 

  9. 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

    Article  PubMed  CAS  Google Scholar 

  10. Hawkins RJ, Bell RH et al. (1986) Anterior dislocation of the shoulder in the older patient. Clin Orthop Relat Res 206: 192–195

    PubMed  Google Scholar 

  11. 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

    Article  PubMed  CAS  Google Scholar 

  12. Itoi E, Tabata S (1993) Rotator cuff tears in the adolescent. Orthopedics 16: 78–81

    PubMed  CAS  Google Scholar 

  13. Levy O, Pritsch M et al. (1999) An operative technique for recurrent shoulder dislocations in older patients. J Shoulder Elbow Surg 8: 452–457

    Article  PubMed  CAS  Google Scholar 

  14. Loew M, Thomsen M et al. (2001) Injury pattern in shoulder dislocation in the elderly patient. Unfallchirurg 104: 115–118

    Article  PubMed  CAS  Google Scholar 

  15. McLaughlin H, Cavallaro WU (1950) Primary anterior dislocation of the shoulder. Am J Surg 80: 615–621; passim

    Article  PubMed  CAS  Google Scholar 

  16. McLaughlin HL, MacLellan DI (1967) Recurrent anterior dislocation of the shoulder. II. A comparative study. J Trauma 7: 191–201

    Article  PubMed  CAS  Google Scholar 

  17. Neer CS 2nd, Craig EV et al. (1983) Cuff-tear arthropathy. J Bone Joint Surg [Am] 65: 1232–1244

  18. Neviaser RJ, Neviaser TJ et al. (1993) Anterior dislocation of the shoulder and rotator cuff rupture. Clin Orthop Relat Res 291: 103–106

    PubMed  Google Scholar 

  19. Pasila M, Jaroma H et al. (1978) Early complications of primary shoulder dislocations. Acta Orthop Scand 49: 260–263

    Article  PubMed  CAS  Google Scholar 

  20. Pouliart N, Gagey O (2006) Concomitant rotator cuff and capsuloligamentous lesions of the shoulder: a cadaver study. Arthroscopy 22: 728–735

    Article  PubMed  Google Scholar 

  21. Prudnikov OE (1994) Simultaneous lesions of the rotator cuff and the brachial plexus. Rev Chir Orthop Reparatrice Appar Mot 80: 602–609

    PubMed  CAS  Google Scholar 

  22. 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

  23. 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

    Article  PubMed  Google Scholar 

  24. Simonich SD, Wright TW (2003) Terrible triad of the shoulder. J Shoulder Elbow Surg 12: 566–568

    Article  PubMed  Google Scholar 

  25. 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

    PubMed  Google Scholar 

  26. Stevens JH (1926) Dislocaton of he shoulder. Ann Surg 83: 84

    PubMed  CAS  Google Scholar 

  27. 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

Download references

Interessenkonflikt

Es besteht kein Interessenskonflikt. Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt wird oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Die Präsentation des Themas ist unabhängig und die Darstellung der Inhalte produktneutral.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P. Habermeyer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Habermeyer, P., Lichtenberg, S. & Magosch, P. Rotatorenmanschettenruptur und Schulterinstabilität. Arthroskopie 20, 217–222 (2007). https://doi.org/10.1007/s00142-007-0405-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00142-007-0405-3

Schlüsselwörter

Keywords

Navigation