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Stabilisierung des Akromioklavikulargelenks

„Lessons learned“ aus 20 Jahren arthroskopisch gestützter Versorgung

Stabilization of the acromioclavicular joint

Lessons learned from 20 years of arthroscopically assisted treatment

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Aktuell sind mehr als 150 verschiedene Operationsmethoden zur Stabilisierung von Luxationen des Akromioklavikulargelenks (ACG) beschrieben. Diese große Anzahl spiegelt wider, dass jede dieser Techniken mit gewissen Limitationen behaftet ist. ACG-Luxationen mit dem Schweregrad Rockwood I–III werden im eigenen Vorgehen konservativ therapiert. Für höhergradige Luxationen (Rockwood IV, V) erfolgte 2002 aufgrund der bis dato unbefriedigenden Ergebnisse und beträchtlichen Komplikationsrate bei offenen Verfahren die Etablierung der arthroskopisch gestützten Versorgung. Diese Art der minimal-invasiven Operationstechnik führt heute zu guten bis sehr guten Ergebnissen und hat sich neben der Hakenplattenversorgung als Goldstandard in Deutschland etabliert.

Abstract

Over 150 different surgical methods for stabilizing dislocations of the acromioclavicular joint (ACJ) are currently described. This large number reflects the fact that each of these techniques has certain limitations. Dislocation of the ACJ with a severity grade of Rockwood I–III are conservatively treated by an in-house approach. For higher grade dislocations (Rockwood IV and V), arthroscopically assisted management was established in 2002 due to previously unsatisfactory results and considerable complication rates with open procedures. Nowadays, this type of minimally invasive surgical technique leads to good to very good results and has become established as the gold standard alongside the hook plate technique.

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  1. Sektion Sportorthopädie, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland

    Daniel P. Berthold, Lukas N. Muench, Andreas B. Imhoff &  Lucca Lacheta

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  1. Daniel P. Berthold
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  2. Lukas N. Muench
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  3. Andreas B. Imhoff
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  4. Lucca Lacheta
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Correspondence to Lucca Lacheta.

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D.P. Berthold, L.N. Muench, A.B. Imhoff und L. Lacheta geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Berthold, D.P., Muench, L.N., Imhoff, A.B. et al. Stabilisierung des Akromioklavikulargelenks. Arthroskopie 35, 279–287 (2022). https://doi.org/10.1007/s00142-022-00546-2

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  • DOI: https://doi.org/10.1007/s00142-022-00546-2

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