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Traumatische anteriore Schulterluxation – aktuelles Forschungswissen

Eine umfassende Betrachtung

Traumatic anterior shoulder dislocation—current research knowledge

A scoping review

Zusammenfassung

Die Schulter ist das am häufigsten luxierte große Gelenk. Traumatische anteriore Schulterluxationen (TAS) kommen sehr oft vor. In den USA wird von einer Inzidenz von 23,9 pro 100.000 Personen pro Jahr berichtet – Häufigkeit zunehmend. Mehr als 90 % der traumatischen Luxationen treten in anterior-inferiorer Richtung auf. In der vorliegenden umfassenden Übersichtsarbeit wird anhand von 26 systematischen Reviews, Metaanalysen und weiteren Primärstudien über den aktuellen Stand in der wissenschaftlichen Literatur berichtet. Dabei werden die Risikofaktoren, Diagnostik und Erstbehandlung sowie die Komplikationen der traumatischen anterioren Erstluxation diskutiert. Hinsichtlich der Behandlung werden unterschiedliche operative und konservative Verfahren sowie prädisponierende Faktoren zur Reluxation erörtert. Schließlich werden Hinweise über ein Rehabilitationsprogramm und Fakten zur Wiederaufnahme des Sports und zur Wiederaufnahme von Einsätzen im Wettkampf („return to sport“ und „return to play“) gegeben.

Abstract

The shoulder is the most frequently dislocated large joint. Traumatic anterior shoulder dislocations (TAS) are very common. In the USA, an incidence of 23.9 per 100,000 individuals per year is reported, frequency increasing. More than 90% of traumatic dislocations occur in the anterior–inferior direction. This scoping review reports on the current status of the scientific literature based on 26 systematic reviews, meta-analysis, and other primary studies. Risk factors, diagnosis, initial treatment, and complications of traumatic anterior first dislocation are discussed. With regard to treatment, different surgical and conservative procedures as well as factors predisposing to reluxation are presented. Finally, information about a rehabilitation program and facts about return to sport and return to play are given.

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Notes

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    1954 entwickelt und nach ihrem Erstbeschreiber Michel Latarjet (Lyon, Frankreich) benannt.

Abbreviations

95%-KI:

95%-Konfidenzintervall

OR:

Odds Ratio

RCT:

Randomisierte kontrollierte Studie

RR:

Risk Ratio

SMD:

Standardisierte mittlere Differenz

TAS:

Traumatische anteriore Schulterluxation

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Correspondence to Bernhard Reichert.

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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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Reichert, B. Traumatische anteriore Schulterluxation – aktuelles Forschungswissen. Manuelle Medizin (2021). https://doi.org/10.1007/s00337-021-00833-3

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Schlüsselwörter

  • Schulterverletzungen
  • Rehabilitation
  • Schultergelenk
  • Bankart-Läsionen
  • Rezidiv

Keywords

  • Shoulder injuries
  • Rehabilitation
  • Shoulder joint
  • Bankart lesions
  • Recurrence