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Pathologie und Therapie der Rotatorenmanschettenläsion

Pathology and therapy of rotator cuff lesions

  • Standards in der Unfallchirurgie
  • Published:
Trauma und Berufskrankheit

Zusammenfassung

Die Unterscheidung traumatischer von degenerativ geprägten Rotatorenmanschettenläsionen ist in der täglichen Praxis von großer Bedeutung. Die Kenntnis der Anatomie und Biomechanik ist für die Behandlung der betroffenen Patienten essenziell. In den letzten 15 Jahren wurden zunehmende Kenntnisse der Biomechanik des Schultergelenks erworben und die chirurgischen Therapiemöglichkeiten, insbesondere die arthroskopischen rekonstruktiven Möglichkeiten, stetig weiterentwickelt. Die lückenlose Dokumentation der klinischen Primärbefunde und die engmaschige Verlaufsdokumentation sind für eine gutachterliche Bewertung von größter Bedeutung. Es werden die wesentlichen Aspekte, die in der Therapie von Rotatorenmanschettenläsionen Berücksichtigung finden, inklusive der damit verbundenen therapeutischen Möglichkeiten, zusammengefasst.

Abstract

The differentiation between traumatic and degenerative rotator cuff lesions is of high importance in everyday clinical practice. Knowledge of the anatomy and biomechanics are essential for the treatment of patients. In the past 15 years, increasing knowledge of the biomechanics of the shoulder joint and surgical treatment options, particularly in arthroscopic reconstructive options, has evolved. Full documentation of primary clinical findings and the close-knit follow-up documentation are of the utmost importance for an expert evaluation. The authors summarize the key aspects of treatment and possible therapeutic options of rotator cuff lesions.

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Albrecht, D., Mezger, D. & Ateschrang, A. Pathologie und Therapie der Rotatorenmanschettenläsion. Trauma Berufskrankh 14, 201–207 (2012). https://doi.org/10.1007/s10039-012-1903-8

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