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Traumatische anteriore Schultererstluxation

Operative oder konservative Therapie?

Traumatic anterior shoulder dislocation

Operative or conservative therapy?

  • Leitthema
  • Published:
Trauma und Berufskrankheit

Zusammenfassung

Hintergrund

Die Behandlung der traumatischen Schulterluxation hat in den letzten Jahren einschneidende und innovative Änderungen sowohl in der konservativen als auch in der operativen Behandlung erfahren. Trotz oder gerade wegen der hohen Inzidenz der Verletzung, ca. 2 % der Allgemeinbevölkerung pro Jahr, werden die Behandlungskonzepte weiter kontrovers diskutiert.

Therapieergebnisse

Unbestritten ist, dass ein erfolgreiches Behandlungsergebnis mit stabiler und freier Schulterfunktion auch von patientenindividuellen Risikofaktoren und Ansprüchen abhängig ist, die eine individuelle Therapieempfehlung bedingen. Dies setzt die Kenntnis und kritische Auseinandersetzung des zu erwartenden Behandlungserfolgs der möglichen Therapieoptionen voraus. Persistierende Instabilitäten bis hin zur Reluxation, Schmerzen und die Unfähigkeit, Sport oder körperlich anspruchsvolle Berufe wieder aufnehmen zu können, sind die Hauptprobleme in der Verletzungsfolge. Die vorliegende Arbeit gibt eine Übersicht über aktuelle, z. T. sehr heterogene Ergebnisse der konservativen und operativen Therapiekonzepte.

Abstract

Background

There have been essential changes in the treatment of traumatic first time dislocation of the shoulder in recent years involving both conservative and operative practices. Despite the high incidence of the injury occurring in approximately 2 % of the general population per year, the optimal treatment concept remains controversial.

Therapeutic results

It is undisputed that many patient-related factors also influence the final outcome of a successful treatment resulting in a stable and free moving shoulder function thereby necessitating individualized treatment recommendations and protocols. In order to prevent chronic instability, redislocation, pain and long-term inability to work in physically demanding jobs or to undertake sports activities, a precise knowledge of the expected instability and redislocation risk that are reported for the different treatment options is required. Current conservative and operative treatment options are reviewed in this article.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. J. Geßmann, M. Königshausen, T.A. Schildhauer, D. Seybold geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Chirurgische Klinik und Poliklinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Ruhr-Universität Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland

    J. Geßmann, M. Königshausen, T.A. Schildhauer & D. Seybold

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  1. J. Geßmann
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  2. M. Königshausen
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  3. T.A. Schildhauer
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  4. D. Seybold
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Correspondence to J. Geßmann.

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Geßmann, J., Königshausen, M., Schildhauer, T. et al. Traumatische anteriore Schultererstluxation. Trauma Berufskrankh 16, 245–250 (2014). https://doi.org/10.1007/s10039-014-2146-7

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