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Vorderer, oberer Schulterquadrant

Anatomie als Begutachtungsgrundlage

Anterior, superior shoulder quadrant

Anatomy as basis of the assessment

  • Begutachtung
  • Published:
Trauma und Berufskrankheit

Zusammenfassung

Der anteriore, superiore Schulterquadrant enthält wesentliche, funktionell bedeutsame anatomische Strukturen des Schultergelenks. Dessen akromioklavikuläres Dach inklusive Processus coracoideus hat auch verbindende Elemente zu den Rotatorensehnen, den kapsulären Strukturen, aber auch zum Verlauf der Bizepssehne, zum Pulley-Komplex und zum anterioren Rotatorenintervall. Die anatomische Komplexität muss bei fraglichen isolierten Verletzungen im Bereich des anterioren, superioren Schulterquadranten berücksichtigt werden, da tatsächlich isolierte Verletzungen als Unfallfolge unwahrscheinlich sind. Für ein Gutachten ist daher eine komplexe Diagnostik nicht nur der vermuteten Verletzungsregionen, sondern auch deren Begleitstrukturen erforderlich.

Abstract

The anterior, superior shoulder quadrant contains essential functionally important anatomical structures of the shoulder joint. The acromioclavicular roof, including the coracoid process, has binding elements to the rotator tendons and the capsular structures as well as to the course of the biceps tendons, the pulley complex and the anterior rotator interval. This anatomical complexity must be considered in questionable isolated injuries in the region of the anterior superior shoulder quadrant because actual isolated injuries are unlikely to be the result of an accident. Therefore, for an expert opinion a complex diagnostic process is necessary not only for the suspected injured region but also for the accompanying structures.

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Hempfling, H. Vorderer, oberer Schulterquadrant. Trauma Berufskrankh 21, 74–84 (2019). https://doi.org/10.1007/s10039-018-0411-x

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