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Konservative Therapie in der Ellenbogentraumatologie

Nonoperative treatment of elbow injuries

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Zusammenfassung

Der Spielraum für die konservative Therapie ist bei Gelenkverletzungen bekanntermaßen eng. Gelenkfrakturen mit einer Stufenbildung >2 mm bergen ein hohes Risiko einer posttraumatischen Arthrose. Gerade beim jüngeren Patienten gilt daher die anatomische Rekonstruktion als Therapie der Wahl. Dennoch lässt sich eine Vielzahl an Ellenbogenverletzungen mit gutem Erfolg konservativ therapieren. Ziel der Therapie muss die Gewährleistung eines stabilen (knöchern wie ligamentär), belastbaren Ellenbogens sein mit einer Beweglichkeit, die dem individuellen Profil des Patienten entsprechen sollte. In diesem Artikel werden die konservativen Möglichkeiten bei der Ellenbogenluxation sowie der Radiuskopf‑, Olecranon- und distalen Humerusfraktur diskutiert.

Abstract

As is known, the scope of nonoperative treatment of joint injuries is narrow. Joint fractures with a displacement of more than 2 mm carry a high risk for posttraumatic arthritis. Therefore, anatomical reconstruction is the treatment of choice especially in young patients. Nevertheless, a variety of elbow injuries can be managed nonoperatively with a high success rate. The goal of therapy must be to ensure a stable (bony and ligamentous), resilient elbow with a range of motion that matches the individual patient profile. In this article, the nonoperative options in terms of elbow dislocation as well as radial head, olecranon, and distal humeral fractures are discussed.

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Authors and Affiliations

  1. Arcus Sportklinik, Rastatter Str. 17–19, 75179, Pforzheim, Deutschland

    K. J. Burkhart & B. Hollinger

  2. Abteilung und Poliklinik für Sportorthopädie, Klinikum rechts der Isar, TU München, München, Deutschland

    S. Siebenlist

  3. Unfall‑, Hand- und Ellenbogenchirurgie, Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Köln, Köln, Deutschland

    M. Hackl, K. Wegmann & L. P. Müller

  4. Sporthopädicum, Regensburg, Deutschland

    S. Greiner

  5. Klinik für Unfall- und Handchirurgie, ViDia Christliche Kliniken Karlsruhe, Karlsruhe, Deutschland

    C. Gerhardt

  6. Klinik für Orthopädie, Unfall‑, Handchirurgie und Sportorthopädie, Helios-Klinikum, München, Deutschland

    A. Lenich

  7. Zentrum für Orthopädie, Unfall- und Wirbelsäulenchirurgie, Asklepios Klinik Altona, Hamburg, Deutschland

    K. Mader

  8. Orthopaedicum, Wiesbaden, Deutschland

    K. Schmidt-Horlohe

Authors
  1. K. J. Burkhart
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  2. S. Siebenlist
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  3. M. Hackl
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  4. S. Greiner
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  5. C. Gerhardt
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  6. A. Lenich
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  7. K. Wegmann
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  8. K. Mader
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  9. B. Hollinger
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  10. L. P. Müller
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  11. K. Schmidt-Horlohe
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Corresponding author

Correspondence to K. J. Burkhart.

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Interessenkonflikt

K.J. Burkhart, S. Siebenlist, M. Hackl, S. Greiner, C. Gerhardt, A. Lenich, K. Wegmann, K. Mader, B. Hollinger, L.P. Müller und K. Schmidt-Horlohe geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Burkhart, K.J., Siebenlist, S., Hackl, M. et al. Konservative Therapie in der Ellenbogentraumatologie. Obere Extremität 13, 98–105 (2018). https://doi.org/10.1007/s11678-018-0450-8

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  • DOI: https://doi.org/10.1007/s11678-018-0450-8

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