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Arthroskopisch gestützte Frakturversorgung des Glenoids

Arthroscopic assisted fracture treatment of the glenoid

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Hintergrund

Fortschritte in den arthroskopischen Techniken am Schultergelenk haben neue Möglichkeiten in der Versorgung von Glenoidrand- und Skapulafrakturen mit Gelenkbeteiligung geschaffen.

Material und Methode

Darstellung der arthroskopischen Möglichkeiten bei Glenoidrand- und Skapulafrakturen. Evaluierung und Diskussion technischer Möglichkeiten der Frakturversorgung und bisheriger Ergebnisse.

Ergebnisse

Das arthroskopische Vorgehen bietet gegenüber dem offenen potenzielle Vorteile in der Weichteilschonung und der Diagnostik und Therapie von Begleitverletzungen. Erste technische Beschreibungen zeigen, dass die Versorgung zwar anspruchsvoll, aber technisch umsetzbar ist und eine anatomische Reposition der Fraktur ermöglicht. Die wenigen Fallserien zeigen dabei vielversprechende früh- und mittelfristige Ergebnisse. Bei noch niedriger Evidenz bleiben weitere Langzeitergebnisse und höhere Fallzahlen abzuwarten.

Abstract

Background

The advances in arthroscopic surgery of the shoulder joint have created new opportunities in the therapy of fractures of the glenoid rim and the scapula with involvement of the glenoid fossa.

Methods

Determination of arthroscopic possibilities in the treatment of glenoid rim fractures and scapula fractures with involvement of the glenoid fossa. Evaluation and discussion of published techniques and results released so far.

Results

The arthroscopic approach offers potential advantages in the protection of soft tissue and the diagnostic and therapy of concomitant injuries. Technical notes have shown that these procedures are technically demanding but can create an anatomical reduction of the fracture. The small number of case series show promising early and midterm functional results. With the lag of higher evidence further investigation with larger case numbers and longer follow-up terms are mandatory.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. D. Krüger, C. Gerhardt und M. Scheibel geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag enthält keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Centrum für Muskuloskeletale Chirurgie (CMSC), Campus Virchow und Campus Mitte, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland

    D. Krüger, C. Gerhardt &  M. Scheibel

Authors
  1. D. Krüger
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  2. C. Gerhardt
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  3. M. Scheibel
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Corresponding author

Correspondence to M. Scheibel.

Additional information

Dieser Beitrag ist eine aktualisierte und überarbeitete Version des Beitrags „Technik und Grenzen arthroskopischer Versorgung von Glenoid- und Skapulafrakturen“. Obere Extremität 2013, 8:78–86.

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Krüger, D., Gerhardt, C. & Scheibel, M. Arthroskopisch gestützte Frakturversorgung des Glenoids. Arthroskopie 27, 246–254 (2014). https://doi.org/10.1007/s00142-013-0797-1

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  • DOI: https://doi.org/10.1007/s00142-013-0797-1

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