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Erschienen in: Arthroskopie 4/2015

01.11.2015 | Erratum

Erratum zu: Behandlung chronischer Sprunggelenkinstabilität

verfasst von: K. Fehske

Erschienen in: Arthroskopie | Ausgabe 4/2015

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Zusammenfassung

Läsionen der Sprunggelenkbänder zählen zu den häufigsten Verletzungen des Bewegungsapparats. Ausgehend von einer Ruptur kann sich in 20–30 % der Fälle eine chronische funktionelle und/oder mechanische Sprunggelenkinstabilität entwickeln. Neben subjektiver Instabilität führt v. a. ein typischer Belastungsschmerz zur sportlichen und beruflichen Einschränkung.
Die Therapie der chronischen Sprunggelenkinstabilität dient zunächst der Verbesserung der Beweglichkeit, der motorischen Steuerung und der Propriozeption. Bei frustranem konservativem Therapieversuch sind chirurgische Maßnahmen indiziert. Die Arthroskopie sollte rekonstruktiven Operationsverfahren vorangestellt werden, um etwaige Begleitverletzungen genau zu diagnostizieren und direkt therapieren zu können. Die Stabilisierungstechniken umfassen die Rekonstruktionen des lateralen und medialen Bandapparats und versuchen, den verletzten Kapselbandapparat über Ankertechniken, transossäre Ausziehnähte oder Sehnentransplantate wiederherzustellen.
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Metadaten
Titel
Erratum zu: Behandlung chronischer Sprunggelenkinstabilität
verfasst von
K. Fehske
Publikationsdatum
01.11.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Arthroskopie / Ausgabe 4/2015
Print ISSN: 0933-7946
Elektronische ISSN: 1434-3924
DOI
https://doi.org/10.1007/s00142-015-0042-1

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Mit dem Hebelzeichen-Test lässt sich offenbar recht zuverlässig feststellen, ob ein vorderes Kreuzband gerissen ist. In einer Metaanalyse war die Vorhersagekraft vor allem bei positivem Testergebnis hoch.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Update Orthopädie und Unfallchirurgie

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