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Erschienen in: Obere Extremität 2/2014

01.06.2014 | Leitthema: Übersicht

Management der fehlgeschlagenen vorderen Schulterstabilisierung

verfasst von: Univ.-Prof. Dr. Thomas Tischer, Peter C. Kreuz

Erschienen in: Obere Extremität | Ausgabe 2/2014

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Zusammenfassung

Hintergrund

Schulterluxationen sind häufige Verletzungen und entsprechend müssen Revisionsstabilisierungen durchgeführt werden, sofern die primären Therapieansätze fehlschlagen. Jeder Schulterchirurg sollte deshalb mit deren Management vertraut sein.

Fragestellung

In der vorliegenden Arbeit wird der aktuelle Wissensstand zum Management von fehlgeschlagenen vorderen Schulterstabilisierungen und glenoidalen/humeralen Knochensubstanzdefekten wiedergegeben.

Material und Methoden

Grundlage sind aktuelle Studienergebnisse nach arthroskopischer und offener Re-Stabilisierung.

Ergebnisse

Bei Ausschluss knöcherner Versagensursachen liegt die Reluxationsrate nach arthroskopischer Restabilisierung zwischen 4,5 und 25%. Liegen begleitende knöcherne Glenoiddefekte über 25% der Glenoidbreite vor, steigt die Reluxationsrate sprunghaft an, sodass diese zusätzlich versorgt werden sollten. Ossäre humerale Defekte sind ggf. zu adressieren, wobei Ergebnisse vergleichender Langzeitstudien rar sind.

Schlussfolgerungen

Eine genaue Ursachenanalyse der Reluxation bildet die Grundlage für die richtige Operationsindikation. Zur Reduktion der Reluxationsrate ist eine zielgerichtete Behandlung aller Pathologien erforderlich.
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Metadaten
Titel
Management der fehlgeschlagenen vorderen Schulterstabilisierung
verfasst von
Univ.-Prof. Dr. Thomas Tischer
Peter C. Kreuz
Publikationsdatum
01.06.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Obere Extremität / Ausgabe 2/2014
Print ISSN: 1862-6599
Elektronische ISSN: 1862-6602
DOI
https://doi.org/10.1007/s11678-014-0255-3

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