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Erschienen in: Arthroskopie 1/2019

03.01.2019 | Verletzungen der Rotatorenmanschette | Leitthema

Innovationen der Rotatorenmanschettenchirurgie

verfasst von: Prof. Dr. S. Greiner, L. Achenbach

Erschienen in: Arthroskopie | Ausgabe 1/2019

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Zusammenfassung

Der vorliegende Beitrag präsentiert eine Übersicht zu den Innovationen in der Rotatorenmanschettenchirurgie der letzten Jahre. Hierbei werden die multifaktorielle Pathogenese von Läsionen der Rotatorenmanschette (RM), die Genetik und die unterschiedliche klinische Vorstellung dargestellt. Durch neue Studien werden die konservativen und operativen Behandlungsmöglichkeiten dem Therapieverlauf gegenübergestellt und Gründe für ein Nahtversagen aufgezeigt. Neue operative Behandlungsmöglichkeit bei irreparablen RM-Massenrupturen, wie die Implantation eines biodegradierbaren Spacers in den Subakromialraum und die superiore Kapselrekonstruktion sowie Erkenntnisse hinsichtlich der postoperativen Rehabilitationsphase werden beschrieben. Die Zusammenschau der aktuellen Studienlage ermöglicht eine Optimierung der individualisierten Behandlung von Patienten aller Altersklassen mit RM-Läsionen verschiedener Schweregrade.
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Metadaten
Titel
Innovationen der Rotatorenmanschettenchirurgie
verfasst von
Prof. Dr. S. Greiner
L. Achenbach
Publikationsdatum
03.01.2019
Verlag
Springer Medizin
Erschienen in
Arthroskopie / Ausgabe 1/2019
Print ISSN: 0933-7946
Elektronische ISSN: 1434-3924
DOI
https://doi.org/10.1007/s00142-018-0261-3

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