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Trauma und Berufskrankheit

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23.05.2018 | Begutachtung | Begutachtung

Begutachtung des Rotatorenschadens

verfasst von: Prof. Dr. H. Hempfling, M. Wich

Erschienen in: Trauma und Berufskrankheit | Ausgabe 2/2018

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Zusammenfassung

Die Voraussetzung zur Beurteilung der Rotatorenmanschette und damit zur Begutachtung ihrer Schäden liegt in der Kenntnis der Anatomie der Rotatorenmanschette (Kabelsystem) und deren Funktion. Symptomatische und auch asymptomatische Defekte in der Rotatorenmanschette sind in der älter werdenden Bevölkerung ein häufiges Phänomen. Wegen versicherungsrechtlicher Anforderungen ist der medizinische Sachverständige aufgefordert, eine Unterscheidung zwischen texturstörungsbedingten (degenerativen) und traumatischen Schäden an der Rotatorenmanschette zu treffen. Der vorliegende Beitrag soll hierzu eine Hilfestellung bieten. Die Pathologie der Rotatoren an der Schulter unterscheidet echte, seltene Rotatorenrisse von den häufigen Rotatorendefekten, entstanden durch die altersabhängige Texturstörung und aufgrund verschiedener pathologischer Einflüsse. Der traumatische Rotatorenriss kann durch direkte oder indirekte Krafteinwirkung bedingt sein. Die direkte Kraft führt zu erheblichen lokalen Begleitverletzungen; bei indirekten Einwirkungen entgegen der eigenen Muskelkraft sind Begleitverletzungen an weiteren Strukturen zu erwarten.

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Titel: Begutachtung des Rotatorenschadens
verfasst von: Prof. Dr. H. Hempfling
M. Wich
Publikationsdatum: 23.05.2018
Verlag: Springer Medizin
Schlagwörter: Begutachtung
Begutachtung
Verletzungen der Rotatorenmanschette
Tendinitis
Tendinose
Erschienen in: Trauma und Berufskrankheit / Ausgabe 2/2018
Print ISSN: 1436-6274
Elektronische ISSN: 1436-6282
DOI: https://doi.org/10.1007/s10039-018-0370-2

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