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Erschienen in: Obere Extremität 1/2019

11.02.2019 | Instabilitäten am Ellenbogengelenk | Übersicht

Chronische mediale Ellenbogeninstabilität – aktuelle Datenlage

verfasst von: PD Dr. K. J. Burkhart, M. M. Schneider, M. Hackl, R. Nietschke, L. P. Müller, B. Hollinger

Erschienen in: Obere Extremität | Ausgabe 1/2019

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Zusammenfassung

Eine chronische Valgusinstabilität kann durch ein akutes Trauma, eine iatrogene Schädigung oder durch Überbelastungen verursacht werden. Insbesondere bei Über-Kopf- und Wurfsportarten ist der Ellenbogen hohen Valguskräften ausgesetzt, die durch repetitive Überlastungen das mediale Kollateralband sukzessive schwächen. Die zunehmende Valgusinstabilität des Ellenbogens führt zu zunehmenden Kompressionskräften im radialen Kompartiment, was zu erheblichen Knorpelschäden führen kann. Durch das verstärkte Anschlagen des Olecranons am medialen Rand der Fossa olecrani kommt es hier zur typischen Osteophytenbildung und freien Gelenkkörpern. Der vorliegende Artikel befasst sich mit den Grundlagen und der Diagnostik der chronischen Valgusinstabilität und diskutiert konservative und operative Therapieoptionen anhand der aktuellen Literatur.
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Metadaten
Titel
Chronische mediale Ellenbogeninstabilität – aktuelle Datenlage
verfasst von
PD Dr. K. J. Burkhart
M. M. Schneider
M. Hackl
R. Nietschke
L. P. Müller
B. Hollinger
Publikationsdatum
11.02.2019
Verlag
Springer Medizin
Erschienen in
Obere Extremität / Ausgabe 1/2019
Print ISSN: 1862-6599
Elektronische ISSN: 1862-6602
DOI
https://doi.org/10.1007/s11678-019-0504-6

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