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06.07.2020 | Arthropedia | Online-Artikel

Traumatische vordere Schultererstluxation

Akutversorgung und Diagnostik

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A. Hupperich, D. Maier

Literatur

Epidemiologie und klinische Untersuchung

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  6. Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am. 2010;92:542–9.
  7. Avila Lafuente JL, Moros Marco S, García Pequerul JM. Controversies in the Management of the First Time Shoulder Dislocation. Open Orthop J. 2017;11:1001–10.
  8. Owens BD, Duffey ML, Nelson BJ, DeBerardino TM, Taylor DC, Mountcastle SB. The incidence and characteristics of shoulder instability at the United States Military Academy. Am J Sports Med. 2007;35:1168–73.
  9. Wasserstein DN, Sheth U, Colbenson K, Henry PDG, Chahal J, Dwyer T, et al. The True Recurrence Rate and Factors Predicting Recurrent Instability After Nonsurgical Management of Traumatic Primary Anterior Shoulder Dislocation: A Systematic Review. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2016;32:2616–25.
  10. Hovelius L, Rahme H. Primary anterior dislocation of the shoulder: long-term prognosis at the age of 40 years or younger. Knee Surg Sports Traumatol Arthrosc Off J ESSKA. 2016;24:330–42.
  11. Olds M, Ellis R, Donaldson K, Parmar P, Kersten P. Risk factors which predispose first-time traumatic anterior shoulder dislocations to recurrent instability in adults: a systematic review and meta-analysis. Br J Sports Med. 2015;49:913–22.
  12. Atef A, El-Tantawy A, Gad H, Hefeda M. Prevalence of associated injuries after anterior shoulder dislocation: a prospective study. Int Orthop. 2016;40:519–24.

Techniken zur geschlossenen Reposition

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  31. Kreutziger J, Hirschi D, Fischer S, Herzog RF, Zbinden S, Honigmann P. Comparison of interscalene block, general anesthesia, and intravenous analgesia for out-patient shoulder reduction. J Anesth. 2019;33(2):279-286. doi:10.1007/s00540-019-02624-6.
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  33. Lachance P-A, Taieb-Lachance CI. Patient Participation Approach to Reduction of Anterior Shoulder Dislocation: P-R-I-M/O-Y-E-S. Clin J Sport Med. 2016;26(4):338-344. doi:10.1097/JSM.0000000000000254.
  34. Lo H, Shen P-Y, Shen P-C, Chou P-H, Lu C-C. The Elbow Technique: A Novel Reduction Technique for Anterior Shoulder Dislocations. J Emerg Med. 2019;56(2):201-204. doi:10.1016/j.jemermed.2018.10.018.
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  36. Matsen F, Thomas S, Rockwood CJ, Wirth M. Glenohumeral instability. In: Rockwood CA Jr, Matsen FA (Eds) The Shoulder, 2 Edn, Vol 2. Saunders, Philadelphia. ; 1998:611–754.
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  38. MILCH H. The treatment of recent dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am. 1949;31A(1):173-180.
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  43. PARVIN RW. Closed reduction of common shoulder and elbow dislocations without anesthesia. AMA Arch Surg. 1957;75(6):972-975.
  44. Raj Gogia A, Bajaj J, Agarwal N. Clinical evaluation of post-operative analgesia comparing suprascapular nerve block and interscalene brachial plexus block in patients undergoing shoulder arthroscopic surgery §. 2016. doi:10.1016/j.jcot.2015.09.003.
  45. Regauer M, Polzer H, Mutschler W. Neurovascular complications due to the Hippocrates method for reducing anterior shoulder dislocations. World J Orthop. 2014;5(1):57. doi:10.5312/wjo.v5.i1.57.
  46. Sayegh FE, Kenanidis EI, Papavasiliou KA, Potoupnis ME, Kirkos JM, Kapetanos GA. Reduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the Hippocratic and Kocher methods. J Bone Joint Surg Am. 2009;91(12):2775-2782. doi:10.2106/JBJS.H.01434.
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  48. Stafylakis D, Abrassart S, Hoffmeyer P. Reducing a Shoulder Dislocation Without Sweating. The Davos Technique and its Results. Evaluation of a Nontraumatic, Safe, and Simple Technique for Reducing Anterior Shoulder Dislocations. J Emerg Med. 2016;50(4):656-659. doi:10.1016/j.jemermed.2016.01.020.
  49. Stimson L. An easy method of reducing dislocations of the shoulder and hip. Med Rec. 1900;57:356–7.
  50. Tajima K, Nishida Y, Shimizu C, Hori S. Double traction method-an easy and safe reduction method for anterior shoulder dislocations, even for non-orthopedic surgeons. 2015. doi:10.1002/ams2.179.
  51. Tezel O, Kaldirim U, Bilgic S, et al. A comparison of suprascapular nerve block and procedural sedation analgesia in shoulder dislocation reduction. Am J Emerg Med. 2014;32(6):549-552. doi:10.1016/j.ajem.2014.02.014.
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  53. Wakai A, O’Sullivan R, McCabe A. Intra-articular lignocaine versus intravenous analgesia with or without sedation for manual reduction of acute anterior shoulder dislocation in adults. Cochrane Database Syst Rev. 2011;(4):CD004919. doi:10.1002/14651858.CD004919.pub2.
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Bildgebende Diagnostik

  1. Applegate GR, Hewitt M, Snyder SJ, Watson E, Kwak S, Resnick D. Chronic labral tears: value of magnetic resonance arthrography in evaluating the glenoid labrum and labral-bicipital complex. Arthroscopy. 2004;20(9):959-63. doi: 10.1016/j.arthro.2004.08.017
  2. Baudi P, Rebuzzi M, Matino G, Catani F. Imaging of the Unstable Shoulder. Open Orthop J. 2017;11:882-96. doi: 10.2174/1874325001711010882
  3. Chandnani VP, Yeager TD, DeBerardino T, Christensen K, Gagliardi JA, Heitz DR, et al. Glenoid labral tears: prospective evaluation with MRI imaging, MR arthrography, and CT arthrography. AJR Am J Roentgenol. 1993;161(6):1229-35. doi: 10.2214/ajr.161.6.8249731
  4. Di Giacomo G, Itoi E, Burkhart SS. Evolving concept of bipolar bone loss and the Hill-Sachs lesion: from "engaging/non-engaging" lesion to "on-track/off-track" lesion. Arthroscopy. 2014;30(1):90-8. doi: 10.1016/j.arthro.2013.10.004
  5. Engebretsen L, Craig EV. Radiologic features of shoulder instability. Clin Orthop Relat Res. 1993(291):29-44. doi:
  6. Hart WJ, Kelly CP. Arthroscopic observation of capsulolabral reduction after shoulder dislocation. J Shoulder Elbow Surg. 2005;14(2):134-7. doi: 10.1016/j.jse.2004.07.002
  7. Jankauskas L, Rudiger HA, Pfirrmann CW, Jost B, Gerber C. Loss of the sclerotic line of the glenoid on anteroposterior radiographs of the shoulder: a diagnostic sign for an osseous defect of the anterior glenoid rim. J Shoulder Elbow Surg. 2010;19(1):151-6. doi: 10.1016/j.jse.2009.04.013
  8. Kraeutler MJ, McCarty EC, Belk JW, Wolf BR, Hettrich CM, Ortiz SF, et al. Descriptive Epidemiology of the MOON Shoulder Instability Cohort. Am J Sports Med. 2018;46(5):1064-9. doi: 10.1177/0363546518755752
  9. Kreitner KF, Mahringer-Kunz A. (Systematics of shoulder instability). Radiologe. 2015;55(3):195-202. doi: 10.1007/s00117-014-2784-6
  10. Minkus M, Bohm E, Moroder P, Scheibel M. (Initial management of traumatic ventral shoulder dislocation). Unfallchirurg. 2018;121(2):100-7. doi: 10.1007/s00113-017-0405-3
  11. Norlin R. Intraarticular pathology in acute, first-time anterior shoulder dislocation: an arthroscopic study. Arthroscopy. 1993;9(5):546-9. doi:
  12. Owens BD, Nelson BJ, Duffey ML, Mountcastle SB, Taylor DC, Cameron KL, et al. Pathoanatomy of first-time, traumatic, anterior glenohumeral subluxation events. J Bone Joint Surg Am. 2010;92(7):1605-11. doi: 10.2106/JBJS.I.00851
  13. Scheibel M, Kraus N, Gerhardt C, Haas NP. (Anterior glenoid rim defects of the shoulder). Orthopade. 2009;38(1):41-8, 50-3. doi: 10.1007/s00132-008-1354-x
  14. Taylor DC, Arciero RA. Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am J Sports Med. 1997;25(3):306-11. doi: 10.1177/036354659702500306
  15. Wolke J SM. Vordere Schultererstluxation. Obere Extrem. 2017(12 (Suppl 1)):S20-1. doi: 10.1007/s11678-017-0401-9
  16. Yamamoto N, Itoi E, Abe H, Minagawa H, Seki N, Shimada Y, et al. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Shoulder Elbow Surg. 2007;16(5):649-56. doi: 10.1016/j.jse.2006.12.012
  17. Yiannakopoulos CK, Mataragas E, Antonogiannakis E. A comparison of the spectrum of intra-articular lesions in acute and chronic anterior shoulder instability. Arthroscopy. 2007;23(9):985-90. doi: 10.1016/j.arthro.2007.05.009
  18. Burkhart SS et al (2002): Quantifying glenoid bone loss arthroscopically in shoulder instability. Arthroscopy 18:488-491
  19. Castagna A, Markopoulos N, Conti M, Delle Rose G, Papadakou E, Garofalo R (2010) : Arthroscopic Bankart suture-anchor repair: Radiological and clinical outcome at minimum 10 years of follow up. Am J Sports Med 38(10):2012-2016
  20. Carreira DS et al. (2006): A prospective outcome evaluation of arthroscopic Bankart repairs: minimum 2-years follow up. Am J Sports Med 34:771-777
  21. Agneskirchner JD, Haag M, Lafosse L (2011): Arthroscopic coracoid transfer: Indications, technique and initial results. Orthopaede 40(1):41-51
  22. Cheung EV et al. (2008): Long-term outcome of anterior stabilization of the shoulder. J Shoulder Elba Sure 17:265-270
  23. Dumont GD, Fogerty S, Rosso C, Lafosse L (2014): The arthroscopic latarjet procedure for anterior shoulder instability: 5-year minimum follow up. Am J Sports Med 42(11):2560-2566
  24. Cho SH, Cho NS, Rhee YG (2011): Preoperative analysis of the Hill-Sachs lesion in anterior shoulder instability. How to predict engagement of the lesion. A; J sports Med 39(11):2389-2396
  25. Di Giacomo G, Itoi E, Burkhart SS (2014): Evolving concept of bipolar bone loss and the Hill-Sachs lesion: from „engaging/non-engaging“ lesion to „on-track/off-track“ lesion. Arthroscopy 2014 (30):90-98
  26. Di Giacomo G, de Gasperis N, Scarso P (2016): Bipolar bone defect in the shoulder anterior dislocation. Knee Surg Sports Traumata Arthrosc 2016 (24):479-488
  27. Klemt C, Toderita D, Dolte D, Di Federico E, Reilly P, Bull A M J (2019): The critical size of a defect in the glenoid causing anterior instability of the shoulder after a Bankart repair, under physiological joint loading. The bone & joint journal 101-B (1):68-74
  28. Shin SJ, Kim RG, Jeon YS, Kwon TH (2017): Critical value of a anterior gleaned bone loss that leads to recurrent glenohumeral instability after arthroscopic Bankart repair. A J Sports Med 45(9):1975-181
  29. Yamamoto N, Itoi E, Abe H, Minagawa H, Seki N, Shimada Y, Okada K (2007): Contact between the glenoid and the humeral head in abduction, external rotation and horizontal extension: a new concept of glenoid track. Journal of shoulder and elbow surgery 16(5):649-656

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