Skip to main content
main-content
Erschienen in: Die Orthopädie 9/2007

01.09.2007 | Leitthema

Differenzialtherapie massiver Rotatorenmanschettenläsionen

verfasst von: Dr. P. Kasten, M. Loew

Erschienen in: Die Orthopädie | Ausgabe 9/2007

Einloggen, um Zugang zu erhalten

Zusammenfassung

Die erfolgreiche Therapie massiver Rotatorenmanschettenrupturen stellt hohe Anforderungen an den Schulterchirurgen, da das Behandlungskonzept an viele individuelle Patientenparameter adaptiert werden muss.
Zunächst sollte entschieden werden, ob die Qualität der Muskel-/Sehneneinheit geeignet ist, eine direkte Naht durchzuführen. Falls die Degeneration zu weit fortgeschritten ist und zu viel Spannung bei der Reposition ausgeübt werden muss, kann man es evtl. bei einem partiellen Verschluss belassen, die Bicepssehne zur Defektdeckung verwenden oder einen lokalen Muskeltransfer mit z. B. dem M. subscapularis oder M.  infraspinatus durchführen.
Bei einem nicht mehr zu verschließenden Defekt und fehlenden Arthrosezeichen hat man die Wahl zwischen einer Tuberkuloplastik/subakromialen Dekompression bei älteren Patienten mit geringem funktionellem Anspruch oder einem Muskel-/Sehnentransfer bei Patienten <60 Jahre mit höheren funktionellen Ansprüchen. Bei posterosuperioren Defekten kann man einen M.-deltoideus-Lappen als Puffer unter dem Akromion durchführen oder als aktiven Muskelsehnentransfer einen M.-latissimus-dorsi-Transfer. Bei anterosuperioren Defekten empfiehlt sich der M.-pectoralis-Transfer. Bei einer Dezentrierung des Humeruskopfes, Arthrosezeichen und fortgeschrittenem Alter (>70 Jahre) kann die Implantation einer inversen Prothese erwogen werden.
Literatur
1.
Zurück zum Zitat Aoki M, Okamura K, Fukushima S et al. (1996) Transfer of latissimus dorsi for irreparable rotator-cuff tears. J Bone Joint Surg Br 78: 761–766 PubMed Aoki M, Okamura K, Fukushima S et al. (1996) Transfer of latissimus dorsi for irreparable rotator-cuff tears. J Bone Joint Surg Br 78: 761–766 PubMed
2.
Zurück zum Zitat Bateman JE (1963) The diagnosis and treatment of ruptures of the rotator cuff. Surg Clin North Am 43: 1523–1530 PubMed Bateman JE (1963) The diagnosis and treatment of ruptures of the rotator cuff. Surg Clin North Am 43: 1523–1530 PubMed
3.
Zurück zum Zitat Baulot E, Chabernaud D, Grammont PM (1995) Results of Grammont’s inverted prosthesis in omarthritis associated with major cuff destruction. Apropos of 16 cases. Acta Orthop Belg 61(Suppl 1): 112–119 PubMed Baulot E, Chabernaud D, Grammont PM (1995) Results of Grammont’s inverted prosthesis in omarthritis associated with major cuff destruction. Apropos of 16 cases. Acta Orthop Belg 61(Suppl 1): 112–119 PubMed
4.
Zurück zum Zitat Burkhart SS, Esch JC, Jolson RS (1993) The rotator crescent and rotator cable: an anatomic description of the shoulder’s „suspension bridge“. Arthroscopy 9: 611–616 PubMedCrossRef Burkhart SS, Esch JC, Jolson RS (1993) The rotator crescent and rotator cable: an anatomic description of the shoulder’s „suspension bridge“. Arthroscopy 9: 611–616 PubMedCrossRef
5.
Zurück zum Zitat Burkhart SS, Nottage WM, Ogilvie-Harris DJ et al. (1994) Partial repair of irreparable rotator cuff tears. Arthroscopy 10: 363–370 PubMedCrossRef Burkhart SS, Nottage WM, Ogilvie-Harris DJ et al. (1994) Partial repair of irreparable rotator cuff tears. Arthroscopy 10: 363–370 PubMedCrossRef
6.
Zurück zum Zitat Burkhart SS, Athanasiou KA, Wirth MA (1996) Margin convergence: a method of reducing strain in massive rotator cuff tears. Arthroscopy 12: 335–338 PubMedCrossRef Burkhart SS, Athanasiou KA, Wirth MA (1996) Margin convergence: a method of reducing strain in massive rotator cuff tears. Arthroscopy 12: 335–338 PubMedCrossRef
7.
Zurück zum Zitat Clark JM, Harryman DT (1992) Tendons, ligaments, and capsule of the rotator cuff. Gross and microscopic anatomy. J Bone Joint Surg Am 74: 713–725 PubMed Clark JM, Harryman DT (1992) Tendons, ligaments, and capsule of the rotator cuff. Gross and microscopic anatomy. J Bone Joint Surg Am 74: 713–725 PubMed
8.
Zurück zum Zitat Codman EA (ed) (1934) The Shoulder: Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Thomas Todd Company, Boston Codman EA (ed) (1934) The Shoulder: Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Thomas Todd Company, Boston
9.
Zurück zum Zitat Cofield RH (1982) Subscapular muscle transposition for repair of chronic rotator cuff tears. Surg Gynecol Obstet 154: 667–672 PubMed Cofield RH (1982) Subscapular muscle transposition for repair of chronic rotator cuff tears. Surg Gynecol Obstet 154: 667–672 PubMed
10.
Zurück zum Zitat Cofield RH (1985) Rotator cuff disease of the shoulder. J Bone Joint Surg Am 67: 974–979 PubMed Cofield RH (1985) Rotator cuff disease of the shoulder. J Bone Joint Surg Am 67: 974–979 PubMed
11.
Zurück zum Zitat Cofield RH, Parvizi J, Hoffmeyer PJ et al. (2001) Surgical repair of chronic rotator cuff tears. A prospective long-term study. J Bone Joint Surg Am 83: 71–77 PubMed Cofield RH, Parvizi J, Hoffmeyer PJ et al. (2001) Surgical repair of chronic rotator cuff tears. A prospective long-term study. J Bone Joint Surg Am 83: 71–77 PubMed
12.
Zurück zum Zitat Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214: 160–164 PubMed Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214: 160–164 PubMed
13.
Zurück zum Zitat Dierickx C, Vanhoof H (1994) Massive rotator cuff tears treated by a deltoid muscular inlay flap. Acta Orthop Belg 60: 94–100 PubMed Dierickx C, Vanhoof H (1994) Massive rotator cuff tears treated by a deltoid muscular inlay flap. Acta Orthop Belg 60: 94–100 PubMed
14.
Zurück zum Zitat Ellman H, Kay SP, Wirth M (1993) Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy 9: 195–200 PubMedCrossRef Ellman H, Kay SP, Wirth M (1993) Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy 9: 195–200 PubMedCrossRef
15.
Zurück zum Zitat Frankle M, Siegal S, Pupello D et al. (2005) The Reverse Shoulder Prosthesis for glenohumeral arthritis associated with severe 2005rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am 87(8): 1697–1705 PubMedCrossRef Frankle M, Siegal S, Pupello D et al. (2005) The Reverse Shoulder Prosthesis for glenohumeral arthritis associated with severe 2005rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am 87(8): 1697–1705 PubMedCrossRef
16.
Zurück zum Zitat Galatz LM, Connor PM, Calfee RP et al. (2003) Pectoralis major transfer for anterior-superior subluxation in massive rotator cuff insufficiency. J Shoulder Elbow Surg 12: 1–5 PubMedCrossRef Galatz LM, Connor PM, Calfee RP et al. (2003) Pectoralis major transfer for anterior-superior subluxation in massive rotator cuff insufficiency. J Shoulder Elbow Surg 12: 1–5 PubMedCrossRef
17.
Zurück zum Zitat Galatz LM, Ball CM, Teefey SA et al. (2004) The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am 86: 219–224 PubMed Galatz LM, Ball CM, Teefey SA et al. (2004) The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am 86: 219–224 PubMed
18.
Zurück zum Zitat Gartsman GM (1997) Massive, irreparable tears of the rotator cuff. Results of operative debridement and subacromial decompression. J Bone Joint Surg Am 79: 715–721 PubMed Gartsman GM (1997) Massive, irreparable tears of the rotator cuff. Results of operative debridement and subacromial decompression. J Bone Joint Surg Am 79: 715–721 PubMed
19.
Zurück zum Zitat Gedouin JE, Katz D, Colmar M et al. (2002) Deltoid muscle flap for massive rotator cuff tears: 41 cases with a mean 7-year (minimum 5 year) follow-up. Rev Chir Orthop Reparatrice Appar Mot 88: 365–372 PubMed Gedouin JE, Katz D, Colmar M et al. (2002) Deltoid muscle flap for massive rotator cuff tears: 41 cases with a mean 7-year (minimum 5 year) follow-up. Rev Chir Orthop Reparatrice Appar Mot 88: 365–372 PubMed
20.
Zurück zum Zitat Gerber C (1992) Latissimus dorsi transfer for the treatment of irreparable tears of the rotator cuff. Clin Orthop 275: 152–160 PubMed Gerber C (1992) Latissimus dorsi transfer for the treatment of irreparable tears of the rotator cuff. Clin Orthop 275: 152–160 PubMed
21.
Zurück zum Zitat Gerber C, Vinh TS, Hertel R, Hess CW (1988) Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff. A preliminary report. Clin Orthop 232: 51–61 PubMed Gerber C, Vinh TS, Hertel R, Hess CW (1988) Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff. A preliminary report. Clin Orthop 232: 51–61 PubMed
22.
Zurück zum Zitat Gerber C, Hersche O (1997) Tendon transfers for the treatment of irreparable rotator cuff defects. Orthop Clin North Am 28: 195–203 PubMedCrossRef Gerber C, Hersche O (1997) Tendon transfers for the treatment of irreparable rotator cuff defects. Orthop Clin North Am 28: 195–203 PubMedCrossRef
23.
Zurück zum Zitat Gerber C, Fuchs B, Hodler J (2000) The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am 82: 505–515 PubMed Gerber C, Fuchs B, Hodler J (2000) The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am 82: 505–515 PubMed
24.
Zurück zum Zitat Gerber C, Maquieira G, Espinosa N (2006) Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 88: 113–120 PubMedCrossRef Gerber C, Maquieira G, Espinosa N (2006) Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 88: 113–120 PubMedCrossRef
25.
Zurück zum Zitat Goutallier D, Postel JM, Bernageau J et al. (1994) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop 304: 78–83 PubMed Goutallier D, Postel JM, Bernageau J et al. (1994) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop 304: 78–83 PubMed
26.
Zurück zum Zitat Goutallier D, Postel JM, Gleyze P et al. (2003) Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg 12: 550–554 PubMedCrossRef Goutallier D, Postel JM, Gleyze P et al. (2003) Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg 12: 550–554 PubMedCrossRef
27.
Zurück zum Zitat Guery J, Favard L, Sirveaux F et al. (2006) Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am 88: 1742–1747 PubMedCrossRef Guery J, Favard L, Sirveaux F et al. (2006) Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am 88: 1742–1747 PubMedCrossRef
28.
Zurück zum Zitat Habermeyer P, Magosch P, Rudolph T et al. (2006) Transfer of the tendon of latissimus dorsi for the treatment of massive tears of the rotator cuff: a new single-incision technique. J Bone Joint Surg Br 88: 208–212 PubMedCrossRef Habermeyer P, Magosch P, Rudolph T et al. (2006) Transfer of the tendon of latissimus dorsi for the treatment of massive tears of the rotator cuff: a new single-incision technique. J Bone Joint Surg Br 88: 208–212 PubMedCrossRef
29.
Zurück zum Zitat Harryman DT, Hettrich CM, Smith KL et al. (2003) A prospective multipractice investigation of patients with full-thickness rotator cuff tears: the importance of comorbidities, practice, and other covariables on self-assessed shoulder function and health status. J Bone Joint Surg Am 85: 690–696 PubMed Harryman DT, Hettrich CM, Smith KL et al. (2003) A prospective multipractice investigation of patients with full-thickness rotator cuff tears: the importance of comorbidities, practice, and other covariables on self-assessed shoulder function and health status. J Bone Joint Surg Am 85: 690–696 PubMed
30.
Zurück zum Zitat Herzberg G, Schoierer O, Berthonnaud E et al. (2001) 3D modelization of latissimus dorsi transfer in rotator cuff surgery: what point of fixation on the humeral head? 1st closed meeting of the European Society of Shoulder and Elbow Herzberg G, Schoierer O, Berthonnaud E et al. (2001) 3D modelization of latissimus dorsi transfer in rotator cuff surgery: what point of fixation on the humeral head? 1st closed meeting of the European Society of Shoulder and Elbow
31.
Zurück zum Zitat Herzberg G, Urien JP, Dimnet J (1999) Potential excursion and relative tension of muscles in the shoulder girdle: relevance to tendon transfers. J Shoulder Elbow Surg 8: 430–437 PubMedCrossRef Herzberg G, Urien JP, Dimnet J (1999) Potential excursion and relative tension of muscles in the shoulder girdle: relevance to tendon transfers. J Shoulder Elbow Surg 8: 430–437 PubMedCrossRef
32.
Zurück zum Zitat Jost B, Pfirrmann CW, Gerber C, Switzerland Z (2000) Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am 82: 304–314 PubMedCrossRef Jost B, Pfirrmann CW, Gerber C, Switzerland Z (2000) Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am 82: 304–314 PubMedCrossRef
33.
Zurück zum Zitat Jost B, Puskas GJ, Lustenberger A, Gerber C (2003) Outcome of pectoralis major transfer for the treatment of irreparable subscapularis tears. J Bone Joint Surg Am 85: 1944–1951 PubMed Jost B, Puskas GJ, Lustenberger A, Gerber C (2003) Outcome of pectoralis major transfer for the treatment of irreparable subscapularis tears. J Bone Joint Surg Am 85: 1944–1951 PubMed
34.
Zurück zum Zitat Kasten P, Loew M, Rickert M (2006) Intramuscular lengthening and range of motion after local tendon transfer for repair of retracted supraspinatus tendon defects A biomechanical study. Orthopade 35: 102–106 PubMedCrossRef Kasten P, Loew M, Rickert M (2006) Intramuscular lengthening and range of motion after local tendon transfer for repair of retracted supraspinatus tendon defects A biomechanical study. Orthopade 35: 102–106 PubMedCrossRef
35.
Zurück zum Zitat Kasten P, Loew M, Rickert M (2007) Repair of large supraspinatus rotator-cuff defects by infraspinatus and subscapularis tendon transfers in a cadaver model. Int Orthop 31(1): 11–15 PubMedCrossRef Kasten P, Loew M, Rickert M (2007) Repair of large supraspinatus rotator-cuff defects by infraspinatus and subscapularis tendon transfers in a cadaver model. Int Orthop 31(1): 11–15 PubMedCrossRef
36.
Zurück zum Zitat Ma CB, Comerford L, Wilson J, Puttlitz CM (2006) Biomechanical evaluation of arthroscopic rotator cuff repairs: double-row compared with single-row fixation. J Bone Joint Surg Am 88: 403–410 PubMedCrossRef Ma CB, Comerford L, Wilson J, Puttlitz CM (2006) Biomechanical evaluation of arthroscopic rotator cuff repairs: double-row compared with single-row fixation. J Bone Joint Surg Am 88: 403–410 PubMedCrossRef
37.
Zurück zum Zitat Magermans DJ, Chadwick EK, Veeger HE et al. (2004) Effectiveness of tendon transfers for massive rotator cuff tears: a simulation study. Clin Biomech (Bristol, Avon) 19: 116–122 Magermans DJ, Chadwick EK, Veeger HE et al. (2004) Effectiveness of tendon transfers for massive rotator cuff tears: a simulation study. Clin Biomech (Bristol, Avon) 19: 116–122
38.
Zurück zum Zitat Magermans DJ, Chadwick EK, Veeger HE et al. (2004) Biomechanical analysis of tendon transfers for massive rotator cuff tears. Clin Biomech (Bristol, Avon) 19: 350–357 Magermans DJ, Chadwick EK, Veeger HE et al. (2004) Biomechanical analysis of tendon transfers for massive rotator cuff tears. Clin Biomech (Bristol, Avon) 19: 350–357
39.
Zurück zum Zitat Mancuso CA, Altchek DW, Craig EV et al. (2002) Patients‘ expectations of shoulder surgery. J Shoulder Elbow Surg 11: 541–549 PubMedCrossRef Mancuso CA, Altchek DW, Craig EV et al. (2002) Patients‘ expectations of shoulder surgery. J Shoulder Elbow Surg 11: 541–549 PubMedCrossRef
40.
Zurück zum Zitat Matthews TJ, Hand GC, Rees JL et al. (2006) Pathology of the torn rotator cuff tendon. Reduction in potential for repair as tear size increases. J Bone Joint Surg Br 88: 489–495 PubMedCrossRef Matthews TJ, Hand GC, Rees JL et al. (2006) Pathology of the torn rotator cuff tendon. Reduction in potential for repair as tear size increases. J Bone Joint Surg Br 88: 489–495 PubMedCrossRef
41.
Zurück zum Zitat Melillo AS, Savoie FH III, Field LD (1997) Massive rotator cuff tears: debridement versus repair. Orthop Clin North Am 28: 117–124 PubMedCrossRef Melillo AS, Savoie FH III, Field LD (1997) Massive rotator cuff tears: debridement versus repair. Orthop Clin North Am 28: 117–124 PubMedCrossRef
42.
Zurück zum Zitat Neer CS, Craig EV, Fukuda H (1983) Cuff-tear arthropathy. J Bone Joint Surg Am 65: 1232–1244 PubMed Neer CS, Craig EV, Fukuda H (1983) Cuff-tear arthropathy. J Bone Joint Surg Am 65: 1232–1244 PubMed
43.
Zurück zum Zitat Neviaser JS (1971) Ruptures of the rotator cuff of the shoulder. New concepts in the diagnosis and operative treatment of chronic ruptures. Arch Surg 102: 483–485 PubMed Neviaser JS (1971) Ruptures of the rotator cuff of the shoulder. New concepts in the diagnosis and operative treatment of chronic ruptures. Arch Surg 102: 483–485 PubMed
44.
Zurück zum Zitat Patte D (1990) Classification of rotator cuff lesions. Clin Orthop 254: 81–86 PubMed Patte D (1990) Classification of rotator cuff lesions. Clin Orthop 254: 81–86 PubMed
45.
Zurück zum Zitat Pavlidis T, Ganten M, Lehner B et al. (2003) Tenoplasty of the long head of the biceps in massive rotator cuff tear. Z Orthop Ihre Grenzgeb 141: 177–181 PubMedCrossRef Pavlidis T, Ganten M, Lehner B et al. (2003) Tenoplasty of the long head of the biceps in massive rotator cuff tear. Z Orthop Ihre Grenzgeb 141: 177–181 PubMedCrossRef
46.
Zurück zum Zitat Resch H, Povacz P, Ritter E, Matschi W (2000) Transfer of the pectoralis major muscle for the treatment of irreparable rupture of the subscapularis tendon. J Bone Joint Surg Am 82: 372–382 PubMed Resch H, Povacz P, Ritter E, Matschi W (2000) Transfer of the pectoralis major muscle for the treatment of irreparable rupture of the subscapularis tendon. J Bone Joint Surg Am 82: 372–382 PubMed
47.
Zurück zum Zitat Rockwood CA Jr, Williams GR Jr, Burkhead WZ Jr (1995) Debridement of degenerative, irreparable lesions of the rotator cuff. J Bone Joint Surg Am 77: 857–866 PubMed Rockwood CA Jr, Williams GR Jr, Burkhead WZ Jr (1995) Debridement of degenerative, irreparable lesions of the rotator cuff. J Bone Joint Surg Am 77: 857–866 PubMed
48.
Zurück zum Zitat Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65: 456–460 PubMed Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65: 456–460 PubMed
49.
Zurück zum Zitat Schaefer O, Winterer J, Lohrmann C et al. (2002) Magnetic resonance imaging for supraspinatus muscle atrophy after cuff repair. Clin Orthop Relat Res 403: 93–99 PubMedCrossRef Schaefer O, Winterer J, Lohrmann C et al. (2002) Magnetic resonance imaging for supraspinatus muscle atrophy after cuff repair. Clin Orthop Relat Res 403: 93–99 PubMedCrossRef
50.
Zurück zum Zitat Sher JS, Uribe JW, Posada A et al. (1995) Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 77: 10–15 PubMed Sher JS, Uribe JW, Posada A et al. (1995) Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 77: 10–15 PubMed
51.
Zurück zum Zitat Sirveaux F, Favard L, Oudet D et al. (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br 86: 388–395 PubMedCrossRef Sirveaux F, Favard L, Oudet D et al. (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br 86: 388–395 PubMedCrossRef
52.
Zurück zum Zitat Spahn G, Kirschbaum S, Klinger HM (2006) A study for evaluating the effect of the deltoid-flap repair in massive rotator cuff defects. Knee Surg Sports Traumatol Arthrosc 14: 365–372 PubMedCrossRef Spahn G, Kirschbaum S, Klinger HM (2006) A study for evaluating the effect of the deltoid-flap repair in massive rotator cuff defects. Knee Surg Sports Traumatol Arthrosc 14: 365–372 PubMedCrossRef
53.
Zurück zum Zitat Tempelhof S, Rupp S, Seil R (1999) Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg 8: 296–299 PubMedCrossRef Tempelhof S, Rupp S, Seil R (1999) Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg 8: 296–299 PubMedCrossRef
54.
Zurück zum Zitat Thomazeau H, Rolland Y, Lucas C et al. (1996) Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand 67: 264–268 PubMedCrossRef Thomazeau H, Rolland Y, Lucas C et al. (1996) Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand 67: 264–268 PubMedCrossRef
55.
Zurück zum Zitat Vandenbussche E, Bensaida M, Mutschler C et al. (2004) Massive tears of the rotator cuff treated with a deltoid flap. Int Orthop 28: 226–230 PubMedCrossRef Vandenbussche E, Bensaida M, Mutschler C et al. (2004) Massive tears of the rotator cuff treated with a deltoid flap. Int Orthop 28: 226–230 PubMedCrossRef
56.
Zurück zum Zitat Warner JJP (2000) Management of massive irreparable rotator cuff tears: The role of tendon transfer. J Bone Joint Surg Am 82: 878–887 Warner JJP (2000) Management of massive irreparable rotator cuff tears: The role of tendon transfer. J Bone Joint Surg Am 82: 878–887
57.
Zurück zum Zitat Williams GR Jr, Rockwood CA Jr, Bigliani LU et al. (2004) Rotator cuff tears: why do we repair them? J Bone Joint Surg Am 86-A: 2764–2776 Williams GR Jr, Rockwood CA Jr, Bigliani LU et al. (2004) Rotator cuff tears: why do we repair them? J Bone Joint Surg Am 86-A: 2764–2776
58.
Zurück zum Zitat Yamaguchi K, Ditsios K, Middleton WD et al. (2006) The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders. J Bone Joint Surg Am 88: 1699–1704 PubMedCrossRef Yamaguchi K, Ditsios K, Middleton WD et al. (2006) The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders. J Bone Joint Surg Am 88: 1699–1704 PubMedCrossRef
59.
Zurück zum Zitat Yamaguchi K, Tetro AM, Blam O et al. (2001) Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg 10: 199–203 PubMedCrossRef Yamaguchi K, Tetro AM, Blam O et al. (2001) Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg 10: 199–203 PubMedCrossRef
Metadaten
Titel
Differenzialtherapie massiver Rotatorenmanschettenläsionen
verfasst von
Dr. P. Kasten
M. Loew
Publikationsdatum
01.09.2007
Verlag
Springer-Verlag
Erschienen in
Die Orthopädie / Ausgabe 9/2007
Print ISSN: 2731-7145
Elektronische ISSN: 2731-7153
DOI
https://doi.org/10.1007/s00132-007-1137-9