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Erschienen in: Die Unfallchirurgie 2/2021

21.12.2020 | Verletzungen der Rotatorenmanschette | Leitthema

Rotatorenmanschettenruptur

Indikationen und pathologiespezifische rekonstruktive Verfahren

verfasst von: E. Böhm, J. Gleich, G. Siebenbürger, W. Böcker, Prof. Dr. med. B. Ockert

Erschienen in: Die Unfallchirurgie | Ausgabe 2/2021

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Zusammenfassung

Risse der Rotatorenmanschette (RM) reichen von Partialrupturen einzelner Sehnen über transmurale Rupturen bis hin zu RM-Massenrupturen. Sie können sowohl als Folge eines einmaligen Traumas oder auf der Basis degenerativer Prozesse entstehen. Ihre Behandlung erfordert daher eine gezielte Diagnostik und ein differenziertes Vorgehen, wobei der Wahl des Therapieverfahrens pathologie- und patientenspezifische Faktoren zugrunde gelegt werden. Pathogenese, Rupturmorphologie, klinische Symptomatik und der funktionelle Anspruch des Patienten bestimmen das therapeutische Vorgehen. Bei jungen Patienten und bei hohen funktionellen Anforderungen ist eine frühzeitige operative Naht der rupturierten RM auch aufgrund des hohen Risikos einer Befundprogredienz zu erwägen. Die Ergebnisse der RM-Naht korrelieren negativ mit der Rupturgröße, dem Retraktionsgrad, den muskulären Veränderungen und dem Patientenalter. Dieser Beitrag gibt eine Übersicht über die verschiedenen Pathologien und die Indikationsstellung sowie über moderne pathologiespezifische rekonstruktive Verfahren.
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Metadaten
Titel
Rotatorenmanschettenruptur
Indikationen und pathologiespezifische rekonstruktive Verfahren
verfasst von
E. Böhm
J. Gleich
G. Siebenbürger
W. Böcker
Prof. Dr. med. B. Ockert
Publikationsdatum
21.12.2020
Verlag
Springer Medizin
Erschienen in
Die Unfallchirurgie / Ausgabe 2/2021
Print ISSN: 2731-7021
Elektronische ISSN: 2731-703X
DOI
https://doi.org/10.1007/s00113-020-00940-1

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