Schulterluxation View Full Text


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Article Info

DATE

2012-02

AUTHORS

J.C. Katthagen, G. Jensen, C. Voigt, H. Lill

ABSTRACT

Hohe Rezidivraten nach konservativer Therapie einer traumatischen Schultererstluxation bei bis zu 90%, v. a. der jüngeren Patienten, scheinen inakzeptabel. Eine generelle Operationsindikation bei dieser Verletzung kann wegen der hohen Anteile an spontaner Ausheilung bei älteren Patienten ohne Begleitverletzungen ebenfalls nicht geduldet werden. Für die korrekte individuelle Therapieempfehlung ist eine Analyse der altersabhängigen Reluxationsprognose, der Begleitverletzungen sowie des körperlichen Aktivitätsniveaus notwendig. Bei Patienten >30 Jahre mit Schultererstluxation ohne Begleitverletzungen ist eine konservative Therapie indiziert. Dabei setzte sich in den vergangenen Jahren wegen der besseren Reposition des Kapsel-Labrum-Komplexes und der geringeren Rezidivquoten eine Ruhigstellung in Außenrotation durch. Einen deutlichen Vorteil bezüglich Rezidivluxationen hat die operative Stabilisierung nach traumatischer Schultererstluxation bei sportlich aktiven Patienten <25 Jahren. Arthroskopische Schulterstabilisierungen setzten sich mit vergleichbaren Ergebnissen wie bei offenen Verfahren und den Vorteilen der minimalinvasiven Chirurgie durch. More... »

PAGES

33-39

References to SciGraph publications

Journal

TITLE

Trauma und Berufskrankheit

ISSUE

Suppl 1

VOLUME

14

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10039-011-1791-3

DOI

http://dx.doi.org/10.1007/s10039-011-1791-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1000521965


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32 schema:description Hohe Rezidivraten nach konservativer Therapie einer traumatischen Schultererstluxation bei bis zu 90%, v. a. der jüngeren Patienten, scheinen inakzeptabel. Eine generelle Operationsindikation bei dieser Verletzung kann wegen der hohen Anteile an spontaner Ausheilung bei älteren Patienten ohne Begleitverletzungen ebenfalls nicht geduldet werden. Für die korrekte individuelle Therapieempfehlung ist eine Analyse der altersabhängigen Reluxationsprognose, der Begleitverletzungen sowie des körperlichen Aktivitätsniveaus notwendig. Bei Patienten >30 Jahre mit Schultererstluxation ohne Begleitverletzungen ist eine konservative Therapie indiziert. Dabei setzte sich in den vergangenen Jahren wegen der besseren Reposition des Kapsel-Labrum-Komplexes und der geringeren Rezidivquoten eine Ruhigstellung in Außenrotation durch. Einen deutlichen Vorteil bezüglich Rezidivluxationen hat die operative Stabilisierung nach traumatischer Schultererstluxation bei sportlich aktiven Patienten <25 Jahren. Arthroskopische Schulterstabilisierungen setzten sich mit vergleichbaren Ergebnissen wie bei offenen Verfahren und den Vorteilen der minimalinvasiven Chirurgie durch.
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