Abwägung oder doch harte Kriterien in der Begutachtung von Läsionen der Rotatorenmanschette View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-02

AUTHORS

Jan Geßmann, Matthias Königshausen, Thomas A. Schildhauer, Dominik Seybold

ABSTRACT

Die überwiegende Anzahl der Rotatorenmanschettenläsionen entsteht auf dem Boden natürlicher Alterungsprozesse und multifaktorieller Einflussfaktoren. Eine rein bzw. wesentlich extrinsische Genese durch ein traumatisches Ereignis ist selten und aufgrund der Häufigkeit altersphysiologischer Texturveränderungen der Sehnen besonders schwierig abzugrenzen. Da das Grundverständnis der Entstehung von traumatischen Rotatorenmanschettenläsionen im Wesentlichen auf biomechanischen Modelluntersuchungen und empirischen Beobachtungen beruht, bleibt die Zusammenhangsbeurteilung zwischen einem Unfall und dem daraus möglicherweise entstandenen strukturellen Sehnenschaden ein individueller Abwägungsprozess mit Gewichtung aller vorliegenden Befunde. Diese umfassen den klinischen Erstbefund, den zeitlichen Verlauf von Schmerz und Funktion, radiologische Diagnostik, die Analyse von Geschehensablauf, Schadensanlage und Vorerkrankungen sowie ggf. Operationsbefund und Histologie. More... »

PAGES

42-47

References to SciGraph publications

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  • Journal

    TITLE

    Trauma und Berufskrankheit

    ISSUE

    Suppl 1

    VOLUME

    18

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10039-016-0121-1

    DOI

    http://dx.doi.org/10.1007/s10039-016-0121-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1040666770


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