Instabilitätsrelevante Anatomie des Ellenbogens View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-09

AUTHORS

Valentin Rausch, Michael Hackl, Tim Leschinger, Lars P. Müller, Kilian Wegmann

ABSTRACT

Die Kenntnis der Anatomie des Ellenbogengelenks ist entscheidend für Diagnostik und Behandlung der Instabilität am Ellenbogen. Verschiedene Strukturen stabilisieren das Ellenbogengelenk. Das humeroulnare Gelenk stabilisiert durch seine kongruente Form insbesondere in Extension das Ellenbogengelenk gegen Varus- und Valgusstress sowie Distraktion. Das Humeroradialgelenk und das proximale Radioulnargelenk dienen als sekundäre Stabilisatoren gegen Valgusstress. Der mediale Bandapparat, bestehend aus einem anterioren und einem posterioren Teil, stabilisiert primär gegen Valgusstress. Der laterale Bandapparat besteht aus einem radialen kollateralen Teil und einem lateralen ulnaren Kollateralband sowie dem Lig. anulare. In Kombination ist der laterale Kollateralbandapparat für eine Stabilisierung gegen Varusstress und die posterolaterale Instabilität besonders bedeutsam. Darüber hinaus stabilisiert die den Ellenbogen übergreifende Muskulatur dieses Gelenk dynamisch durch auf die Gelenkfläche ausgeübte Kompressionskräfte und statisch durch einen Faserverlauf der Muskulatur, der den Kollateralbändern ähnelt. More... »

PAGES

152-159

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    URI

    http://scigraph.springernature.com/pub.10.1007/s11678-018-0474-0

    DOI

    http://dx.doi.org/10.1007/s11678-018-0474-0

    DIMENSIONS

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