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Knöcherne Ausrisse der Rotatorenmanschette

Aktuelle Behandlungskonzepte zur operativen Versorgung

Rotator cuff avulsion fractures

Current concepts in the surgical treatment

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Zusammenfassung

Knöcherne Avulsionsfrakturen der Rotatorenmanschette stellen eine seltenere Verletzung des jüngeren Patienten dar. Verschiedene Pathomechanismen können ursächlich sein. Der vorliegende Artikel beschreibt aktuelle Konzepte in der Diagnostik, Indikationsstellung und chirurgischen Technik für Frakturen von Tuberculum minus und majus im Kontext der internationalen Literatur. Unter modifizierter Anwendung moderner arthroskopischer Rekonstruktionstechniken der Rotatorenmanschette (Double Row) können eine anatomische Reposition und Retention der Fragmente erzielt und zusätzlich intraartikuläre Begleitverletzungen adressiert werden. Des Weiteren bietet der Artikel praktische Hinweise für verschiedene Varianten der operativen Rekonstruktionstechnik und deren Limitierungen, ergänzt durch Resultate aus der Literatur.

Abstract

Rotator cuff avulsion fractures represent rare lesions in younger individuals and are caused by different trauma mechanisms. The present article outlines current concepts regarding diagnosis, indications, and surgical approaches to the treatment of greater and lesser tuberosity fractures, as discussed in the international literature. Modified arthroscopic double-row rotator cuff repair techniques allow for the anatomical reduction and retention of fragments and the treatment of concomitant intra-articular lesions at the same time. Moreover, the article provides practical hints on different surgical repair techniques, their respective limitations and results from the literature.

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Authors and Affiliations

  1. Centrum für Muskuloskeletale Chirurgie, Klinik für Orthopädie, Klinik für Unfall- und Wiederherstellungschirurgie, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland

    S. Pauly &  M. Scheibel

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Correspondence to S. Pauly.

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S. Pauly und M. Scheibel geben an, dass kein Interessenkonflikt besteht.

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Pauly, S., Scheibel, M. Knöcherne Ausrisse der Rotatorenmanschette. Orthopäde 45, 159–166 (2016). https://doi.org/10.1007/s00132-015-3214-9

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