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Tuberculum-majus-Frakturen und Rotatorenmanschettenläsion

Greater tuberosity fractures and rotator cuff tears

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Für die seltenen knöchernen Ausrissverletzungen der Rotatorenmanschette ist die Kenntnis der Dislokation und der Frakturmorphologie essenziell für die Therapiefindung. Der vorliegende Beitrag beinhaltet einen praktischen Behandlungsalgorithmus für den klinischen Alltag und gibt einen Überblick der konservativen und operativen Therapieoptionen. Arthroskopische Techniken haben sich in jüngster Zeit bewährt und bieten zusätzlich den Vorteil der Adressierung möglicher intraartikulärer Begleitverletzungen. Die modifizierte doppelreihige, kreuzende Fadenankerrekonstruktion zeigt sich aufgrund der flächigen Kompression des Knochen-Sehnen-Gewebes in die Defektzone biomechanisch vorteilhaft und wird im Detail beschrieben.

Abstract

The avulsion fracture of the greater tuberosity is a rare entity concerning young patients. A fall on the outstretched forearm or a shoulder dislocation are the most discussed injury patterns. A proper diagnostic evaluation is important regarding therapeutic considerations. Knowledge of fragment dislocation and fracture morphology is essential for surgical treatment. In this article a treatment algorithm is presented and current concepts of conservative and surgical approaches are reviewed. Arthroscopic procedures allow the treatment of accompanying intraarticular lesions and offer the biomechanical benefits of arthroscopic double-row rotator cuff repair with compression and restoration of the anatomical footprint. The arthroscopic surgical approach is described in detail.

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Authors and Affiliations

  1. Abteilung und Poliklinik für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstrasse 22, 81675, München, Deutschland

    L. Lacheta,  S. Siebenlist & A. Imhoff

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  1. L. Lacheta
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  2. S. Siebenlist
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  3. A. Imhoff
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Correspondence to S. Siebenlist.

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Interessenkonflikt

L. Lacheta, S. Siebenlist und A. Imhoff geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Lacheta, L., Siebenlist, S. & Imhoff, A. Tuberculum-majus-Frakturen und Rotatorenmanschettenläsion. Arthroskopie 30, 194–201 (2017). https://doi.org/10.1007/s00142-017-0139-9

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