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Arthroskopische Stabilisierung der akuten Schultereckgelenksprengung

Arthroscopic stabilization of acute acromioclavicular joint dislocation

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Zusammenfassung

In den letzten Jahren haben arthroskopische bzw. minimalinvasive Techniken zur Therapie von Schultereckgelenksprengungen zunehmend Verbreitung gefunden. Zum einen wurden etablierte Verfahren der offenen Chirurgie modifiziert und auf ein arthroskopisches Niveau angehoben. Zum anderen sind neue Implantate entwickelt worden, die es ermöglichen, rekonstruktive Techniken rein arthroskopisch unter Aufhebung der Nachteile der offenen Verfahren durchzuführen. Die bisher beschriebenen kurz- bis mittelfristigen Resultate dieser arthroskopischer Verfahren sind den offenen Verfahren hinsichtlich der klinischen und radiologischen Ergebnisse mindestens ebenbürtig.

Abstract

During the past few years arthroscopic and minimal invasive techniques for stabilization of acromioclavicular (AC) joint dislocations have gained increasing interest. Well established procedures for open surgery were modified and implemented to attain an arthroscopic level. Furthermore implants were developed which enable these reconstructive techniques to be performed arthroscopically without the disadvantages of open procedures. The short to mid-term results described so far concerning the clinical and radiological outcome of arthroscopic stabilization techniques show an at least equal outcome to those presented in open surgery.

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Literatur

  1. Alexander OM (1954) Radiography of the acromioclavicular articulation. Med Radiogr Photogr 30:34–39

    CAS  PubMed  Google Scholar 

  2. Alyas F, Curtis M, Speed C et al (2008) MR imaging appearances of acromioclavicular joint dislocation. Radiographics 28:463–479; quiz 619

    Article  PubMed  Google Scholar 

  3. Bosworth BM (1948) Acromioclavicular dislocation: end-results of screw suspension treatment. Ann Surg 127:98–111

    Article  Google Scholar 

  4. Colas F, Nevoux J, Gagey O (2004) The subscapular and subcoracoid bursae: descriptive and functional anatomy. J Shoulder Elbow Surg 13:454–458

    Article  CAS  PubMed  Google Scholar 

  5. Costic RS, Labriola JE, Rodosky MW, Debski RE (2004) Biomechanical rationale for development of anatomical reconstructions of coracoclavicular ligaments after complete acromioclavicular joint dislocations. Am J Sports Med 32:1929–1936

    Article  PubMed  Google Scholar 

  6. Debski RE, Parsons IMT, Woo SL, Fu FH (2001) Effect of capsular injury on acromioclavicular joint mechanics. J Bone Joint Surg [Am] 83-A:1344–1351

    Google Scholar 

  7. Dias JJ, Gregg PJ (1991) Acromioclavicular joint injuries in sport. Recommendations for treatment. Sports Med 11:125–132

    Article  CAS  PubMed  Google Scholar 

  8. Elser F, Chernchujit B, Ansah P, Imhoff AB (2005) A new minimally invasive arthroscopic technique for reconstruction of the acromioclavicular joint. Unfallchirurg 108:645–649

    Article  CAS  PubMed  Google Scholar 

  9. Fukuda K, Craig EV, An KN et al (1986) Biomechanical study of the ligamentous system of the acromioclavicular joint. J Bone Joint Surg [Am] 68:434–440

    Google Scholar 

  10. Gstettner C, Tauber M, Hitzl W, Resch H (2008) Rockwood type III acromioclavicular dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg 17:220–225

    Article  CAS  PubMed  Google Scholar 

  11. Guy DK, Wirth MA, Griffin JL, Rockwood CA Jr (1998) Reconstruction of chronic and complete dislocations of the acromioclavicular joint. Clin Orthop Relat Res 347:138–149

    Article  PubMed  Google Scholar 

  12. Habernek H, Weinstabl R, Schmid L, Fialka C (1993) A crook plate for treatment of acromioclavicular joint separation: indication, technique, and results after one year. J Trauma 35:893–901

    Article  CAS  PubMed  Google Scholar 

  13. Headey J, Brooks JH, Kemp SP (2007) The epidemiology of shoulder injuries in English professional rugby union. Am J Sports Med 35:1537–1543

    Article  PubMed  Google Scholar 

  14. Hernegger GS, Kadletz R (2006) Tight rope – the revolutionary anatomical fixation in acromioclavicular joint dislocation – case report. Tech Shoulder Elbow Surg 7:86–88

    Article  Google Scholar 

  15. Herrera MF, Bauer G, Reynolds F et al (2002) Infection after mini-open rotator cuff repair. J Shoulder Elbow Surg 11:605–608

    Article  PubMed  Google Scholar 

  16. Kocher MS, Dupre MM, Feagin JA Jr (1998) Shoulder injuries from alpine skiing and snowboarding. Etiology, treatment and prevention. Sports Med 25:201–211

    Article  CAS  PubMed  Google Scholar 

  17. Lim YW, Sood A, Riet R van, Bain GI (2007) Acromioclavicular joint reduction, repair and reconstruction using metallic buttons – early results and complications. Tech Shoulder Elbow Surg 8:213–221

    Article  Google Scholar 

  18. Mazzocca AD, Santangelo SA, Johnson ST et al (2006) A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction. Am J Sports Med 34:236–246

    Article  PubMed  Google Scholar 

  19. Pauly S, Gerhardt C, Haas NP, Scheibel M (2009) Prevalence of concomitant intraarticular lesions in patients treated operatively for high-grade acromioclavicular joint separations. Knee Surg Sports Traumatol Arthrosc 17:513–517

    Article  PubMed  Google Scholar 

  20. Randelli P, Castagna A, Cabitza F et al (2010) Infectious and thromboembolic complications of arthroscopic shoulder surgery. J Shoulder Elbow Surg 19:97–101

    Article  PubMed  Google Scholar 

  21. Richards A, Tennent T (2008) Arthroscopic stabilization of acute acromioclavicular joint dislocation using the tightrope system. Tech Shoulder Elbow Surg 9:51–54

    Article  Google Scholar 

  22. Rios CG, Arciero RA, Mazzocca AD (2007) Anatomy of the clavicle and coracoid process for reconstruction of the coracoclavicular ligaments. Am J Sports Med 35:811–817

    Article  PubMed  Google Scholar 

  23. Rockwood C (1984) Subluxations and dislocations about the shoulder. In: Rockwood CA, Green DP (eds) Fractures. Lippincott, Philadelphia, pp 860–910

  24. Rolla PR, Surace MF, Murena L (2004) Arthroscopic treatment of acute acromioclavicular joint dislocation. Arthroscopy 20:662–668

    Article  PubMed  Google Scholar 

  25. Salzmann GM, Walz L, Buchmann S et al (2010) Arthroscopically assisted 2-bundle anatomical reduction of acute acromioclavicular joint separations. Am J Sports Med 38:1179–1187

    Article  PubMed  Google Scholar 

  26. Salzmann GM, Walz L, Schoettle PB, Imhoff AB (2008) Arthroscopic anatomical reconstruction of the acromioclavicular joint. Acta Orthop Belg 74:397–400

    PubMed  Google Scholar 

  27. Scheibel M, Droeschel S, Gerhardt C, Kraus N (2010) Arthroscopically assisted stabilization of acute high-grade acromioclavicular joint separations. Am J Sports Med, eingereicht zur Publikation

  28. Sperling JW, Smith AM, Cofield RH, Barnes S (2007) Patient perceptions of open and arthroscopic shoulder surgery. Arthroscopy 23:361–366

    Article  PubMed  Google Scholar 

  29. Tossy JD, Mead NC, Sigmond HM (1963) Acromioclavicular separations: useful and practical classification for treatment. Clin Orthop Relat Res 28:111–119

    CAS  PubMed  Google Scholar 

  30. Urist M (1946) Complete dislocation of the acromioclavicular joint: the nature of the traumatic lesion and effective methods of treatment with an analysis of forty-one cases. J Bone Joint Surg [Am] 28:813–837

    Google Scholar 

  31. Walsh WM, Peterson DA, Shelton G, Neumann RD (1985) Shoulder strength following acromioclavicular injury. Am J Sports Med 13:153–158

    Article  CAS  PubMed  Google Scholar 

  32. Walz L, Salzmann GM, Fabbro T et al (2008) The anatomic reconstruction of acromioclavicular joint dislocations using 2 TightRope devices: a biomechanical study. Am J Sports Med 36:2398–2406

    Article  PubMed  Google Scholar 

  33. Weinstein DM, McCann PD, McIlveen SJ et al (1995) Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med 23:324–331

    Article  CAS  PubMed  Google Scholar 

  34. Wolf EM, Pennington WT (2001) Arthroscopic reconstruction for acromioclavicular joint dislocation. Arthroscopy 17:558–563

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Centrum für Muskuloskeletale Chirurgie (CMSC), Charité-Universitätsmedizin Berlin, Campus Mitte und Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland

    C. Gerhardt, N. Kraus, S. Greiner &  M. Scheibel

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  1. C. Gerhardt
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  2. N. Kraus
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  3. S. Greiner
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  4. M. Scheibel
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Correspondence to M. Scheibel.

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Gerhardt, C., Kraus, N., Greiner, S. et al. Arthroskopische Stabilisierung der akuten Schultereckgelenksprengung. Orthopäde 40, 61–69 (2011). https://doi.org/10.1007/s00132-010-1680-7

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  • DOI: https://doi.org/10.1007/s00132-010-1680-7

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