Zusammenfassung
Das Syndrom der „snap** scapula“ ist eine seltene, aber häufig sehr belastende Ursache für Schulterbeschwerden. Dabei kommt es zu spürbaren und z. T. auch hörbaren Krepitationen der skapulothorakalen Artikulation. Die konservative Behandlung mit Physiotherapie und Infiltrationsbehandlungen bringt meist gute Erfolge. Bei ausbleibendem konservativem Therapieerfolg über 3–6 Monate sollte mit dem Patienten die Möglichkeiten der operativen Therapien besprochen werden. Sowohl offene als auch arthroskopische Eingriffe zeigen gute Erfolge. Aufgrund des geringeren operativen Aufwands und der vermeintlich schnelleren Rehabilitation zeigt sich ein Trend zu arthroskopischen Verfahren. Die von den Autoren bevorzugte Technik wird in diesem Artikel vorgestellt.
Abstract
Snap** scapula syndrome is a painful grinding of the scapulothoracic articulation resulting in crepitus. It is a rare but often very irritating cause of shoulder pain. Most cases respond to conservative treatment with physical therapy and injection of local anesthetics and steroids. If conservative treatment is still unsuccessful after 3–6 months, operative treatment should be considered. Open and arthroscopic techniques have been described in the literature but there is a trend towards arthroscopic treatment due to the less complex operative technique, better cosmetics and supposedly early rehabilitation. An arthroscopic technique as performed by the authors is described in this article.
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Interessenkonflikt
Die Publikation dieses Artikels wurde nicht durch auswärtige Mittel unterstützt. Die Autoren Dr. Florian Elser und Dr. Sepp Braun waren Arthrex™ Steadman Hawkins Research Scholars, der Autor Dr. Peter Millett ist Referent für die Firma Arthrex™. Es besteht allerdings kein Zusammenhang zur Veröffentlichung dieses Artikels.
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Elser, F., Millett, P., Lorenz, S. et al. Diagnostik und Therapie der „snap** scapula“. Arthroskopie 23, 259–264 (2010). https://doi.org/10.1007/s00142-010-0603-2
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DOI: https://doi.org/10.1007/s00142-010-0603-2