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.
Literatur
Alexander OM (1954) Radiography of the acromioclavicular articulation. Med Radiogr Photogr 30:34–39
Alyas F, Curtis M, Speed C et al (2008) MR imaging appearances of acromioclavicular joint dislocation. Radiographics 28:463–479; quiz 619
Bosworth BM (1948) Acromioclavicular dislocation: end-results of screw suspension treatment. Ann Surg 127:98–111
Colas F, Nevoux J, Gagey O (2004) The subscapular and subcoracoid bursae: descriptive and functional anatomy. J Shoulder Elbow Surg 13:454–458
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
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
Dias JJ, Gregg PJ (1991) Acromioclavicular joint injuries in sport. Recommendations for treatment. Sports Med 11:125–132
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
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
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
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
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
Headey J, Brooks JH, Kemp SP (2007) The epidemiology of shoulder injuries in English professional rugby union. Am J Sports Med 35:1537–1543
Hernegger GS, Kadletz R (2006) Tight rope – the revolutionary anatomical fixation in acromioclavicular joint dislocation – case report. Tech Shoulder Elbow Surg 7:86–88
Herrera MF, Bauer G, Reynolds F et al (2002) Infection after mini-open rotator cuff repair. J Shoulder Elbow Surg 11:605–608
Kocher MS, Dupre MM, Feagin JA Jr (1998) Shoulder injuries from alpine skiing and snowboarding. Etiology, treatment and prevention. Sports Med 25:201–211
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
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
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
Randelli P, Castagna A, Cabitza F et al (2010) Infectious and thromboembolic complications of arthroscopic shoulder surgery. J Shoulder Elbow Surg 19:97–101
Richards A, Tennent T (2008) Arthroscopic stabilization of acute acromioclavicular joint dislocation using the tightrope system. Tech Shoulder Elbow Surg 9:51–54
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
Rockwood C (1984) Subluxations and dislocations about the shoulder. In: Rockwood CA, Green DP (eds) Fractures. Lippincott, Philadelphia, pp 860–910
Rolla PR, Surace MF, Murena L (2004) Arthroscopic treatment of acute acromioclavicular joint dislocation. Arthroscopy 20:662–668
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
Salzmann GM, Walz L, Schoettle PB, Imhoff AB (2008) Arthroscopic anatomical reconstruction of the acromioclavicular joint. Acta Orthop Belg 74:397–400
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
Sperling JW, Smith AM, Cofield RH, Barnes S (2007) Patient perceptions of open and arthroscopic shoulder surgery. Arthroscopy 23:361–366
Tossy JD, Mead NC, Sigmond HM (1963) Acromioclavicular separations: useful and practical classification for treatment. Clin Orthop Relat Res 28:111–119
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
Walsh WM, Peterson DA, Shelton G, Neumann RD (1985) Shoulder strength following acromioclavicular injury. Am J Sports Med 13:153–158
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
Weinstein DM, McCann PD, McIlveen SJ et al (1995) Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med 23:324–331
Wolf EM, Pennington WT (2001) Arthroscopic reconstruction for acromioclavicular joint dislocation. Arthroscopy 17:558–563
Interessenkonflikt
Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00132-010-1680-7