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Superiore Kapselrekonstruktion

Grundlagen, Anatomie und Biomechanik

Superior capsule reconstruction

Principles, anatomy and biomechanics

Zusammenfassung

Das bisherige Verständnis der Rekonstruktion der Rotatorenmanschette basiert auf der Wiederherstellung der tendoossären Einheit. In den vergangenen Jahren rückt jedoch die Bedeutung der superioren Kapsel in den therapeutischen Fokus. Diese wirkt als statischer Stabilisator einer superioren Translation des Humeruskopfes entgegen. Bei nichtrekonstruierbaren Verletzungen der superioren Rotatorenmanschette ist die darunterliegende Gelenkkapsel in der Regel mitbetroffen. Die superiore Kapselrekonstruktion scheint in diesen Fällen ein vielversprechendes Verfahren zur Wiederherstellung der glenohumeralen Biomechanik darzustellen und verbessert das klinische Outcome.

Abstract

Historically, the concept of rotator cuff repair is the restoration of the tendon-bone unit; however, in recent years there has been growing interest in the role and therapeutic importance of the superior capsule. It functions as an important static stabilizer of the joint and resists superior translation of the humeral head. In case of irreparable lesions of the superior rotator cuff, the underlying joint capsule is consistently disrupted; therefore, reconstruction of the superior capsule seems to be a promising procedure for providing normal biomechanics of the glenohumeral joint and improving the clinical outcome.

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Correspondence to Dr. med. Bastian Scheiderer.

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B. Scheiderer gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine vom Autor durchgeführten Studien an Menschen oder Tieren.

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Scheiderer, B. Superiore Kapselrekonstruktion. Arthroskopie 30, 229–233 (2017). https://doi.org/10.1007/s00142-017-0133-2

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Schlüsselwörter

  • Superiore Kapsel
  • Rotatorenmanschettenruptur
  • Kapsuloligamentärer Komplex
  • Statischer Stabilisator
  • Biomechanik

Keywords

  • Superior capsule
  • Rotator cuff rupture
  • Capsuloligamentous complex
  • Static stabilizer
  • Biomechanics