Arthroskopie

, Volume 31, Issue 1, pp 9–20 | Cite as

Reverse-Hill-Sachs-Läsion bei dorsal verhakter Schulterluxation

Leitthema

Zusammenfassung

Hintere verhakte Schulterluxationen sind seltene Verletzungen. Häufig werden sie bei der primären Untersuchung übersehen. Standardröntgenaufnahmen in 2 Ebenen können das Risiko, eine hintere Luxation zu übersehen, deutlich minimieren. In der Literatur findet sich eine Vielzahl von Therapieoptionen. Parameter zur Wahl eines Therapieverfahrens sind Dauer der Luxation, Größe des Defekts und das Alter des Patienten. Die Beurteilung der Defektmorphologie gewinnt zunehmend an Bedeutung. Nach anatomischer Rekonstruktion sind gute bis sehr gute Ergebnisse mit stabilen Schultern zu erzielen. Bei älteren Patienten (>70) könnten inverse Prothesen den anatomischen Implantaten überlegen sein.

Schlüsselwörter

Schulterdislokation Humeruskopfimpressionsfraktur Dorsale Schulterinstabiltät Knochentransplantat Prothese 

Reverse-Hill-Sachs lesion in dorsally locked shoulder dislocation

Abstract

A locked posterior shoulder dislocation is a rare injury and is often initially missed during the primary examination. Performing standard X‑rays in two planes can minimize the risk for overlooking this injury. In the available literature many therapeutic options can be found and parameters for selecting the treatment procedure are the duration of dislocation, defect size and patient age. Assessment of the morphology of the defect is becoming more and more important. Following anatomical reconstruction good to very good results without recurrent dislocation can be achieved. For elderly patients (>70 years) reverse shoulder arthroplasty can be superior compared to anatomical implants.

Keywords

Shoulder dislocation Humeral head impression fracture Dorsal shoulder instability Bone transplantation Prosthesis 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

J. Theopold und P. Hepp geben an, dass kein Interessenkonflikt besteht.

Alle beschriebenen Untersuchungen am Menschen wurden mit Zustimmung der zuständigen Ethik-Kommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patienten liegt eine Einverständniserklärung vor.

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Copyright information

© Springer Medizin Verlag GmbH 2017

Authors and Affiliations

  1. 1.Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig AöRUniversität LeipzigLeipzigDeutschland

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