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Sehnen

  • T. Saier
  • P.U. Brucker
  • A. Otto
  • K. Müller-Wohlfahrt

Zusammenfassung

Sehnenrisse am Becken, welche einer operativen Therapie bedürfen, gelten allgemein als selten, jedoch werden solche Verletzungen in einer sporttraumatologischen Ambulanz regelmäßig angetroffen. Der in der Sportlerbetreuung tätige Chirurg sollte daher auch die in diesem Kapitel beschriebenen Techniken der proximalen Hamstringsehnenrefixation, Rectussehnenrefixation und Adduktorenrefixation beherrschen!

Literatur

Literatur zu Abschn. 13.1

  1. Brucker PU, Imhoff AB (2005) Functional assessment after acute and chronic complete ruptures of the proximal hamstring tendons. Knee Surg Sports Traumatol Arthrosc 13: 411–418Google Scholar
  2. Feucht MJ, Plath JE, Seppel G, Hinterwimmer S, Imhoff AB, Brucker PU (2015) Gross anatomical and dimensional characteristics of the proximal hamstring origin. Knee Surg Sports Traumatol Arthrosc. 23(9): 2576–2582Google Scholar
  3. Hamming MG, Philippon MJ, Rasmussen MT, Ferro FP, Turnbull TL, Trindade CA, LaPrade RF, Wijdicks CA (2015) Structural properties of the intact proximal hamstring origin and evaluation of varying avulsion repair techniques: an in vitro biomechanical analysis. Am J Sports Med 43(3): 721–728Google Scholar
  4. Harris JD, Griesser MJ, Best TM, Ellis TJ (2011) Treatment of proximal hamstring ruptures – A systematic review. Int J Sports Med 32: 490–495Google Scholar
  5. Hofmann KJ, Paggi A, Connors D, Miller SL (2014) Complete avulsion of the proximal hamstring insertion: functional outcomes after nonsurgical treatment. J Bone Joint Surg Am 96(12): 1022–1025Google Scholar
  6. Miller SL, Webb GR (2008) The proximal origin of the hamstrings and surrounding anatomy encountered during repair. Surgical technique. J Bone Joint Surg Am 90: 108–116Google Scholar
  7. Miller SZ, Gill J, Webb GR (2007) The proximal origin of the hamstrings and surrounding anatomy encountered during repair. A cadaveric study. J Bone Joint Surg Am 89: 44–48Google Scholar
  8. Subbu R, Benjamin-Laing H, Haddad F (2015) Timing of surgery for complete proximal hamstring avulsion injuries: successful clinical outcomes at 6 weeks, 6 months, and after 6 months of injury. Am J Sports Med 43(2): 385–391Google Scholar

Literatur zu Abschn. 13.2

  1. Fink B, Sebena P (2010) [Treatment of femoroacetabular impingement using a minimally invasive anterior approach]. Oper Orthop Traumatol 22 (1): 17–27Google Scholar
  2. García VV, Duhrkop DC, Seijas R, Ares O, Cugat R (2012) Surgical treatment of proximal ruptures of the rectus femoris in professional soccer players. Arch Orthop Trauma Surg 132(3): 329–33Google Scholar
  3. Hasselman CT, Best TM, Hughes C 4th, Martinez S, Garrett WE Jr (1995) An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med 23: 493–499Google Scholar
  4. Krüger-Franke M (2010) Traumatische Muskel- und Sehnenrupturen der unteren Extremität beim Sport. Orthopäde 39: 1123–1126Google Scholar
  5. Ueblacker P, Müller-Wohlfahrt HW, Hinterwimmer S, Imhoff AB, Feucht MJ (2015) Suture anchor repair of proximal rectus femoris avulsions in elite football players. Knee Surg Sports Traumatol Arthrosc 23: 2590–2594Google Scholar

Literatur zu Abschn. 13.3

  1. Lohrer H, Nauck T (2007) Proximal adductor longus tendon tear in high level athletes. A report of three cases. Sportverletz Sportschaden 21: 190–194Google Scholar
  2. Schlegel TF, Bushnell BD, Godfrey J, Boublik M (2009) Success of nonoperative mangement of adductor longus tendon ruptures in national football league athletes. Am J Sports Med 37: 1394–1399Google Scholar
  3. Vogt S, Ansah P, Imhoff AB (2007) Complete osseous avulsion of the adductor longus muscle: acute repair with three fiberwire suture anchors. Arch Orthop Traum Surg 127: 613–615Google Scholar

Copyright information

© Springer-Verlag GmbH Deutschland 2017

Authors and Affiliations

  • T. Saier
    • 1
  • P.U. Brucker
    • 2
  • A. Otto
    • 3
  • K. Müller-Wohlfahrt
    • 4
  1. 1.BG Unfallklinik MurnauMurnau am Staffelsee
  2. 2.OrthoPlus, Alte BörseMünchen
  3. 3.Abteilung und Poliklinik für Sportorthopädie TUMKlinikum rechts der IsarMünchen
  4. 4.MW Praxis für OrthopädieMünchen

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