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Schulterkomplex

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Rehabilitation der oberen Extremität

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Zusammenfassung

Trotz einer hohen Mobilität weist ein gesundes Schultergelenk eine enorme Stabilität auf. Funktionell ist es an andere Gelenke gekoppelt: den Schultergürtel, die Halswirbelsäule, die obere Brustwirbelsäule und die Rippen. Dieses Kapitel stellt die Diagnostik und Therapie sowohl für Pathologien des Akromioklavikular- und Sternoklavikulargelenk als auch für häufig vorkommende Beschwerden des Schultergelenkes dar, wie z.B. Impingementsyndrom, Schulterinstabilität, Skapuladyskinese oder Bewegungseinschränkungen.

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Notes

  1. 1.

    Glousman konnte für den M. supraspinatus eine Aktivitätssteigerung zeigen.

Literatur

  • Beeson MS (1999) Complications of shoulder dislocation. American Journal of Emergency Medicine 17:288–295

    Article  PubMed  CAS  Google Scholar 

  • Bigliani LU, Morrison DS et al (1986) Morphology of the acromion and its relationship to rotator cuff tears. Orthopaedic Trans 10:459–460

    Google Scholar 

  • Bontempo NA, Mazzocca AD (2010) Biomechanics and treatment of acromioclavicular and sternoclavicular joint injuries. British Journal of Sports Medicine 44:361–369

    Article  PubMed  Google Scholar 

  • Bottoni CR, Wilckens JH et al (2002) A prospective, randomized evaluation of arthroscopic stabilization versus nonoperative treatment in patients with acute, traumatic, first-time shoulder dislocation. American Journal of Sports Medicine 30:576–580

    PubMed  Google Scholar 

  • Braun C, Bularczyk M et al. (2013) Manual therapy and exercises for shoulder impingement revisited: a systematic review update. Physical Therapy Reviews, in press

    Google Scholar 

  • Buteau JL, Eriksrud O et al (2007) Rehabilitation of a glenohumeral instability utilizing the body blade. Physiotherapy Theory and Practice 23(6):333–349

    Article  PubMed  Google Scholar 

  • Cadogan A, McNair P et al (2013) Shoulder pain in primary care: diagnostic accuracy of clinical examination tests for non-traumatic acromioclavicular joint pain. BMC Musculoskeletal Disorders 14:156

    Article  PubMed  Google Scholar 

  • Çalis M, Akgün K et al (2000) Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Annals of the Rheumatic Diseases 59:44–47

    Article  PubMed  Google Scholar 

  • Cools AM, Witvrouw EE et al (2003) Scapular muscle recruitment patterns: Trapezius muscle latency with and without impingement symptoms. The American Journal of Sports Medicine 31(4):542–549

    PubMed  Google Scholar 

  • Cools AM, Witvrouw EE et al (2005) Isokinetic scapular muscle performance in overhead athletes with and without impingement syndrome. Journal of Athletic Training 40(2):104–110

    PubMed  Google Scholar 

  • Croft PR, Pope DP et al (1996) The clinical course of shoulder pain: prospective cohort study in primary care. British Medical Journal 313(7057):601–602

    Article  PubMed  CAS  Google Scholar 

  • David G et al (2000) EMG and strength corrleates of selected shoulder muscles during rotation of the glenohumeral joint. Clinical Biomechanics 15:95–102

    Article  PubMed  CAS  Google Scholar 

  • Dinnes J, Lovemann E et al (2003) The effectiveness of diagnostic tests of the assessment of shoulder pain due to soft tissue disorders: a systematic review. Health Technology Assessment 7(29):1–175

    Google Scholar 

  • Ellenbecker TS (1995) Rehabilitation of shoulder and elbow injuries in tennis players. Clin Sports Med 14:87–110

    PubMed  CAS  Google Scholar 

  • Gansen HK, Irlenbusch U (2010) Phasenabhängige Behandlung der Schultersteife. Obere Extremität 5:202–208

    Article  Google Scholar 

  • Gerber C, Galantay RV et al (1998) The pattern of pain produced by irritation of the acromioclavicular joint and the subacromial space. Journal of Shoulder and Elbow Surgery 7:352–355

    Article  PubMed  CAS  Google Scholar 

  • Gerber C, Krushell RJ (1991) Isolated rupture of the tendon of the subscapularis muscle. Journal of Bone and Joint Surgery 73B:389–394

    Google Scholar 

  • Gerber C, Sebesta A (2000) Impingement of the deep surface of the subscapularis tendon and the reflection pulley on the anterosuperior glenoid rim: A preliminary report. Journal of Shoulder and Elbow Surgery 9(6):483–490

    Article  PubMed  CAS  Google Scholar 

  • Glousman R, Jobe FW et al (1988) Dynamic electromyographic analysis of the throwing shoulder with glenohumeral instability. Journal of Bone and Joint Surgery 70 A:220–226

    Google Scholar 

  • Gokeler A, van Paridon-Edauw GH et al (2003) Quantitative analysis of traction in the glenohumeral joint. In vivo radiographic measurements. Manual Therapy 8(2):97–102

    Article  PubMed  Google Scholar 

  • Graichen H, Stammberger T et al (2000) Glenohumeral translation during acitve and passive elevation of the shoulder – a 3-D open MRI study. Journal of Biomechanics 33:609–613

    Article  PubMed  CAS  Google Scholar 

  • Habermayer P, Lehmann L et al (2000) Rotatorenmanschetten-Ruptur. Orthopäde 29:196–208

    Google Scholar 

  • Habermayer P, Lichtenberg S et al (2007) Rotatorenmanschettenruptur und Schulterinstabilität. Arthroskopie 20:217–222

    Article  Google Scholar 

  • Habermeyer P, Magosch P et al (2004) Schulterinstabilitäten: Klassifikation und Behandlung. Orthopäde 33:847–873

    Article  PubMed  CAS  Google Scholar 

  • Hancock RE, Hawkins RJ (1996) Application of electromyography in the throwing shoulder. Clinical Orthopaedics and Related Research 330:84–97

    Article  PubMed  Google Scholar 

  • Handoll HH, Almaiyah GMA et al (2004) Surgical versus non-surgical treatment for acute anterior shoulder dislocation. The Cochrane Library 2:1–2

    Google Scholar 

  • Hasset G, Barnsley L (2001) Pain referral from the sternoclavicular joint: a study in normal volunteers. Rheumatology 40:859–862

    Article  Google Scholar 

  • Hawkins RJ, Kennedy JC (1980) Impingement syndrome in athletes. American Journal of Sports Medicine 8:151–158

    Article  PubMed  CAS  Google Scholar 

  • Hertel R, Ballmer FT et al (1996) Lag signs in the diagnosis of rotator cuff rupture. Journal of Shoulder and Elbow Surgery 5:307–313

    Article  PubMed  CAS  Google Scholar 

  • Hiramuro-Shoji F, Wirth MA et al (2003) Atraumatic conditions of the sternoclavicular joint. Journal of Shoulder and Elbow Surgery 12:79–88

    Article  PubMed  Google Scholar 

  • Iannotti JP (1991) Rotator cuff disorders: evaluation and treatment. American Academy of Orthopaedic Surgeons, Illinois

    Google Scholar 

  • Irlenbusch U, Gansen HK (2003) Muscle biopsy investigations on neuromuscular insufficiency of the rotator cuff: a contribution to the functional impingement of the shoulder. Journal of Shoulder and Elbow Surgery 12:422–426

    Article  PubMed  Google Scholar 

  • Jobe FW, Jobe CM (1983) Painful athletic injuries of the shoulder. Clinical Orthopaedics and Related Research 173:117–124

    PubMed  Google Scholar 

  • Karatsolis K, Athanasopoulos S (2006) The role of exercise in the conservative treatment of the anterior shoulder dislocation. Journal of Bodywork and Movement Therapies 10:211–219

    Article  Google Scholar 

  • Kelley MJ, McClure PW et al (2009) Frozen shoulder: evidence and a proposed model guiding rehabilitation. Journal of Orthopaedic and Sports Physical Therapy 39(2):135–148

    Article  PubMed  Google Scholar 

  • Kibler BW (1998) The Role of the Scapula in Athletic Shoulder Function. American Journal of Sports Medicine 26:325–337

    PubMed  CAS  Google Scholar 

  • Kibler BW, Sciascia A (2010) Current concepts: scapular dyskinesis. British Journal of Sports Medicine 44(14):300–305

    Article  PubMed  Google Scholar 

  • Kibler BW, Sciascia A et al (2006) Evaluation of apparent and absolute supraspinatus strength in patients with shoulder injury using the scapular retraction test. American Journal of Sports Medicine 34(10):1643–1647

    Article  PubMed  Google Scholar 

  • Kirkley A, Werstine R et al (2005) Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder: long-term evaluation. Arthroscopy 21(1):55–63

    Article  PubMed  Google Scholar 

  • Kralinger FS, Golser K et al (2002) Predicting recurrence after primary anterior shoulder dislocation. American Journal of Sports Medicine 30:116–120

    PubMed  Google Scholar 

  • Kromer TO, Tautenhahn UG et al (2009) Effects of physiotherapy in patients with shoulder impingement syndrome: a systematic review of the literature. Journal of Rehabilitation Medicine 41(11):470–480

    Article  Google Scholar 

  • Kuhn JE (2010) A new classifi cation system for shoulder instability. British Journal of Sports Medicine 44:341–346

    Article  PubMed  Google Scholar 

  • Lephart SM, Fu FH (2000) Proprioception and Neuromuscular Control in Joint Stability. Human Kinetics, Champaigne

    Google Scholar 

  • Lewis JS, Green AS et al (2001) The aetiology of subacromial impingement syndrome. Physiotherapy 87(9):458–469

    Article  Google Scholar 

  • Liem D, Schmidt C et al (2013) Einfluss der Akromionmorphologie auf Rotatorenmanschettenrupturen. Obere Extremität 8:41–45

    Article  Google Scholar 

  • Ludewig PM, Cook TM (2000) Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Physical Therapy 80(3):276–291

    PubMed  CAS  Google Scholar 

  • Maenhout A, van Praet K et al (2010) Electromyographic analysis of knee push up plus variations: what is the infl uence of the kinetic chain on scapular muscle activity? British Journal of Sports Medicine 44:1010–1015

    Article  PubMed  CAS  Google Scholar 

  • Magarey ME, Jones MA (2003) Dynamic evaluation and early management of altered motor control around the shoulder complex. Manual Therapy 8(4):195–206

    Article  PubMed  CAS  Google Scholar 

  • Marone PJ (1993) Shoulder injuries in sports (German). Deutscher Ärzte-Verlag, Köln

    Google Scholar 

  • Marquardt B, Loew M (2010) Schulterluxation, rezidivierend und habituell. Obere Extremität 5:60–65

    Article  Google Scholar 

  • Mazzocca AD, Arciero RA et al (2007) Evaluation and Treatment of Acromioclavicular Joint Injuries. American Journal of Sports Medicine 35:316–329

    PubMed  Google Scholar 

  • McClure PW, Greenberg E et al (2012) Avaluation and management of scapular dysfunction. Sports Medicine and Arthroscopy Review 20:39–48

    Article  PubMed  Google Scholar 

  • McClure PW, Tate AR et al (2009) A clinical method for identifying scapular dyskinesis, part 1: reliability. Journal of Athletic Training 44(2):160–164

    Article  PubMed  Google Scholar 

  • Merola G, De Santis E et al (2010) Infraspinatus scapular retraction test: a reliable and practical method to assess infraspinatus strength in overhead athletes with scapular dyskinesis. Journal of Orthopaedic Traumatology 11:105–110

    Article  Google Scholar 

  • Mouhsine E, Garofalo R et al (2003) Grade I and II acromioclavicular dislocations: Results of conservative treatment. Journal of Shoulder and Elbow Surgery 12:599–602

    Article  PubMed  Google Scholar 

  • Mullen F, Slade S et al (1989) Bony and capsular dterminants of glenohumeral locking and quadrant positions. The Australian Journal of Physiotherapy 35(4):202–208

    Google Scholar 

  • Myers JB, Ju YY et al (2004) Reflexive muscle activation alterations in shoulders with anterior glenohumeral instability. American Journal of Sports Medicine 32:1013–1021

    Article  PubMed  Google Scholar 

  • Neer CS (1983) Impingement lesions. Clinical Orthopaedics and Related Research 173:70–77

    PubMed  Google Scholar 

  • Ochs BG, Rickert M et al (2005) Posttraumatische Schulterinstabilität im Wachstumsalter. Orthopäde 34:152–158

    Article  PubMed  CAS  Google Scholar 

  • Östör AJK, Richards CA et al (2005) Diagnosis and relation to general health of shoulder disorders presenting to primary care. Rheumatology 44(6):800–805

    Article  PubMed  Google Scholar 

  • Park HB, Yokota A (2005) Diagnsotic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. Journal of Bone and Joint Surgery Am 87:1446–1455

    Article  Google Scholar 

  • Pevny T, Hunter RE et al (1998) Primary traumatic anterior shoulder dislocation in patients 40 years of age or older. Arthroscopy 14(3):289–294

    Article  PubMed  CAS  Google Scholar 

  • Pfund R, Zahnd F (2001) Leitsymptom Schmerz: Oberer Abschnitt Bd. 1. Thieme, Stuttgart

    Google Scholar 

  • Putnam CA (1993) Sequential motions of body segments in striking and throwing skills: descriptions and explanations. Journal of Biomechanics 26(1):125–135

    Article  PubMed  Google Scholar 

  • Rekola KE, Keinanen-Kiukaanniemi S et al (1993) Use of primary health services in sparsely populated country districts by patients with musculoskeletal symptoms: consultations with a physician. Journal of Epidemiology and Community Health 47(2):153–157

    Article  PubMed  CAS  Google Scholar 

  • Rockwood CA (1996) Injuries to the acromioclavicular joint. In: Rockwood CA, Greene DP (Hrsg) Fractures in adults. Lippincott-Raven, Philadelphia

    Google Scholar 

  • Scheibel A, Imhoff A (2004) Definition, Klassifikation und klinische Diagnostik der instabilen Schulter. Arthroskopie 17:139–145

    Google Scholar 

  • Sharkey NA, Marder RA (1995) The rotator cuff opposes superior translation of the humeral head. The American Journal of Sports Medicine 23(3):270–275

    Article  PubMed  CAS  Google Scholar 

  • Simonich SD, Wright TW (2003) Terrible triad of the shoulder. Journal of Shoulder and Elbow Surgery 12:566–568

    Article  PubMed  Google Scholar 

  • Solem-Bertoft E, Thuomas KA et al (1993) The Influence of scapular retraction and protraction on the width of the subacromial space. Clinical Orthopaedics and Related Research 296(November):99–103

    PubMed  Google Scholar 

  • Tennent DT, Beach WR et al (2003) A review of the special tests associated with shoulder examination Part 1: the rotator cuff tests. American Journal of Sports Medicine 31(1):154–160

    PubMed  Google Scholar 

  • Tokish JM, Krishnan SG et al (2004) Clinical examination of the overhead athlete: the ‚differential-directed‘ approach. In: Krishnan SG, Hawkins RJ, Warren RF (Hrsg) The shoulder and the overhead athlete. Lippincott Williams & Wilkins, Philadelphia, S 23–49

    Google Scholar 

  • Tossy JD, Mead NC et al (1963) Acromioclavicular seperations: Useful and practical classification for treatment. Clinical Orthopaedics and Related Research 28:111–119

    PubMed  CAS  Google Scholar 

  • UpToDate (2012) Patient information: Frozen shoulder (Beyond the Basics). http://www.uptodate.com. Abgerufen 01.07.2013

    Google Scholar 

  • UpToDate (2012) Patient information: Frozen shoulder (The Basics). http://www.uptodate.com. Abgerufen 01.07.2013

    Google Scholar 

  • UpToDate (2012) Patient information: Shoulder impingement syndrome (The Basics/Beyond the Basics). http://www.uptodate.com. Abgerufen 01.07.2013

    Google Scholar 

  • Van der Windt DA, Koes BW et al (1995) Shoulder disorders in general practice: incidence, patient characteristics, and management. Annals of Rheumatic Diseases 54(12):959–964

    Article  Google Scholar 

  • Voigt C, Lill H (2009) Schulterinstabilität und Rotatorenmanschettenruptur. Orthopäde 38:70–74

    Article  PubMed  CAS  Google Scholar 

  • Wadsworth DJS, Bullock-Saxton JE (1997) Recruitment patterns of scapular rotator muscles in freestyle swimmers with subacromial impingement. Int Journal Sports Med 18:618–624

    Article  CAS  Google Scholar 

  • Walch G, Boileau P et al (1992) Impingement of the deep surface of the supraspinatus tendonon the posterosuperior glenoid rim: an arthroscopic study. Journal of Shoulder and Elbow Surgery 1:238–245

    Article  PubMed  CAS  Google Scholar 

  • Weiser WM, Lee TQ et al (1999) Effects of simulated scapular protraction on anterior glenohumeral stability. The American Journal of Sports Medicine 27(6):801–804

    PubMed  CAS  Google Scholar 

  • Weon JH, Oh JS et al (2010) Selective recruitment of the lower fibers of the trapezius muscle. J Bodyw Mov Ther 14(4):367–374

    Article  PubMed  Google Scholar 

  • Wiedemann E, Jäger A et al (2009) Pathomorphologie der Schulterinstabilität. Orthopäde 38:16–23

    Article  PubMed  CAS  Google Scholar 

  • Wilk KE, Meister K et al (2002) Current concepts in the rehabilitation of the overhead throwing athlete. The American Journal of Sports Medicine 30(1):139–152

    Google Scholar 

  • Williams GR, Nguyen VD et al (1989) Classification and radiographyc analysis of acromiclavicular dislocations. Applied Radiology 18:29–34

    Google Scholar 

  • Winkel D, Aufdemkampe G et al (1995) Nichtoperative Orthopädie und Manualtherapie, Teil 2/1 Diagnostik der Extremitäten: Obere Extremität. Gustav Fischer, Stuttgart

    Google Scholar 

  • Wurnig C (2000) Impingement. Orthopäde 29:868–880

    CAS  Google Scholar 

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  1. Fakultät für Therapiewissenschaften, SRH Hochschule Heidelberg, 69123, Heidelberg, Deutschland

    Thilo Oliver Kromer

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    Thilo Oliver Kromer

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Kromer, T.O. (2013). Schulterkomplex. In: Kromer, T. (eds) Rehabilitation der oberen Extremität. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30262-6_4

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