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Postoperative Rehabilitation

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Rehabilitation der oberen Extremität

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Zusammenfassung

Operative Eingriffe an der oberen Extremität kommen häufig vor. Die physiotherapeutische Nachsorge sollte zügig, ökonomisch und effektiv gestaltet sein, mit dem Ziel, die volle Alltags- und Arbeitsfähigkeit des Patienten wiederherzustellen. Dies verlangt neben therapeutischer Kompetenz und Professionalität eine optimale Abstimmung zwischen Arzt und Therapeut sowie eine gute Aufklärung, Führung und Mitarbeit des Patienten. Neben einer sinnvollen Selektion der Behandlungsmaßnahmen trägt außerdem ein zeitlich gut geplanter Einsatz dieser Maßnahmen zum Erfolg bei. In diesem Kapitel wird zuerst auf die Ziele und Prinzipien der physiotherapeutischen Nachbehandlung eingegangen, folgend werden die chirurgischen Eingriffe für die verschiedenen Pathologien dargestellt sowie die entsprechende physiotherapeutische Nachbehandlung exemplarisch aufgezeigt.

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Literatur

  • Ambacher T, Maurer F, Weise K (2010) Behandlungsergebnisse nach primärer und sekundärer Radiusköpfchenresektion. Unfallchirurg 103:437–443

    Article  Google Scholar 

  • Armstrong AD, Dunning CE, Faber KJ, Duck TR, Johnson JA, King GJ (2000) Rehabilitation of the medial collateral ligament-deficient elbow: an in vitro biomechanical study. J Hand Surg Am 25:1051–1057

    Article  PubMed  CAS  Google Scholar 

  • Aydin T, Yildiz Y, Yanmis I, Kalyon TA (2001) Shoulder proprioception: a comparison between the shoulder joint in healthy and surgically repaired shoulders. Archives of Orthopaedic Trauma Surgery 121:422–425

    Article  PubMed  CAS  Google Scholar 

  • Bankart ASB (1939) The pathology and treatment of recurrent dislocation of the shoulder-joint. Brit J Surg 26:23–29

    Article  Google Scholar 

  • Baulot E, Sirveaux F, Boileau P (2011) Grammont’s idea: The story of Paul Grammont’s functional surgery concept and the development of the reverse principle. CORR 469:2425–2431

    Article  Google Scholar 

  • Bigliani LU, Morrison DS, April EW (1986) The morphology of the acromion and its relationship to rotator cuff impingement. Orthop Trans 10:228–233

    Google Scholar 

  • Burkhart SS, Athanasiou KA, Wirth MA (1996) Margin convergence: a method of reducing strain in massive rotator cuff tears. Arthroscopy 12:335–338

    Article  PubMed  CAS  Google Scholar 

  • Buteau JL, Eriksrud O, Hasson SM (2008) Rehabilitation of a glenohumeral instability utilizing the body blade. Physiotherapy Theory and Practice 23:333–349

    Article  Google Scholar 

  • Butler DS, Moseley L (2003) Explain pain. Noigroup Publications, Adelaide

    Google Scholar 

  • Citak M, Backhaus M, Seybold D (2011) Surgical repair of the distal biceps brachii tendon: a comparative study of three surgical fixation techniques. Knee Surg Sports Traumatol Arthrosc 19(11):1936–1941

    Article  PubMed  Google Scholar 

  • Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. CORR 214:160–164

    Google Scholar 

  • Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B, Cagnie B, Witvrouw EE (2007) Rehabilitation of scapular mucle balance: which exercises to prescribe? American Journal of Sports Medicine 35:1744–1750

    Article  PubMed  Google Scholar 

  • David G, Magarey ME, Dvir Z, Türker KS, Sharpe S (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 

  • Davies GJ, Dickoff-Hoffmann S (1993) Neuromuscular testing and rehabilitation of the shoulder complex. Journal of Orthopaedic and Sports Physical Therapy 18:449–458

    Article  PubMed  CAS  Google Scholar 

  • Deutsche Vereinigung für Schulter- und Ellenbogenchirurgie (DVSE) (2012) Klinische Tests für die Schulter. Sonderheft der Zeitschrift OBEX, Bd 7, Suppl. 1. http://www.dvse.info/Untersuchungstechniken.178.0.html

    Google Scholar 

  • Diederichs S, Harndorf M, Stempfle J (2003) Physiotherapeutische Nachbehandlung nach arthroskopischer Wiederherstellung bei SLAP-Läsionen. Orthopäde 32:647–653

    Article  PubMed  CAS  Google Scholar 

  • Duckworth AD, Jenkins PJ, Aitken SA, Clement ND, Court-Brown CM, McQueen M (2012) Scaphoid fracture epidemiology. J Trauma Acute Care Surg 72(2):E41–E44

    PubMed  Google Scholar 

  • Dunning CE et al. (2001) Muscle forces and pronation stabilize the lateral ligament-deficient elbow. Clin Orthop Rel Res 388:118–124

    Article  Google Scholar 

  • Feucht MJ, Braun S (2013) Subakromialraum. In: Imhoff AB, Feucht MJ (Hrsg) Atlas sportorthopädisch-sporttraumatologischer Operationen. Springer, Berlin Heidelberg

    Google Scholar 

  • Grammont PM et al (1987) Study and development of a new shoulder prosthesis. Rheumatologie 39:407–418

    Google Scholar 

  • Grant HJ, Arthur A, Pichora DR (2004) Evaluation of interventions for rotator cuff pathology: a systematic review. Journal of Hand Therapy 17:274–299

    Article  PubMed  Google Scholar 

  • Grewal R, Athwal GS, Macdermid JC, Faber KJ, Drosdowech DS, El-Hawary R, King GJ (2012) Single versus double-incision technique for the repair of acute distal bicepstendon ruptures: a randomized clinical trial. JBJS Am 94(13):1166–1174

    Article  PubMed  Google Scholar 

  • Gurd FB (1941) The treatment of complete dislocation of the outer end of the clavicle: a hitherto undescribed operation. Ann Surg 113:1094–1098

    Article  PubMed  CAS  Google Scholar 

  • Habermeyer P, Engel G (2002) Endoprothetik. In: Habermeyer P (Hrsg) Schulterchirurgie, 3. Aufl. Urban & Fischer, München Jena

    Google Scholar 

  • Habermeyer P (2010) Frakturprothetik. In: Habermeyer P, Lichtenberg S, Magosch P (Hrsg) Schulterchirurgie, 4. Aufl. Urban & Fischer, München

    Google Scholar 

  • Handoll HHG, Almaiyah MA, Rangan A (2004) Surgical versus non-surgical treatment for acute anterior shoulder dislocation (Cochrane review). The Cochrane Libraray

    Google Scholar 

  • Hayes K, Ginn KA, Walton JR, Szomor ZL, Murrell GAC (2004) A randomised clinical trial evaluating the efficacy of physiotherapy after rotator cuff repair. Australian Journal of Physiotherapy 50:77–83

    PubMed  Google Scholar 

  • Heers S, Anders S, Werther M, Lerch K, Hedtmann A, Grifka J (2005) Effektivität der Physiotherapie in Eigenregie bei Rotatorenmanschettendefekten. Sportverletzung Sportschaden 19:22–27

    Article  PubMed  CAS  Google Scholar 

  • Helling HJ, Prokop A, Schmid HU, Nagel M, Lilienthal J, Rehm KE (2006) Biodegradable implants versus standard metal fixation for displaced radial headfractures. A prospective, randomized, multicenter study. J Should Elbow Surg 15:479–485

    Article  Google Scholar 

  • Josefsson PO, Nilsson BE (1986) Incidence of elbow dislocation. Acta Orthop Scan 57(6):537–538

    Article  CAS  Google Scholar 

  • Josefsson PO, Gentz CF, Johnell O, Wendeberg B (1987) Surgical versus non-surgical treatment of ligamentous injuries following dislocation of the elbow joint. A prospective randomized study. JBJS Am 69:605–608

    PubMed  CAS  Google Scholar 

  • Kaas L, van Riet RP, Vroemen JP, Eygendaal D (2010) The epidemiology of radial headfractures. J Should Elbow Surg 19:520–523

    Article  Google Scholar 

  • Khalfayan EE, Culp RW, Alexander AH (1992) Mason type II radial headfractures: operative versus nonoperative treatment. J Orthop Traum 6(3):283–289

    Article  CAS  Google Scholar 

  • Krimmer H, Schmitt R, Herbert T (2000) Kahnbeinfrakturen – Diagnose, Klassifikation und Therapie. Unfallchirurg 103:812–819

    Article  PubMed  CAS  Google Scholar 

  • Leigh WB, Ball CM (2012) Radial head reconstruction versus replacement in the treatment of terrible triad injuries of the elbow. J Should Elbow Surg, e-pub 6/2012

    Google Scholar 

  • Lephart SM, Fu FH (2000) Proprioception and neuromuscular control in joint stability. Human Kinetics, Champaign, Illinois

    Google Scholar 

  • Letsch R, Schmit-Neuerburg KP (2001) Bandverletzungen und Luxationen des Ellenbogengelenkes. In: Schmit-Neuerburg KP, Towfigh H, Letsch R (Hrsg) Tscherne Unfallchirurgie. Ellenbogen, Unterarm, Hand, Bd. 1. Springer, Berlin, S 67–76

    Chapter  Google Scholar 

  • Lévigne C et al (2008) Scapular notching in reverse shoulder arthroplasty. JSES 17:925–935

    Google Scholar 

  • Maurer H, Resch H (1995) Schultergelenk. In: Kremer K, Lierse W, Platzer W, Schneider HW, Weller S (Hrsg) Chirurgische Operationslehre. Spezielle Anatomie, Indikationen, Technik, Komplikationen: Schultergürtel, obere Extremität, Bd. 9. Thieme, Stuttgart, S 61–82

    Google Scholar 

  • Morrey BF (1993) The elbow and its disorders. W.B. Saunders, Philadelphia, S 383–404

    Google Scholar 

  • Mumford EB (1941) Acromioclavicular dislocation: a new operative treatment. J Bone Joint Surg Br 23:799–802

    Google Scholar 

  • Murray RC (1940) Fractures of the head and neck of the radius. Br J Surg 28:106–118

    Article  Google Scholar 

  • Nebelung W (2002) Kraniale Labrumläsionen (SLAP-Läsionen). In: Nebelung W, Wiedemann E (Hrsg) Schulterarthroskopie. Springer, Berlin Heidelberg (Kap. 17)

    Chapter  Google Scholar 

  • Neer CSII (1990) Shoulder reconstruction. WB Saunders, Philadelphia

    Google Scholar 

  • O’Driscoll SW, Morrey BF, Korinek S, An KN (1992) Elbow subluxation and dislocation. A spectrum of instability. Clin Orthop Rel Res 280:186–197

    Google Scholar 

  • O’Driscoll SW (2000) Classification and Evaluation of Recurrent Instability of the Elbow. Clin Orthop Rel Res 370:34–43

    Article  Google Scholar 

  • Patte D et al (1980) Epaules douloureuses et instables. Rev Chir Orthop 66:157–165

    PubMed  CAS  Google Scholar 

  • Rockwood CA Jr (1984) Injuries to the acromioclavicular joint. In: Rockwood CA Jr, Green DP (Hrsg) Fractures in adults, Bd. 1. Lippincott, Philadelphia, S 869–872

    Google Scholar 

  • Rockwood CA, Matsen FA (Hrsg) (1998) The Shoulder, 2. Aufl. W.B. Saunders, Philadelphia

    Google Scholar 

  • Safran MR, Graham SM (2002) Distal bicepstendon ruptures: incidence, demographics, and the effect of smoking. Clinical orthopaedics and related research 404:275–283

    Article  PubMed  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  • Seiler JG, Parker LM, Chamberland PDC, Sherbourne GM, Carpenter WA (1995) The distal bicepstendon: Two potential mechanisms involved in its rupture: Arterial supply and mechanical impingement. J Shoulder Elbow Surg 4:149–156

    Article  PubMed  Google Scholar 

  • Siebert HR, Klonz A (2005) Distale Radiusfraktur. Unfallchirurg 108:135–152

    Article  PubMed  CAS  Google Scholar 

  • Souer JS, Buijze G, Ring D (2011) A Prospective Randomized Controlled Trial Comparing Occupational Therapy with Independent Exercises After Volar Plate Fixation of a Fracture of the Distal Part of the Radius. JBJS 93(19):1761–1766

    Article  Google Scholar 

  • Snyder SJ et al (1990) SLAP lesions of the shoulder. Arthroscopy 6:274–279

    Article  PubMed  CAS  Google Scholar 

  • Stoneback JW, Owens BD, Sykes J, Athwal JS, Pointer L, Wolf JM (2012) Incidence of Elbow Dislocations in the United States Population. JBJS Am 94:240–245

    Article  PubMed  Google Scholar 

  • Tossy JD et al (1963) Acromioclavicular separations: Useful and practical classification for treatment. CORR 28:111–119

    CAS  Google Scholar 

  • Towfigh H, Hierner R, Langer M, Friedel R (Hrsg) (2011) Handchirurgie. Springer, Heidlberg Berlin, S 777

    Google Scholar 

  • Walz L et al (2008) The Anatomic Reconstruction of Acromioclavicular Joint Dislocations Using 2 TightRope Devices. A Biomechanical Study. AJSM 36:2398–2406

    Google Scholar 

  • Weaver JK, Dunn HK (1972) Treatment of acromioclavicular injuries, especially complete acromioclavicular separations. JBJS 54:1187–1197

    CAS  Google Scholar 

  • Wendt M (2011) Distal radius fractures – how much does physiotherapy help? Zeitsch Orthop Unfallchir 149(6):620

    Google Scholar 

  • Wiedemann E (2006) Schulterendoprothetik. Unfallchirurg 109:1073–1083

    Article  PubMed  CAS  Google Scholar 

  • Wiedemann E (2010) Offene Stabilisierungsverfahren bei der Schulterinstabilität. In: Habermeyer P, Lichtenberg S, Magosch P (Hrsg) Schulterchirurgie, 4. Aufl. Urban & Fischer, München (Kap. 15)

    Google Scholar 

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Authors and Affiliations

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

    Thilo Oliver Kromer

  2. OCM Orthopädische Chirurgie München, Steinerstr. 6, 81369, München, Deutschland

    Martin Jung Prof. Dr. med. & Ernst Wiedemann Prof. Dr. med.

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  1. Thilo Oliver Kromer
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  2. Martin Jung Prof. Dr. med.
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  3. Ernst Wiedemann Prof. Dr. med.
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  1. Fakultät für Therapiewissenschaften, SRH Hochschule Heidelberg, Heidelberg, Baden-Württemberg, Germany

    Thilo Oliver Kromer

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Kromer, T.O., Jung, M., Wiedemann, E. (2013). Postoperative Rehabilitation. In: Kromer, T. (eds) Rehabilitation der oberen Extremität. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30262-6_7

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  • DOI: https://doi.org/10.1007/978-3-642-30262-6_7

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