Die Läsion der Rotatorenmanschette

  • K. R. Grob
  • M. S. Kuster


Unklare Schulterbeschwerden mit schmerzhafter Bewegungseinschränkung des Glenohumeralgelenkes werden häufig unter dem Sammelbegriff Periarthropathia humeroscapularis (PHS) zusammengefasst. Dieser Begriff ist unpräzise, entspricht keinem eigenständigen Krankheitsbild und sollte daher möglichst vermieden werden.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Arntz CT, Matsen FA, Jackins S (1991) Surgical management of complex irreperable cuff deficiency. J Arthroplasty 6:363–370PubMedCrossRefGoogle Scholar
  2. 2.
    Banas MP, Miller RJ, Tottermann S, Rochester NY (1995) Relationship between the lateral acromion angle and rotator cuff disease. J Shoulder Elbow Surg 4:454–461PubMedCrossRefGoogle Scholar
  3. 3.
    Bigliani LU, Morrison DS, April EW (1986) The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans 10:228Google Scholar
  4. 4.
    Bigliani LU, Norris TR, Fischer J, Neer CS (1983) The relationship between the unfused acromial epiphysis and subacromial impingement lesions. Orthop Trans 7:138Google Scholar
  5. 5.
    Blevins FT, Warren RF, Cavo C, Altchek DW, Dines D, Palletta G, Wickiewicz TL (1996) Arthroscopic assisted rotator cuff repair: Results using a mini-open deltoid approach. Arthroscopy 12:50–59PubMedCrossRefGoogle Scholar
  6. 6.
    Bosworth DM (1940) An analysis of twenty-eight consecutive cases of incapacitating shoulder lesions, radicaly explored and repaired. J Bone Joint Surg 22:369–392Google Scholar
  7. 7.
    Brooks CH, Revell WJ, Heatley FW (1992) A quantitative histological study of the vascularity of the rotator cuff tendon. J Bone Joint Surg 74B:151–153Google Scholar
  8. 8.
    Burkhart SS (1991) Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop 267:45–56PubMedGoogle Scholar
  9. 9.
    Burkhart SS (1993) Arthroscopic debridement and decompression for selected rotator cuff tears. Clinical results, pathomechanics, and patient selection based on biomechanical parameters. Orthop Clin North Am 24:111–123PubMedGoogle Scholar
  10. 10.
    Burkhart SS (1994) Reconciling the paradox of rotator cuff repair versus debridement: A unified Biomechanical rationale for the treatment of rotator cuff tears. J Arthroscop Rel Surg 10:4–19CrossRefGoogle Scholar
  11. 11.
    Calvert PT, Packer NP, Stoker DJ, Bayley JIL, Kessel L (1986) Arthrography of the shoulder after operative repair of the torn rotator cuff. J Bone Joint Surg 68B:147–150Google Scholar
  12. 12.
    Cofield RH (1985) Current concepts review: Rotator cuff disease of the shoulder. J Bone Joint Surg 67A:974–979Google Scholar
  13. 13.
    Cotton RE, Rideout DF (1964) Tears of the humeral rotator cuff: A radiological and pathological necropsy survey. J Bone Joint Surg 46B:314–328Google Scholar
  14. 14.
    Edelson JG, Taitz C (1992) Anatomy of the coracoacromial arch: Relationship to degeneration of the acromion. J Bone Joint Surg 74B:589–594Google Scholar
  15. 15.
    Edelson JG, Zuckerman J, Hershkovitz I (1993) Os acromiale: Anatomy and surgical implications. J Bone Joint Surg 75B:551–555Google Scholar
  16. 16.
    Ellman H, Harris E, Kay SP (1992) Early degenerative joint disease simulating impingement syndrome: Arthroscopic findings. Arthroscopy 8:482–487PubMedCrossRefGoogle Scholar
  17. 17.
    Ellman H, Kay SP (1991) Arthroscopic subacromial decompression for chronic impingement. Two-to five-years results. J Bone Joint Surg 73B:395–398Google Scholar
  18. 18.
    Farin PU (1996) Sonography of the biceps tendon of the shoulder: Normal and pathologic findings. J Clin Ultrasound 24:309–316PubMedCrossRefGoogle Scholar
  19. 19.
    Fukuda H, Hamada K, Yamanaka K (1990) Pathology and pathogenesis of bursal-side rotator cuff tears viewed from en bloc histologie sections. Clin Orthop 254:75–80PubMedGoogle Scholar
  20. 20.
    Gartsman GM, Milne JC (1995) Articular surface partial-thickness rotator cuff tears. J Shoulder Elbow Surg 4:409–415PubMedCrossRefGoogle Scholar
  21. 21.
    Gartsman GM, Taverna E (1997) The incidence of glenohumeral joint abnormalities associated with full-thickness, reparable rotator cuff tears. Arthroscopy 13:450–455PubMedCrossRefGoogle Scholar
  22. 22.
    Gerber C (1992) Latissimus dorsi transfer for the treatment of irreperable tears of the rotator cuff. Clin Orthop 275:152–160PubMedGoogle Scholar
  23. 23.
    Gerber C, Schneeberger AG, Beck M, Schlegel U (1994) Mechanical strength of repairs of the rotator cuff. J Bone Joint Surg 76B:371–380Google Scholar
  24. 24.
    Gerber C, Vinh TS, Hertel R, Hess CW (1988) Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff: A preliminary report. Clin Orthop 232:51–61PubMedGoogle Scholar
  25. 25.
    Harryman DT, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen FA (1991) Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg 73A:982–989Google Scholar
  26. 26.
    Hartzog CW, Savoie FH III, Field LD (1998) Arthroscopic acromioplasty and arthroscopic distal clavicle resection, mini-open rotator cuff repair: Indications, techniques, and outcome. In: Iannotti JP (ed) The rotator cuff. Current concepts and complex problems. Am Acad Orthop SurgGoogle Scholar
  27. 27.
    Hedtmann A, Fett H (1995) Schultersonographie bei Subakromialsyndromen mit Erkrankungen und Verletzungen der Rotatorenmanschette. Orthopäde 24:498–508PubMedGoogle Scholar
  28. 28.
    Hodler JH, Fretz CJ, Terrier F, Gerber C (1988) Rotator cuff tears: Correlation of sonographic and surgical findings. Radiology 169:791–794PubMedGoogle Scholar
  29. 29.
    Iannotti JP, Zlatkin MB, Esterhai JL, Kressel HY, Dalinka MK, Sprindler KP (1991) Magnetic resonace imaging of the shoulder: Sensitivity, specificity, and predictive value. J Bone Joint Surg 73A:17–29Google Scholar
  30. 30.
    Inman VT, Saunders JB, Abbot LC (1944) Observations on the function of the shoulder joint. J Bone Joint Surg 26A:1–30Google Scholar
  31. 31.
    Itoh E, Tabato S (1992) Incomplete rotator cuff tears. Clin Orthop 284:128–135Google Scholar
  32. 32.
    Kumagai J, Sarkar K, Uhthoff HK (1994) The collagen types in the attachment zone of rotator cuff tendons in the elderly: An immunohistochemical study. J Rheumatol 21:2096–2100PubMedGoogle Scholar
  33. 33.
    Kunkel SS, Hawkins RJ (1991) Rotator cuff repair utilizing a trough in bone. In: Paulos LE, Tibone JE (eds) Operative techniques in shoulder surgery. Aspen, Gaithersburg, pp 149–154Google Scholar
  34. 34.
    Liberson F (1937) Os acromiale:A contested anomaly. J Bone Joint Surg 19:683–689Google Scholar
  35. 35.
    Matsen FA III, Arntz CT (1990) Rotator cuff tendon failure. In: Rockwood CA Jr, Matsen FA III (eds) The Shoulder, Vol 2. Saunders, Philadelphia, pp 647–677Google Scholar
  36. 36.
    McLaughlin HL (1944) Lesions of the musculotendinous cuff of the shoulder: I. The exposure and treatment of tears with retraction. J Bone Joint Surg 26:31–51Google Scholar
  37. 37.
    McLaughlin HL (1962) Rupture of the rotator cuff. J Bone Joint Surg 44A:979–983Google Scholar
  38. 38.
    McLaughlin HL (1963) Repair of major cuff ruptures. Surg Clin North Am 43:1535–1540PubMedGoogle Scholar
  39. 39.
    Meyer AW (1937) Chronic functional lesions of the shoulder. Arch Surg 35:646–674CrossRefGoogle Scholar
  40. 40.
    Middleton WD, Reinus WR, Totty WG, Melson GL, Murphy WA (1986) Ultrasonographic evaluation of the rotator cuff and biceps tendon. J Bone Joint Surg 68A:440–450Google Scholar
  41. 41.
    Miller C, Savoie FH (1994) Glenohumeral abnormalities associated with full-thickness tears of the rotator cuff. Orthop Rev 23:159–162PubMedGoogle Scholar
  42. 42.
    Miller MD, Flatow EL, Bigliani LU (1998) Biomechanics of the coracoacromial arch and rotator cuff; kinematics and contact of the subacromial space. In: Iannotti JP (ed) The rotator cuff. Current concepts and complex problems. Am Acad Orthop Surg, pp 1–16Google Scholar
  43. 43.
    Miniaci A, Dowdy PA, Willits KR, Vellet AD (1995) Magnetic resonance imaging evaluation of the rotator cuff tendons in the asymptomatic shoulder. Am J Sports Med 23:142–145PubMedCrossRefGoogle Scholar
  44. 44.
    Moseley HF, Goldie I (1963) The arterial pattern of the rotator cuff of the shoulder. J Bone Joint Surg 45B 780–789Google Scholar
  45. 45.
    Mudge MK, Wood VE, Frykmann GK (1984) Rotator cuff tears associated with os acromiale. J Bone Joint Surg 66A:427–429Google Scholar
  46. 46.
    Nakagaki K, Ozaki J, Tomita Y, Tamai S (1994) Alterations in the supraspinatus muscle belly with rotator cuff tearing: Evaluation with magnetic resonance imaging. J Shoulder Elbow Surg 3:88–93CrossRefGoogle Scholar
  47. 47.
    Neer CS (1983) Impingement lesions. Clin Orthop 173:70–77PubMedGoogle Scholar
  48. 48.
    Neer CS II (1972) Anterior acromioplasty for chronic impingement in the shoulder: A preliminary report. J Bone Joint Surg 54A:41–50Google Scholar
  49. 49.
    Neer CS II (1990) Cuff tears, biceps lesions, and impingement in shoulder reconstruction. Saunders, Philadelphia, pp 41–142Google Scholar
  50. 50.
    Neer CS II, Craig EV, Fukuda H (1983) Cuff-tear arthropathy. J Bone Joint Surg 65A:1232–1244Google Scholar
  51. 51.
    Neviaser RJ, Neviaser TJ (1982) Transfer of subscapularis and teres minor for massive defects of rotator cuff. In: Bayley I, Kessel L (eds) Shoulder surgery. Springer, Berlin Heidelberg New York, pp 60–63CrossRefGoogle Scholar
  52. 52.
    Neviaser RJ, Washington DC, Neviaser TJ (1988) Concurrent rupture of the rotator cuff and anterior dislocation of the shoulder in the older patient. J Bone Joint Surg 70A:1308–1311Google Scholar
  53. 53.
    Nicholson GP, Goodman A, Flatow EL, Bigliani LU (1996) The acromion: Morphologic condition and age-related changes. A study of 420 scapulas. J Shoulder Elbow Surg 5:1–11PubMedCrossRefGoogle Scholar
  54. 54.
    Ogilvie-Harris DJ, Demazière A (1993) Arthroscopic debridement versus open repair for rotator cuff tears. A prospective cohort study. J Bone Joint Surg 75B:416–420Google Scholar
  55. 55.
    Packer NP, Calvert PT, Bayley JIL, Kessel L (1983) Operative treatment of chronic ruptures of the rotator cuff of the shoulder. J Bone Joint Surg 65B:171–175Google Scholar
  56. 56.
    Poppen NK (1993) Soft-tissue lesions of the shoulder. In: Chapman MW, Madison M (eds) Operative Orthopaedics, Vol 2, 2nd ed. Lippincott, Philadelphia, pp 1651–1671Google Scholar
  57. 57.
    Rathbun JB, Macnab I (1970) The microvascular pattern of the rotator cuff. J Bone Joint Surg 52B:540–553Google Scholar
  58. 58.
    Rockwood CHA, Williams GR, Burkhead WZ (1995) Débridement of degenerative, irreparable lesions of rotator cuff. J Bone Joint Surg 77A:857–866Google Scholar
  59. 59.
    Rothman RH, Parke WW (1965) The vascular anatomy of the rotator cuff. Clin Orthop 41:176–186PubMedGoogle Scholar
  60. 60.
    Sigholm G, Styf J, Körner L, Herberts P (1988) Pressure recordings in the subacromial bursa. J Orthop Res 6:123–128PubMedCrossRefGoogle Scholar
  61. 61.
    Snyder SJ, Pachelli AF, Del Pizzo W, Friedman MJ, Ferkel RD, Pattee G (1991) Partial thickness rotator cuff tears: results of arthroscopic treatment. Arthroscopy 7:1–7PubMedCrossRefGoogle Scholar
  62. 62.
    Sperner G, Resch H, Golser K, Lener M, Seykora P (1993) Die Wertigkeit der Sonographie bei Rupturen der Rotatorenmanschette. Unfallchirurg 96:119–123PubMedGoogle Scholar
  63. 63.
    St. Pierre P, Olson EJ, Elliot JJ, O’Hair KC, McKinney LA, Ryan J (1995) Tendon-healing to cortical bone compared with healing to a cancellous trough: A biomechanical and histological evaluation in goats. J Bone Joint Surg 77A:1858–1866Google Scholar
  64. 64.
    Swiontkowski MF, Iannotti JP, Boulas HJ, Esterhai JL (1990) Intraoperative assessment of rotator cuff vascularity using laser Doppler fowmetry. In: Post M, Morrey BF, Hawkins JR (eds) Surgery of the Shoulder. Mosby-Year Book, St. Louis, pp 208–212Google Scholar
  65. 65.
    Türkei SJ, Panio MW, Marshall JL, Girgis FG (1981) Stabilizing mechanism preventing anterior dislocation of the glenohumeral joint. J Bone Joint Surg 63A:1208–1217Google Scholar
  66. 66.
    Uitto J, Teir HJ, Mustakallio KK (1972) Corticosteroid induced inhibition of the biosynthesis of human skin collagen. Biochem Pharmacol 21:2161PubMedCrossRefGoogle Scholar
  67. 67.
    Warner JJP, Gerber C (1998) Treatment of massive rotator cuff tears: Posterior-superior and anterior-superior. In: Iannotti JP (ed) The rotator cuff. Current concepts and complex problems. Am Acad Orthop Surg, pp 59–94Google Scholar
  68. 68.
    Watson M (1985) Major ruptures of the rotator cuff: The results of surgical repair in 89 patients. J Bone Joint Surg 67B:618–624Google Scholar
  69. 69.
    Wiley AM (1991) Superior humeral dislocation: A complication following decompression and debridement for rotator cuff tears. Clin Orthop 263:135–141PubMedGoogle Scholar
  70. 70.
    Wilson CL (1948) Experimental degeneration fo the supraspinatus tendon. J Bone Joint Surg 30A:769–773PubMedGoogle Scholar
  71. 71.
    Wilson CL, Duff GL (1943) Pathologic study of degeneration and rupture of the supraspinatus tendon. Arch Surg 47:121–135CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2001

Authors and Affiliations

  • K. R. Grob
  • M. S. Kuster

There are no affiliations available

Personalised recommendations