Zusammenfassung
In der Beurteilung, ob eine Schulter stabil ist, hilft die mechanisch-technische Terminologie wenig, wenn wir diese auf die Schulter übertragen wollen (Abb. 1) [46]. Meistens sagt uns der Patient, ob seine Schulter stabil ist oder nicht. Zudem variiert nicht nur die Qualität der kapsuloligamentären Strukturen von Patient zu Patient erheblich, sondern auch der Anspruch an den täglichen Gebrauch ist sehr unterschiedlich. Es sind das klinische Bild und die klinischen Symptome, die den Unterschied zwischen instabil und stabil ausmachen [22, 24, 31, 45]. Die Stabilität der Schulter wird durch statische und dynamische Faktoren beeinflußt. Zu den statischen Faktoren zählen die Geometrie der Gelenkanteile von Humerus und Scapula, das Labrum glenoidale, die Schultergelenkskapsel und die glenohumeralen Ligamente (Abb. 2 a), während wir die Muskeln der Rotatorenmanschette und die lange Bizepssehne als dynamische Elemente betrachten (Abb. 2b) [44].
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Imhoff, A.B., Jacob, H.A.C. (1999). Biomechanik der Schulter. In: Imhoff, A.B. (eds) Schulter/Ellbogen/Stoßwelle/Hüfte. Fortbildung Orthopädie, vol 1. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-58706-1_4
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