Zusammenfassung
Die Entstehung von instabilitätsinduzierten Läsionen im Bereich des Rotatorenintervalls ist besonders bei älteren Patienten beschrieben. In diesen Fällen finden wir arthroskopisch eine Erweiterung des dreieckig konfigurierten Raumes zwischen dem Vorderrand der Supraspinatussehne, dem Oberrand der Subskapularisehne und den oberen Anteilen der ventralen Gelenkkapsel. Pathoanatomisch liegt eine Läsion des korakohumeralen und superioren glenohumeralen Bandes vor. Eine experimentelle Durchtrennung dieser Strukturen führt zu einer Verdopplung der inferioren und 50%igen Zunahme der posterioren Translation.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Gartsman GM, Taerna E, Hammerman SM (1999) Arthroscopic rotator interval repair in glenohumeral instability: description of an operative technique. Arthroscopy 15: 330–332
Harryman DT, Sidles JA, Harris SL, Matsen FA (1992) The role of the rotator interval capsule in passive motion and stability of the shoulder. J bone Joint Surg Am 74: 53–66
Treacy SH, Field LD, Savoie FH (1997) Rotator interval capsule closure: an arthroscopic technique. Arthroscopy 13: 103–106
Antoniou J, Harryman DT (2000) Arthroscopic posterior capsular repair. Clin Sports Med 19: 101–114
Fuchs B, Jost B, Gerber C (2000) Posterior-inferior capsular shift for the treatment of recurrent, voluntary posterior subluxation of the shoulder. J Bone Joint Surg Am 82: 16–25
Mair SD, Zarzour RH, Speer KP (1998) Posterior labral injury in contact athletes. Am J Sports Med 26: 753–758
Mclntyre LF, Caspari RB, Savoie FH (1997) The arthroscopic treatment of posterior shoulder instability: two-year results of a multiple suture technique. Arthroscopy 13: 426–432
Pollock RG, Bigliani LU (1993) Recurrent posterior shoulder instability. Diagnosis and treatment. Clin Or-thop: 85–96
Tibone JE, Bradley JP (1993) The treatment of posterior subluxation in athletes. Clin Orthop: 124–137
Weber SC, Caspari RB (1989) A biomechanical evaluation of the restraints to posterior shoulder dislocation. Arthroscopy 5: 115–121
Wolf EM, Eakin CL (1998) Arthroscopic capsular plication for posterior shoulder instability. Arthroscopy 14: 153–163
Pagnani MJ, Altchek DW, Wickiewitz TL (1996) Arthroscopic shoulder stabilization using transglenoid sutures: a four-year minimum follow up. Am J Sports Med 24: 459–467
Guanche CA, Sodergren KM, Buss DD (1996) Arthroscopic versus open reconstruction of the shoulder in patients with isolated Bankart lesions. Am J Sports Med 24: 144–148
Speer KP, W. R., Pagnani M, Warner JJP (1996) An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am 78: 1801–1807
Manta JP, Nirschl RP, Pettrone FA (1997) Arthroscopic transglenoid suture capsulolabral repair: five year follow up. Am J Sports Med 25: 614–618
Naseef GS et al. (1997) The thermal properties of bovine joint capsule. The basic science of laser-and radio-frequency-induced capsular shrinkage. Am J Sports Med 25: 670–674
Osmond C et al. (2000) Comparative effects of laser and radiofrequency energy on joint capsule. Clin Or-thop 375: 286–294
Lopez MJ et al. (1998) The effect of radiofrequency energy on the ultrastructure of joint capsular collagen. Arthroscopy 14: 495–501
Vangsness CT, Nimmi M, Erlich M, Saadat V, Schmotzer H (1997) Collagen shortening; an experimental approach with heat. Clin Orthop 336: 267–271
Hardy P et al. (1996) Arthroscopic management of recurrent anterior shoulder dislocation by combining a labrum suture with antero-inferior holmium:YAG laser capsular shrinkage. Orthopäde 25: 91–93
Gartsman GM, Roddey TS, Hammerman SM (2000) Arthroscopic treatment of anterior-inferior glenohu-meral instability. Two to five-year follow-up. J Bone Joint Surg Am 82: 991–1003
Savoie FH, Field LD (2000) Thermal versus suture treatment of symptomatic capsular laxity. Clin Sports Med 19: 63–75
Thabit G (1994) Treatment of unidirectional and multidirectional glenohumeral instability by an arthroscopic holmium: YAG laser-assisted capsular shift procedure: laser application in arthroscopy. First Congress of International Musculosceletal Laser Society, 1994
Ciccone WJ et al. (2000) Multiquadrant digital analysis of shoulder capsular thickness. Arthroscopy 16: 457–461
Wall MS et al. (1999) Thermal modification of collagen. J Shoulder Elbow Surg 8: 339–344
Hayashi K. et al. (1997) The effect of thermal heating on the length and histologic properties of the glenohumeral joint capsule. Am J Sports Med 25: 107–112
Arnoczky SP, Aksan A (2000) Thermal modification of connective tissues: basic science considerations and clinical implications. J Am Acad Orthop Surg 8: 305–313
Fanton SF (1999) Thermally-assisted arthroscopic stabilization of the shoulder joint. In: Warren RF, Altchek DW (eds) The unstable shoulder. Lippincott-Raven, Philadelphia, pp 329–343
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Nebelung, W., Jung, D. (2002). Arthroskopische Rekonstruktionstechniken der Kapsel ohne össäre Reinsertion. In: Nebelung, W., Wiedemann, E. (eds) Schulterarthroskopie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09820-2_9
Download citation
DOI: https://doi.org/10.1007/978-3-662-09820-2_9
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-09821-9
Online ISBN: 978-3-662-09820-2
eBook Packages: Springer Book Archive