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Arthroskopie und minimal-invasive Chirurgie des Ellenbogens pp 133–148Cite as

Arthroskopisch gestützte Frakturversorgung

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Zusammenfassung

Sofern keine relevanten Trümmerzonen vorliegen, eignen sich dislozierte Frakturen des Kapitulums, des Koronoids und des Radiuskopfes potenziell zur arthroskopisch gestützten Osteosynthese. Die Arthroskopie ermöglicht dabei nicht nur die Kontrolle der Frakturreposition, sondern erlaubt zudem eine Beurteilung intraartikulärer und teilweise indirekt auch extraartikulärer Begleitverletzungen. Nach anatomischer Reposition der Fraktur werden Kirschner-Drähte vorgebohrt. Über diese werden selbstbohrende und selbstschneidende, kanülierte Kompressionsschrauben eingebracht, um eine stabile Osteosynthese zu gewährleisten. Die jeweilige Schraubenlänge kann bereits präoperativ im CT annäherungsweise bestimmt werden. In diesem Übersichtsartikel wird auf die Details und Besonderheiten der arthroskopisch gestützten Frakturversorgung am Ellenbogen eingegangen und diese mithilfe von Fallbeispielen praktisch erläutert.

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Literatur

  • Adams JE, Merten SM, Steinmann SP (2007) Arthroscopic-assisted treatment of coronoid fractures. Arthroscopy 23 (10):1060–1065. doi:10.1016/j.arthro.2007.05.017

    Article  Google Scholar 

  • Aitken SA, Jenkins PJ, Rymaszewski L (2015) Revisiting the ‘bag of bones’: functional outcome after the conservative management of a fracture of the distal humerus. J Bone Joint Surg 97-B (8):1132–1138. doi:10.1302/0301–620X.97B8.35410

  • Beingessner DM, Dunning CE, Gordon KD, Johnson JA, King GJ (2004) The effect of radial head excision and arthroplasty on elbow kinematics and stability. J Bone Joint Surg Am 86-A (8):1730–1739

    Article  Google Scholar 

  • Burkhart KJ, Franke S, Wegmann K, Ries C, Dehlinger F, Muller LP, Hollinger B (2015) Mason I fracture – a simple injury?. Unfallchirurg 118 (1):9–17. doi:10.1007/s00113–013–2532–9

  • Doornberg JN, van Duijn PJ, Linzel D, Ring DC, Zurakowski D, Marti RK, Kloen P (2007) Surgical treatment of intra-articular fractures of the distal part of the humerus. Functional outcome after twelve to thirty years. J Bone Joint Surg Am 89 (7):1524–1532. doi:10.2106/JBJS.F.00369

  • Dubberley JH, Faber KJ, Macdermid JC, Patterson SD, King GJ (2006) Outcome after open reduction and internal fixation of capitellar and trochlear fractures. J Bone Joint Surg Am 88 (1):46–54. doi:10.2106/JBJS.D.02954

    Google Scholar 

  • Fink Barnes LA, Parsons BO, Hausman M (2015) Arthroscopic Management of Elbow Fractures. Hand Clinics 31 (4):651–661. doi:10.1016/j.hcl.2015.06.011

    Article  PubMed  Google Scholar 

  • Fitzpatrick MJ, Diltz M, McGarry MH, Lee TQ (2012) A new fracture model for “terrible triad” injuries of the elbow: influence of forearm rotation on injury patterns. J Orthopaedic Trauma 26 (10):591–596. doi:10.1097/BOT.0b013e31824135af

    Article  PubMed  Google Scholar 

  • Guitton TG, Zurakowski D, van Dijk NC, Ring D (2010) Incidence and risk factors for the development of radiographic arthrosis after traumatic elbow injuries. J Hand Surg 35 (12):1976–1980. doi:10.1016/j.jhsa.2010.08.010

    Article  PubMed  Google Scholar 

  • Hardy P, Menguy F, Guillot S (2002) Arthroscopic treatment of capitellum fracture of the humerus. Arthroscopy 18 (4):422–426

    Article  Google Scholar 

  • Hartzler RU, Llusa-Perez M, Steinmann SP, Morrey BF, Sanchez-Sotelo J (2014) Transverse coronoid fracture: when does it have to be fixed? Clinical orthopaedics and related research 472 (7):2068–2074. doi:10.1007/s11999–014–3477–1

  • Hausman MR, Klug RA, Qureshi S, Goldstein R, Parsons BO (2008) Arthroscopically assisted coronoid fracture fixation: a preliminary report. Clin Orthopaedics Rel Res466 (12):3147–3152. doi:10.1007/s11999–008–0502–2

  • Herbertsson P, Josefsson PO, Hasserius R, Karlsson C, Besjakov J, Karlsson M, Long-Term Follow-Up S (2004) Uncomplicated Mason type-II and III fractures of the radial head and neck in adults. A long-term follow-up study. J Bone Joint Surg Am 86-A (3):569–574

    Article  Google Scholar 

  • Itamura J, Roidis N, Mirzayan R, Vaishnav S, Learch T, Shean C (2005) Radial head fractures: MRI evaluation of associated injuries. J Shoulder Elbow Surg/Am Shoulder Elbow Surg 14 (4):421–424. doi:10.1016/j.jse.2004.11.003

    Article  PubMed  Google Scholar 

  • Johnston GW (1962) A follow-up of one hundred cases of fracture of the head of the radius with a review of the literature. The Ulster medical journal 31:51–56

    Google Scholar 

  • Kaas L, van Riet RP, Vroemen JP, Eygendaal D (2010) The epidemiology of radial head fractures. J Shoulder Elbow Surg/Am Shoulder Elbow Surg 19 (4):520–523. doi:10.1016/j.jse.2009.10.015

    Article  PubMed  Google Scholar 

  • Kuriyama K, Kawanishi Y, Yamamoto K (2010) Arthroscopic-assisted reduction and percutaneous fixation for coronal shear fractures of the distal humerus: report of two cases. J Hand Surg 35 (9):1506–1509. doi:10.1016/j.jhsa.2010.05.021

    Article  PubMed  Google Scholar 

  • McGinley JC, Gold G, Cheung E, Yao J (2014) MRI detection of forearm soft tissue injuries with radial head fractures. Hand 9 (1):87–92. doi:10.1007/s11552–013–9561–2

  • Mehdian H, McKee MD (2000) Fractures of capitellum and trochlea. Orthopedic Clin North Am 31 (1):115–127

    Article  CAS  PubMed  Google Scholar 

  • Michels F, Pouliart N, Handelberg F (2007) Arthroscopic management of Mason type 2 radial head fractures. Knee Surg Sports Traumatol Arthroscopy 15 (10):1244–1250. doi:10.1007/s00167–007–0378–9

  • Mitani M, Nabeshima Y, Ozaki A, Mori H, Issei N, Fujii H, Fujioka H, Doita M (2009) Arthroscopic reduction and percutaneous cannulated screw fixation of a capitellar fracture of the humerus: a case report. J Shoulder Elbow Surg/Am Shoulder Elbow Surg 18 (2):e6–9. doi:10.1016/j.jse.2008.07.007

    Article  PubMed  Google Scholar 

  • Nauth A, McKee MD, Ristevski B, Hall J, Schemitsch EH (2011) Distal humeral fractures in adults. J Bone Joint Surg Am 93 (7):686–700. doi:10.2106/JBJS.J.00845

    Article  PubMed  Google Scholar 

  • O’Driscoll SW, Jupiter JB, Cohen MS, Ring D, McKee MD (2003) Difficult elbow fractures: pearls and pitfalls. Instr Course Lect 52:113–134

    Google Scholar 

  • Osborne G, Cotterill P (1966) Recurrent dislocation of the elbow. J Bone Joint Surg Br 48 (2):340–346

    Article  Google Scholar 

  • Regan W, Morrey B (1989) Fractures of the coronoid process of the ulna J Bone Joint Surg Am 71 (9):1348–1354

    Article  CAS  Google Scholar 

  • Resnick D, Kang HS (1997) Internal derangements of joints. WB Saunders, Philadelphia, PA, USA

    Google Scholar 

  • Ries C, Wegmann K, Hackl M, Burkhart JK, Müller PL (2014) Secondary total elbow arthroplasty after distal humeral fracture. Obere Extremität 9 (3):156–162. doi:10.1007/s11678–014–0268-y

  • Rolla PR, Surace MF, Bini A, Pilato G (2006) Arthroscopic treatment of fractures of the radial head. Arthroscopy 22 (2):233 e231–233 e236. doi:10.1016/j.arthro.2005.10.003

    Article  Google Scholar 

  • Schneeberger AG, Sadowski MM, Jacob HA (2004) Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. J Bone Joint Surg Am 86-A (5):975–982

    Article  Google Scholar 

  • Shukla DR, Pillai G, McAnany S, Hausman M, Parsons BO (2015) Heterotopic ossification formation after fracture-dislocations of the elbow. J Shoulder Elbow Surg/Am Shoulder Elbow Surg 24 (3):333–338. doi:10.1016/j.jse.2014.11.037

    Article  PubMed  Google Scholar 

  • Trousdale RT, Amadio PC, Cooney WP, Morrey BF (1992) Radio-ulnar dissociation. A review of twenty cases. J Bone Joint Surg Am (10):1486–1497

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Köln, Köln, Deutschland

    Univ.-Prof. Dr. med. L. P. Müller, Dr. med. M. Hackl & Priv.-Doz. Dr. med. K. Wegmann

  2. HULC, St. Joseph’s Health Care, University of Western Ontario, London, Ontario, Kanada

    G. Athwal

Authors
  1. Univ.-Prof. Dr. med. L. P. Müller
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  2. Dr. med. M. Hackl
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  3. Priv.-Doz. Dr. med. K. Wegmann
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  4. G. Athwal
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Editor information

Editors and Affiliations

  1. Klinikum Rechts der Isar – Abteilung und Poliklinik für Sportorthopädie, Tech. Universität München TUM, München, Deutschland

    Andreas B. Imhoff

  2. Klinik für Orthopädie, Unfall-, Handchirurgie und Sportorthopädie, Helios Klinikum München West, München, Deutschland

    Andreas Lenich

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© 2018 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Müller, L.P., Hackl, M., Wegmann, K., Athwal, G. (2018). Arthroskopisch gestützte Frakturversorgung. In: Imhoff, A.B., Lenich, A. (eds) Arthroskopie und minimal-invasive Chirurgie des Ellenbogens. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56679-4_14

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  • DOI: https://doi.org/10.1007/978-3-662-56679-4_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56678-7

  • Online ISBN: 978-3-662-56679-4

  • eBook Packages: Medicine (German Language)

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