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Arthrose des Acromioclaviculargelenks

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Orthopädie und Unfallchirurgie

Part of the book series: Springer Reference Medizin ((SRM))

Zusammenfassung

Die Arthrose des Schultereckgelenks ist eine häufige Ursache anterosuperiorer Schulterschmerzen. Morphologische Veränderungen sind bereits in der 2.–3. Lebensdekade zu sehen. Symptome treten meist im mittleren Alter als Folge repetitiver Überkopfbeanspruchungen auf. Die Diagnose beruht auf der Anamnese, strukturierter körperlicher Untersuchung und zielgerichteter Bildgebung. Angesichts der mangelnden Spezifität körperlicher Untersuchungsergebnisse, der unterschiedlichen Natur von acromioclaviculären Gelenkschmerzen sowie konkurrierender Pathologien des Schultergelenks kann die korrekte Diagnosefindung schwierig sein. Obwohl verschiedene bildgebende Techniken zum Teil frühzeitig eine Degeneration aufzeigen können, kann die Diagnose nicht allein darauf beruhen, da ähnliche Befunde bei asymptomatischen Individuen zu sehen sind. In der Behandlung stellen nichtoperative Maßnahmen die initiale Therapie dar und können eine Linderung der Symptome bringen. Patienten mit anhaltenden Beschwerden sollten für die Resektionsarthroplastik durch offene oder arthroskopische Techniken in Betracht gezogen werden.

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Authors and Affiliations

  1. Universitätsmedizin Rostock, Orthopädische Klinik und Poliklinik, Rostock, Deutschland

    Robert Lenz

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  1. Robert Lenz
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Correspondence to Robert Lenz .

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  1. Sektion Sportorthopädie, Orthopädische Klinik und Poliklinik Rostock, Rostock, Deutschland

    Thomas Tischer

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Lenz, R. (2019). Arthrose des Acromioclaviculargelenks. In: Orthopädie und Unfallchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54673-0_36-1

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  • DOI: https://doi.org/10.1007/978-3-642-54673-0_36-1

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  • Print ISBN: 978-3-642-54673-0

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