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Chronische posttraumatische Schulterinstabilität
Chronic posttraumatic shoulder instability is characterized by trauma-associated, recurrent dislocations. Surgical treatment is indicated in most cases but it remains controversial how risk factors should be weighted to decide between arthroscopic Bankart repair (ABR), Latarjet or alternative proced...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Medizin
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9898333/ https://www.ncbi.nlm.nih.gov/pubmed/36729203 http://dx.doi.org/10.1007/s00113-022-01283-9 |
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author | Bauer, S. Dietz, B. Collin, P. Neyton, L. Blakeney, W. Zumstein, M. |
author_facet | Bauer, S. Dietz, B. Collin, P. Neyton, L. Blakeney, W. Zumstein, M. |
author_sort | Bauer, S. |
collection | PubMed |
description | Chronic posttraumatic shoulder instability is characterized by trauma-associated, recurrent dislocations. Surgical treatment is indicated in most cases but it remains controversial how risk factors should be weighted to decide between arthroscopic Bankart repair (ABR), Latarjet or alternative procedures. Known risk factors for recurrence are patient age, hyperlaxity, sports profile and bone loss. Surgical techniques are discussed in detail. The ABR leads to high patient satisfaction and return to sports; however, in association with risk factors, recurrent dislocations are seen even several years later. Latarjet or bone block procedures lead to high patient satisfaction, sustainable stability as a revision procedure, but can also be primarily indicated for chronic instability depending on risk factors. Early complications are more frequent but of a minor nature in most cases. All techniques are known for a serious learning curve. If performed well, they do not seem to increase the risk of arthritis, which is most affected by the number of lifetime dislocations and higher energy trauma. |
format | Online Article Text |
id | pubmed-9898333 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Medizin |
record_format | MEDLINE/PubMed |
spelling | pubmed-98983332023-02-05 Chronische posttraumatische Schulterinstabilität Bauer, S. Dietz, B. Collin, P. Neyton, L. Blakeney, W. Zumstein, M. Unfallchirurgie (Heidelb) CME Chronic posttraumatic shoulder instability is characterized by trauma-associated, recurrent dislocations. Surgical treatment is indicated in most cases but it remains controversial how risk factors should be weighted to decide between arthroscopic Bankart repair (ABR), Latarjet or alternative procedures. Known risk factors for recurrence are patient age, hyperlaxity, sports profile and bone loss. Surgical techniques are discussed in detail. The ABR leads to high patient satisfaction and return to sports; however, in association with risk factors, recurrent dislocations are seen even several years later. Latarjet or bone block procedures lead to high patient satisfaction, sustainable stability as a revision procedure, but can also be primarily indicated for chronic instability depending on risk factors. Early complications are more frequent but of a minor nature in most cases. All techniques are known for a serious learning curve. If performed well, they do not seem to increase the risk of arthritis, which is most affected by the number of lifetime dislocations and higher energy trauma. Springer Medizin 2023-02-02 2023 /pmc/articles/PMC9898333/ /pubmed/36729203 http://dx.doi.org/10.1007/s00113-022-01283-9 Text en © The Author(s) 2023, korrigierte Publikation 2023 https://creativecommons.org/licenses/by/4.0/Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | CME Bauer, S. Dietz, B. Collin, P. Neyton, L. Blakeney, W. Zumstein, M. Chronische posttraumatische Schulterinstabilität |
title | Chronische posttraumatische Schulterinstabilität |
title_full | Chronische posttraumatische Schulterinstabilität |
title_fullStr | Chronische posttraumatische Schulterinstabilität |
title_full_unstemmed | Chronische posttraumatische Schulterinstabilität |
title_short | Chronische posttraumatische Schulterinstabilität |
title_sort | chronische posttraumatische schulterinstabilität |
topic | CME |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9898333/ https://www.ncbi.nlm.nih.gov/pubmed/36729203 http://dx.doi.org/10.1007/s00113-022-01283-9 |
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