Zusammenfassung
Wegen eines hohen Funktionsanspruches an das Schultergelenk, bis in das hohe Alter, und den wachsenden Erfahrungen und Erfolgen der Schulterchirurgie, wird die Indikation zu einer Rotatorenmanschettenrekonstruktion häufiger gestellt. Ziel muss es sein, Algorithmen zu entwickeln, die ein patienten- und pathologiekonformes Vorgehen ermöglichen. Für ausgedehnte Rupturen stehen heute zahlreiche plastisch-chirurgische, aber auch Partialrekonstruktionen zur Verfügung. Bei inoperablen Massenrupturen mit begleitender Glenohumeralarthrose - d. h. Defektarthropathie - besteht die Möglichkeit eines endoprothetischen Gelenkersatzes mit einer inversen Schulterprothese nach Grammont. In diesem Artikel geben wir einen Überblick über den aktuellen Stand der Rotatorenmanschettenrekonstruktion.
Summary
The expectation of a functional shoulder joint, even in advanced age, the growing experience and success in shoulder surgery have brought the operative treatment another step further. The goal of any advanced knowledge should be a proper treatment of the patients and the pathology. Complex rotator cuff tears can be repaired by means of muscle transfer and partial reconstruction. In cases of irreparable rotator cuff tear arthropathy prosthetic replacement of the gleno-humeral joint can be performed. In this article a review on the different techniques and indications for rotator cuff repair is given.
Schlüsselwörter
Rotatorenmanschettenrekonstruktion - Rotatorenmanschettenläsion - Therapie - Indikation - Muskelersatzplastik
Key words
Rotator cuff repair - Rotator cuff tear - Therapy - Indication - Muscle transfer
Literatur
-
1
Apoil A, Augereau B.
Réperation par lambeau de deltoide des grandes pertes de substance de la coiffe des rotateurs de l'epaule.
Chirurgie.
1985;
11
287-290
-
2
Baker C L, Liu S H.
Comparison of open and arthroscopically assisted rotator cuff repairs.
Am J Sports Med.
1995;
23
99-104
-
3
Bassett R W, Cofield R H.
Acute tears of the rotator cuff. The timing of surgical repair.
Clin Orthop.
1983;
175
18-24
-
4
Bigliani L U, Cordasco F A, McIlveen S J, Musso E S.
Operative treatment of failed repairs of the rotator cuff.
J Bone Joint Surg [Am].
1992;
74
1505-1515
-
5
Bjorkenheim J M, Paavolainen P, Ahovuo J, Slatis P.
Surgical repair of the rotator cuff and surrounding tissues. Factors influencing the results.
Clin Orthop.
1988;
236
148-153
-
6
Bokor D J, Hawkins R J, Huckell G H, Angelo R L, Schickendantz M S.
Results of nonoperative management of full-thickness tears of the rotator cuff.
Clin Orthop.
1993;
294
103-110
-
7
Braune C, Habermeyer P.
Der makroskopische Aspekt der Rotatorenmanschettenruptur bei traumatischen und atraumatischen Rupturformen.
Unfallchirurg.
2000;
103
462-467
-
8
Budoff J E, Nirschl R P, Guidi E J.
Debridement of partial-thickness tears of the rotator cuff without acromioplasty. Long term follow-up and review of the literature.
J Bone Joint Surg [Am].
1998;
80
733-748
-
9
Burkhart S S, Athanasiou K A, Wirth M A.
Margin convergence: A method of reducing strain in massive rotator cuff tears.
Arthroscopy.
1996;
12
335-338
-
10
Burkhart S S, Diaz Pagan J L, Wirth M A, Athanasiou K A.
Cyclic loading of anchor based rotator cuff repairs: confirmation of the tension overload phenomenom and comparison of suture anchor fixation with transosseous fixation.
Arthroscopy.
1997;
13
172-176
-
11
Burkhart S S, Esch J C, Jolson R S.
The rotator crescent and rotator cable: An anatomic description of the shoulder's “suspension bridge”.
Arthroscopy.
1993;
9
611-616
-
12
Burkhart S S, Fischer S P, Nottage W M.
Tissue fixation security in transosseus rotator cuff repairs: A mechanical comparison of simple versus mattress sutures.
Arthroscopy.
1996;
12
704-708
-
13
Burkhart S S, Nottage W M, Ogilvie-Harris D J, Kohn H S, Pachelli A.
Partial repair of irreparable rotator cuff tears.
Arthroscopy.
1994;
10
363-370
-
14
Burkhart S S.
Arthroscopic rotator cuff repair: Indicatons and techniques.
Operative Techniques in Sports Med.
1997;
5
204-214
-
15
Burkhart S S.
The deadman theory of suture anchors: Observations along a South Texas fence line.
Arthroscopy.
1995;
11
119-123
-
16
Burkhart S S.
A steppwise approach to arthroscopic rotator cuff repair based on biomechanical principles.
Arthroscopy.
2000;
16
82-90
-
17
Caldwell G L, Warner J P, Miller M D, Boardman D, Towers J, Debski R.
Strength of fixation with transosseous sutures in rotator cuff repair.
J Bone Joint Surg [Am].
1997;
79
1064-1068
-
18
Caspari R B, Thal R.
A technique for arthroscopic subacromial decompression.
Arthroscopy.
1992;
8
23-30
-
19
Cofield R H, Parvizi J, Hoffmeyer P J, Lanzer W L, Ilstrup D M, Rowland C M.
Surgical repair of chronic rotator cuff tears.
J Bone Joint Surg [Am].
2001;
83
71-77
-
20
Cofield R H.
Rotator cuff disease of the shoulder.
J Bone Joint Surg.
1985;
67
974-979
-
21
Davidson P A, Rivenburgh D W.
Rotator cuff repair tension as a determinant of functional outcome.
J Shoulder Elbow Surg.
2000;
9
502-506
-
22
Deutsch A, Altchek D W, Veltri D M, Potter H G, Warren R F.
Traumatic tears of the subscapularis tendon. Clinical diagnosis, magnetic resonance imaging findings and operative treatment.
Am J Sports Med.
1997;
25
13-22
-
23
Earnshaw P, Desjardins D, Sakkar K, Uhtoff H K.
Rotator cuff tears: The role of surgery.
Canad J Surg.
1982;
25
60-63
-
24
Ellman H.
Arthroscopic subacromial decompression: a preliminary report.
Orthop Trans.
1985;
9
49
-
25
Ellman H.
Arthroscopic subacromial decompression: Analysis of 1-3 years results.
Arthroscopy.
1987;
3
173-181
-
26 Ellman H. Management of the irreparable rotator cuff and cuff artropathy. In: Ellman H, Gartsman GM (eds). Arthroscopic shoulder surgery and related procedures. Lea & Febinger, Philadelphia 1993
-
27
Gartsman G M, Khan M, Hammerman S M.
Arthroscopic repair of full-thickness tears of the rotator cuff.
J Bone Joint Surg [Am].
1998;
80
832-840
-
28
Gerber C, Schneeberger A G, Beck M, Schlegel U.
Mechanical strength of repairs of the rotator cuff.
J Bone Joint Surg [Br].
1994;
76
371-380
-
29
Gerber C.
Latissimus dorsi transfer for the treatment of irreparable tears of the rotator cuff.
Clin Orthop.
1992;
275
152-160
-
30 Goldberg B A, Scarlet M, Matsen F A. Functional results of non operative management of full thickness rotator cuff tears. ASES - 16th Open Annual Meeting 2000, Orlando
-
31
Hertel R, Windisch W, Schuster A, Ballmer F T.
Transacromial approach to obtain fusion of unstable os acromiale.
J Shoulder Elbow Surg.
1998;
7
606-609
-
32
Hyvönen P, Lohi S, Jalovaara P.
Open acromioplasty does not prevent the progression of an impingement syndrome to a tear. Nine-year follow-up of 96 cases.
J Bone Joint Surg [Br].
1998;
80
813-816
-
33
Itoi E, Tabata S.
Conservative treatment of rotator cuff tear.
Clin Orthop.
1992;
275
165-173
-
34
Jerosch J, Steinbeck J, Schröder M, Castro W H.
Arthroscopic resection of the acromioclavicular joint.
Knee Surg Sports Traumatol Arthrosc.
1993;
1
209-215
-
35
Jost B, Pfirrmann C, Gerber C.
Clinical outcome after surgical failure of rotator cuff repairs.
J Bone Joint Surg [Am].
2000;
82
304-314
-
36
Kempf J F, Mole D, Gleyze P, Bonmonnet F, Rio B, Levigne C, Walch G.
Results of endoscopic treatment of the tendinopathies of the rotator cuff (excluding total ruptures).
Rev Chir Orthop Reparatrice Appar Mot.
1993;
79
519-531
-
37
Levy H J, Uribe J W, Delaney L G.
Arthroscopic assisted rotator-cuff repair: preliminary results.
Arthroscopy.
1990;
6
55-60
-
38
Liu S H, Baker C L.
Arthroscopically assisted rotator cuff repair: correlation of functional results with integrity of the cuff.
Arthroscopy.
1994;
10
54-60
-
39
Löhr J F, Uhthoff H K.
The microvascular pattern of the supraspinatus tendon.
Clin Orthop.
1990;
254
35-38
-
40
Mallon W J, Bassett F H, Goldner R D.
Luxatio erecta: the inferior glenohumeral dislocation.
J Orthop Trauma.
1990;
4
19-24
-
41
McLaughlin H L.
Lesions of the musculotendinous cuff of the shoulder. The exposure and treatment of tears with retraction. (Classic article 1944).
Clin Orthop.
1994;
304
3-4
-
42
Neer C S.
Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report.
J Bone Joint Surg [Am].
1972;
54
41-50
-
43 Noel E. Les ruptures de la coiffe des rotateurs avec tête humerale centrée. Resultats de traitement conservateur. Journees Lyonnaisede l'Epaule 1993; Avril: 283-297
-
44
Resch P P, Ritter E, Matschi W.
Transfer of the pectoralis major muscle for the treatment of irreparable rupture of the subscapularis tendon.
J Bone Joint Surg [Am].
2000;
82
372-382
-
45 Ryu R K. Basic principles and techniques for successful arthroscopic rotator cuff repair. AANA Specialty Day, San Francisco. March 2001
-
46
Schmidt-Wiethoff R, Habermeyer P.
Die Deltoideus-Lappenplastik bei der Massenruptur der Rotatorenmanschette.
Operat Orthop Traumatol.
1999;
11 (4)
255-267
-
47 Seltzer D G, Basamania C, Rockwood C A. Conservative management of rotator cuff tears. In: Burkhead WZ Jr. Rotator cuff disorders. Williams and Wilkins 1996; 258-267
-
48 Snyder S J. Technique of arthroscopic rotator cuff repair using implantable 4 mm Revo suture anchors, suture shuttle relays and #2 non-absorble mattress sutures. AANA Speciality Day New Orleans, LO, March 22, 1998
-
49
Tauro J C.
Arthroscopic rotator cuff repair: Analysis of technique and results at 2- and 3-year follow-up.
Arthroscopy.
1998;
14
45-51
-
50 Walch G, Madonia G, Pozzi I, Riand N, Levigne C. Arthroscopic tenotomy of the long head of the biceps in rotator cuff ruptures. In: Gazielly DF, Gleyze P, Thomas T (eds). The cuff. Elsevier, Paris 1997; 350-355
-
51 Walch G. Synthese sur l'epidemiologie et l'ethiologie des ruptures de la coiffe des rotateurs. Journ Lyonnaise Epaule 1993, 256-266
-
52
Warner J P, Bim G M, Higgins L.
The treatment of symptomatic os acromiale.
J Bone Joint Surg [Am].
1998;
80
1320-1326
-
53 Weber S C. All arthroscopic versus mini open rotator cuff repair. AANA Speciality Day New Orleans, LO, March 22, 1998
-
54
Weber S C.
Arthroscopic debridement and acromioplasty versus mini-open repair in the treatment of significant partial-thickness rotator cuff tears.
Arthroscopy.
1999;
15
126-131
-
55
Weber S C.
Co-planing the acrmioclavicular joint at the time of acromioplasty: A long-term study.
Arthroscopy.
1999;
15
555
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