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OP-Journal 2023; 39(02): 112-118
DOI: 10.1055/a-1956-6106
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Traumatische Sehnenverletzungen des Ellenbogengelenkes – Eine simple Monoverletzung?

Tendon Injuries at the Elbow – Rarely Simple Mono-Injuries?
Nadine Ott
,
Michael Hackl
,
Tim Leschinger
,
Kilian Wegmann
,
Lars P. Müller
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Zusammenfassung

Traumatische Sehnenverletzungen am Ellenbogen können komplex und mannigfaltig sein. Der Unfallhergang bestimmt wesentlich das Verletzungsausmaß. So kann ein Sturz auf den ausgestreckten Arm zu einer Ruptur der Trizepssehne mit möglichen begleitenden ligamentären Verletzungen wie beim ulnaren Kollateralband oder auch einer Ellenbogenluxation führen. Entscheidend ist hier die einwirkende Kraft. Daher handelt es sich bei Sehnenverletzungen am Ellenbogen selten um simple Monoverletzungen. Eine dezidierte Anamnese zum Unfallhergang sowie die klinische Untersuchung und weiterführende Diagnostik sind essenziell für die korrekte Diagnose und Einleitung der therapeutischen Maßnahmen zur Wiederherstellung der Funktion des Armes. Der vorliegende Artikel soll einen Überblick über mögliche Kombinationsverletzungen und deren Therapiekonzepte geben.

Traumatische Sehnenverletzungen am Ellenbogen sind selten simple Monoverletzungen. Eine dezidierte Anamnese, klinische Untersuchung sowie die weiterführende Diagnostik sind entscheidend für den Therapieerfolg.

Abstract

Traumatic tendon injuries of the elbow can be complex and manifold. The cause of the accident largely determines the extent of the injury. For example, a fall on the outstretched arm can lead to a rupture of the triceps tendon with possible accompanying ligamentous injuries such as the ulnar collateral ligament or even an elbow dislocation. The decisive factor here is the force applied. Therefore, tendon injuries at the elbow are rarely simple mono-injuries. A thorough history of the accident as well as clinical examination and further diagnostics are essential for a correct diagnosis and initiation of therapeutic measures to restore the function of the arm. This article is intended to provide an overview of possible combination injuries and their therapeutic concepts.

Schlüsselwörter

Trizepssehne - Kollateralbänder - Ellenbogen - Sturz - ausgestreckter Arm - Luxation

Keywords

Triceps tendon - ulnar collateral ligaments - elbow - fall - outstretched hand


Publication History

Article published online:
03 April 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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