Sportphysio 2024; 12(05): 222-230
DOI: 10.1055/a-2413-5865
Focus

Posteriore Schulterinstabilität im Sport

Bettina Haupt-Bertschy
,
Susanne Ackermann

Eine posteriore Schulterinstabilität wird häufig übersehen und erst verspätet diagnostiziert. Denn meist kommt eine solche Problematik atraumatisch und mikrotraumatisch vor. Eine präzise Erfragung der Symptomatik, kombiniert mit spezifischen Tests, ist dabei entscheidend. In der Therapie liegt der Schwerpunkt auf einer Funktionsverbesserung der posterioren Muskelkette inklusive der Anbindung der Skapula.



Publikationsverlauf

Artikel online veröffentlicht:
05. Dezember 2024

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  • Literatur

  • 1 Watson L, Hoy G, Wood T. et al. Posterior shoulder instability in tennis players: Aetiology, classification, assessment and management. IJSPT V18 (3) 769-788 2023;
  • 2 Moroder P, Karpinski K, Akgün D. et al. Neuromuscular electrical stimulation – Enhanced physical therapist intervention for functional posterior shoulder instability (type B1): A multicenter randomized controlled trial. Phys Ther 1 104 (1) pzad145 2024;
  • 3 Jaggi A, Noorani A, Malone A. et al. Muscle activation patterns in patients with recurrent shoulder instability. Int J Shoulder Surg 6: 101-107 2012;
  • 4 Schubert MF, Duralde XA. Posterior shoulder instability in the throwing athlete. Oper Tech Sports Med 29 (1) 150802 2021;
  • 5 Song DJ, Cook JB, Krul KP. et al. High frequency of posterior and combined shoulder instability in young active patients. J Shoulder Elbow Surg 24: 186-190 2015;
  • 6 Reardon CL, Hainline B, Aron CM. et al. Mental health in elite athletes: International Olympic Committee consensus statement. Br J Sports Med 53 (11) 667-699 2019;
  • 7 Sadi J, Torchia E, Faber KJ. et al. Posterior shoulder instability classification, assessment, and management: An international Delphi Study. J Orthop Sports Phys Ther 50 (7) 373-380 2020;
  • 8 Bäcker HC, Galle SE, Maniglio M. et al. Biomechanics of posterior shoulder instability – Current knowledge and literature review. World J Orthop 18 9 (11) 245-254 2018;
  • 9 Millett PJ, Clavert P, Hatch 3rd GF. et al. Recurrent posterior shoulder instability. J Am Acad Orthop Surg 14 (8) 464-76 2006;
  • 10 Provencher MT, LeClere LE, King S. et al. Posterior instability of the shoulder: Diagnosis and management. Am J Sports Med 39: 874-886 2011;
  • 11 Kercher JS, Runner RP, McCarthy TP. et al. Posterior labral repairs of the shoulder among baseball players: Results and outcomes with minimum 2-year follow-up. Am J Sports Med 47: 1687-1693 2019;
  • 12 Sheean AJ, Kibler WB, Conway J. et al. Posterior labral injury and glenohumeral instability in overhead athletes: Current concepts for diagnosis and management. J Am Acad Orthop Surg 28: 628-637 2020;
  • 13 Owens BD, Campbell SE, Cameron KL. Risk factors for posterior shoulder instability in young athletes. Am J Sports Med 41 (11) 2645-2649 2013;
  • 14 Kirimura K, Nagao M, Sugiyama M. High incidence of posterior glenoid dysplasia of the shoulder in young baseball players. J Shoulder Elbow Surg 28 (1) 82-87 2019;
  • 15 Nathan JA, Davies K, Swaine I. Hypermobility and sports injury. BMJ Open Sport Exerc Med 4 (1) e000366 2018;
  • 16 Schubert MF, Duralde XA. Posterior shoulder instability in the throwing athlete. Oper Tech Sports Med 29: 150802 2021;
  • 17 Doehrmann R, Frush TJ. Posterior shoulder instability. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024
  • 18 Rich RL, Struminger AH, Trucker S. et al. Scapular upward-rotation deficits after acute fatigue in tennis players. J Athl Train 51 (6) 474-479 2016;
  • 19 Kibler WB, Sciascia A, Dome D. Evaluation of apparent and absolute supraspinatus strength in patients with shoulder injury using the Scapular Retraction Test. Am J Sports Med 34: 1643-1647 2006;
  • 20 Haupt-Bertschy B. Strukturiert die Schulter befunden. physiopraxis 7-8 2019;
  • 21 Kibler WB, Sciascia A, Wilkes T. Scapular dyskinesis and its relation to shoulder injury. J Am Acad Orthop Surg 20 (6) 364-72 2012;
  • 22 Boileau P, Van Steyn PM, Czarnecki M. et al. The Thumb Test: A simple physical examination maneuver for the diagnosis of symptomatic posterior shoulder instability. Arthrosc Tech 21 11 (9) e1613-e1616 2022;
  • 23 Gunti A, Haupt-Bertschy B. Skapuladyskinesie: wenn‘s im Schultergürtel nicht mehr läuft. Sportphysio 11 (1) 37-46 2023;
  • 24 Kim SH, Park JS, Jeong WK. et al. The Kim Test: A novel test for posteroinferior labral lesion of the shoulder – A comparison to the Jerk Test. Am J Sports Med 33 (8) 1188-92 2005;