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DOI: 10.1055/s-2008-1027598
© Georg Thieme Verlag KG Stuttgart · New York
Schulterprothese und Wintersportfähigkeit
Winter Sports and Shoulder ArthroplastyPublication History
Publication Date:
23 September 2008 (online)
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Zusammenfassung
Eine generell ablehnende Beurteilung der Sportfähigkeit nach endoprothetischer Versorgung bezüglich verschiedener Sportarten ist derzeit wissenschaftlich nicht mehr zu belegen. Jedoch existieren derzeit keine validen Leitlinien hinsichtlich der Sportfähigkeit von Patienten nach Implantation einer Schulterendoprothese. Noch weniger scheint die Frage nach der Fähigkeit zur Ausübung wintersportlicher Aktivitäten bei Patienten mit endoprothetischer Versorgung des Schultergelenks bislang beantwortet. Ziel der vorliegenden Arbeit soll es daher sein, wintersportspezifische Risiken für Patienten mit Schulterendoprothese zu identifizieren sowie Empfehlungen der aktuellen Literatur hinsichtlich wintersportlicher Aktivität kritisch zu diskutieren. Dem orthopädischen Unfallchirurgen sollen Kriterien für die Aufklärung von Patienten mit Schulterendoprothese und die Beratung hinsichtlich wintersportlicher Aktivitäten geliefert werden.
Abstract
Nowadays, a general negative evaluation of sportive activity regarding different kinds of sport following arthroplasty is at present no more scientifically supported. However, at present no valid guidelines regarding sportive activity of patients after implantation of shoulder joint arthroplasty exist. The question regarding the ability of performing winter sports activities of patients treated with shoulder joint endoprothesis has not been answered so far. Therefore the aim of the presented work was to identify winter sports-specific risks for patients treated with shoulder joint endoprothesis as well as to critically discuss the actual literature in refer to winter sport activities. Criteria for the education of patients with shoulder joint endoprothesis as well as consultation regarding winter sport activities will be provided for the orthopaedic surgeon.
Schlüsselwörter
Schulter - Endoprothese - Ski - Snowboard - Langlauf - Sportfähigkeit
Key words
shoulder - arthroplasty - physical activity - ski - snowboard - cross country - sports
Literatur
- 1 Bergmann G, Graichen F, Rohlmann A. et al . Loads acting on orthopaedic implants. Measurements and practical applications. Orthopäde. 2007; 36 195-200, 202
- 2 Wiedemann E. Shoulder prostheses. Unfallchirurg. 2006; 109 1073-1083
- 3 Witzleb W C, Arnold M, Krummenauer F. et al . Birmingham Hip Resurfacing arthroplasty: short-term clinical and radiographic outcome. Eur J Med Res. 2008; Jan 23; 13(1) 39-46. PMID: 18226996 [PubMed – indexed for MEDLINE]
- 4 Schmidt-Wiethoff R, Wolf P, Lehmann M. et al . Physical activity after shoulder arthroplasty. Sportverletz Sportschad. 2002; 16 26-30
- 5 Kilgus D J, Dorey F J, Finerman G A. et al . Patient activity, sports participation, and impact loading on the durability of cemented total hip replacements. Clin Orthop Relat Res. 1991; Aug; (269) 25-31
- 6 Healy W L, Iorio R, Lemos M J. Athletic activity after joint replacement. Am J Sports Med. 2001; 29 377-388
- 7 Campbell P, Shen F W, McKellop H. Biologic and tribologic considerations of alternative bearing surfaces. Clin Orthop Relat Res. 2004; Jan; (418) 98-111
- 8 Jensen K L, Rockwood C A. Shoulder arthroplasty in recreational golfers. J Shoulder Elbow Surg. 1998; 7 362-367
- 9 Hawkins R J, Bell R H, Jallay Jr B. Total shoulder arthroplasty. Clin Orthop Relat Res. 1989; May; (242) 188-194
- 10 Burroughs P L, Gearen P F, Petty W R. et al . Shoulder arthroplasty in the young patient. J Arthroplasty. 2003; 18 792-798
- 11 Habermeyer P, Magosch P, Lichtenberg S. Recentering the humeral head for glenoid deficiency in total shoulder arthroplasty. Clin Orthop Relat Res. 2007; 457 124-132
- 12 Wiedemann E. Implantation of total prosthesis for omarthritis. Unfallchirurg. 2006; 109 1085-1089
- 13 Bailie D S, Llinas P J, Ellenbecker T S. Cementless humeral resurfacing arthroplasty in active patients less than fifty-five years of age. J Bone Joint Surg Am. 2008; 90 110-117
- 14 Deshmukh A V, Koris M, Zurakowski D. et al . Total shoulder arthroplasty: long-term survivorship, functional outcome, and quality of life. J Shoulder Elbow Surg. 2005; 14 471-479
- 15 Shapiro J, Zuckerman J D. Glenohumeral arthroplasty: indications and preoperative considerations. Instr Course Lect. 2002; 51 3-10
- 16 Boyd A D, Aliabadi Jr P, Thornhill T S. Postoperative proximal migration in total shoulder arthroplasty. Incidence and significance. J Arthroplasty. 1991; 6 31-37
- 17 Hausdorf J, Pietschmann M, Jansson V. et al . The dislocated shoulder prosthesis-an avoidable disaster?. Orthopade.. 2007 Oct; 36 (10) 944-949; German. PMID: 17901945 (PubMed – in process)
- 18 Cofield R H, Edgerton B C. Total shoulder arthroplasty: complications and revision surgery. Instr Course Lect. 1990; 39 449-462
- 19 Dubravcik P, Burke D L. Ski fractures above or below the boot top. Can J Surg. 1979; 22 343-346
- 20 Pressman A, Johnson D H. A review of ski injuries resulting in combined injury to the anterior cruciate ligament and medial collateral ligaments. Arthroscopy. 2003; 19 194-202
- 21 Laskowski E R. Snow skiing. Phys Med Rehabil Clin N Am. 1999; 10 189-211
- 22 Biasca N, Battaglia H, Simmen H P. et al . An overview of snow-boarding injuries. Unfallchirurg. 1995; 98 33-39
- 23 Dann K, Kristen K H, Knoeringer M. et al . Snowboarding. History – injuries – risks – new materials – tournament on-site services – prevention. Orthopäde. 2005; 34 433-440
- 24 Wu Q, Igci Y, Andreopoulos Y. et al . Lift mechanics of downhill skiing and snowboarding. Med Sci Sports Exerc. 2006; 38 1132-1146
- 25 Renstrom P, Johnson R J. Cross-country skiing injuries and biomechanics. Sports Med. 1989; 8 346-370
Prof. Dr. Andreas B. Imhoff
Abteilung und Poliklinik für Sportorthopädie der Technischen Universität München, Klinikum rechts der Isar
Connollystr. 32
80809 München
Email: a.imhoff@sportortho.de