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Komplikationsmanagement in der operativen Versorgung der glenohumeralen Schulterinstabilität

Was, wenn die Operationsplanung versagt?

Complication management in surgical treatment of glenohumeral shoulder instability

What if the operation planning fails?

  • Leitthema
  • Published:
Arthroskopie Aims and scope

An Erratum to this article was published on 24 April 2020

This article has been updated

Zusammenfassung

Hintergrund

Die glenohumerale Instabilität ist eine der häufigsten Gelenkinstabilitäten des menschlichen Körpers. Häufig sind konservative Maßnahmen sowohl für die sitzende Population als auch für den Spitzensportler zielführend. Sind trotzdem chirurgische Maßnahmen indiziert, kann es zu Komplikationen kommen.

Ziel der Arbeit

In diesem Artikel werden die häufigsten Komplikationen dieser Stabilisierungsoperationen nach Weichteilstabilisierungen und ossären Augmentationen aufgeteilt und die Vermeidungsstrategien sowie deren prä-, intra- und postoperatives Management beleuchtet.

Abstract

Background

Glenohumeral instability is one of the most frequent joint instabilities of the human body. Conservative measures are frequently associated with good outcomes for the sedentary population and also for top athletes. If surgical measures are nevertheless warranted, complications can occur.

Objective

In this article the most frequent complications of these stabilizing operations are classified according to soft tissue stabilization and bony augmentation. The avoidance strategies and the preoperative, intraoperative and postoperative management of these complications are illustrated.

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Change history

  • 24 April 2020

    I Tab. 1 ist in der zweiten Zeile, dritte Spalte ein Fehler aufgetreten. In der Beach-Chair-Lagerungsposition besteht der Vorteil „Einfache Primärdiagnostik bei stabiler Skapula“. Der Nachteil ist die „Hypertension und verminderte Gehirnperfusion“. In der letzten Zeile in der Seitenlagenposition …

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Author information

Authors and Affiliations

  1. # shoulder and elbow center, ARTHRO Medics, Thannerstraße 45, 4054, Basel, Schweiz

    Claudio Rosso

  2. Universität Basel, Basel, Schweiz

    Claudio Rosso

  3. alphaclinic Zurich, Zürich, Schweiz

    Patrick Vavken

  4. Boston Children’s Hospital, Harvard Medical School, Boston, USA

    Patrick Vavken

Authors
  1. Claudio Rosso
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  2. Patrick Vavken
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Corresponding author

Correspondence to Claudio Rosso.

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Interessenkonflikt

C. Rosso ist Consultant für die Firmen LIMA, DePuySynthes MITEK und ist Medical Director von der SwissSpeedTech GmBH und dem CryoCenter Basel AG. Er erhält oder erhielt Forschungsunterstützung von: Arthrex, DePuySynthes Mitek, Smith&Nephew, Stryker, Zimmer, LIMA und IBSA und als AGA-Fellow 2013 einen AGA-MITEK Grant. P. Vavken ist Consultant für Stryker und erhält oder erhielt Forschungsförderung vom NIH und MTF.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Rosso, C., Vavken, P. Komplikationsmanagement in der operativen Versorgung der glenohumeralen Schulterinstabilität. Arthroskopie 33, 162–170 (2020). https://doi.org/10.1007/s00142-020-00358-2

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  • DOI: https://doi.org/10.1007/s00142-020-00358-2

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