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Schulterluxation bei Sportlern

Shoulder dislocation in athletes

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Zusammenfassung

Hintergrund

Die Schulterluxation ist eine häufige Verletzung bei Sportlern. Die operativen und konservativen Therapiemöglichkeiten werden kontrovers diskutiert.

Ziel

In diesem Beitrag werden die Ursachen und Therapiemöglichkeiten nach Schulterluxation dargestellt.

Material und Methode

Es erfolgte eine selektive Literaturrecherche in PubMed.

Ergebnisse

In der Literatur werden konservative und operative Therapiemöglichkeiten beschrieben, ein allgemeingültiger Goldstandard hinsichtlich der Behandlung existiert bisher nicht.

Schlussfolgerung

Die operative Stabilisierung wird vor allem bei jungen Sportlern durchgeführt. Bei der Therapieentscheidung sind zahlreiche sportspezifische und patientenspezifische Faktoren zu berücksichtigen. Ein Großteil der Sportler erreicht nach operativer Therapie das ursprüngliche Leistungsniveau.

Abstract

Background

Shoulder dislocation is a common injury in athletes. Surgical and non-surgical therapy options are still the subject of controversial debate.

Study aim

This article presents important considerations for decision-making and current concepts for the therapy of shoulder dislocation in athletes.

Methods

A selective literature search was carried out in PubMed.

Results

Surgical and non-surgical therapy options are described in the literature without yet defining a gold standard.

Conclusion

Early surgical stabilization is currently recommended in young athletes. For decision-making numerous sport and patient-related factors need to be considered. Most athletes are able to return to the pre-injury level after surgical stabilization.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. S. Reuter, F. Martetschläger und A.B. Imhoff geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Abteilung und Poliklinik für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, München, Deutschland

    S. Reuter, F. Martetschläger & A.B. Imhoff

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  1. S. Reuter
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  2. F. Martetschläger
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  3. A.B. Imhoff
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Correspondence to S. Reuter.

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Reuter, S., Martetschläger, F. & Imhoff, A. Schulterluxation bei Sportlern. Chirurg 85, 864–871 (2014). https://doi.org/10.1007/s00104-014-2769-z

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