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Knorpelreparative Eingriffe am Schultergelenk

Indikationen, Möglichkeiten, operative Durchführung

Shoulder cartilage regeneration

Indications, possibilities, surgical implementation

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Zusammenfassung

Knorpelschäden am Glenohumeralgelenk sind häufig asymptomatisch und bleiben deshalb unentdeckt. Symptomatische Knorpelläsionen werden analog zu anderen hyalinen knorpeltragenden Gelenken behandelt, wobei die meisten knorpelreparativen Eingriffe heute arthroskopisch durchgeführt werden können. Die operativen Verfahren können in resezierende, stimulierende und transplantierende Eingriffe unterteilt werden. Angaben über die Resultate der verschiedenen chirurgischen Therapieoptionen zur Knorpelreparation am Schultergelenk sind in der Literatur nur spärlich beschrieben, wobei das Microfracturing die am besten untersuchte Technik darstellt.

Abstract

Asymptomatic cartilage lesions of the shoulder are frequent. Symptomatic lesions are treated analogously to other hyaline cartilage bearing joints and can be treated arthroscopically in the vast majority of cases. The therapeutic options can be subdivided into resection, stimulation and transplantation of the defect cartilage. There are only a few reports about outcome after cartilage restoration surgery in the literature, and microfracturing is the surgical technique that has been most investigated.

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Abb. 1

Abbreviations

AMIC:

Autologe matrixinduzierte Chondrogenese

CAM:

„Comprehensive arthroscopic management“

MACT:

Matrixgekoppelte autologe Chondrozytentransplantation

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Authors and Affiliations

  1. Orthopädische Klinik, Universitätsklinik Balgrist Zürich, Forchstrasse 340, 8008, Zürich, Schweiz

    S. Bouaicha

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  1. S. Bouaicha
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Correspondence to S. Bouaicha.

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Dieser Beitrag beinhaltet keine vom Autor durchgeführten Studien an Menschen oder Tieren.

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Bouaicha, S. Knorpelreparative Eingriffe am Schultergelenk. Orthopäde 46, 914–918 (2017). https://doi.org/10.1007/s00132-017-3477-4

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