Glenoidfraktur

Zusammenfassung

Glenoidfrakturen stellen im klinischen Alltag eine Rarität da. Neben hochenergetischen Traumata finden sich häufig Luxationsereignisse als Ursache. Nicht nur die Frakturmorphologie, sondern auch das zugrunde liegende Trauma haben einen Einfluss auf die richtige Entscheidung für die weitere konservative oder operative Behandlung. Insbesondere für größere anteriore Glenoidfrakturen zeigt die aktuelle Literatur gute Ergebnisse für die konservative Behandlung. Hingegen zeigen kleinere Bony-Bankart-Verletzungen eine höhere Instabilitätsrate beim jungen Patienten unter konservativer Therapie. Für die operativen Versorgungstechniken bieten sich zunehmend, neben offenen Verfahren, eine Reihe arthroskopischer Techniken an.

Abstract

Glenoid fractures are a rarity in clinical practice. In addition to high-energy traumata, dislocation events are often found as the cause. Not only the fracture morphology but also the underlying trauma have an influence on the right decision for further conservative or surgical treatment. Especially for larger anterior glenoid fracture the current literature shows good results for conservative treatment. In contrast, smaller bony Bankart injuries show a higher instability rate in the young patient under conservative therapy. For surgical treatment techniques, a number of arthroscopic techniques are increasingly available in addition to open procedures.

Schlüsselwörter

Glenoid - Glenoidfraktur - Bony-Bankart-Fraktur-Verletzung

Keywords

glenoid - fracture glenoid - bony bankart lesion

• Literatur

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