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Orthopädie und Unfallchirurgie up2date 2013; 8(2): 155-170
DOI: 10.1055/s-0032-1325001
Schultergürtel und obere Extremität
Georg Thieme Verlag KG Stuttgart · New York

Tendopathien und Sehnenverletzungen

C. Schoch
1   St. Vinzenz Klinik, Pfronten im Allgäu GmbH
,
M. Geyer
1   St. Vinzenz Klinik, Pfronten im Allgäu GmbH
,
T. Harnoß
1   St. Vinzenz Klinik, Pfronten im Allgäu GmbH
› Author Affiliations
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Publication History

Publication Date:
25 April 2013 (online)

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Sehnenschädigungen zählen zu den häufigsten Problemen bei Sportlern. Rupturen können spontan auftreten, sind jedoch meist nur die letzte Stufe eines vorbestehenden degenerativen Prozesses. Bis zu 50 % sind überlastungsbedingt. Das Lebenszeitrisiko eines ambitionierten Läufers für eine Ruptur der Achillessehne beträgt z. B. 11 %. Vor allem große Sehnen, wie die Achillessehne, die Patellarsehne, die Rotatorenmanschette oder die Extensorensehnen des Unterarms, reagieren empfindlich auf Über- und Fehlbelastungen.

Auch in der Normalbevölkerung kann es zu Sehnenschädigungen aufgrund degenerativer Vorschädigung kommen.

 

  • Quellenangaben

  • 1 American College of Rheumatology. Guidelines for management of gout. Part 1: Systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia. Arthritis Care Res 2012; 64: 1431-1446
    CrossrefPubMedGoogle Scholar
  • 2 Bank RA, TeKoppele JM Oostingh et al. Lysylhydroxylation and non-reducible crosslinking of human supraspinatus tendon collagen: chancges with age and in chronic rotator cuff tendninits. Ann Rheum Dis 1999; 58: 35-41
    CrossrefPubMedGoogle Scholar
  • 3 Biberthaler P, Wiedemann E, Nerlich A et al. Microcirculation associated with degenerative rotator cuff lesions. In vivo assessment with orthogonoal polarization spectral imaging during arthroscopy of the shoulder. J Bone Joint Surg Am 2003; 85-A: 475-480
    PubMedGoogle Scholar
  • 4 Bigliani LU, Ticker JB, Flatow EL et al. The relationship of acromial architecture to rotator cuff disease. Clin Sports Med 1991; 10: 823-838
    PubMedGoogle Scholar
  • 5 Boyer T. Arthroscopic treatment of calcifying tendinitis oft he rotator cuff. Chir Main 2006; (Suppl. 01) S29-S35
    PubMedGoogle Scholar
  • 6 Brox JI, Gjengdal E, Uppheim G et al. Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease (stage 2 impingement syndrome): a prospektive, randomized, controlled study in 125 patients with a 2½ year follow-up. J Shoulder Elbow Surg 1999; 8: 102-111
    CrossrefPubMedGoogle Scholar
  • 7 Codman EA, Akerson IB. The pathology associated with the rupture of the supraspinatus tendon. Ann Surg 1931; 93: 348-359
    CrossrefPubMedGoogle Scholar
  • 8 Galatz L, Rothermich S, VanderPloeg K et al. Development of the supraspinatus tendon-to-bone insertion: localized expression of extracellular matrix and growth factor genes. J Orthop Res 2008; 1621-1628
    PubMedGoogle Scholar
  • 9 Gärtner J, Simons B. Analysis of calcific deposits in calcifying tendinitis. Clin Orthop Relat Res 1990; 254: 111-120
    PubMedGoogle Scholar
  • 10 Geyer M. Die „Double Row“-Rotatorenmanschetten-Refixation. JATROS Unfallchirurgie & Sporttraumatologie 2007; 26-28
    PubMedGoogle Scholar
  • 11 Goutallier D, Postel JM, Bernageau J et al. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994; 304: 78-83
    PubMedGoogle Scholar
  • 12 Harvie P, Ostlere SJ, Teh J et al. Genetic influences in the aetiology of tears of the rotator cuff. Sibling risk of a full-thickness tear. J Bone Joint Surg Br 2004; 86: 696-700
    CrossrefPubMedGoogle Scholar
  • 13 Hawkins RJ, Kennedy JC. Impingement syndrome in athletes. Am J Sports Med 1980; 8: 151-158
    CrossrefPubMedGoogle Scholar
  • 14 Iannotti JP, Chansky HA. The vascularity of the rotator cuff. Clin Sports Med 1991; 10: 807-822
    PubMedGoogle Scholar
  • 15 Jobe FW. Serious rotator cuff injuries. Clin Sports Med 1983; 2: 407-412
    PubMedGoogle Scholar
  • 16 Kannus P, Józsa L. Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients. J Bone Joint Surg Am 1991; 73: 1507-1525
    PubMedGoogle Scholar
  • 17 Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med 1998; 26: 325-337
    PubMedGoogle Scholar
  • 18 Kumagai J, Sarkar K, Uhthoff HK. The collagen types in the attachment zone of rotator cuff tendons in the elderly: an immunohistochemical study. J Rheumatol 1994; 21: 2096-2100
    PubMedGoogle Scholar
  • 19 Levy O, Relwani J, Zaman T et al. Measurement of blood flow in the rotator cuff using laser Doppler flowmetry. J Bone Joint Surg Br 2008; 90: 893-898
    CrossrefPubMedGoogle Scholar
  • 20 Marie I, Delafenêtre H, Massy N et al. Network of the French Pharmacovigilance Centers. Tendinous disorders attributed to statins: a study on ninety-six spontaneous reports in the period 1990–2005 and review of the literature. Arthritis Rheum 2008; 59: 367-372
    CrossrefPubMedGoogle Scholar
  • 21 McQuillan R, Gregan P. Tendon rupture as a complication of corticosteroid therapy. Palliat Med 2005; 19: 352-353
    PubMedGoogle Scholar
  • 22 Mokone GG, Gajjar M, September AV et al. The guanine-thymine dinucleotide repeat polymorphism within the tenascin-C gene is associated with achilles tendon injuries. Am J Sports Med 2005; 33: 1016-1021
    CrossrefPubMedGoogle Scholar
  • 23 Neer 2nd CS. Impingement lesions. Clin Orthop Relat Res 1983; 173: 70-77
    PubMedGoogle Scholar
  • 24 Patte D. Classification of rotator cuff lesions. Clin Orthop Relat Res 1990; 254: 81-86
    PubMedGoogle Scholar
  • 25 Rudzki JR, Adler RS, Warren RF et al. Contrast-enhanced ultrasound characterization of the vascularity of the rotator cuff tendon: age- and activity-related changes in the intact asymptomatic rotator cuff. J Shoulder Elbow Surg 2008; 17 (Suppl.) S96-S100
    CrossrefPubMedGoogle Scholar
  • 26 Seitz AL, McClure PW, Finucane S et al. Mechanisms of rotator cuff tendinopathy: Intrinsic, extrinsic, or both?. Clinical Biomechanics 2011; 26: 1-12
    CrossrefPubMedGoogle Scholar
  • 27 September AV, Schwellnus MP, Collins M. Tendon and ligament injuries: the genetic component. Br J Sports Med 2007; 41: 241-246
    CrossrefPubMedGoogle Scholar
  • 28 Snyder SJ. Evaluation and treatment of the rotator cuff. Orthop Clin North Am 1993; 24: 173-192
    PubMedGoogle Scholar
  • 29 Thomazeau H, Rolland Y, Lucas C et al. Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand 1996; 67: 264-268
    CrossrefPubMedGoogle Scholar
  • 30 Uhthoff HK, Loehr JW. Calcific Tendinopathy of the Rotator Cuff: Pathogenesis, Diagnosis, and Management. J Am Acad Orthop Surg 1997; 5: 183-191
    PubMedGoogle Scholar
  • 31 Woo SL, Debski RE, Zeminski J et al. Injury and repair of ligaments and tendons. Annu Rev Biomed Eng 2000; 2: 83-118
    CrossrefPubMedGoogle Scholar
  • 32 Yamaguchi K, Tetro AM, Blam O et al. Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg 2001; 10: 199-203
    CrossrefPubMedGoogle Scholar