Loew M
Sektion fur Schulter- und Ellbogenchirurgie, Stiftung|| Orthopadische Universitatsklinik Heidelberg.||
Orthopade. 2000 Oct;29(10):881-7.
The traumatic etiology of rotator cuff lesions is a||| matter of controversial discussed in legal assessments. Because of the||| relatively high prevalence of degenerative changes with increasing age,||| including partial and complete rotator cuff tears, it may be difficult to||| demonstrate the cause of an acute traumatic rotator cuff tear. This article||| presents a review of the literature concerning current knowledge of the||| anatomy, biomechanics and pathogenesis of rotator cuff pathology. According to||| this, a catalogue of potentially adequate and inadequate trauma mechanisms is||| proposed. Another focus of this work is in the post-traumatic diagnostic steps||| following persistent rotator cuff-deficient shoulder function. X-ray,||| ultrasound, MRI and operative findings in rotator cuff tears underline the||| criteria for distinguishing between traumatic and degenerative lesions. From a||| legal point of view (e.g., private accident insurance, workers compensation||| claims), various minor and major arguments are defined, which could help the||| expert in judging the cause of post-traumatic rotator cuff||| deficiency.
肩袖损伤的创伤性病因在法律评估中是一个存在争议的讨论话题。由于随着年龄增长退行性改变(包括部分和完全肩袖撕裂)的患病率相对较高,可能难以证明急性创伤性肩袖撕裂的原因。本文综述了有关肩袖病理的解剖学、生物力学和发病机制的当前知识的文献。据此,提出了一份潜在的充分和不充分创伤机制目录。这项工作的另一个重点是在肩袖功能持续不足后的创伤后诊断步骤。肩袖撕裂的X线、超声、MRI和手术结果强调了区分创伤性和退行性病变的标准。从法律角度(例如,私人意外保险、工伤赔偿索赔)来看,定义了各种主要和次要论点,这有助于专家判断创伤后肩袖功能不全的原因。