Lill H, Katthagen C, Jensen G, Voigt C
Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift gGmbH, Humboldtstraße 5, 30169 Hannover.
Unfallchirurg. 2013 Apr;116(4):296-304. doi: 10.1007/s00113-012-2345-2.
Arthroscopy has become increasingly more established in the treatment of proximal humeral fractures. In addition to the known advantages of minimally invasive surgery fracture and implant positioning can be optimized and controlled arthroscopically and relevant intra-articular concomitant pathologies (e.g. biceps tendon complex and rotator cuff) can be diagnosed and treated. Arthroscopic techniques have proven to be advantageous in the treatment of various entities of greater tuberosity fractures, lesser tuberosity fractures (suture bridging technique) and subcapital humeral fractures (arthroscopic nailing). This article presents an overview on innovative arthroscopic modalities for treating proximal humeral fractures, describes the surgical techniques and the advantages compared to open procedures as well as initial clinical results.
关节镜检查在肱骨近端骨折的治疗中已越来越成熟。除了微创手术已知的优势外，骨折和植入物定位可通过关节镜进行优化和控制，并且相关的关节内合并病变（如肱二头肌肌腱复合体和肩袖）能够得到诊断和治疗。关节镜技术已被证明在治疗各种类型的大结节骨折、小结节骨折（缝线桥接技术）和肱骨外科颈骨折（关节镜下钉固定）方面具有优势。本文概述了治疗肱骨近端骨折的创新关节镜方法，描述了手术技术以及与开放手术相比的优势，还有初步临床结果。
