Heers, G. and Grifka, J. and Springorum, H. R. and Craiovan, B. and Anders, S. (2015) Operative treatment of the rheumatic shoulder. ZEITSCHRIFT FUR RHEUMATOLOGIE, 74 (9). pp. 801-809. ISSN 0340-1855, 1435-1250
Full text not available from this repository. (Request a copy)Abstract
The duration and severity of rheumatic diseases of the shoulder correlate with symptom frequency, structural changes and associated functional limitations. The multifactorial character of the underlying rheumatic disease requires a multimodal therapeutic concept including interaction of surgical and non-surgical disciplines. In addition to basic systemic anti-inflammatory medication, injections targeting the synovial tissue by corticoid instillation and glenohumeral radiosynoviorthesis (with an intact rotator cuff) are further options. Operative interventions on rheumatic shoulders can be characterized as disease-modifying, protective, reconstructive or palliative, depending on the stage. Combining minimally invasive arthroscopic surgical techniques with modern basic therapy has the potential to shift the indications for operative interventions towards an earlier stage of disease without favoring or propagating structural alterations which have already occurred. In cases of severe joint destruction with loss of the rotator cuff, reverse shoulder arthroplasty can be an appropriate option.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ROTATOR CUFF DYSFUNCTION; FOLLOW-UP; GLENOHUMERAL OSTEOARTHRITIS; ACROMIOCLAVICULAR JOINT; RADIOGRAPHIC EVALUATION; ARTHRITIS; ARTHROPLASTY; ULTRASONOGRAPHY; SYNOVECTOMY; MULTICENTER; Rheumatic diseases; Synovial tissue; Corticoids; Shoulder arthroplasty; Multimodal therapy concept |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 May 2019 11:55 |
| Last Modified: | 07 May 2019 11:55 |
| URI: | https://pred.uni-regensburg.de/id/eprint/4532 |
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