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Sport- und Weichteilverletzungen

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Tscherne Unfallchirurgie

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Zusammenfassung

Fünf Prozent aller Sportverletzungen und Sportschäden betreffen den Becken- und Hüftbereich (Almeida et al. 1999; Anderson et al. 2001). Wegen der diffusen Symptomatik und der vielfältig möglichen betroffenen Strukturen sind sie oftmals schwierig zu diagnostizieren, wie etwa bei der „Sports Hip Triad“, bei der ein Labrumriss und Risse des Adduktormuskels und des Rektusmuskels vorliegen (Feeley et al. 2008; O’Kane 1999; Tab. 2.1). Sportbedingte Weichteilverletzungen im Erwachsenenalter sind vornehmlich Kontusionen, Zerrungen und Risse der Muskulatur. Chronische Sportschäden sind die Fußballerleiste, Sportlerhernie („sportsman’s hernia“), Bursitiden und Nervenkompressionssyndrome (Meyers et al. 2000). Das Schnappen der Hüfte ist ein bekanntes Krankheitsbild bei Tänzern und Leichtathleten (Riel und Bernett 1993). Am Knochen verursachen Osteitis pubis und Stressfrakturen Beschwerden (Adkins und Figler 2000; Lynch und Renstrom 1999). Bei Kindern und Heranwachsenden sind Abrisse und Überlastungssyndrome der Apophysen typisch. Bei jugendlichen Sportlern mit Hüftschmerzen bzw. in das Knie fortgeleitete Schmerzen muss an die Epiphysiolysis capitis femoris gedacht werden (Renstrom und Peterson 1980).

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  1. Praxis für Unfall-, Sport- & Orthopädische Chirurgie, Adolf-Kolping-Str. 30, 64521, Groß Gerau, Deutschland

    K.-A. Riel

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Correspondence to K.-A. Riel .

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  1. Charité Campus Virchow-Klinikum (CVK), Centrum für Muskuloskeletale Chirurgie, Universitätsmedizin Berlin, Augustenburgerplatz 1, Berlin, 13353, Berlin, Germany

    Norbert P. Haas

  2. Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, Hannover, 30625, Germany

    Christian Krettek

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Riel, KA. (2012). Sport- und Weichteilverletzungen. In: Haas, N., Krettek, C. (eds) Tscherne Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68741-2_2

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