Rückkehr zum Klettersport nach einer Schulterverletzung

Nach einer Schulterverletzung möchten Sportkletterer so schnell wie möglich wieder zurück an den Fels oder die Kletterwand. Wie das Fallbeispiel zeigt, ist dies ohne eine exakte Diagnose nicht zu schaffen, weil sie die Grundlage für eine zielgerichtete, individuelle Therapie ist.

Publication History

Article published online:
23 August 2021

• Literatur

• 1 Agrawal D, Shah A, Mehta KD. et al. Role of nutritional supplements in the management of tendinopathies: Focus on combination of type 1 collagen, vitamin C and mucopolysaccharides. Int J Res Orthop 2020; 6 (06) 1355-1361
• 2 Arias-Buría JL, Truyols-Domínguez S, Valero-Alcaide R. Ultrasound-guided percutaneous electrolysis and eccentric exercises for subacromial pain syndrome: A randomized clinical trial. Evidence-based complementary and alternative medicine Volume. 2015 DOI: 10.1155/2015/315219 http://dx.doi.org/10.1155/2015/315219
• 3 Beard DJ, Rees JL, Cook JA. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): A multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. The Lancet 2018; 391 (10118) 329-338
• 4 Best TM, Rabago D, Zgierska AE. et al. A systematic review of four injection therapies for lateral epicondylosis: Prolotherapy, polidocanol, whole blood and platelet-rich plasma. Br J Sports Med 2009; 43 (07) 471-81
• 5 Chiu CH, Chen P, Chen ACY. et al. Shoulder ultrasonography performed by orthopedic surgeons increases efficiency in diagnosis of rotator cuff tears. J Orth Surg Res 2017; 12: 63
• 6 Cook JL, Rio E, Purdam CR. Revisiting the continuum model of tendon pathology: What is its merit in clinical practice and research?. Br J Sports Med 2016; 50: 1187-1191
• 7 Dakin SG, Buckley CD, Al-Mossawi MH. et al. Persistent stromal fibroblast activation is present in chronic tendinopathy. Arthritis Res Ther 2017; 19: 16
• 8 Dean BJF, Lostis E, Oakley T. et al. The risks and benefits of glucocorticoid treatment for tendinopathy: A systematic review of the effects of local glucocorticoid on tendon. Seminars in Arthritis and Rheumatism 2014; 43: 570-576
• 9 de Miguel Valtierra L, Salom Moreno J, Fernández-de-Las-Peñas C. et al. Ultrasound-guided application of percutaneous electrolysis as an adjunct to exercise and manual therapy for subacromial pain syndrome: A randomized clinical trial. J Pain 2018; 19 (10) 1201-1210
• 10 DePhillipo NN, Aman ZS, Kennedy MI. et al. Efficacy of vitamin C supplementation on collagen synthesis and oxidative stress after musculoskeletal injuries: A systematic review. Orthop J Sports Med 2018; 6 (10) 2325967118804544
• 11 Dunning J, Butts R, Mourad F. et al. Dry needling: A literature review with implications for clinical practice guidelines. Physical Therapy Reviews 2014; 19: 252-265
• 12 Garving C, Jakob S, Bauer I. et al. Impingement syndrome of the shoulder. Deutsches Aerzteblatt Int 2017; 114: 765-76
• 13 Glerup H, Mikkelsen K, Poulsen L. et al. Hypovitaminosis D myopathy without biochemical signs of osteomalacic bone involvement. Calcif Tissue Intl 2000; 66: 419-424
• 14 Gómez-Chiguano GF, Navarro-Santana MJ, Cleland JA. et al. Effectiveness of ultrasound-guided percutaneous electrolysis for musculoskeletal pain: A systematic review and meta-analysis. Pain Medicine 2021; 223: 1055-1071
• 15 Hackett GS, Hemwall GA, Montgomery GA. Ligament and tendon relaxation treated by prolotherapy. 5th ed.. Oak Park, IL: Gustav A. Hemwall; 1993
• 16 Hahn F, Erschbaumer M, Allenspach A. et al. Physiological bone responses in the fingers after more than 10 years of high-level sport climbing: Analysis of cortical parameters. Wilderness & Environmental Medicine 2012; 23: 31-36
• 17 Hamilton B. Vitamin D and human skeletal muscle: Review. Scand J Med Sci Sports 2010; 20 (02) 182-90
• 18 Lin KM, Wang D, Dines JS. Injection therapies for rotator cuff disease. Orthop Clin North Am 2018; 49 (02) 231-239
• 19 Omeroğlu S, Peker T, Türközkan N. et al. High-dose vitamin C supplementation accelerates the Achilles tendon healing in healthy rats. Arch Orthop Trauma Surg 2009; 129: 281-286
• 20 Ottenheijm RPG, Cals JWL, Winkens B. Ultrasound imaging to tailor treatment of shoulder pain in general practice. BMJ 2016; 6 (11) e011048
• 21 Rabago D, Best TM, Beamsley M. et al. A systematic review of prolotherapy for chronic musculoskeletal pain. Clin J Sport Med 2005; 15 (05) 376-380
• 22 Rodríguez-Huguet M, Góngora-Rodríguez J, Rodríguez-Huguet P. et al. Effectiveness of percutaneous electrolysis in supraspinatus tendinopathy: A single-blinded randomized controlled trial. J Clin Med 2020; 9 (06) 1837
• 23 Rutten MJCM. Ultrasound of the shoulder – Efficacy studies. Dissertation. 2010 Im Internet: https://fysioechografie.nl/wp-content/uploads/2015/02/ultrasound-of-the-shoulder-rutten-2010.pdf [Stand: 7.7.2021]
• 24 Sato Y, Iwamoto J, Kanoko R. et al. Low-dose vitamin D prevents muscular atrophy and reduces falls and hip fractures in women after stroke: A randomized controlled trial. Cerebrovasc Dis 2005; 20: 187-192
• 25 Schöffl V, Simon M, Lutter C. Kletterverletzungen der Hand. Praxis Handreha 2020; 1: 186-193
• 26 Schöffl V, Simon M, Lutter C. Finger and shoulder injuries in rock climbing. Der Orthopäde 2019; 48 (12) 1005-1012
• 27 Schreiber T, Allenspach P, Seifert B. et al. Connective tissue adaptations in the fingers of performance sport climbers. European Journal of Sport Science. 2015 http://dx.doi.org/10.1080/17461391.2015.1048747
• 28 Ward KA, Das G, Berry JL. et al. Vitamin D status and muscle function in post-menarchal adolescent girls. Clin Endocrinol Metab 2009; 94: 559-563
• 29 ZHAW Zürcher Hochschule für Angewandte Wissenschaft. (Hrsg.) Vitamin G – für Health Professionals mit Weitblick. 2021: 10