Was ist Enthesiopathie der Supraspinatussehne?
Die Enthesiopathie ist eine schmerzhafte Erkrankung der bindegewebigen Verankerung (Enthese) von kraftübertragenden Sehnen an einem Knochen. Diese Verankerung wird von dem komplex aufgebauten Enthese-Organ geleistet. Die Enthesiopathie ist das Gleiche wie eine Insertionstendinopathie.
Was tun bei Tendinopathie?
Typische Symptome sind Schmerzen unter Belastung oder Anlaufschmerzen in der betroffenen Körperpartie. Neben der Behandlung mit Schmerzmitteln wie Ibuprofen und Physiotherapie wird immer häufiger auch die extrakoporale Stoßwellentherapie zur Therapie von Tendinopathien eingesetzt.
What are the symptoms of supraspinatus tendinosis in athletes?
Supraspinatus tendinosis is a common source of shoulder pain in athletes and older adults. Symptoms range from mild discomfort to complete loss of function.
Where is the supraspinatus tendon in the shoulder?
Supraspinatus lies across the top of the shoulder blade. The supraspinatus tendon passes through a narrow channel between the acromion and the head of the humerus, known as the “sub acromial space”. The subacromial space and is only around 7-14mm deep and is tightly packed with the:
What is the matrix protein of the supraspinatus tendon?
The supraspinatus and infraspinatus tendons fuse 1.5 cm proximal to their insertions. Collagen is the major matrix protein of supraspinatus tendons, consisting of > 95% type I collagen, with lesser amounts of other collagens including collagen type III.
When to consider surgery for supraspinatus tendonitis?
If symptoms of supraspinatus tendonitis have failed to resolve after 3-6 months of conservative treatment, then shoulder surgery may be recommended. This tends to be when there are other pathologies alongside supraspinatus tendonitis such as subacromial bursitis, bone spurs and/or rotator cuff tears.