@phdthesis{Genning2007, author = {Genning, Kathrin}, title = {Retrospektive Analyse von Pulley-L{\"a}sionen an einem großen Patientenkollektiv}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-27204}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2007}, abstract = {Schultererkrankungen nehmen in sozio{\"o}konomischer Hinsicht einen Spitzenplatz unter den Erkrankungen des Bewegungsapparates ein.58 Die h{\"a}ufigen „klassischen Schultererkrankungen" wie Schulterinstabilit{\"a}ten, Rotatorenmanschettenrupturen und Omarthrosen sind schon sehr lange bekannt und durch viele Studien gut untersucht. Demgegen{\"u}ber stellen L{\"a}sionen des Aufh{\"a}ngeapparates der langen Bizepssehne (LBS) eine sehr junge Schulterpathologie dar, {\"u}ber die es noch wenige Daten gibt. Im Jahre 1994 formten Walch et al.62 f{\"u}r diese komplexe intraartikul{\"a}re Halteschlinge der LBS den Begriff des „stabilizing pulley", oder Bizepspulley. Im Folgenden sollen Anatomie, Funktion und Pathologie des Bizepspulleys mit allen wichtigen anatomischen Strukturen kurz erl{\"a}utert werden.}, subject = {Schultergelenkschmerz}, language = {de} } @article{SchmalzlPlumhoffGilbertetal.2019, author = {Schmalzl, J. and Plumhoff, P. and Gilbert, F. and Gohlke, F. and Konrads, C. and Brunner, U. and Jakob, F. and Ebert, R. and Steinert, AF}, title = {The inflamed biceps tendon as a pain generator in the shoulder: A histological and biomolecular analysis}, series = {Journal of Orthopaedic Surgery}, volume = {27}, journal = {Journal of Orthopaedic Surgery}, number = {1}, doi = {10.1177/2309499018820349}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-228611}, pages = {1-10}, year = {2019}, abstract = {Introduction: The long head of the biceps (LHB) is often resected in shoulder surgery. However, its contribution to inflammatory processes in the shoulder remains unclear. In the present study, inflamed and noninflamed human LHBs were comparatively characterized for features of inflammation. Materials and methods: Twenty-two resected LHB tendons were classified into inflamed (n = 11) and noninflamed (n = 11) samples. For histological examination, samples were stained with hematoxylin eosin, Azan, van Gieson, and Masson Goldner trichrome. Neuronal tissue was immunohistochemically visualized. In addition, specific inflammatory marker gene expression of primary LHB-derived cell cultures were analyzed. Results: Features of tendinopathy, such as collagen disorganization, infiltration by inflammatory cells, neovascularization, and extensive neuronal innervation were found in the tendinitis group. Compared to noninflamed samples, inflamed LHBs showed a significantly increased inflammatory marker gene expression Conclusion: Structural and biomolecular differences of both groups suggest that the LHB tendon acts as an important pain generator in the shoulder joint. These findings can, on the one hand, contribute to the understanding of the biomolecular genesis of LHB tendinitis and, on the other hand, provide possibilities for new therapeutic approaches.}, language = {en} }