Häufigkeit einer Bizepssehnentenosynovitis bei Gehhilfenverwendung

Abstract

A total of 138 patients using elbow crutches after endoprothetic joint replacement of the hip or knee were examined for effusion of the biceps tendon sheath using ultrasound sonography. A surprisingly high number of patients showed liquid effusion around the long biceps tendon area (69 patients, 50%). Tenosynovitis was associated with a liquid effusion of the glenohumeral joint in only 5 cases, whereas isolated tenovaginitis was seen in the large majority of the cases. This leads to the hypothesis that axial-mediated stress is the pathogenetic mechanism and causes a functional impingement as a result of high positioning of the caput humeri by the use of crutches. Further investigations are necessary to find out why the inflammation is limited to the anterior recessus region (Sulcus intertubercularis) of the glenohumeral joint.

Hand Grip Strength Vs. Sprint Effectiveness in Amputee Soccer Players

“…As indicated in the to-date scientific observations, amputee soccer demands a considerable level of core stability, balance and trunk strength from its players ( Yazicioglu et al, 2007 ; Aytar et al, 2012 ). At the same time, it is important to remember that locomotion with the use of elbow crutches may cause pathologic changes in the wrist joints ( Requejo et al, 2005 ), biceps brachii tendon ( Krüger and Bischof-Léger, 2008 ), as well as haematomas and pain through the pressure load on the intermediate and ulnar quadrants of the forearm ( Fischer et al, 2014 ). On the other hand, Ramazanoğlu et al (2013) paid attention to more favorable gait parameters obtained during locomotion by means of elbow crutches than prostheses.…”

The effect of axillary crutch length on upper limb kinematics during swing‐through gait

“…These kinematic differences with longer and shorter crutches may be clinically meaningful in terms of longitudinal risk factors for biceps and triceps pathology, particularly as crutch initial contact represents a high‐impact loading scenario 37 . For example, 50% of patients using crutches after hip or knee arthroplasty had ultrasound imaging changes consistent with long head of biceps tenosynovitis 38 . Another study found that 5% of able‐bodied women using crutches for three 1‐km sessions reported triceps muscle cramping 5 .…”

“…37 For example, 50% of patients using crutches after hip or knee arthroplasty had ultrasound imaging changes consistent with long head of biceps tenosynovitis. 38 Another study found that 5% of able-bodied women using crutches for three 1-km sessions reported triceps muscle cramping. 5 As such, even though the elbow flexion-extension angle ROM profiles did not differ by crutch length, the indication of differences at crutch initial contact may be important clinically.…”

The InSight Crutches: Analyzing the Role of Arm Support During Robot-Assisted Leg Movements

“…Further, for user performance assessments, the interaction through the crutches can be a direct indicator of balance skills or compensatory efforts related to gait asymmetry. The information about the total crutch load can help to adjust the level of robotic assistance in a way that avoids nerve [8] or tendon [9] damage in the arms over prolonged use.…”