Freie Gelenkkörper / Chondromatose

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Freie Gelenkkörper könnne sich im Bereich des Ellenbogens bei einer Arthrose ausbilden und zu Einklemmungserscheinungen/ Bewegungseinschränkung führen. Bei der Chondromatiose finden sich in aller Regel multiple freie Gelenkkörper, die aufgrund einer Fehlregulation der Synovia gebildet werden.
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Da die freien Gelenkkörper oftmals lediglich aus Knorpel bestehen, können sie auf konventionellen Röntgenbildern nicht selten übersehen werden. Es ist daher in aller Regel die Durchführung einer MRT-Diagnostik erforderlich.
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Eine konservative Therapie ist lediglich darauf ausgelegt, Symptome zu lindern. Dies kann durch die Einnahme von NSAR und unterstützende Physiotherapie erfolgen.
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Durch eine Arthroskopie des Gelenks kann eine partielle Synovektomie und eine Entfernung der freien Gelenkkörper erfolgen. Dies führt zu einer Verbesserung der Beweglichkeit und verhindert Einklemmungserscheinungen/ Gelenkblockaden. Da es sich bei der Chondromatose um eine Fehlregulation der Synovia handelt, kann es im Verlauf wiederum zur Ausbildung von freien Gelenkkörpern kommen.
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Die Rehabilitation nach der arthroskopischen Entfernung freier Gelenkkörper sieht von Anfang an eine Freigabe der Beweglichkeit vor. Eine Ruhigstellung mittels Schiene ist in aller Regel nicht vorgesehen.
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