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Die radiokarpale Arthrose entsteht oft nach nicht therapierten Bandverletzungen, bei fehlheilenden Knochenfrakturen im Carpus oder nach Radiusfrakturen mit Gelenkbeteiligung. Eine typische Sequenz der Ausbreitung ist bekannt f\u00fcr die radiokarpale Arthrose nach SL(skapholun\u00e4r)-Insuffizienz oder Skaphoidpseudarthrose. Zu den weiteren Ursachen z\u00e4hlen Entz\u00fcndungen, Kristallablagerungen oder Knochennekrosen. Die ulnokarpale Arthrose tritt bei Niveauunterschieden zwischen Ulna und Radius posttraumatisch oder auch prim\u00e4r auf. Bei der Therapie der Handgelenkarthrose sollte nach Aussch\u00f6pfung von konservativen Ma\u00dfnahmen ein operatives Verfahren gew\u00e4hlt werden, das unter Ber\u00fccksichtigung der operativen Risiken und des individuellen Anspruchs eine m\u00f6glichst gute Belastung und Restbeweglichkeit erm\u00f6glicht. Bei Rettungsoperationen werden die defekten Knorpelbereiche entweder direkt fusioniert oder durch geeignete umleitende Teilfusionen und Resektionsarthroplastiken ausgeschaltet. Die genaue Analyse der betroffenen Zonen ist entscheidend f\u00fcr die Auswahl eines geeigneten Eingriffs.<\/jats:p>","DOI":"10.1007\/s00132-024-04502-w","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T16:20:53Z","timestamp":1716567653000},"page":"463-476","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Arthrosen des Handgelenks","Osteoarthritis of the wrist"],"prefix":"10.1007","volume":"53","author":[{"given":"C. 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Seit 7\/2019 Gehaltsempf\u00e4nger  Klinik Josephinum, M\u00fcnchen, f\u00fcr dort in Teilzeit ausge\u00fcbte station\u00e4re handchirurgisch-\u00e4rztliche T\u00e4tigkeit. Seit 2023 Kooperation mit der ATOS Klinik M\u00fcnchen als Belegarzt. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patient\/-innen zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern\/Vertreterinnen eine schriftliche Einwilligung vor.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}}]}}