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Dementsprechend h\u00e4ufig werden \u00c4rzte mit Patienten konfrontiert, die darin eine monokausale Ursache komplexer Beschwerden sehen und auf eine schnelle L\u00f6sung hoffen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>Diese \u00dcbersicht stellt die aktuell verf\u00fcgbare evidenzbasierte Literatur zu Atlasblockade und Lig.-alare-L\u00e4sion dar, um ihre Bedeutung differenziert einsch\u00e4tzen zu k\u00f6nnen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Zusammenfassung und kritische Bewertung einer umfangreichen Literaturrecherche zu Diagnostik, Symptomatik und Therapie der Atlasblockade und Lig.-alare-L\u00e4sion.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die Studienlage zeigt, dass <jats:italic>Lig.-alare-L\u00e4sionen<\/jats:italic> nur durch extreme Hochrasanztraumata entstehen und im MRT nur mit m\u00e4\u00dfiger Reliabilit\u00e4t nachgewiesen werden k\u00f6nnen. Da zudem in mehreren Studien kein Zusammenhang zwischen Symptomen und Auff\u00e4lligkeiten im MRT gezeigt werden konnte, ist eine operative Stabilisierung der Kopfgelenke nicht indiziert. Die Vielzahl der Symptome bei <jats:italic>Atlasblockade<\/jats:italic> kann durch Konvergenz der Afferenzen C1\u2013C3 auf verschiedene Hirnnervenkerne in neuroanatomischen Untersuchungen erkl\u00e4rt werden, der Zusammenhang ist jedoch bisher nicht bewiesen. Erste Studien zeigen eine hochsignifikante Besserung von zervikalen Schmerzen und Bewegungsumfang durch manualtherapeutische L\u00f6sung der Blockierung auch 6\u00a0Monate nach Behandlung.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die Bedeutung der Lig.-alare-L\u00e4sion wurde in der Vergangenheit h\u00e4ufig \u00fcbersch\u00e4tzt, diesbez\u00fcglich sollte dem Patienten ein differenziertes, multifaktorielles Krankheitsbild vermittelt werden. Die Atlasblockade ist in erster Linie als m\u00f6gliche Ursache von Schmerzen und Bewegungseinschr\u00e4nkungen der Halswirbels\u00e4ule zu sehen, in diesem Kontext ist manuelle Therapie eine wirksame Option.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00482-023-00731-8","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T17:01:46Z","timestamp":1689786106000},"page":"352-358","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Atlasblockade und Lig.-alare-L\u00e4sion\u00a0\u2013 untersch\u00e4tzt oder \u00fcbertrieben?","Atlas block and alar ligament lesion\u2014Underestimated or overrated?"],"prefix":"10.1007","volume":"38","author":[{"given":"J.","family":"W\u00f6lfle-Roos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"key":"731_CR1","unstructured":"https:\/\/atlantomed.eu\/de\/. 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