{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:20:56Z","timestamp":1770754856827,"version":"3.50.0"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Zielstellung Im September 2021 wurde vom \u201e\u00c4rztlichen Sachverst\u00e4ndigenbeirat Berufskrankheiten\u201c beim Bundesministerium f\u00fcr Arbeit und Soziales (BMAS) die Empfehlung ausgesprochen, L\u00e4sionen der Rotatorenmanschette durch berufliche und langj\u00e4hrige \u00dcberschulterarbeit, repetitive Bewegungen, Tragen und Heben von schweren Lasten und Hand-Arm-Schwingungen (Vibration) als Berufskrankheit anzuerkennen. Um ein genaueres Verst\u00e4ndnis \u00fcber den Zusammenhang zwischen beruflichen Risikofaktoren und Sch\u00e4den der Rotatorenmanschette zu erlangen, wurde in einer systematischen Literaturrecherche deren Einfluss auf die Entstehung von Sch\u00e4den an der Rotatorenmanschette der Schulter untersucht und anhand dieser Ergebnisse die Empfehlung des BMAS eingeordnet.<\/jats:p><jats:p>\n          Material und Methode Mithilfe einer systematischen Literaturrecherche wurde in den Datenbanken PubMed, Cochrane und Web-of-Science nach Arbeiten gesucht, die sich mit beruflicher Schulterbelastung und damit einhergehenden Schulterbeschwerden besch\u00e4ftigten. Als Risikofaktoren wurde der Einfluss von \u00dcberkopfarbeit, repetitiver Arbeit, Vibration und Tragen und Heben von schweren Lasten untersucht.<\/jats:p><jats:p>\n          Ergebnisse 58 Studien wurden im Volltext gelesen, wovon 13 Studien in die Metaanalyse inkludiert wurden. Alle untersuchten Risikofaktoren zeigten einen signifikanten Zusammenhang auf, wobei die st\u00e4rkste Dosis-Wirkungs-Beziehung f\u00fcr die Risikofaktoren \u201e\u00dcberkopfarbeit\u201c und \u201erepetitive Arbeit\u201c gefunden wurde: Einfluss von \u00dcberkopfarbeit: 2,23 (95%-KI 1,98\u20132,52), Einfluss von repetitiver Arbeit: 2,17 (95%-KI 1,92\u20132,46), Einfluss von Vibration: 1,59 (95%-KI 1,13\u20132,23), Heben und Tragen von schweren Lasten: 1,57 (95%-KI 1,15\u20132,15).<\/jats:p><jats:p>\n          Schlussfolgerung Zwar konnte in unserer Studie f\u00fcr alle 4 untersuchten Risikofaktoren ein signifikanter Effekt nachgewiesen werden, jedoch ist aufgrund der unzureichenden Menge an verf\u00fcgbaren Studien mit qualitativ hochwertigem Studiendesign und unzureichender pathophysiologischer Erkl\u00e4rung f\u00fcr die Entstehung eines Rotatorenmanschettenschadens bei diesen mechanischen T\u00e4tigkeiten nach derzeitigem Stand ein Zusammenhang nicht sicher nachweisbar.<\/jats:p>","DOI":"10.1055\/a-1957-6140","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T23:51:55Z","timestamp":1670370715000},"page":"289-295","source":"Crossref","is-referenced-by-count":5,"title":["Berufliche Belastung als m\u00f6glicher Risikofaktor f\u00fcr einen Rotatorenmanschettenschaden - Systematisches Review und Meta-Analyse"],"prefix":"10.1055","volume":"162","author":[{"given":"Greta-Linn","family":"Diener","sequence":"additional","affiliation":[{"name":"Praxisklinik f\u00fcr Unfallchirurgie und Orthop\u00e4die, Eisenach, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunter","family":"Spahn","sequence":"additional","affiliation":[{"name":"Praxisklinik f\u00fcr Unfallchirurgie und Orthop\u00e4die, Eisenach, Deutschland"},{"name":"Klinik f\u00fcr Unfall,- Hand- und Wiederherstellungschirurgie, Universitatsklinikum Jena, Jena, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunther O","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie, Friedrich-Schiller-Universit\u00e4t Jena, Jena, Deutschland"},{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, BG Kliniken Bergmannstrost, Halle, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,6]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"1913","DOI":"10.1016\/j.jse.2014.08.001","article-title":"A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age","volume":"23","author":"T Teunis","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1007\/s00142-017-0131-4","article-title":"Die Rotatorenmanschette im Laufe des Lebens","volume":"30","author":"AB Imhoff","year":"2017","journal-title":"Arthroskopie"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"189","DOI":"10.5271\/sjweh.2895","article-title":"Associations between work-related factors and specific disorders of the shoulder--a systematic review of the literature","volume":"36","author":"RM van Rijn","year":"2010","journal-title":"Scand J Work Environ Health"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1016\/j.otsr.2017.03.027","article-title":"Risk factors associated to bilateral rotator cuff tears","volume":"103","author":"M Abate","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"82","DOI":"10.4103\/0973-6042.34025","article-title":"Risk factors for the development of rotator cuff disease","volume":"1","author":"J Northover","year":"2007","journal-title":"Int J Shoulder Surg"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"818","DOI":"10.1186\/s12891-020-03801-5","article-title":"Occupational risk factors for shoulder chronic tendinous pathology in the Spanish automotive manufacturing sector: a case-control study","volume":"21","author":"B Rodriguez Diez-Caballero","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1136\/oem.2005.025122","article-title":"Why are manual workers at high risk of upper limb disorders? 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