Deutsches Arzteblatt international最新文献_第7页

Drug-Related Deaths in Germany. 德国与毒品有关的死亡

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-06-13 DOI: 10.3238/arztebl.m2025.0027

Heiko Bergmann, Esther Neumeier, Regina Kühnl, Franziska Schneider, Axel Heinemann, Eva Hoch

引用次数: 0

Glomuvenous Malformations. Glomuvenous畸形。

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-06-13 DOI: 10.3238/arztebl.m2025.0063

Friedrich Stock, Stefan Krüger, Georg Lodde

引用次数: 0

Quality Assurance in Perioperative Acute Pain Therapy The Validity of Claims Data Compared to Registry Data. 围手术期急性疼痛治疗的质量保证：索赔数据与注册数据的有效性比较。

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-06-13 DOI: 10.3238/arztebl.m2025.0061

Johannes Dreiling, Marcus Komann, Norman Rose, Winfried Meißner, Christine Kubulus, Thomas Volk, Daniel Schwarzkopf

引用次数: 0

In Reply. 在回答。

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-06-13 DOI: 10.3238/arztebl.m2025.0048

Konstantinos Anagnostakos, Ismail Sahan, Winfried Häuser

引用次数: 0

Notalgia Paresthetica Following an Osteoporotic Compression Fracture. 骨质疏松性压缩性骨折后的痛觉异常。

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-06-13 DOI: 10.3238/arztebl.m2025.0017

David Gaycken, Silke Hofmann, Axel Pommer

引用次数: 0

Instability of the Distal Radioulnar Joint. 远端尺桡关节不稳定。

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-06-13 DOI: 10.3238/arztebl.m2025.0054

Andreas Harbrecht, Frank Unglaub, Martin Franz Langer, Lars Peter Müller, Urs Hug, Christian Karl Spies

{"title":"Instability of the Distal Radioulnar Joint.","authors":"Andreas Harbrecht, Frank Unglaub, Martin Franz Langer, Lars Peter Müller, Urs Hug, Christian Karl Spies","doi":"10.3238/arztebl.m2025.0054","DOIUrl":"10.3238/arztebl.m2025.0054","url":null,"abstract":"Background: Instability of the distal radioulnar joint (DRUJ) is an often unrecognized complication of distal radius fractures and softtissue injuries that can impair function. Its incidence and prevalence in Germany in 2023 were 23.55 and 30.55 per 100 000 inhabitants, respectively.Methods: This narrative review is based on publications retrieved by a selective search in PubMed and the Cochrane Library (4 of 10 studies were included in the analysis). Current guidelines and expert recommendations were considered as well, and a query on the topic of this review was submitted to the Central Institute for Statutory Health Insurance and to the German Federal Statistical Office.Results: After clinical examination and specific test procedures (press test, ulna-fovea sign, dorsopalmar stress test and ballottement test), plain films of the wrist are obtained in two strictly orthogonal projections (lateral and dorsopalmar). Thin-slice computed tomography (CT) (radioulnar quotient method) may be performed as well. Magnetic resonance (MR) arthrography displays DRUJ lesions sensitively (100%) and with increasing specificity (80-100%). Arthroscopy is considered the reference standard for the objective demonstration of triangular fibrocartilage complex lesions with regard to DRUJ instability. Depending on the type of injury, anatomical reconstruction of the injured structures may be recommended, e.g., with refixation techniques, ligament replacement grafts, or osteotomies. Fractures of the styloid process of the ulna (PSU) often accompany distal radius fractures and do not always need to be treated by refixation.Conclusion: Instability of the DRUJ should be recognized and treated specifically to prevent pain and functional impairment. Further studies are needed to provide better scientific evidence for surgical or conservative treatment.","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":" Forthcoming","pages":"321-327"},"PeriodicalIF":6.5,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hereditary Pyropoikilocytosis—a Frequently Fatal Prenatal Blood Disorder. 遗传性热嗜胞症-一种常见的致命产前血液疾病。

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-05-30 DOI: 10.3238/arztebl.m2025.0062

Daniel Ebrahimi-Fakhari, Claudia Rössig, Andreas H Groll

引用次数: 0

Yew Poisoning in Adolescents. 青少年红豆杉中毒。

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-05-30 DOI: 10.3238/arztebl.m2025.0031

Evelyn Bienenstein, Jens Böhmer, Nikolaus Haas

引用次数: 0

Hallux Valgus: Prevalence and Treatment Options. 拇外翻：患病率和治疗方案。

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-05-30 DOI: 10.3238/arztebl.m2025.0068

Sarah Ettinger, Fabian T Spindler, Ursula Marschall, Hans Polzer, Christina Stukenborg-Colsman, Sebastian Felix Baumbach

{"title":"Hallux Valgus: Prevalence and Treatment Options.","authors":"Sarah Ettinger, Fabian T Spindler, Ursula Marschall, Hans Polzer, Christina Stukenborg-Colsman, Sebastian Felix Baumbach","doi":"10.3238/arztebl.m2025.0068","DOIUrl":"10.3238/arztebl.m2025.0068","url":null,"abstract":"Background: Hallux valgus is a common deformity. Surgical treatment strategies have evolved markedly in recent years. We report on the administrative prevalence of this condition and the available treatments for it.Methods: The administrative prevalence of hallux valgus and the treatments provided for it in Germany were determined from data supplied by BARMER, a statutory health insurance carrier. The classification and treatment of hallux valgus are outlined in a narrative overview, with particular attention to a meta-analysis.Results: The administrative prevalence of hallux valgus in Germany is nearly 2%; 83% of the affected persons are women. Over a 6-year period, the number of operations declined, and there was a trend toward outpatient treatment. Hallux valgus should be classified as either mild/moderate or severe. The common surgical procedures achieved comparable correction of the bony deformity. The AOFAS score improved by an average of 33.8 points (95% CI: [30.5; 37.0]) across all surgical techniques, reaching average postoperative values that ranged from 81.4±7.7 and 90.1±4.8 points depending on the particular technique used. The choice of technique and the duration of follow-up had no significant effect on the subjective treatment outcome. The overall complication rate after surgical correction was 18.5%. The common complications were metatarsalgia, recurrent deformity, stiffness of the first metatarsal joint, wound-healing disorders, and hallux varus.Conclusion: The primary treatment of hallux valgus should be conservative. The various surgical techniques correct the bony deformity with comparable efficacy and good postoperative AOFAS scores. Patients with more severe deformities and greater impairment seem to have a higher potential for improvement in the AOFAS score.","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":" Forthcoming","pages":"308-314"},"PeriodicalIF":6.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Booster Vaccinations Are Required. 需要加强疫苗接种。

IF 6.5 2区医学

Deutsches Arzteblatt international Pub Date : 2025-05-30 DOI: 10.3238/arztebl.m2025.0049

Enrico Schalk, Christina T Rieger

引用次数: 0