Unfallchirurgie最新文献

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[Traumatic dislocations of the cranial cervical spine in childhood]. [儿童颅颈椎外伤性脱位]。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1996-02-01 DOI: 10.1007/BF02627454
K Röhl, P Kluger, W Puhl
{"title":"[Traumatic dislocations of the cranial cervical spine in childhood].","authors":"K Röhl, P Kluger, W Puhl","doi":"10.1007/BF02627454","DOIUrl":"https://doi.org/10.1007/BF02627454","url":null,"abstract":"","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"22 1","pages":"1-4"},"PeriodicalIF":0.8,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02627454","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19661328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
[Detection of the tendon of the musculus plantaris longus--diagnostic imaging and anatomic correlate]. 【足底长肌肌腱的检测——诊断成像与解剖相关性】。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1996-02-01 DOI: 10.1007/BF02627459
J V Wening, A Katzer, F Phillips, K H Jungbluth, D E Lorke
{"title":"[Detection of the tendon of the musculus plantaris longus--diagnostic imaging and anatomic correlate].","authors":"J V Wening,&nbsp;A Katzer,&nbsp;F Phillips,&nbsp;K H Jungbluth,&nbsp;D E Lorke","doi":"10.1007/BF02627459","DOIUrl":"https://doi.org/10.1007/BF02627459","url":null,"abstract":"<p><p>Using ultrasound as well as magnetic resonance imaging (MRI) and computed tomography (CT), the plantaris tendon can be identified between the top of the calcaneus and the upper third of the lower leg in cross sections. Due to the surrounding fat tissue, the best proof of plantaris tendon existence and diameter can be obtained on sections at the level of syndesmosis and ankle joint. This allows to avoid unnecessary incisions during plastic and reconstructive surgery using this tendon as an autologeous transplant. For the experienced examiner ultrasound seems to be the easiest way to show plantaris tendon existence; in case of doubt, MRI or CT will give further information.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"22 1","pages":"30-5"},"PeriodicalIF":0.8,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02627459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19659884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 4
[Value of ultrasound examination in injuries of the symphysis]. [超声检查在联合损伤中的价值]。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1996-02-01 DOI: 10.1007/BF02627460
K Weber, A Mahlfeld, W Otto
{"title":"[Value of ultrasound examination in injuries of the symphysis].","authors":"K Weber,&nbsp;A Mahlfeld,&nbsp;W Otto","doi":"10.1007/BF02627460","DOIUrl":"https://doi.org/10.1007/BF02627460","url":null,"abstract":"<p><p>Lesions of the symphisis are usually diagnosed by a pelvis X-ray. The use of ultrasound examination is not very common. The application of the ultrasonic head in a suprasymphyseal manner will result in good images of the anterior pelvis. The outcome of diastasis as well as of the edge of the symphysis measurements taken by ultrasound were comparable to the X-ray picture. Therefore ultrasound investigation is usefull for primary diagnosis and follow-up examination in injuries of the symphysis. Accompanying fractures of the pelvic ring stay in this case undetected.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"22 1","pages":"36-8"},"PeriodicalIF":0.8,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02627460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19659885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 2
[Possibilities and limits of interpretation of muscle sonograms. An experimental study of standardized muscle injuries]. 肌肉超声图解释的可能性和局限性。标准化肌肉损伤的实验研究[j]。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1996-02-01 DOI: 10.1007/BF02627457
K Küllmer, J D Rompe, P Eysel, U Harland
{"title":"[Possibilities and limits of interpretation of muscle sonograms. An experimental study of standardized muscle injuries].","authors":"K Küllmer,&nbsp;J D Rompe,&nbsp;P Eysel,&nbsp;U Harland","doi":"10.1007/BF02627457","DOIUrl":"https://doi.org/10.1007/BF02627457","url":null,"abstract":"<p><p>After sonographical examination we performed surgically an experimental muscle injury of known size and location on 28 New Zealand white rabbits by a stab with a scalpel into the supraspinatic muscle. The changes in the healing process were sonographically followed and documented for 2 months in short periods of time. The sonographically detectable changes during the healing process underlie a regularity. The changes in sonography can be explained by histopathology with respect to the theoretics of ultrasound physics. The development of a hematoma and of fibrous scars can be followed up by sonography with respect to some limits. Sonography is shown to be a supporting method of high value in the diagnosis of muscle injuries and with respect to certain limits in the follow-up of the healing process, too.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"22 1","pages":"12-9"},"PeriodicalIF":0.8,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02627457","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19661329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 2
[Morphology of the carpal tunnel. Movement studies in patients with constriction symptoms and healthy probands using MR tomography]. 腕管的形态学。使用磁共振断层扫描研究收缩症状患者和健康先证者的运动[j]。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1996-02-01 DOI: 10.1007/BF02627456
K H Allmann, R Horch, A Gabelmann, J Laubenberger, G B Stark, M Langer
{"title":"[Morphology of the carpal tunnel. Movement studies in patients with constriction symptoms and healthy probands using MR tomography].","authors":"K H Allmann,&nbsp;R Horch,&nbsp;A Gabelmann,&nbsp;J Laubenberger,&nbsp;G B Stark,&nbsp;M Langer","doi":"10.1007/BF02627456","DOIUrl":"https://doi.org/10.1007/BF02627456","url":null,"abstract":"<p><p>The morphological correlation of the phenomenon of increased pressure in the carpal tunnel during wrist flexion and extension--as has been proved though measurements using wick-catheters--was studied in healthy subjects (n = 15) and symptomatic patients with carpal tunnel syndrome (n = 15). Our own measurements using magnetic resonance imaging (MRI) showed that there is a significant reproducible decrease in carpal tunnel diameter when the wrist is held in position of either flexion or extension. During flexion the diameter is decreased at the pisiformes and hamate level as well as it is lowered during extension at the pisiformes level. This might explain the rise in carpal tunnel pressure and thus the consecutive negative influence on the median nerve. Proximal swelling, distal flattening and increased signal intensity of the median nerve as well as the palmar bulging of the flexor retinaculum at the level of the hook of the hamate and at the level of the pisiformes were significantly higher in patients with carpal tunnel syndrome than in normal volunteers (from p < 0.05 to p < 0.001). In post-operative follow-up examinations of 13 patients with no clinic symptoms the distal flattening of the median nerve normalized in 94% within 3 months. The increased signal of the median nerve on T2-weighted images decreased postoperatively in 2/3 of the patients, whereas the motor latency of the median nerve recovered only in 39% of our patients who had 100% partial or complete clinical benefit. These findings imply that postoperative imaging may be helpful for evaluating the success or failure of surgical treatment.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"22 1","pages":"5-11"},"PeriodicalIF":0.8,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02627456","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19659886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 5
[Electromyography studies of surgically managed knee ligament ruptures. A retrospective analysis of defined injury patterns]. 手术治疗膝关节韧带断裂的肌电图研究。回顾性分析定义的损伤模式]。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1996-02-01 DOI: 10.1007/BF02627458
J V Wening, A Katzer, S Brockmann, H C Möller, W Eickhoff, K H Jungbluth
{"title":"[Electromyography studies of surgically managed knee ligament ruptures. A retrospective analysis of defined injury patterns].","authors":"J V Wening,&nbsp;A Katzer,&nbsp;S Brockmann,&nbsp;H C Möller,&nbsp;W Eickhoff,&nbsp;K H Jungbluth","doi":"10.1007/BF02627458","DOIUrl":"https://doi.org/10.1007/BF02627458","url":null,"abstract":"<p><p>In 52 patients (5 groups, average age 32.8 years) with operative treatment of knee ligament injuries cutaneous electromyograms (EMG) under dynamic and isometric conditions (100 N, 200 N, 300 N) were performed in an average of 61.2 weeks postoperatively. The subgroups consisted of 13 patients with operative reconstruction of the anterior cruciate ligament (ACL), 12 after reconstruction of the medial collateral ligament (MCL), 21 after combined ACL and MCL reconstruction and 6 patients with autologous or alloplastic ligament replacement, respectively. The control group consisted of seventeen young adults without a history of knee joint injuries. The intensified and filtered analogous signals of 8 investigated thigh muscles were digitalized and analysed with help of a specially developed computer program. In summary, group specific EMG-criteria reveal distinct ligamentomuscular inhibitory reflexes and, vice versa, EMG activities of thigh muscles may indicate tendencies for group specific criterion after operatively treated knee ligament injuries.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"22 1","pages":"20-9"},"PeriodicalIF":0.8,"publicationDate":"1996-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02627458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19659883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1
[Development of accident surgery at German universities]. [德国大学意外外科的发展]。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1995-12-01 DOI: 10.1007/BF02588757
A Pannike
{"title":"[Development of accident surgery at German universities].","authors":"A Pannike","doi":"10.1007/BF02588757","DOIUrl":"https://doi.org/10.1007/BF02588757","url":null,"abstract":"","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"21 6","pages":"303-11"},"PeriodicalIF":0.8,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02588757","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19558430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 4
[Response to the comment by F. Baumgart, R. Mathys Jr., on the contribution by H. Zitter, J. Poigenfürst: Evaluation of the mechanical properties of surgical screws after a torsion experiment]. [对F. Baumgart, R. Mathys Jr.对H. Zitter, J. poigenf<e:1> rst的贡献的评论的回应:扭转实验后手术螺钉力学性能的评估]。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1995-12-01 DOI: 10.1007/BF02588752
H Zitter, J Poigenfürst
{"title":"[Response to the comment by F. Baumgart, R. Mathys Jr., on the contribution by H. Zitter, J. Poigenfürst: Evaluation of the mechanical properties of surgical screws after a torsion experiment].","authors":"H Zitter,&nbsp;J Poigenfürst","doi":"10.1007/BF02588752","DOIUrl":"https://doi.org/10.1007/BF02588752","url":null,"abstract":"","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"21 6","pages":"271-4"},"PeriodicalIF":0.8,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02588752","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19558539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
[Functional limitation of the forearm after shaft fracture in childhood. Possible role of the antebrachial interosseous membrane: MRI and ultrasound studies]. 儿童前臂骨折后的功能限制。肱前骨间膜的可能作用:MRI和超声研究。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1995-12-01 DOI: 10.1007/BF02588753
W Beyer, T Stolzenburg, S Paris
{"title":"[Functional limitation of the forearm after shaft fracture in childhood. Possible role of the antebrachial interosseous membrane: MRI and ultrasound studies].","authors":"W Beyer,&nbsp;T Stolzenburg,&nbsp;S Paris","doi":"10.1007/BF02588753","DOIUrl":"https://doi.org/10.1007/BF02588753","url":null,"abstract":"<p><p>Based on follow-up examinations of 16 patients aged 5 to 15 years, the integrity of the interosseous membrane following forearm shaft fracture was evaluated. The examinations which included magnetic resonance imaging (MRI) and ultrasound scanning of both the fractured and the nonfractured forearms were conducted 4 to 81 months after fracture. Using a 1.5 T MR tomograph, we obtained 20 cross-sectional images arranged over the entire length of the forearm which was in neutral position, while sonographicly at 7.5 MHz we obtained cross-sectional views of the proximal, middle and distal forearm thirds with the forearm in pronation, neutral position and supination at a time. The MR image of the interosseous membrane is a thin hypointense line, occasionally showing low contrast irregularities on the fractured side such as thickenings, tears or curvature inconstancies which would suggest membrane alterations. However, these alterations appear to be less than expected. They are not clearly seen in the ultrasound views, where the interosseous membrane is found as an echorich line. According to our preliminary results, there seems to be a correlation between MR-detected interosseous membrane alterations and initial fracture dislocation as well as functional fracture outcome, particularly forearm rotation.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"21 6","pages":"275-84"},"PeriodicalIF":0.8,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02588753","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19558540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 9
[An unusual case of gunshot wound to the head]. [一个不寻常的头部枪伤案例]。
IF 0.8 4区 医学
Unfallchirurgie Pub Date : 1995-12-01 DOI: 10.1007/BF02588756
R Stocker, O Wruhs
{"title":"[An unusual case of gunshot wound to the head].","authors":"R Stocker,&nbsp;O Wruhs","doi":"10.1007/BF02588756","DOIUrl":"https://doi.org/10.1007/BF02588756","url":null,"abstract":"<p><p>We are going to present a special case of head injury caused by a gunshot. In this case it resulted in a fracture of the skull, but the bullet did not penetrate the skull. It was deflected by the bone, leaving the body at an angle. But bone fragments, acting as secondary bullets, penetrated the brain. In spite of a massive cerebral trauma and brain injury, no retrograde amnesia could be diagnosed. The patient recovered to such an extent, that he could return to his former job. Special characteristics of head injuries caused by bullets will be referred to.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"21 6","pages":"298-302"},"PeriodicalIF":0.8,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02588756","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19558429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
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