Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin最新文献

{"title":"[Stress -- small hand movement helps the competition].","authors":"","doi":"10.1055/s-0032-1333366","DOIUrl":"https://doi.org/10.1055/s-0032-1333366","url":null,"abstract":"","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"191"},"PeriodicalIF":0.7,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40218721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Underdiagnosed disco-ligamentous lesion in the cervical spine of a paraglider].","authors":"M Sträter,&nbsp;M Citak,&nbsp;T A Schildhauer,&nbsp;B Roetman","doi":"10.1055/s-0031-1299389","DOIUrl":"https://doi.org/10.1055/s-0031-1299389","url":null,"abstract":"<p><strong>Introduction: </strong>Paragliding is an increasingly popular airborne sport with numerous associated injuries. We here describe the case of an experienced paraglider who, after a fall from 15 meters, presented with an initially underdiagnosed disco-ligamentous lesion of the cervical spine.</p><p><strong>Patient and method: </strong>We report on a 51-year-old male paraglider, who was referred to our hospital four days after a fall from 15 meters. Initial treatment was performed in a regional hospital. The performed clinical and radiological examinations including computerized tomography showed, besides a fracture of the radius, no further abnormalities.</p><p><strong>Results: </strong>The patient was discharged home four days after injury. Due to persistent pain in the cervical spine and parasthesia, the patient was referred to the practicing orthopaedic surgeon. The performed MRI and CT including the sagittal and coronal planes showed a disco-ligamentous lesion of the cervical spine. The patient was transferred immediately to our hospital for surgical treatment. The initial existing neurological symptoms resolved postoperatively and the patient was discharged home in a well condition.</p><p><strong>Discussion: </strong>Injuries of the cervical are extremely rare in paragliders. Nevertheless, this case underscores the importance of adequate clinical and radiological examinations. We report the case of our patient to increase awareness among physicians and training staff working in emergency rooms.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"117-20"},"PeriodicalIF":0.7,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1299389","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40163185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Isolated rupture of the distal tendon of the biceps femoris muscle in a sport climber: an uncommon injury].","authors":"S Geronikolakis,&nbsp;R Best","doi":"10.1055/s-0031-1299390","DOIUrl":"https://doi.org/10.1055/s-0031-1299390","url":null,"abstract":"<p><p>An isolated rupture of the distal tendon of the biceps femoris muscle without a direct trauma is an extremely rare injury. To date only a few case reports have been described in the literature. For sport climbers such an injury has never been described before. We report about a 41-year-old male sport climber complaining of such an injury after indoor rock-climbing. Unlike the previously described reports, the rupture occured during a phase of maximum static tension, without acceleration or movement of the knee joint. History and clinical characteristics, sonography and magnetic resonance imaging confirm the diagnosis and should always be performed to exclude other injuries. Early operative treatment with anatomic refixation of the ruptured tendon is necessary to restore function, although there are differences in the type of postoperative treatment.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"114-6"},"PeriodicalIF":0.7,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1299390","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40163186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Sport injuries and overuse damage of the elbow].","authors":"L J Lehmann,&nbsp;S Hünnebeck,&nbsp;D Jung","doi":"10.1055/s-0031-1299406","DOIUrl":"https://doi.org/10.1055/s-0031-1299406","url":null,"abstract":"<p><p>Sports injuries of the elbow joint can be acute or can arise due to chronic overuse. Such overstress syndromes are common in overhead, throwing and racket sports activities. The present article introduces diagnostic algorithms developed from knowledge gained through motion analysis, clinical examination and further imaging. The diagnosis of the overtaxing syndromes mainly depends on these findings. Basically most of the disorders in the elbow joint can be treated conservatively. If this is not the case or if the conservative treatment does not succeed, arthroscopic techniques, ligament reconstruction or nerve decompression are the major alternatives. The prognosis for regaining elbow function and returning to the previous level of performance is generally good. The resulting therapy recommendations are summarised on the basis of the current highest grades of evidence.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"100-8"},"PeriodicalIF":0.7,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1299406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40165580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Quantified TDI elastography of the patellar tendon in athletes].","authors":"H-J Rist,&nbsp;M Mauch","doi":"10.1055/s-0031-1299109","DOIUrl":"https://doi.org/10.1055/s-0031-1299109","url":null,"abstract":"<p><strong>Background: </strong>TDI elastosonography allows, in contrast to conventional methods, a quantitative-numerical evaluation of the quality of a tendon on the basis of so-called strain scores. Previous studies on elastosonography were mainly based on qualitative methods, which only allow for a graduated colour and optical-visual representation. The aim of this study was to assess the strain scores of non-symptomatic compared to symptomatic patellar tendons in order to estimate reference values. Furthermore, the correlation between the neovascularisation apparent in power Doppler sonography and the magnitude of the strain scores was investigated.</p><p><strong>Methods: </strong>In total n = 75 athletes aged 33.2 ± 12.7 years were included in the study, with the ligamentum patellae diagnosed in n = 37 as being clinical non-symptomatic and in n = 38 as being symptomatic. After a detailed anamnesis and a clinical examination, all subjects underwent a conventional B-mode, a Dynaflow power Doppler and a TDI elastosonography of the ligamentum patellae using the Aplio MX (Toshiba Medical Systems, Corp.) in the longitudinal and cross-section planes, respectively.</p><p><strong>Results: </strong>The strain scores of the non-symptomatic ligamentum patellae in the longitudinal section were on average 0.070 (± 0.039) depending on the measuring field. The symptomatic tendons showed significantly higher values in the longitudinal section with an average of 0.137 (± 0.052). Similar values were evident in the cross-section. In 58 % of the symptomatic tendons neovascularisation was detected. A correlation between the duration of the medical history and the presence of neovascularisation was thereby verified.</p><p><strong>Conclusions: </strong>The presented results show that TDI elastosonography in the hands of an experienced examiner is an appropriate method for quantifying the quality of the patellar tendon and gives additional information beyond that of B-mode, power Doppler sonography and MRI. To what extent the strain scores of the TDI elastosonography in addition to conventional sonography can influence the choice of the therapeutic procedure must be evaluated by conducting further studies.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"27-32"},"PeriodicalIF":0.7,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1299109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40170031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Intra- and interrater variability of sonographic investigations of patella and achilles tendons].","authors":"M Cassel,&nbsp;S Müller,&nbsp;A Carlsohn,&nbsp;H Baur,&nbsp;N Jerusel,&nbsp;F Mayer","doi":"10.1055/s-0031-1281839","DOIUrl":"https://doi.org/10.1055/s-0031-1281839","url":null,"abstract":"<p><strong>Background: </strong>Clinical examinations of tendon disorders routinely include ultrasound examinations, despite the fact that availability of data concerning validity criteria of these measurements are limited. The present study therefore aims to evaluate the reliability of measurements of Achilles- and Patella tendon diameter and in the detection of structural adaptations.</p><p><strong>Materials and methods: </strong>In 14 healthy, recreationally active subjects both asymptomatic Achilles (AT) and patella tendons (PT) were measured twice by two examiners in a test-retest design. Besides the detection of anteroposterior (a.p.-) and mediolateral (m.l.-) diameters, areas of hypoechogenicity and neovascularisation were registered. Data were analysed descriptively with calculation of test-retest variability (TRV), intraclass-correlation coefficient (ICC) and Bland and Altman's plots with bias and 95 % limits of agreement (LOA).</p><p><strong>Results: </strong>Intra- and interrater differences of AT- and PT-a.p.-diameter varied from 0.2 - 1.2 mm, those of AT- and PT-m.l-diameter from 0.7 - 5.1 mm. Areas of hypoechogenicity were visible in 24 % of the tendons, while 15 % showed neovascularisations. Intrarater AT-a.p. -diameters showed sparse deviations (TRV 4.5 - 7.4 %; ICC 0.60 - 0.84; bias -0.05 - 0.07 mm; LOA -0.6 - 0.5 to -1.1 - 1.0 mm), while interrater AT- and PT-m.l.-diameters were highly variable (TRV 13.7 - 19.7 %; ICC 0.11 - 0.20; bias -1.4 - 4.3 mm; LOA -5.5 - 2.7 to -10.5 - 1.9 mm).</p><p><strong>Conclusion: </strong>Our results suggest that the measurement of AT- and PT-a.p. -diameters is a reliable parameter. In contrast, reproducibility of AT- and PT-m.l.-diameters is questionable. The study corroborates the presence of hypoechogenicity and neovascularisation in asymptomatic tendons.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"21-6"},"PeriodicalIF":0.7,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1281839","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40169519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Therapy of acute ankle sprain: one-year results of primary conservative treatment].","authors":"A Suhr,&nbsp;T Mückley,&nbsp;G O Hofmann,&nbsp;G Spahn","doi":"10.1055/s-0031-1299108","DOIUrl":"https://doi.org/10.1055/s-0031-1299108","url":null,"abstract":"<p><strong>Introduction and aim: </strong>Ankle sprains (supination-eversion injury) have a high incidence. Conservative treatment is generally the method of choice. This study is intended to evaluate the 1-year results of a standardised treatment protocol.</p><p><strong>Material and methods: </strong>A total of 416 patients who had suffered an ankle sprain were included into this study. All of them had undergone primary conservative treatment. A total of 66 of them (15.9 %) had undergone operative treatment within one year after injury. The indications for operation were persistent pain, swelling or persistent instability. In 33 patients an arthroscopy for evaluation of the joint and debridement was used. In the case of a persistent instability 22 ligament augmentations (Kuner periostal flap) and 11 peroneus tenodesis (Watson-Jones) were performed. The evaluation was done by using the AOFAS score (\"Ankle Hindfoot Scale\" of the American Orthopedic Foot and Ankle Society).</p><p><strong>Results: </strong>A 1-year follow-up was possible in 96.4 % of the patients. The mean AOFAS score was 77.1 ± 10.5 points after conservative treatment. Those patients who needed an arthroscopic debridement had a slightly better outcome (AOFAS score 79.5 ± 10.2 points). Patients who had undergone stabilisation operations tended to have the best outcome (p = 0.093). The AOFAS score was 79.6 ± 15.4 points in patients after periostal flap augmentation, respectively, 83.0 ± 7.4 points after peroneus tenodesis.</p><p><strong>Conclusions: </strong>The results confirm the benefit of conservative treatment in acute ankle sprain. Even so about 15 - 20 % of the patients still suffer from persistent pain, swelling or instability. The indication for operative intervention should be made relatively broadly. Most of these patients profit from the operation. Above all, after ankle sprain patients need a continuous re-evaluation by a specialised centre during the first post-injury year.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"39-44"},"PeriodicalIF":0.7,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1299108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40170033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Visualisation of bioabsorbable suture anchors with digital projection radiography and magnetic resonance imaging].","authors":"H Steckel,&nbsp;A Krönke,&nbsp;M Funke,&nbsp;H Klinger","doi":"10.1055/s-0031-1281868","DOIUrl":"https://doi.org/10.1055/s-0031-1281868","url":null,"abstract":"<p><strong>Background: </strong>During the last few years bioabsorbable suture anchors have become widely established along side metallic suture anchors in orthopaedic surgery. However, there are still some difficulties in evaluating the postoperative situation after implanting bioabsorbable suture anchors. The aim of this study was to examine the visualisation of bioabsorbable suture anchors with digital projection radiography and magnetic resonance imaging.</p><p><strong>Materials and methods: </strong>Ten Mitek-Anchor-Panalok® suture anchors made of polylactic acid were implanted in an ex-vivo animal study design. After implantation the specimens were examined with digital projection radiography and MRI. The analysis was performed with regard to the bony defects and the anchor material itself.</p><p><strong>Results: </strong>With digital projection radiography and MRI, it was possible to detect the bony defects after implantation of the anchors. The anchor material could not be visualised.</p><p><strong>Conclusion: </strong>The results of this study demonstrate that neither digital projection radiography nor MRI is well suited for the detection of the bioabsorbable suture anchors in the postoperative situation. Whereas the bony defects can be well described, the anchors cannot be directly visualised. The visualisation of bioabsorbable anchors remains a clinical problem in orthopaedic surgery.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"33-8"},"PeriodicalIF":0.7,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1281868","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40170032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Risk factors for accidents during sports while serving in German armed forces].","authors":"N Gundlach,&nbsp;S Sammito,&nbsp;I Böckelmann","doi":"10.1055/s-0031-1299107","DOIUrl":"https://doi.org/10.1055/s-0031-1299107","url":null,"abstract":"<p><p>In the German Armed Forces sports activities should bring the benefits of good health and trained fitness which are the hallmarks of sportsmen. In order to achieve this aim it is important to avoid accidents which negate the benefit of sports. Until today there appear to be no studies in existence which demonstrate the risk factors of sports activities undertaken while in military service. Equivalent studies on civilian sport activities are scarcely comparable. To find out risk factors for accidents with any period of recovery we followed sports accidents while on duty in a German barracks with 4,300 soldiers over a two-year period. Additionally we asked about the time needed for recovery from each accident, parameters of lifestyle, the body mass index and the possibility of a nightshift before each accident. We examined a minimum of 410 accidents. We found associations between the accidents studied and particular risk factors, including doing sports more than two times a week, being active in a fitness or sports club, having the accident together with another sportsman and doing a nightshift before the day of the accident. Bad ground conditions contributed to a large number of accidents. A body mass index of 25 and higher had a significantly prolonged time for recovery. To avoid accidents, sport and ground conditions should be adapted to each other. In addition, overweight people are not only compromised for cardiovascular and neurological diseases but also have a higher risk of needing a prolonged time for recovery, thus it is important that overweight should be avoided and not only just be treated.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"45-8"},"PeriodicalIF":0.7,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1299107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40170034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Analysis and evaluation of the health status of physical education teachers focusing on dance teachers].","authors":"E M Wanke,&nbsp;J Schmitter,&nbsp;D A Groneberg","doi":"10.1055/s-0031-1281840","DOIUrl":"https://doi.org/10.1055/s-0031-1281840","url":null,"abstract":"<p><strong>Introduction: </strong>A dance teacher teaches in various professional and amateur genres. The physical load depends on the target group and is partly submaximal or even higher. The only tool of dance teachers is their own body. There are only few other tools to facilitate such work. Therefore, keeping the body in a good health status is of great significance. Up to the present, there have been little or no data on the health status of persons teaching dance. The aim of this study is to examine the health status of persons who teach dance in order to initiate a data base for the development of further projects with a preventive medical focus.</p><p><strong>Methods: </strong>A total of 165 (f: 154, m: 11) average aged (46.1 years) dance teachers in Germany responded to a cross-section questionnaire survey.</p><p><strong>Results: </strong>Teaching dance is for 96.6 % \"the job of their dreams\". Of all dance teachers 89.4 % continue to work while in pain and 85.5 % cannot afford a \"longer down-time\". 78.2 % state that they have paused due to a work-related disease, although 56.9 % of the respondents consider their occupation to be the cause for a disease with the answer only, seldom (44.4 %) or never (12.5 %). 4.5 % consult a medical doctor only after the self-treatment has failed. The lower extremity is the most common anatomic region in acute injuries (57.6 %) as well as in chronic complaints (58.3 %). The causes are multiple and comprise physical as well as psychic factors such as a high pressure of expectation (64.8 %) or a tight schedule/time table (43 %). 29 % of all dance teachers suffer from internal and 58 % from orthopaedic complaints. 43.1 % of them state that these complaints result from their occupation. 80.5 % make an acute injury responsible for compulsary breaks.</p><p><strong>Discussion: </strong>The discrepancies between the self-perception and the findings of this investigation clearly show that the psychic and physical load in this occupation should not be underestimated. Here, further research on the social, psychic and physical health status of dance teachers is required. The results of this investigation warrant further research in the field of activity of the variable and up to now unprotected dance teacher profession in Germany.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"49-56"},"PeriodicalIF":0.7,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1281840","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40170035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}