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

{"title":"[Mental training: learning through motor imagery and imitation].","authors":"Christian Dettmers","doi":"10.1055/s-0031-1291905","DOIUrl":"https://doi.org/10.1055/s-0031-1291905","url":null,"abstract":"","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"135-42"},"PeriodicalIF":0.7,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40145682","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":"[Therapeutic climbing--barely explored but widely used].","authors":"C Grzybowski,&nbsp;E Eils","doi":"10.1055/s-0029-1245539","DOIUrl":"https://doi.org/10.1055/s-0029-1245539","url":null,"abstract":"<p><strong>Background: </strong>Therapeutic climbing had been used successfully as an intervention in orthopedic-traumatologic, neurologic, psychomotoric and congenital or chronic diseases. The aim of this abstract is to give an overview of the existing literature on this new form of therapy. This could also aid in assessing the methodology and work out future research directions.</p><p><strong>Material and methods: </strong>National and international databases within the medical field (Evidence Based Medicine Reviews, PubMed …) have been searched for German and English articles that dealt with climbing in a therapeutic context.</p><p><strong>Results: </strong>Only a limited amount of scientific investigations regarding the effects of therapeutic climbing were found. Evidence for the effectiveness of this form of climbing was only found in the field of orthopedics. Other published results were field reports or individual case studies which did not make any reliable statements/conclusions.</p><p><strong>Conclusion: </strong>Based on the current review, therapeutic climbing cannot be wholly recommended as an interventional method. However, this should not be interpreted as a refusal to use therapeutic climbing as an intervention. The use of systematic analysis in studying the general effects of climbing movements as well as comparisons to classical interventional methods is necessary. Further approaches to this research study will be given.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"87-92"},"PeriodicalIF":0.7,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1245539","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40109237","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":"[Spine injuries due to horse riding accidents - an analysis of 30 cases].","authors":"C Hessler,&nbsp;V Namislo,&nbsp;G Kammler,&nbsp;U Lockemann,&nbsp;K Püschel,&nbsp;N M Meenen","doi":"10.1055/s-0029-1245831","DOIUrl":"https://doi.org/10.1055/s-0029-1245831","url":null,"abstract":"<p><strong>Introduction: </strong>Horseback riding entails several risk factors that predispose the participant to injury. Especially craniocerebral as well as spinal trauma were common reasons for severe injuries. Hence, it is important to use effective protective gear during riding activities. However, the protective effect of actual safety vests and helmets in case of accident is still unknown. In the present study reasons, mechanisms and patterns of equine-related spine injuries were analyzed. Based on these data the effectiveness of used protective gear during accident was assessed.</p><p><strong>Material and methods: </strong>30 equestrians took part in a questionnaire survey. Based on these answered questionnaires reasons, mechanisms and patterns of equine-related injuries as well as used protective gear during accident were evaluated and analyzed.</p><p><strong>Results: </strong>24 patients (80 %) were female and 6 (20 %) were male. The median age at the time of injury was 36 years (range 14 - 72 years). The causalities suffered from 18 fractures (60 %) and 11 discoligamentous injuries (37 %), in one case a bone-bruise-injury (3 %) was found. 7 equestrians (23 %) wore a safety vest at time of injury.</p><p><strong>Discussion: </strong>Despite wearing a safety vest, the spine can get damaged when accident occurred. It is not possible to create vests for equestrians capable of protecting against all spine injuries in all accidents. If the energy impact is too high, serious injuries can result, even though protective body gear is worn. But the development of improved safety vests is necessary to reduce the number of severe spine injury in the future.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"93-6"},"PeriodicalIF":0.7,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1245831","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40109238","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":"[Treatment of locked chronic posterior dislocation of the shoulder].","authors":"H Steckel,&nbsp;M H Baums,&nbsp;H M Klinger","doi":"10.1055/s-0029-1246113","DOIUrl":"https://doi.org/10.1055/s-0029-1246113","url":null,"abstract":"<p><strong>Introduction: </strong>The posterior locked shoulder dislocation is a rare injury that is often associated with an impression fracture of the anteromedial aspect of the humeral head. The majority of posterior shoulder dislocations are missed on the initial examination.</p><p><strong>Methods: </strong>We demonstrate the case of an athlete, who presented with a posterior shoulder dislocation after a trauma two months ago.</p><p><strong>Results: </strong>The patient was treated with a M. subscapularis transfer in the reverse-hill-sachs-lesion.</p><p><strong>Discussion: </strong>The diagnosis of the posterior shoulder dislocation remains a problem in the clinical setting. Treatment is based on the size defect of the anteromedial humeral head. Different treatment options are still controversially discussed.</p><p><strong>Conclusion: </strong>To diagnose a posterior shoulder dislocation correctly a standard clinical and radiological assessment is necessary.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"114-7"},"PeriodicalIF":0.7,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1246113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40109242","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":"[Refixation of distal biceps tendon rupture using 2 anchor sutures - sports ability after 1 year follow-up and operative technique].","authors":"O Weber,&nbsp;G Pagenstert,&nbsp;D C Wirtz,&nbsp;C Burger,&nbsp;M Wimmer,&nbsp;P H Pennekamp,&nbsp;S Gravius,&nbsp;M Müller","doi":"10.1055/s-0029-1245886","DOIUrl":"https://doi.org/10.1055/s-0029-1245886","url":null,"abstract":"<p><strong>Background: </strong>Rupture of distal biceps tendon often occurs in physical active male persons between 30 and 50 years. The standard treatment consists of operative refixation of the ruptured tendon stump. In literature there are various methods described. Due to the high expectations of this group of patients, we examined the sports ability after 1 year follow-up and describe our employed operative fixation technique.</p><p><strong>Material: </strong>Between 2004 and 2008 we treated 20 male persons in a prospective study with distal biceps tendon rupture. Applying the score of Rattanen and Orawa we evaluated the M. biceps force in flexion and supination and changes in the patients' sports activity. Furthermore we documented complications and the anchor localization via x-ray.</p><p><strong>Results: </strong>The score results varied between excellent in 14 patients and good and fair in 3 cases respectively. Using only 1 suture anchor (3 patients), either a knot or a wire failure appeared within 5 days. Anchor malpositions were discovered in 2 patients. The force measurement showed threetimes minor but in 3 patients major force deficits. Lack of extension or supination movement could be stated in 3 cases. Changes in their sports ability reported 8 persons. Of the remaining 12 patients, the original sports level was reached after 9 months.</p><p><strong>Conclusion: </strong>Two anchors proved to guarantee a stable fixation of the distal biceps tendon stump. On the contrary we see the danger of fixation failure in using only 1 anchor. The best results achieved patients with a primer stable and correct located anchoring, therefore we recommend two anchors placed under radiological control. Regarding the score results, fixation of the distal biceps tendon is a demanding procedure, that should be performed by experienced surgeon.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"97-102"},"PeriodicalIF":0.7,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1245886","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40109239","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":"[The \"wheel gymnast's elbow\" - first description of a common overuse syndrome].","authors":"M D Kauther,&nbsp;S Rummel,&nbsp;B Thobe,&nbsp;B Hussmann,&nbsp;D Nast-Kolb,&nbsp;C Wedemeyer","doi":"10.1055/s-0029-1245841","DOIUrl":"https://doi.org/10.1055/s-0029-1245841","url":null,"abstract":"<p><strong>Background: </strong>Overuse syndromes of the elbow due to wheel gymnastics are unknown in medical literature. This study describes a common overuse syndrome of the elbow in wheel gymnastics.</p><p><strong>Methods: </strong>We conducted internet research and interviewed 260 wheel gymnasts, who trained the \"hip roll\" element.</p><p><strong>Results: </strong>60.4 % of the gymnasts reported changes of the elbow region. The intensity of pain during training was 1.51 out of 10 points. Lacerations were reported in 33.1 %, hematomas were reported in 68.7 %, and a loss of hair at the elbow region was reported in 11.7 %. 11.5 % of the gymnasts described a bump and 5.8 % described a depression of the proximal ulnar region that was not found before wheel gymnastics. Gymnasts using protective gear reported significantly higher levels of pain compared to gymnasts without protective gear.</p><p><strong>Discussion: </strong>The \"wheel gymnast's elbow\" is a common overuse syndrome of the proximal ulnar due to direct contact and friction of the proximal ulnar to the giant wheel bars. The \"wheel gymnast's elbow\" describes a combination of lacerations, hematoma, hair loss, bumps, and depression of the proximal ulnar region with only slight pain.</p><p><strong>Conclusion: </strong>An early preventive use of protective gear during \"hip roll\" training can possibly reduce the \"wheel gymnast's elbow\" syndrome.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"103-7"},"PeriodicalIF":0.7,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1245841","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40109240","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":"[No clinical evidence for an enhanced bleeding tendency due to perioperative treatment with bromelain].","authors":"K Johann,&nbsp;K Eschmann,&nbsp;P Meiser","doi":"10.1055/s-0031-1273307","DOIUrl":"https://doi.org/10.1055/s-0031-1273307","url":null,"abstract":"<p><strong>Background: </strong>Systemic enzyme therapy with bromelain resembles a sensible alternative to nonsteroidal antiinflammatory drugs for the treatment of sports injuries, with particular consideration of therapeutic benefits and possible risks. Beyond aftertreatment of sports injuries, bromelain is used postoperatively as well. Besides the desired effects remission of oedema and pain relief, however, the postoperative use of bromelain raises uncertainty in some patients and physicians since an enhanced bleeding tendency in case of concomitant therapy with anticoagulants was described as a possible interaction. Therefore, the goal of this study was to investigate the clinical relevance of this interaction.</p><p><strong>Patients/methods: </strong>In two non-interventional studies, altogether 260 patients were peri- or postoperatively (cruciate ligament- or coxarthrosis surgery) treated with bromelain (n = 129, 1000 - 3000 F. I. P. units/day) or diclofenac (n = 131; 150 mg/day) under concomitant thrombosis prophylaxis with low molecular weight heparin. Parameters tested were prothrombin time, thrombin time, activated partial thromboplastin time, fibrinogen and tolerability of the medication.</p><p><strong>Results and conclusion: </strong>Only marginal changes and a low variability of coagulation parameters were observed in both treatment groups (bromelain vs. diclofenac) in both studies. Elevated laboratory parameters were observed in both treatment groups for thrombin time which is very likely attributable to the therapy with low molecular weight heparin, due to the substantially parallel course of this parameter in both treatment groups. Therapy with bromelain was superior to the treatment with diclofenac concerning the number and the severity of undesirable effects, as was expected. The presented studies therefore support the previous clinical evidence that a perioperative treatment with bromelain is well tolerated and does not lead to an increased risk of haemorrhage when used concomitantly with low molecular weight heparin.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"108-13"},"PeriodicalIF":0.7,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1273307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40109241","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":"[Humeral fracture due to arm wrestling - an indirect fracture in a doped athlete].","authors":"M Napp,&nbsp;M Frank,&nbsp;G Amtsberg,&nbsp;P Hinz,&nbsp;A Ekkernkamp","doi":"10.1055/s-0029-1246115","DOIUrl":"https://doi.org/10.1055/s-0029-1246115","url":null,"abstract":"<p><strong>Background: </strong>Humeral shaft fractures due to recreational arm wrestling are reported from time to time.</p><p><strong>Case report: </strong>We report the case of a 19 year old, anabolic steroids up taking, recreational arm wrestler who sustained a spiral fracture of the right humeral bone and secondary radial nerve palsy. We discuss the surgical treatment and the biomechanics of this rare injury mechanism.</p><p><strong>Conclusion: </strong>Every professional or recreational arm wrestler has to be aware of dangerous sports injuries.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"118-20"},"PeriodicalIF":0.7,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1246115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40109243","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":"[The operative treatment of the dorsal distal phalanx near to the base (osseous pull out of the extensor tendon) with extreme exposure of the hand by athletic activities - is the hook plate a option for treatment?].","authors":"Gabor Szalay,&nbsp;I Schleicher,&nbsp;R Kraus,&nbsp;B Stigler,&nbsp;R Schnettler","doi":"10.1055/s-0029-1245364","DOIUrl":"https://doi.org/10.1055/s-0029-1245364","url":null,"abstract":"<p><strong>Aim: </strong>Aim of the presented investigation was to work out the short- and mid-term outcomes after operative treatment of distal phalanx fractures near to the base of type Doyle IVb and IVc (osseous pull out of the extensor tendon) by means of a hook plate in patients with extreme exposure of the hand by athletic activities.</p><p><strong>Patients and methods: </strong>Between February 2002 and September 2009 77 patients were treated by operation in our hospital by means of a hook plate due to a traumatic fracture of the dorsal distal phalanx near to the base of type Doyle IVb and IVc (osseous pull out of the extensor tendon) by means of a hook plate (Aerni plate/S2-Prong-Plate) of Stryker Leibinger. 64 of these 77 patients incur the fracture while exercising sport. 46 of these 64 patients were clinically and radiologically followed up within a retrospective study. To assess the therapy's outcome a specific scoring scheme containing subjective and objective parameters was elaborated in order to gain a transparent result of the treatment.</p><p><strong>Results: </strong>According to this scoring scheme 84.79 % of the patients reached a very good or good result. Nail growth defects by an intraoperative injury of nail matrix represents an essential complication of the presented surgical method.</p><p><strong>Conclusion: </strong>By means of the presented method in the majority of the cases good or very good results could be achieved. That method represents a simple, safe and less complicate possibility to treat the distal phalanx fractures near to the base type IVb and IVc according to Doyle and it is considered as a useful alternative to other procedures.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"159-65"},"PeriodicalIF":0.7,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1245364","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40072221","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":"[Mean speed of winter sport participants depending on various factors].","authors":"Gerhard Ruedl,&nbsp;R Sommersacher,&nbsp;T Woldrich,&nbsp;M Kopp,&nbsp;W Nachbauer,&nbsp;M Burtscher","doi":"10.1055/s-0029-1245578","DOIUrl":"https://doi.org/10.1055/s-0029-1245578","url":null,"abstract":"<p><p>Objective of this study was to evaluate speeds on ski slopes depending on various factors as gender, age, height, weight, and nationality, helmet use, used type of gear, skiing ability, risk taking behaviour and weather conditions. The average speed measured with a radar speed gun was 44 km/h for all observations. A multivariate logistic regression model revealed five independent factors for higher speeds on slopes: younger age, male gender, skier, higher skill level, and riskier behaviour. Helmet use is not associated with higher speeds on slopes. Therefore, ski helmets have been recommended because helmet use is associated with a considerable reduction of head injury risk. In general, to avoid speed related injuries, preventive recommendations include skiing under speed control consistent with the individual skiing ability, and slope and weather conditions.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"150-3"},"PeriodicalIF":0.7,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1245578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40072219","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}