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[Implementing quality management successfully : Experiences from the Bundeswehr Medical Service]. [成功实施质量管理：德国联邦国防军卫勤处的经验]。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-07-10 DOI: 10.1007/s00132-025-04672-1
Doerthe Lison, N D Ferreira Sa Marques, M Haunhorst, A Lison
{"title":"[Implementing quality management successfully : Experiences from the Bundeswehr Medical Service].","authors":"Doerthe Lison, N D Ferreira Sa Marques, M Haunhorst, A Lison","doi":"10.1007/s00132-025-04672-1","DOIUrl":"10.1007/s00132-025-04672-1","url":null,"abstract":"<p><p>The Bundeswehr's medically and service-oriented rehabilitation for wounded and seriously injured soldiers serves the operational readiness of the armed forces even in peacetime. In addition to the employer's duty of care, it is based on legal requirements, the professional standards of civilian professional societies and cooperation with civilian rehabilitation facilities. In the case of national and collective defence, a QM system geared to military needs is an indispensable basis for sustainable rehabilitation measures under extreme conditions. The experience of a medical facility with a complex rehabilitative mission in the implementation of a QM system, under unfavourable conditions such as staff shortages, training deficits and limited material resources, can be helpful for civilian institutions with regard to public services in crisis and war.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"593-600"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602420","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}
引用次数: 0
[Sacroiliitides in the German armed forces : Axial spondyloarthritis as a differential diagnosis for chronic back pain among young soldiers]. [骶髂关节炎在德国武装部队：轴性脊柱炎作为年轻士兵慢性背痛的鉴别诊断]。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-07-07 DOI: 10.1007/s00132-025-04673-0
Sebastian Klapa
{"title":"[Sacroiliitides in the German armed forces : Axial spondyloarthritis as a differential diagnosis for chronic back pain among young soldiers].","authors":"Sebastian Klapa","doi":"10.1007/s00132-025-04673-0","DOIUrl":"10.1007/s00132-025-04673-0","url":null,"abstract":"<p><strong>Background: </strong>Axiale Spondyloarthritis (axSpA) is one of the most frequent rheumatic diseases among young adults.</p><p><strong>Objectives: </strong>Determination of the current recommendations for diagnosing and treating axSpA, discussion of the clinical relevance and situation of soldiers with axSpA in the German armed forces.</p><p><strong>Materials and methods: </strong>Evaluation of national and international guidelines and literature review.</p><p><strong>Results: </strong>AxSpA might be one of the most common underlying rheumatic diseases requiring treatment and is predicted to be an important differential diagnosis of chronic back pain in soldiers in the German armed forces. Early termination of deployment and possible premature termination of military service are associated with chronic back pain. Currently, axSpA is related to limited serviceability. New specific therapies can prevent impending service disability at an early stage.</p><p><strong>Conclusion: </strong>Early diagnosis and treatment are essential to counteract reduced serviceability.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"609-617"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585805","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}
引用次数: 0
[Orthopaedics/trauma surgery in military aviation medical assessment]. [军事航空医学鉴定中的骨科/创伤外科]。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-07-16 DOI: 10.1007/s00132-025-04674-z
Torsten M Pippig
{"title":"[Orthopaedics/trauma surgery in military aviation medical assessment].","authors":"Torsten M Pippig","doi":"10.1007/s00132-025-04674-z","DOIUrl":"10.1007/s00132-025-04674-z","url":null,"abstract":"<p><strong>Background: </strong>The article describes the important role of orthopaedics and, in particular, the spine in military (and civilian) aviation medicine. This concerns both the selection for use as a military pilot and crewmember and the regular and long-term specialised orthopaedic/aeromedical care of pilots.</p><p><strong>Diagnostics: </strong>In modern orthopaedics/traumatology, MRI imaging of the spine is an important diagnostic tool. We handle the image findings with care. Our decision on military aeromedical fitness to fly is always a synthesis of the medical history, physical examination, imaging (MRI) and consideration of the occupational stresses and hazards in the military aircraft.</p><p><strong>Assessment: </strong>If a candidate, active pilot or crew member does not fulfil the medical requirements in accordance with the Central Service Regulation of the German Air Force A1/831/0-4008, they have the possibility to apply for an aeromedical waiver. In a case-by-case assessment and re-assessment, what speaks for aeromedical fitness and what speaks against it are weighed up. The application for an aeromedical waiver can be rejected or granted, in orthopaedics often with restrictions on the aeromedical fitness, e.g. no use on jets with ejection seats, no use in helicopters.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"618-625"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644322","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}
引用次数: 0
[Orthopaedic care in the Bundeswehr]. [联邦国防军的骨科护理]。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 DOI: 10.1007/s00132-025-04682-z
Peter Springer
{"title":"[Orthopaedic care in the Bundeswehr].","authors":"Peter Springer","doi":"10.1007/s00132-025-04682-z","DOIUrl":"https://doi.org/10.1007/s00132-025-04682-z","url":null,"abstract":"","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":"54 8","pages":"583-584"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762580","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}
引用次数: 0
[Iliopsoas impingement]. 髂腰肌撞击。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-06-23 DOI: 10.1007/s00132-025-04665-0
Ingo J Banke, Alexander Zimmerer, Jens Goronzy, Rüdiger von Eisenhart-Rothe, Vanessa Twardy
{"title":"[Iliopsoas impingement].","authors":"Ingo J Banke, Alexander Zimmerer, Jens Goronzy, Rüdiger von Eisenhart-Rothe, Vanessa Twardy","doi":"10.1007/s00132-025-04665-0","DOIUrl":"10.1007/s00132-025-04665-0","url":null,"abstract":"<p><p>Iliopsoas impingement refers to the painful contact between the iliopsoas tendon and the anterior acetabular rim of the hip joint. This mechanism can occur in the native hip as part of an internal snapping hip syndrome and, in particular, following total hip arthroplasty, leading to chronic groin pain and a substantial reduction in the quality of life. This review article outlines the diagnostic approaches for identifying iliopsoas impingement and presents both established open procedures and innovative minimally invasive arthroscopic techniques for iliopsoas tendon release, in order to facilitate precise treatment planning and avoid potential complications.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"647-659"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478101","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}
引用次数: 0
[Endoprosthetics as an essential component of surgical training in Bundeswehr surgery]. [Endoprosthetics是联邦国防军外科手术训练的重要组成部分]。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-06-05 DOI: 10.1007/s00132-025-04661-4
Peter Springer, Falk von Lübken
{"title":"[Endoprosthetics as an essential component of surgical training in Bundeswehr surgery].","authors":"Peter Springer, Falk von Lübken","doi":"10.1007/s00132-025-04661-4","DOIUrl":"10.1007/s00132-025-04661-4","url":null,"abstract":"<p><strong>Background: </strong>Against the backdrop of the Russian war of aggression in Ukraine, the public focus is increasingly on military defense and to be ready for action in the context of armed conflict situations. The medical service of the German Bundeswehr and the surgical care of soldiers play an important role here.</p><p><strong>Military surgical training: </strong>However, the training to become a military surgeon is extremely complex, as broad knowledge and skills in various areas of surgery must be acquired and maintained. Obviously, the main focus seems to be on further training in the treatment of thermodynamic combination injuries, such as those that occur in explosions or mine injuries, as well as gunshot wounds. The number of such injuries and thus necessary operations is, of course, too low in everyday life in Germany to be able to guarantee sound surgical training and maintenance, so that further training must be based on alternative foundations. As part of military surgical training, complex procedures of higher severity such as endoprosthetic replacement can therefore act as an important component.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"632-635"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227797","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}
引用次数: 0
[Pectoralis major rupture-diagnosis, treatment, followup : Presentation of a pilot project with case study]. 【胸大肌破裂——诊断、治疗、随访：一个试点项目的案例研究】。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-06-26 DOI: 10.1007/s00132-025-04678-9
Jan Peters, Guido Wruck, Peter Springer, Christoph Schulze
{"title":"[Pectoralis major rupture-diagnosis, treatment, followup : Presentation of a pilot project with case study].","authors":"Jan Peters, Guido Wruck, Peter Springer, Christoph Schulze","doi":"10.1007/s00132-025-04678-9","DOIUrl":"10.1007/s00132-025-04678-9","url":null,"abstract":"<p><p>The acute rupture of the pectoralis major muscle is a rare injury in young adults, which happens during weightlifting or bodybuilding and should be reconstructed early through surgical repair. The nonsurgical treatment results in a deficit in strength, range of motion and also in cosmetic deformity. This case report describes the successful treatment of a soldier's pectoralis major rupture, from the initial consultation, via surgical treatment in a military hospital, to the final complete rehabilitation. The case report is intended to illustrate the pilot project to establish rehabilitation centers within the German Bundeswehr.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"626-631"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499781","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}
引用次数: 0
[Traumatic epiphysiolysis of the dens axis-a 10-year follow-up]. [创伤性牙髓轴骨骺松解- 10年随访]。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-05-14 DOI: 10.1007/s00132-025-04659-y
Sara Keimling, C-E Heyde, P Pieroh
{"title":"[Traumatic epiphysiolysis of the dens axis-a 10-year follow-up].","authors":"Sara Keimling, C-E Heyde, P Pieroh","doi":"10.1007/s00132-025-04659-y","DOIUrl":"10.1007/s00132-025-04659-y","url":null,"abstract":"<p><p>Epiphysiolysis of the dens axis is a rare injury in childhood but should be reliably investigated in the presence of typical pathological mechanisms. In our case, the injury in a four-year-old boy after a fall on his neck could not be diagnosed in the initial X‑ray. The diagnosis was made by means of an MRI scan performed during the course of the case and conservative treatment with a cervical collar was provided. The 10-year follow-up showed mild impairments, especially when remaining in a flexed position for long periods (e.g. when reading). In addition, the question arises retrospectively as to whether an additional injury to the C2/3 led to spontaneous fusion of the segment.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"642-646"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Return to work-return to duty : The importance of rehabilitation in peace and armed conflict]. [重返工作岗位：和平与武装冲突中重建的重要性]。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-07-15 DOI: 10.1007/s00132-025-04680-1
Andreas Lison, S Simmel, C Reimertz, J Meyer
{"title":"[Return to work-return to duty : The importance of rehabilitation in peace and armed conflict].","authors":"Andreas Lison, S Simmel, C Reimertz, J Meyer","doi":"10.1007/s00132-025-04680-1","DOIUrl":"10.1007/s00132-025-04680-1","url":null,"abstract":"<p><p>The MEDEVAC chain and acute treatment of severely injured patients is ensured in peacetime through the establishment of the DGU® Trauma Network and the three-link Network for Care after Work and Commuting Accidents (DGUV), even for a temporary mass incident. Due to the expected number of wounded and injury patterns, an armed conflict on German soil represents a considerable resource commitment of the health system to military and civilian war victims in Germany. Even in peacetime, there is a far-reaching gap in the rehabilitation care of severely injured patients with complex rehabilitation needs (\"rehabilitation gap\"). The considerable efforts to develop a resilient rehabilitation system in Ukraine make it clear that uninterrupted, phase-based and cross-sectoral rehabilitation is indispensable for maintaining the operational readiness of the armed forces, as well as for social resilience.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"585-592"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644323","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}
引用次数: 0
[Long-term sports medical care of soldiers : Relevance of trunk strength and performance]. [士兵长期运动医疗护理：躯干力量与表现的相关性]。
IF 0.5
Orthopadie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-07-23 DOI: 10.1007/s00132-025-04677-w
Christoph Schulze, Sabrina Fehrmann, Claudia Bünzen, Daniel Geißler
{"title":"[Long-term sports medical care of soldiers : Relevance of trunk strength and performance].","authors":"Christoph Schulze, Sabrina Fehrmann, Claudia Bünzen, Daniel Geißler","doi":"10.1007/s00132-025-04677-w","DOIUrl":"10.1007/s00132-025-04677-w","url":null,"abstract":"<p><strong>Background: </strong>Soldiers are exposed to physical strain with increased risk of developing overload injuries. Measures to preserve physical performance are of great preventive importance.</p><p><strong>Purpose: </strong>Does a long-term sports medical support based on strength and performance parameters help to maintain physical performance capacity?</p><p><strong>Methods: </strong>Data from isokinetic trunk strength measurements, lactate performance diagnostics, 50 m sprint tests, as well as anthropometric and laboratory parameters were retrospectively evaluated in 115 soldiers over 6 years and analysed using ANOVA and Pearson correlation analysis.</p><p><strong>Results: </strong>There were no relevant changes in anthropometric parameters. HDL cholesterol and trunk extension strength increased significantly. Performance in the sprint test also improved significantly. The maximum speed in the performance diagnostics remained constant.</p><p><strong>Conclusion: </strong>Long-term sports medical care for soldiers is suitable for preventing a loss of performance capacity and offers potential for further improvement.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"601-608"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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