Unfallchirurgie (Heidelberg, Germany)最新文献

[Intraspinal subdural hematoma after polytrauma].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-04 DOI: 10.1007/s00113-025-01569-8

Andreas Termer, Markus Klebingat, Philip Gierer

引用次数: 0

[Artificial intelligence in advanced surgical training : An overview].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-03 DOI: 10.1007/s00113-025-01558-x

Adrian Deichsel, Felix C Öttl, Johannes Pawelczyk, Lea Usov, Henryk Haffer

引用次数: 0

[Femoral head necrosis after femoral neck fracture-A lifelong burden].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-02 DOI: 10.1007/s00113-025-01555-0

Oliver Loose, F Fernandez, T Müller

引用次数: 0

[Pathological rupture of the distal peroneal retinaculum with dislocation of the peroneus longus tendon in a high jump champion : A 15-year case study].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-02 DOI: 10.1007/s00113-025-01566-x

Hans Zwipp

{"title":"[Pathological rupture of the distal peroneal retinaculum with dislocation of the peroneus longus tendon in a high jump champion : A 15-year case study].","authors":"Hans Zwipp","doi":"10.1007/s00113-025-01566-x","DOIUrl":"https://doi.org/10.1007/s00113-025-01566-x","url":null,"abstract":"Background: Hypertrophy of the peroneal tubercle and/or a local cortisone injection promoted a pathological rupture of the distal peroneal retinaculum with dislocation of the peroneus longus tendon.Objective: Presentation of a distal peroneal retinaculum replacement using a periosteal flap after remodelling of the hypertrophied peroneal tubercle by creating the natural sulcus below it, which enable safe and permanent guidance of the peroneus longus tendon.Material and method: A 21-year-old high jump athlete suffered a painful crack on the outer left foot while running a right hand curve without any trauma. Clinically, there was a painful, palpable reproducible dislocation of the peroneus longus tendon probably due to an extremely oversized peroneal tubercle. A local cortisone injection had been given 5 months previously because of local pain. The X‑ray, computed tomography (CT) and magnetic resonance imaging (MRI) examinations showed substantial hypertrophy of the left peroneal tubercle with a riding dislocation of the peroneus longus tendon on it. As conservative therapy was known to be insufficient, surgery was indicated.Result: There was no recurrence over the course of 15 years. In the year following the operation, the patient became German champion in the high jump discipline and another 5 years later, German champion in the triple jump.Discussion: If hypertrophy of the peroneal tubercle and/or the local cortisone injection alone caused the pathological rupture of the distal retinaculum with dislocation of the tendon remained unclear. A secure and longstanding tendon guidance with restoration of full jumping strength can only be surgically achieved.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766100","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

Partial tear of the medial gastrocnemius head : A case report of meniscal symptoms in a 32-year-old recreational athlete.

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-06 DOI: 10.1007/s00113-025-01534-5

Daniel P Berthold, Fabian Traub, Fabian Gilbert, Wolfgang Böcker, Boris Holzapfel, Markus Bormann

{"title":"Partial tear of the medial gastrocnemius head : A case report of meniscal symptoms in a 32-year-old recreational athlete.","authors":"Daniel P Berthold, Fabian Traub, Fabian Gilbert, Wolfgang Böcker, Boris Holzapfel, Markus Bormann","doi":"10.1007/s00113-025-01534-5","DOIUrl":"10.1007/s00113-025-01534-5","url":null,"abstract":"This case report presents the clinical findings and management of a 32-year-old male recreational athlete who presented with ongoing knee pain for 4 months, without a history of trauma. The patient experienced intermittent pain during walking, particularly after prolonged periods of sitting, and exhibited positive findings on meniscus tests. However, he was able to participate in sports activities without pain. Magnetic resonance imaging (MRI) revealed a partial tear of the medial gastrocnemius head, confirming the diagnosis. Conservative treatment, including rest, physical therapy, and a gradual return to sports activities, led to significant symptom improvement. This case highlights the importance of considering rare injuries, such as isolated tears of the medial gastrocnemius head, in patients with persistent knee pain and meniscal symptoms, even in the absence of traumatic events. Previous reports on this specific injury are sparse, indicating its rarity and underscoring the need for further understanding and documentation.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"319-323"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257493","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

[Innovative e-learning tool for amputees in Ukraine and Germany : Digital assistance for self-help in interdisciplinary rehabilitative care].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-07 DOI: 10.1007/s00113-025-01543-4

C Egen, C Gutenbrunner, J Ernst, C Sturm, J Schiller

{"title":"[Innovative e-learning tool for amputees in Ukraine and Germany : Digital assistance for self-help in interdisciplinary rehabilitative care].","authors":"C Egen, C Gutenbrunner, J Ernst, C Sturm, J Schiller","doi":"10.1007/s00113-025-01543-4","DOIUrl":"10.1007/s00113-025-01543-4","url":null,"abstract":"Background: Following the Russian war of aggression the number of people in Ukraine with amputated arms and legs rose sharply, overwhelming a fledgling rehabilitation system.Aim: This article describes the development and implementation of an e‑learning tool aimed at medical professionals, amputees and their relatives, which contains a wide range of information on rehabilitation after limb amputation and is easily accessible. It is designed to provide practical support for the rehabilitation process of affected individuals and is available free of charge in the Ukrainian and German languages.Material and methods: An interdisciplinary team of doctors, therapists, orthopedic technicians and a scientist developed the structure and outline of the learning module in a consensus process. The content was developed in small teams and, after an internal content review by two team members, linguistically synchronized and implemented on the open-source learning platform Integrated Learning, Information and Work Cooperation System (Integriertes Lern‑, Informations- und Arbeitskooperations-System, ILIAS).Results and discussion: The e‑learning tool was fully developed and implemented within 10 months. It is available free of charge in two languages at https://digitale-lehre-mhh.de . It distinguishes between rehabilitation after arm or leg amputation, after which three consecutive rehabilitation phases (postacute, intermediate and maintenance phases) can be selected. The next level gives access to the specific content, which consists of a pathway, explanatory texts, images, video sequences and audio files on treatment, self-exercises and practical tips.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"283-288"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574784","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

[Osseointegration in amputation surgery : Representative studies].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-12 DOI: 10.1007/s00113-025-01542-5

Lisa Stock, Lukas F Seyboldt, Phillip Wilkens, Frank Braatz

引用次数: 0

[Rupture of the anterior cruciate ligament : What must be born in mind in the reconstruction?]

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-19 DOI: 10.1007/s00113-025-01551-4

Christian Fink, Andrea Marchetti, Tobias Schwäblein, Mirco Herbort

引用次数: 0

[Cemented vs. uncemented modern hemi-endoprostheses for dislocated femoral neck fractures : Results of the randomized multicenter WHiTE 5 study].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1007/s00113-025-01541-6

Darius M Thiesen, Dirk Stengel, Selina Loose

引用次数: 0

[Update of the Amputation Registry Germany (AMP-Registry)].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.1007/s00113-025-01539-0

Merkur Alimusaj, Kristina Michel, Julia Block, Urban Daub, Daniel Heitzmann, Thanh-Duc Nguyen, Maria Bisele, Sebastian I Wolf, Urs Schneider

{"title":"[Update of the Amputation Registry Germany (AMP-Registry)].","authors":"Merkur Alimusaj, Kristina Michel, Julia Block, Urban Daub, Daniel Heitzmann, Thanh-Duc Nguyen, Maria Bisele, Sebastian I Wolf, Urs Schneider","doi":"10.1007/s00113-025-01539-0","DOIUrl":"10.1007/s00113-025-01539-0","url":null,"abstract":"Background: Medical registries are used to collect valuable patient data in order to check and control the quality and effectiveness of treatment approaches. National registries in the field of amputation and patient care, such as the Swedish Amputation and Prosthetics Registry (SwedeAmp) and the Limb Loss and Preservation Registry (LLPR) in the USA, gather information on prosthetic devices, materials, procedures and patient-related outcomes such as mobility and quality of life. Since 2011 SwedeAmp could generate significant insights into long-term outcomes after amputations and improve prosthetic care in Sweden. In the USA the LLPR collects data on aspects ranging from clinical to psychosocial aspects, enabling international comparisons and the optimization of care.Material and methods: In Germany the AMP Registry makes significant contributions by documenting data on prosthetic fit, wearing comfort and the reasons for revisions. The aim of the AMP Registry is to create an evidence base through systematic data collection. The project includes the development of a user-friendly IT structure, a pilot phase for application evaluation and close collaboration with experts. Standardized datasets aim to identify deficits in care and develop evidence-based approaches. Data collection and storage are carried out in compliance with the General Data Protection Regulation (DSGVO) and secured through technical measures.Results and discussion: Initial results from the Heidelberg Study Center demonstrate the potential of the AMP Registry. Subgroup analyses support optimization of care and highlight the importance of regular assessments to improve long-term care.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"240-247"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412062","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