Unfallchirurgie (Heidelberg, Germany)最新文献_第5页

[Cyberful-Virtual reality in arm and hand rehabilitation]. [网络虚拟现实在手臂和手部康复中的应用]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-18 DOI: 10.1007/s00113-025-01537-2

L A Pardo, M Markovic, I Michelis, J Ernst

引用次数: 0

[Tension band wiring arthrodesis of the metacarpophalangeal joint of the thumb in chronic multidirectional instability with secondary arthrosis]. [慢性多向不稳伴继发性关节病的拇指掌指关节张力带钢丝融合术]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-03-28 DOI: 10.1007/s00113-025-01564-z

Christian Karl Spies

引用次数: 0

[Acute compartment syndrome in childhood]. [儿童急性筋膜室综合征]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-03-27 DOI: 10.1007/s00113-025-01553-2

Guido Fitze, Peter C Strohm

引用次数: 0

[MANSCAL(mass casualty incident) hospital alert : "The first 10 minutes"]. [曼斯卡尔（大规模伤亡事件）医院警报：“前10分钟”]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-03-27 DOI: 10.1007/s00113-025-01554-1

Nina Thies, P Fischer, T Kohlmann, A Bayer, V Pedersen, W Böcker, S Prückner, M Klein

{"title":"[MANSCAL(mass casualty incident) hospital alert : \"The first 10 minutes\"].","authors":"Nina Thies, P Fischer, T Kohlmann, A Bayer, V Pedersen, W Böcker, S Prückner, M Klein","doi":"10.1007/s00113-025-01554-1","DOIUrl":"https://doi.org/10.1007/s00113-025-01554-1","url":null,"abstract":"Background: In the event of a mass casualty incident (MASCAL) decisions on the spatial, personnel and organizational restructuring of the emergency department have to be made in a very short time from the initial alert to the arrival of the first patient at the hospitals. Due to the rarity of a MASCAL this complex task is a special challenge.Aim: The aim of the study was to optimize the immediate preparation phase after a MASCAL alarm by means of concise instructions for action and to shorten the time to the automated external alerting.Material and methods: In a structured dialogue involving the departments of emergency medicine, anesthesia and surgery, the critical issues in the initial organization after a MASCAL activation were identified and a flow chart for the first relevant decision-making processes was developed. The time required for the decisions to be made was compared before and after the implementation of the instructions for action \"The first 10 minutes\" in practical simulations.Results: The compiled checklists \"The first 10 minutes\" contain a clearly structured guide to master the necessary tasks by decision-makers on site in the initial phase. By introducing the concept the duration of the initial decision-making process was reduced by an average of 14.3 min.Conclusion: The development of instructions for action optimized for the location with a structured checklist leads to a significant acceleration of the initial decision-making processes when a MASCAL is activated.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733536","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

[Simulators and simulation for advanced training in orthopedic and trauma surgery : An overview]. [骨科和创伤外科高级培训的模拟器和模拟：概述]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-03-20 DOI: 10.1007/s00113-025-01557-y

Adrian Deichsel, Yasmin Youssef, Dominik Adl Amini

引用次数: 0

[Missed injuries in pediatric trauma care : Still a challenge]. [儿科创伤护理中遗漏的损伤：仍然是一个挑战]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-03-10 DOI: 10.1007/s00113-025-01545-2

Nikos Karvouniaris, Kerstin Kuminack, Jonas Strohm, Hagen Schmal

{"title":"[Missed injuries in pediatric trauma care : Still a challenge].","authors":"Nikos Karvouniaris, Kerstin Kuminack, Jonas Strohm, Hagen Schmal","doi":"10.1007/s00113-025-01545-2","DOIUrl":"https://doi.org/10.1007/s00113-025-01545-2","url":null,"abstract":"Missed injuries (MI) in children and adolescents with multiple injuries represent a major challenge in pediatric trauma care despite the availability of standard examination protocols and imaging procedures. In the initial phase of care the primary survey is essentially important for the detection and treatment of life-threatening injuries and is well established. After stabilization of the patient in the trauma room and the first phase of treatment, a secondary survey and a tertiary survey should be carried out in order to detect initially MI in the further course and avoid longer term consequences. The majority of MI involve head, thoracic and extremity injuries. Risk factors for MI are younger patient age, the presence of multiple trauma, a higher injury severity score (ISS), a lower value on the Glasgow coma scale (GCS) and a prolonged stay in the intensive care unit. While MI are frequently described in severely or multiply injured children, a high proportion of MIs are also found in children transferred from other institutions. Therefore, two case studies from a pediatric trauma center at a maximum care hospital and a literature analysis are used to analyze typical MIs. These case examples underline the importance of adhering to a standardized treatment regimen for this patient group. It is advisable to develop a standard operating procedure (SOP) with a corresponding risk score, which regulates the tertiary survey, the times of the follow-up examinations and the corresponding (specialist) specific responsibilities.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588499","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

[Online resources for ankle sprains : A German language web analysis]. [踝关节扭伤的在线资源：德语网络分析]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-03-01 Epub Date: 2025-01-16 DOI: 10.1007/s00113-024-01526-x

Sophie Maria Tengler, Mark Lenz, Gunther O Hofmann, Marianne Rosenthal, Klaus E Roth, Lena Mohr, Hazibullah Waizy, Kajetan Klos

{"title":"[Online resources for ankle sprains : A German language web analysis].","authors":"Sophie Maria Tengler, Mark Lenz, Gunther O Hofmann, Marianne Rosenthal, Klaus E Roth, Lena Mohr, Hazibullah Waizy, Kajetan Klos","doi":"10.1007/s00113-024-01526-x","DOIUrl":"10.1007/s00113-024-01526-x","url":null,"abstract":"Background: With the Internet as the main source of information for health content, the quality of websites with medical information is of high importance.Objective: This study analysed 250 websites on acute ankle sprain (ASD), one of the most common musculoskeletal disorders, for their quality and readability. Based on the results, a guide for patients was created.Method: The quality of the websites was assessed using a 25-item content score and the EQIP36 score for medical information material. The reading level could be determined using the Flesch-Kincaid index and the calculated readability. The best three websites were evaluated in a user survey.Results: Of the 250 websites recorded 77 were included in the study. The quality of these varied significantly, with none achieving the maximum score. Sources in the healthcare system showed higher quality, while commercially influenced sites were below average in terms of completeness of content. Only 14% of the websites reached the recommended reading level. A significant negative correlation was found between completeness of content and readability. The user survey showed a mixed level of satisfaction and participants with previous medical knowledge were more critical than laypersons.Conclusion: Online resources about ASD are suboptimal and differ considerably. Deficiencies in content, readability and structure were identified, which limit the effective use by patients. Health information publishers should work harder to improve the comprehensibility and quality of the information provided.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"201-208"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017321","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

[Diagnostics and classification of fractures of the thoracic and lumbar spine in adults : Approach depending on the bone structure]. [成人胸椎和腰椎骨折的诊断和分类：根据骨骼结构的方法]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-03-01 Epub Date: 2024-11-15 DOI: 10.1007/s00113-024-01500-7

Bernhard U Hoehl, Tom Niklas Folkerts, Matthias Pumberger, Friederike Schömig

{"title":"[Diagnostics and classification of fractures of the thoracic and lumbar spine in adults : Approach depending on the bone structure].","authors":"Bernhard U Hoehl, Tom Niklas Folkerts, Matthias Pumberger, Friederike Schömig","doi":"10.1007/s00113-024-01500-7","DOIUrl":"10.1007/s00113-024-01500-7","url":null,"abstract":"Background: The epidemiology, treatment and prognosis of thoracolumbar vertebral fractures are fundamentally influenced by the bone quality of the patient. In individuals with healthy bone structure, a high-energy trauma is typically required to cause a fracture. In contrast, osteoporosis can cause fractures and also be present as a comorbid pathology in traumatic fractures. Comprehensive diagnostics and a precise classification are essential for appropriate treatment.Material and method: This narrative review outlines the diagnostic approach and classification of thoracolumbar vertebral fractures depending on the bone quality as the basis of treatment.Results: In addition to a physical examination, conventional radiographs with the patient in a standing position and computed tomography (CT) scans of the affected region serve as the foundation for fracture classification. Supplementary magnetic resonance imaging (MRI) primarily assesses discoligamentous and neurological structures of the spine as well as the age of the fracture. In suspected cases of osteoporotic fractures, a short-tau inversion recovery (STIR) sequence of the entire thoracic and lumbar spine is recommended for reliable detection of bone marrow edema. For patients with healthy bone structure, the AO Spine classification is used, whereas the osteoporotic fracture (OF) classification and the OF score are applied in cases of osteoporosis.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"147-155"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640291","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

[Isolated osseous tuberculosis : Differential diagnosis of treatment refractory osteomyelitis?] 孤立性骨结核：难治性骨髓炎的鉴别诊断？］

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-03-01 Epub Date: 2025-01-08 DOI: 10.1007/s00113-024-01527-w

Hendrik Schöllmann, M Glombitza, V Heck, M Dudda, E Steinhausen

引用次数: 0

[Surgical techniques for above- and below-knee amputation]. [膝上下截肢的外科技术]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-03-01 Epub Date: 2025-01-31 DOI: 10.1007/s00113-024-01531-0

Patrick Schröter, Marc Hückstädt, Steffen Langwald, Bianca Schröter, Philipp Kobbe

引用次数: 0