Pyogenic spondylodiscitis : The quest towards a  clinical-radiological classification.
CONCLUSION: The current classification schemes overlap and encompass the most clinically relevant factors; however, some could be too complex for interdisciplinary clinical practice and do not adequately address unique entities, such as PS of the cervical spine, anterolisthesis and retrolisthesis. Most importantly, some criteria must be utilized in concert with recently published guidelines and should be re-assessed for validity and reliability. A uniform orthopedic parlance is required to optimize the management of this debilitating and life-threatening condition. PMID: 31720703 [PubMed - as supplied by publishe...
Source: Der Orthopade - November 13, 2019 Category: Orthopaedics Authors: Almansour H, Pepke W, Akbar M Tags: Orthopade Source Type: research

[Effects of knee pain on postural control excluding the musculature of the craniomandibular system].
DISCUSSION: The percentage weight-bearing on the zones of the feet differs in unilateral knee injuries (in particular, comparison of the side with the knee injury and the uninjured side). Age, BMI or gender are influencing factors. Because various correlations and/or effects in the subgroups of knee injuries are generated, an injury-specific analysis should be carried out. These effects are also identifiable in the subjective assessment of quality of life. PMID: 31720704 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - November 13, 2019 Category: Orthopaedics Authors: Missalla S, Schulze J, Bille J, Maltry L, Ohlendorf D Tags: Orthopade Source Type: research

[Differential diagnosis of acute back pain and demarcation to other specialist fields].
This article gives an overview of selected clinical pictures and tries to look beyond the field of orthopedics. PMID: 31720705 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - November 13, 2019 Category: Orthopaedics Authors: Fischer K Tags: Orthopade Source Type: research

[Finger and shoulder injuries in rock climbing].
CONCLUSIONS: Finger injuries are common in sports climbing and can be challenging to diagnose and treat correctly. The number of shoulder injuries is expected to rise as new competition modalities and sub-disciplines (e.g. bouldering) increasingly stress athletes' musculoskeletal systems. An increase of degenerative injuries in long-time climbers is expected due to changes in the sport. PMID: 31705177 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - November 8, 2019 Category: Orthopaedics Authors: Schöffl V, Simon M, Lutter C Tags: Orthopade Source Type: research

Vitamin  E-blended versus conventional polyethylene liners in prostheses : Prospective, randomized trial with 3-year follow-up.
CONCLUSION: The present study demonstrates that the supplementation of vitamin E to polyethylene liners is reliable and safe without showing higher complication rates compared with conventional polyethylene liners. The shortterm clinical outcome of vitamin E-blended (UHMWPE‑XE) is equivalent to those of conventional highly cross-linked polyethylene liners. PMID: 31696260 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - November 6, 2019 Category: Orthopaedics Authors: Busch A, Jäger M, VITAS group, Wegner A, Haversath M Tags: Orthopade Source Type: research

[End-of-stem pain in hip and knee arthroplasty].
r S Abstract End-of-stem pain after knee and hip arthroplasty with diaphyseal supportive stems is a frequently overlooked and potentially underestimated complication. A commonly recurring clinical phenome is the symptom-free interval after surgery of weeks to months, with new onset of symptoms under stress only later. The patient is often again reliant on walking sticks. End-of-stem pain is a diagnosis of exclusion. Pain is projected into the tip of the stem, and if differential diagnoses such as loosening are excluded, then the patient might be treated with a "bending-plate". Since bone c...
Source: Der Orthopade - November 6, 2019 Category: Orthopaedics Authors: Ettinger M, Savov P, Windhagen H, Bühren V, Hungerer S Tags: Orthopade Source Type: research

[Sport climbing, bouldering and associated injuries in childhood and adolescence].
r K Abstract BACKGROUND: Sport climbing and bouldering has developed from a rarely performed to a very popular sport in the last 30 years. Sport physicians are increasingly faced with its specific and otherwise uncommon injury pattern. Overall, the sport is relatively safe, particularly if performed in indoor facilities. INJURIES: The injuries frequently occur on the upper extremity, with the fingers being the most affected. Acute traumatic lesions such as sprains, fractures or ligament lesions are much rarer than overload and overuse caused by repetitive and highly stressing climbing movements...
Source: Der Orthopade - November 6, 2019 Category: Orthopaedics Authors: Schweizer A, Göhner Schweizer K Tags: Orthopade Source Type: research

[Rheumatism and gastroenterology].
Abstract BACKGROUND: Gastroenterological and rheumatological diseases often have a systemic character, with disease manifestations beyond the area affected by the disease. Common disease-relevant pathophysiological pathways, e.g. chronic inflammation, may present primarily as rheumatological or gastroenterological disease. Knowledge of disease-specific symptoms and signs beyond one's own area of expertise my lead to an earlier and more precise diagnosis, with the chance of a more focused therapy. AIM: The aim of this overview is to sensitize orthopedists as well as rheumatologists to gastroenterological ...
Source: Der Orthopade - November 4, 2019 Category: Orthopaedics Authors: Kellner H Tags: Orthopade Source Type: research

A  passion for the spine : Tribute to Jürgen Harms on his 75th birthday.
A passion for the spine : Tribute to Jürgen Harms on his 75th birthday. Orthopade. 2019 Oct 30;: Authors: Pitzen T, Jeszenszky D, Stoltze KD, Ostrowski G, Ruf M PMID: 31667524 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - October 30, 2019 Category: Orthopaedics Authors: Pitzen T, Jeszenszky D, Stoltze KD, Ostrowski G, Ruf M Tags: Orthopade Source Type: research

[Training methods and trainability].
Abstract BACKGROUND: The need for effective training methods for positive adaptations in muscle strength and bone mineralization, suitable for all groups of patients, arises in both rehabilitation and pre-habilitation. In addition to mechanical stress, an increased metabolic stress, by means of reduced blood supply of the muscle, seems to induce positive adaptations as well. OBJECTIVES: Description of the effects of resistance training and opportunities of blood-flow restriction training in a clinical setting. METHODS: Key and specialized literature RESULTS: Regularly applied high mechanical loads a...
Source: Der Orthopade - October 28, 2019 Category: Orthopaedics Authors: Behringer M, Skutschik C, Franz A Tags: Orthopade Source Type: research

[Exercise-risks and side effects].
p M Abstract Physical activity and exercise is widely connected with positive effects on human health. However, exercise may also pose as a risk factor for health under specific circumstances. Primarily, the risks connected with exercise are physical risks, but also psychological risks may appear, especially when exercise is conducted excessively. Psychological risks include eating disorders, illegal and legal substance use and exercise dependence. The aims of the present article are to focus on potential risks and side effects of exercise and physical activity and to put the risks in the context of the posit...
Source: Der Orthopade - October 28, 2019 Category: Orthopaedics Authors: Niedermeier M, Frühauf A, Bichler C, Rosenberger R, Kopp M Tags: Orthopade Source Type: research

[Handball injuries and their prevention].
CONCLUSION: The noted differences once again bring focus to the interindividual presence of risk factors, because female and male handball athletes have gender-specific ground levels. These attributes have to be considered in further screening and prevention programs, as well as in the context of the return-to-sports decision after injury. The given data may serve as objective reference measures. PMID: 31659424 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - October 28, 2019 Category: Orthopaedics Authors: Mayer C, Rühlemann A, Jäger M Tags: Orthopade Source Type: research

[Current trends and injuries in cycling: faster, further, e-bike?]
r M Abstract During the past decade, technical innovations (e.g., carbon as a new material, disk brakes, hydraulic shock absorbers, electric transmissions) and lifestyle changes have significantly influenced recreational and professional cycling. In contrast to the past, where ambitious leisure cyclists were primarily interested in the recreational value of nature and landscape, cyclists of all ages are nowadays increasingly focused on performance and self-optimization. Simultaneously, manufacturers have adapted to differing customer requirements: besides the traditional extremities of road and mountain bikes...
Source: Der Orthopade - October 28, 2019 Category: Orthopaedics Authors: Hinder J, Jäger M Tags: Orthopade Source Type: research

[Differential diagnoses of osteonecrosis of large joints].
Abstract Subchondral insufficiency fractures and idiopathic bone marrow edema syndrome are the most important differential diagnoses to be distinguished from osteonecrosis because they have a deviating and as a rule more favorable prognosis and also different therapeutic strategies. Osteochondritis dissecans represents a different entity in many respects, which should not be confused or unified with osteonecrosis. Based on recent knowledge intractable subchondral insufficiency fractures may be the underlying cause of rapidly destructive osteoarthritis at least in some cases. Septic involvement of bone and joi...
Source: Der Orthopade - October 23, 2019 Category: Orthopaedics Authors: Grieser T Tags: Orthopade Source Type: research

Surgical management of Sprengel's deformity by a  modification of Green's procedure : A single center experience.
This study investigated clinical results of this deformity among cases managed using a modified Green procedure. METHODS: From February 2008 to September 2015 a total of 34 patients with Sprengel's deformity were treated with a modified Green procedure. The mean age of patients at the time of surgery was 4.8 years (range 2-12 years) and the average follow-up time was 6.1 years (range 4-10 years). The shoulder abduction, Cavendish classification, Rigault classification, scapular elevation, and postoperative complications were evaluated. RESULTS: The mean shoulder abduction was 10...
Source: Der Orthopade - October 18, 2019 Category: Orthopaedics Authors: Jiang Y, Guo Y, Zhu Z, Wang Y Tags: Orthopade Source Type: research

[Harlequin syndrome after scoliosis surgery].
Abstract Harlequin syndrome is a rare combination of symptoms, characterized by unilateral facial anhidrosis and paleness on the affected side, becoming obvious by contralateral flushing mainly during sports activity. The syndrome is mostly idiopathic, however it is also described as a complication of thoracic surgery, i.e. superior lobectomy. Here, we report on two cases of Harlequin syndrome following scoliosis surgery at the cervicothoracic junction. PMID: 31620827 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - October 16, 2019 Category: Orthopaedics Authors: Heiler U, Pitzen T, Fetter M, Ruf M Tags: Orthopade Source Type: research

[Spinal canal stenosis].
PMID: 31559468 [PubMed - in process] (Source: Der Orthopade)
Source: Der Orthopade - September 29, 2019 Category: Orthopaedics Authors: Rauschmann M, Arabmotlagh M Tags: Orthopade Source Type: research

Hot Topic: Wirbels äule.
Hot Topic: Wirbelsäule. Orthopade. 2019 Oct;48(10):877-878 Authors: Sturm C PMID: 31559469 [PubMed - in process] (Source: Der Orthopade)
Source: Der Orthopade - September 29, 2019 Category: Orthopaedics Authors: Sturm C Tags: Orthopade Source Type: research

[Physical activity, exercise and nutrition in rheumatism : Adjuvant treatment options for inflammatory-rheumatic diseases].
DISCUSSION: The increase of physical activity, regular physical training and the adaptation of diet should be a basic additive component of the treatment of inflammatory rheumatic diseases. In individual sub-aspects, the study situation is very heterogeneous and requires further research. PMID: 31562547 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - September 27, 2019 Category: Orthopaedics Authors: Dreher M, Kosz M, Schwarting A Tags: Orthopade Source Type: research

[Rheumatism and the mind-A mini review].
CONCLUSIONS: For sufficient therapy the establishment of an interdisciplinary treatment concept in clinical everyday life is to be striven for. In addition to rheumatic treatment, this should include a multimodal approach to both pharmacological and psycho-socio-therapeutic components. In particular, potential interactions must be taken into account. PMID: 31559467 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - September 26, 2019 Category: Orthopaedics Authors: Linsmayer D, Neidlinger PK, Braus DF Tags: Orthopade Source Type: research

[X-raying finger injuries-The importance of the second plane].
PMID: 31555838 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - September 25, 2019 Category: Orthopaedics Authors: Schwarze M, Gaidzik PW, Panzram B, Pichhardt K, Schiltenwolf M Tags: Orthopade Source Type: research

[Occurrence of typical complications in hip arthroplasty].
PMID: 31555839 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - September 25, 2019 Category: Orthopaedics Authors: Schwarze M, Gaidzik PW, Merle C, Schiltenwolf M Tags: Orthopade Source Type: research

[Rheumathism and pneumology].
CONCLUSION: In the case of pulmonary involvement with rheumatic disease, the teamwork of pulmonologists, rheumatologists and radiologists is of particular importance. PMID: 31538207 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - September 19, 2019 Category: Orthopaedics Authors: Jakubczyc A, Neurohr C Tags: Orthopade Source Type: research

[The skin and rheumatism].
cedil;i D Abstract The skin is commonly affected in chronic inflammatory disorders and may act as a visual marker for internal or systemic inflammation. Frequent inflammatory skin diseases, like psoriasis and atopic dermatitis (AD), are associated with rheumatic and inflammatory bowel diseases. Metabolic, mental and cardiovascular comorbidity are frequent consequences of chronic inflammation. Further intersections between skin and joints are connective tissue diseases (collagenoses) and can be observed in complex diseases, e.g. systemic lupus erythematosus. Clinically, these diseases range from predominant cu...
Source: Der Orthopade - September 18, 2019 Category: Orthopaedics Authors: Ständer S, Ludwig RJ, Thaçi D Tags: Orthopade Source Type: research

[Rheumatism and bone metabolism].
Abstract Inflammatory rheumatic diseases are often associated with secondary osteoporosis, as many inflammatory messengers can interfere with bone metabolism and adversely affect it. In addition to a decrease in densitometric bone density, remodeling occurs in the trabecular bone, which can lead to a disturbed microarchitecture and increase the risk of fracture.Central to this is the close integration of bone metabolism and the immune system. Proinflammatory cytokines play an important role not only in the inflammatory process, but also as mediators of bone resorption because they stimulate osteoclastoge...
Source: Der Orthopade - September 17, 2019 Category: Orthopaedics Authors: Dischereit G, Lange U Tags: Orthopade Source Type: research

[Treatment of rheumatic disease with renal insufficiency].
Abstract BACKGROUND: Reduced renal function is not rare in patients with inflammatory rheumatic diseases and is associated with an increased risk of treatment-induced and perioperative adverse events. METHOD: A literature search was carried out for the medical treatment and perioperative management of rheumatic disease in the presence of renal insufficiency. RESULTS: Patients with rheumatic disease and renal insufficiency have a higher risk of cardiovascular disease, bone loss and immunodeficiency than those without kidney disease. The perioperative rate of cardiovascular and infectious complic...
Source: Der Orthopade - September 17, 2019 Category: Orthopaedics Authors: Weiner SM Tags: Orthopade Source Type: research

[Chondrocalcinosis: idiopathic or manifestation of rare metabolic diseases?]
Abstract Calcification in hyaline and fibrocartilage is caused by the deposition of calcium pyrophosphate dehydrate, commonly referred to as chondrocalcinosis. Clinically, this can lead to arthritis symptoms similar to a gout attack -"pseudogout". Nonetheless, also chronic or asymptomatic disease courses are possible. The prevalence of chondrocalcinosis increases with age. The diagnostic workup of degenerative joint disease, therefore, often reveals calcifications of articular cartilage as harmless incidental findings. However, particularly in patients younger than 60 years of age, chondrocalci...
Source: Der Orthopade - September 12, 2019 Category: Orthopaedics Authors: Knitza J, Kleyer A, Schett G, Manger B Tags: Orthopade Source Type: research

[Diagnostic algorithm "FAI and sports hernia" : Results of the consensus meeting for groin pain in athletes].
[Diagnostic algorithm "FAI and sports hernia" : Results of the consensus meeting for groin pain in athletes]. Orthopade. 2019 Sep 12;: Authors: Schröder JH, Conze J, Dora C, Fortelny R, Gebhart C, Gollwitzer H, Hartmann A, Hoffmann H, Koch A, Krüger J, Lorenz R Abstract As a result of the complexity and diversity of diseases in the region of the groin, differentiation of the various soft-tissue and bone pathologies remains a challenge for differential diagnosis in routine clinical practice. In the case of athletes with pain localized in the area of the groin, femoroacetab...
Source: Der Orthopade - September 12, 2019 Category: Orthopaedics Authors: Schröder JH, Conze J, Dora C, Fortelny R, Gebhart C, Gollwitzer H, Hartmann A, Hoffmann H, Koch A, Krüger J, Lorenz R Tags: Orthopade Source Type: research

[Atraumatic fractures of the spine : Current strategies for diagnosis and treatment].
This article summarizes the important clinical, diagnostic and therapeutic aspects of atraumatic spinal fractures. PMID: 31511916 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - September 11, 2019 Category: Orthopaedics Authors: Tassemeier T, Haversath M, Brandenburger D, Schutzbach M, Serong S, Jäger M Tags: Orthopade Source Type: research

Correction of the spine with magnetically controlled growing rods in early onset scoliosis : A  pre-to-post analysis of 21 patients with 1‑year follow-up.
The objectives of this study were twofold: firstly, to evaluate the influence of MCGR on the coronal, sagittal and axial planes. Secondly, to analyze changes of cervical alignment post-MCGR implantation. MATERIAL AND METHODS: This was a retrospective study of patients with EOS who underwent MCGR from 2012 to 2018. Patients were included if they presented with a thoracic or lumbar curvature greater than 40° (Cobb angle) and Risser's sign 0. Global analysis of all patients was reported. Patients were stratified preoperatively by thoracic alignment into a hypokyphotic or kyphotic group. Furthermore, th...
Source: Der Orthopade - September 10, 2019 Category: Orthopaedics Authors: Pepke W, Almansour H, Diebo BG, Akbar M Tags: Orthopade Source Type: research

Process optimization in total knee arthoplasty procedures : Impact of size-specific instrument sets on costs and revenue.
Abstract Total knee arthroplasty (TKA) is a frequent operation in Germany and in 2017 a total of 191,272 interventions were carried out. These interventions are associated with high costs and involve complex clinical workflow organization and time-consuming instrument logistics. With this in mind, the aim of this study was to identify the economic potential of the instrument configuration in order to optimize the entire process in TKA. Changing the composition of the set of instruments used in the operating theater for TKA resulted in time and cost saving for the complete TKA procedure, including all personnel and...
Source: Der Orthopade - September 10, 2019 Category: Orthopaedics Authors: von Eiff MC, von Eiff W, Roth A, Ghanem M Tags: Orthopade Source Type: research

[Hindfoot-centred X-ray technique for the evaluation of cavovarus deformity : A proposal for the optimization of radiologic delineation].
r M Abstract In surgical correction of cavovarus deformity bony hindfoot procedures are required in most cases. For treatment planning X‑rays in two or more planes are usually used. In conventional X‑ray-techniques the hindfoot and ankle joint are presented in a more or less outward rotated position. Moreover, the peritalar complex is not delineated in the most corrected position. Therefore, the frequently used talus-metatarsal-I-angle (Meary angle) cannot be measured correctly. By application of the Coleman block test and additional adjustment of the malrotation in the lateral view, the peritalar complex and ...
Source: Der Orthopade - September 5, 2019 Category: Orthopaedics Authors: Hamel J, Hörterer H, Gottschalk O, Harrasser N, Walther M Tags: Orthopade Source Type: research

[Diagnosis and Treatmant of malignant tumours of the musculoskeletal system requires interdisciplinarity].
PMID: 31486851 [PubMed - in process] (Source: Der Orthopade)
Source: Der Orthopade - September 1, 2019 Category: Orthopaedics Authors: Rath B, Tingart M, Hardes J Tags: Orthopade Source Type: research

Kinderorthop ädie.
Kinderorthopädie. Orthopade. 2019 Sep;48(9):792-794 Authors: Thielemann F PMID: 31486852 [PubMed - in process] (Source: Der Orthopade)
Source: Der Orthopade - September 1, 2019 Category: Orthopaedics Authors: Thielemann F Tags: Orthopade Source Type: research

[Insoles, knee braces and ankle-foot orthoses in the treatment of medial gonarthrosis : A  literature review].
[Insoles, knee braces and ankle-foot orthoses in the treatment of medial gonarthrosis : A literature review]. Orthopade. 2019 Aug 30;: Authors: Schwarze M, Bartsch LP, Block J, Wolf SI, Alimusaj M Abstract BACKGROUND: Osteoarthritis is the most common joint disease worldwide and mostly affects the knee joint (gonarthrosis). In treatment algorithms, technical aids in the form of laterally wedged insoles, valgizing knee braces and ankle-foot orthoses have an importance in the treatment of medial unicompartmental knee joint disease. However, national and international guidelines differ in their reco...
Source: Der Orthopade - August 30, 2019 Category: Orthopaedics Authors: Schwarze M, Bartsch LP, Block J, Wolf SI, Alimusaj M Tags: Orthopade Source Type: research

[Postoperative management of weight bearing and rehabilitation after lumbar spinal surgery].
DISCUSSION: Due to the heterogeneity of the intensity, duration and form of physiotherapy or rehabilitation, which are listed as interventions in the various studies, it is only possible to draw limited conclusions about general instructions for action on "physiotherapy" after spinal surgery. PMID: 31463542 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - August 28, 2019 Category: Orthopaedics Authors: Bredow J, Eysel P, Oikonomidis S Tags: Orthopade Source Type: research

[Resection margins in soft tissue sarcomas].
DISCUSSION: References in the literature support the role of resection margins as a predictor of local recurrence. Regarding the role of resection margins in overall survival, available data is divergent. There are known prognostic factors that influence overall survival, such as histological subtype, tumor size, tumor grading, and presence of metastases. So far, several studies have attempted to quantify the margins of resection, but no consensus has been reached, and debates are ongoing. When analyzing all the results of the data in the literature, it seems appropriate to aim for a negative resection margin>...
Source: Der Orthopade - August 28, 2019 Category: Orthopaedics Authors: Rath B, Hardes J, Tingart M, Braunschweig T, Eschweiler J, Migliorini F Tags: Orthopade Source Type: research

[Total knee and hip arthroplasty within 2  days : The Danish Fast-Track Model].
[Total knee and hip arthroplasty within 2 days : The Danish Fast-Track Model]. Orthopade. 2019 Aug 26;: Authors: Jung KD, Husted H, Kristensen BB Abstract BACKGROUND: Patients in Denmark undergoing total knee or hip replacement are routinely discharged within 2 days of surgery. A critical examination of traditional treatment methods, combined with focused research, has during the last 20 years increasingly optimized the treatment course in such a way that it has become possible to radically reduce the length of stay (LOS). BASICS OF THE FAST-TRACK MODEL: The most importan...
Source: Der Orthopade - August 26, 2019 Category: Orthopaedics Authors: Jung KD, Husted H, Kristensen BB Tags: Orthopade Source Type: research

[Differentiated treatment strategies for bone metastases of the extremities].
Abstract BACKGROUND: Bone metastases are the most common malignant bone tumours and most commonly occur in the spine, pelvis, proximal femur and proximal humerus. Prostate and breast cancer most often metastasize to the bone. DIAGNOSTICS: In patients with a history of tumours and local unspecific pain in the back and extremities, further diagnostic examinations should be performed. For the initial diagnosis a conventional radiograph of the whole bone in two planes is sufficient. For further diagnostics, the imaging may be supplemented with CT, MRI, scintigraphy and a PET-CT (PET-MRI) if th...
Source: Der Orthopade - August 23, 2019 Category: Orthopaedics Authors: Rath B, Tingart M, Migliorini F, Eschweiler J, Zureik R, Hardes J Tags: Orthopade Source Type: research

Excessive swelling of nerve roots : Important factor for recurring sciatica after lumbar surgery.
Abstract OBJECTIVE: The aim of the study was to investigate the occurrence of unexpectedly swollen nerve roots and to investigate the relationship between nerve root edema and recurrent radicular pain. METHODS: During the period from August 2010 to August 2015, a total of 462 patients with degenerative lumbar disease underwent surgery in this study group. Magnetic resonance imaging (MRI) was used to evaluate the details of the nerve root. Of the patients with recurring radiating pain 13 met the inclusion criteria of the study group and 24 patients without any complications volunteered as the control group. Th...
Source: Der Orthopade - August 22, 2019 Category: Orthopaedics Authors: Feng Y, Cai F, Chen L, Gu Y, Geng DC, Yang HL, Tang TS Tags: Orthopade Source Type: research

[Shoulder Osteoarthritis-pathogenesis, classification, diagnostics and treatment].
r F Abstract Primary osteoarthritis of the shoulder represents a destructive joint disease with associated synovitis, which in the first line seems to be genetically determined. Clinically, patients suffer from shoulder pain with progressive impairment of both active and passive range of motion. The diagnostics include a clinical examination, imaging by native radiography and magnetic resonance imaging (MRI) for assessment of the rotator cuff. Current classification systems consider the formation of humeral osteophytes, glenoid morphology and loss of humeral sphericity. Non-surgical measures include, apa...
Source: Der Orthopade - August 20, 2019 Category: Orthopaedics Authors: Tauber M, Martetschläger F Tags: Orthopade Source Type: research

[Challenges in the diagnosis of cartilage tumors : Morphological spectrum and molecular markers].
Abstract The morphological and clinico-biological spectrum of chondrogenic tumours is wide. Given the diversity of therapeutic approaches, the correctness of the histological diagnosis is of major importance. The aim of this review is to provide insights into the challenges and limitations of diagnostic approaches restricted to morphology and to underscore the importance of an interdisciplinary dialogue between surgeons, radiologists and pathologists. Beyond this, the value of molecular analyses introduced in bone tumor diagnostics in recent years is discussed. PMID: 31414142 [PubMed - as supplied by publishe...
Source: Der Orthopade - August 14, 2019 Category: Orthopaedics Authors: Hartmann W Tags: Orthopade Source Type: research

[Is there a  magic bullet for sarcomas? : Personalised treatment for maligant tumours of bone and soft tissue].
CONCLUSION: More in-depth knowledge is required for many sarcomas to link their genetic alterations to tumorigenesis in order to develop efficient personalised treatment strategies. Clinical trial designs need to be adapted to evaluate new therapeutic strategies in these ultra-rare tumours and their various sub-types more efficaciously. PMID: 31396640 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - August 8, 2019 Category: Orthopaedics Authors: Scheipl S, Liegl-Atzwanger B, Szkandera J, Rinner B, Viertler C, Friesenbichler J, Bergovec M, Leithner A Tags: Orthopade Source Type: research

[Hemipelvectomy for pelvic sarcomas].
CONCLUSIONS: Pelvic tumor resection with clear margins is the most important known positive predictive local factor affecting overall outcomes, in addition to uncontrollable factors such as grading and tumor size. Defect reconstruction depends on multiple factors such as patient age and adjuvant therapy. The stage of the disease has the greatest impact on overall survival rates and should be considered when contemplating pelvic tumor resections in sarcoma patients. PMID: 31392386 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - August 7, 2019 Category: Orthopaedics Authors: Guder WK, Hardes J, Nottrott M, Streitbürger A Tags: Orthopade Source Type: research

[Current results of tumour endoprosthetics in adolescents and adults].
CONCLUSIONS: Megaendoprosthetic reconstructions of osteoarticular defects are a standard procedure in adolescent and adult patients. Despite a substantial complication rate, limb salvage is achieved in a majority of patients. When using growing prostheses in younger children, one needs to be aware of additional servicing procedures that occur independently of those arising from complications. PMID: 31392387 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - August 7, 2019 Category: Orthopaedics Authors: Hardes J, Guder W, Dudda M, Nottrott M, Podleska LE, Streitbürger A Tags: Orthopade Source Type: research

[The importance of radiology in bone sarcoma diagnostics : Initial and advanced diagnostics].
CONCLUSIONS: Radiological imaging and expertise are important pillars in diagnosis and treatment of bone sarcomas. A variety of complementing imaging techniques provide a treatment-relevant basis significant for all medical disciplines involved. PMID: 31392388 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - August 7, 2019 Category: Orthopaedics Authors: Vieth V Tags: Orthopade Source Type: research

[Epiphyseolysis capitis femoris].
PMID: 31392366 [PubMed - in process] (Source: Der Orthopade)
Source: Der Orthopade - August 1, 2019 Category: Orthopaedics Authors: Krauspe R Tags: Orthopade Source Type: research

Rheumatologie.
PMID: 31392367 [PubMed - in process] (Source: Der Orthopade)
Source: Der Orthopade - August 1, 2019 Category: Orthopaedics Authors: Rehart S Tags: Orthopade Source Type: research

[Chondrosarcoma of the hand arising from multiple enchondromas: a  case report].
We describe the evaluation as well as the treatment and outline the literature. PMID: 31363795 [PubMed - as supplied by publisher] (Source: Der Orthopade)
Source: Der Orthopade - July 30, 2019 Category: Orthopaedics Authors: Wirth-Welle RB, Simon Q, Bonaccio MA Tags: Orthopade Source Type: research

[Doping in elite and popular sport : What orthopedic and trauma surgeons should know].
r M Abstract The spectacular doping raid during the Nordic World Ski Championships in Seefeld in winter this year is not the first time that illegal performance enhancement by taking drugs is in the spotlight of public interest. Kicked off by the so-called Festina scandal of the 1998 Tour de France, the serial exposure of further doping offences continues up to the present day. Less well-known to the general public is the high prevalence of doping under hobby and amateur athletes. Physicians are confronted by this group of patients in the practice much more frequently than by elite athletes, who are mostly treated...
Source: Der Orthopade - July 25, 2019 Category: Orthopaedics Authors: Husen M, Jäger M Tags: Orthopade Source Type: research