Segmental and somatic dysfunction : How does manual medicine work?
Orthopade. 2022 Mar 8. doi: 10.1007/s00132-022-04230-z. Online ahead of print.ABSTRACTBACKGROUND: Manual medicine is based on neurophysiologic and biomechanical principles. Impaired senso-motor regulation causes segmental and somatic dysfunction. Via segmental mapping, somato-sensory and vegetative dysfunction arises. Local pain, referred pain, and vague symptoms can occur in the thoracic and abdominal regions. Myofascial structures can transfer these dysfunctions to other body areas, where segmental neuronal connections lead to further dysfunction. Manual medicine addresses these aspects.TECHNIQUES: Manual interventions w...
Source: Der Orthopade - March 8, 2022 Category: Orthopaedics Authors: Hein Schnell Florian Max-Josef Wagner Hermann Locher Source Type: research

Manual medicine for the extremity joints : Successful treatment of complex symptom constellations
This article addresses the manual diagnosis and treatment of the joints of the extremities. Three case reports demonstrate how symptoms and manual findings guide manipulative treatment and what impact this can have.PMID:35258632 | DOI:10.1007/s00132-022-04232-x (Source: Der Orthopade)
Source: Der Orthopade - March 8, 2022 Category: Orthopaedics Authors: Hein Schnell Florian Max-Josef Wagner Source Type: research

Standard administration of tranexamic acid for prophylaxis in endoprosthetics: a good idea?
Orthopade. 2022 Mar 8. doi: 10.1007/s00132-022-04236-7. Online ahead of print.NO ABSTRACTPMID:35258633 | DOI:10.1007/s00132-022-04236-7 (Source: Der Orthopade)
Source: Der Orthopade - March 8, 2022 Category: Orthopaedics Authors: Heiko Lier Tobias Kammerer J ürgen Knapp Stefan Hofer Marc Maegele Dietmar Fries Christian von Heymann Source Type: research

Intraoperative analysis of patellofemoral joint morphology before and after total knee arthroplasty : A  feasibility study
CONCLUSION: A new method for intraoperative analysis of the patellofemoral joint morphology before and after TKA without radiation exposure was developed and utilized. Even with the use of modern total knee designs, the patellofemoral articulation is considerably changed postoperatively as quantified by the key parameters of sulcus height, medial femoral condyle height, and lateral femoral condyle height. This may result in altered knee biomechanics and might explain persistent patellofemoral disorders, which are often reported by patients after TKA.PMID:35254486 | DOI:10.1007/s00132-022-04224-x (Source: Der Orthopade)
Source: Der Orthopade - March 7, 2022 Category: Orthopaedics Authors: Maeruan Kebbach Enrico Mick Stephan Kirschner Joerg Luetzner Rainer Bader Source Type: research

Intraoperative analysis of patellofemoral joint morphology before and after total knee arthroplasty : A  feasibility study
CONCLUSION: A new method for intraoperative analysis of the patellofemoral joint morphology before and after TKA without radiation exposure was developed and utilized. Even with the use of modern total knee designs, the patellofemoral articulation is considerably changed postoperatively as quantified by the key parameters of sulcus height, medial femoral condyle height, and lateral femoral condyle height. This may result in altered knee biomechanics and might explain persistent patellofemoral disorders, which are often reported by patients after TKA.PMID:35254486 | DOI:10.1007/s00132-022-04224-x (Source: Der Orthopade)
Source: Der Orthopade - March 7, 2022 Category: Orthopaedics Authors: Maeruan Kebbach Enrico Mick Stephan Kirschner Joerg Luetzner Rainer Bader Source Type: research

20 years of femoroacetabular impingement syndrome-an update
Orthopade. 2022 Mar;51(3):165-166. doi: 10.1007/s00132-022-04221-0. Epub 2022 Mar 3.NO ABSTRACTPMID:35238964 | DOI:10.1007/s00132-022-04221-0 (Source: Der Orthopade)
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: Hans Gollwitzer Christian Sobau Gregor M öckel Source Type: research

Mid- to long-term functional results after Bowers' hemiresection interposition arthroplasty of the distal radio-ulnar joint
DISCUSSION: Hemiresection interposition arthroplasty is a reliable and safe surgical technique with good subjective and functional outcomes in the mid- to long-term.PMID:35238965 | DOI:10.1007/s00132-022-04237-6 (Source: Der Orthopade)
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: C K Spies F Unglaub T Bruckner L P M üller P Eysel M Seker Source Type: research

Therapeutic injections and manual medicine in low-back pain : Bimodal synergies between evidence and empiricism
Orthopade. 2022 Mar 3. doi: 10.1007/s00132-022-04235-8. Online ahead of print.ABSTRACTBACKGROUND: Oriented towards the therapy planning and management of rheumatic patients, and based on the differentiated therapeutic principles of manual medicine (MM) with knowledge on evidence of therapeutic local infiltration techniques (TLI), the author pleads for the establishment of a structured, mechanism-based therapy concept in the sense of "treat to target" (T2T) for patients with (chronic) degenerative low-back pain (LBP) in outpatient pain therapy care.DIAGNOSTICS: This requires a consistent (primary) diagnosis with pain analys...
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: Uwe H W Sch ütz Source Type: research

Somatic dysfunction of the cervical spine and its complex clinical picture : The fundamentals of diagnostics of cervicobrachialgia and cervicocephalic syndrome through manual medicine
Orthopade. 2022 Mar 3. doi: 10.1007/s00132-022-04228-7. Online ahead of print.ABSTRACTPatients suffering from a segmental and somatic dysfunction of the cervical spine often present a wide variety of clinical symptoms related to cervicobrachial or cervicocephalic syndrome. These symptoms might evolve out of complex neural intersegmental or trigeminocervical interactions in the brain stem or the spinal cord of the cervical spine. After the exclusion of life-threatening preconditions, a careful physical examination with aspects of manual medicine aspects might unmask the cervical dysfunction as the primary cause of the sympt...
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: Florian Max-Josef Wagner Source Type: research

20 years of femoroacetabular impingement syndrome-an update
Orthopade. 2022 Mar;51(3):165-166. doi: 10.1007/s00132-022-04221-0. Epub 2022 Mar 3.NO ABSTRACTPMID:35238964 | DOI:10.1007/s00132-022-04221-0 (Source: Der Orthopade)
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: Hans Gollwitzer Christian Sobau Gregor M öckel Source Type: research

Mid- to long-term functional results after Bowers' hemiresection interposition arthroplasty of the distal radio-ulnar joint
DISCUSSION: Hemiresection interposition arthroplasty is a reliable and safe surgical technique with good subjective and functional outcomes in the mid- to long-term.PMID:35238965 | DOI:10.1007/s00132-022-04237-6 (Source: Der Orthopade)
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: C K Spies F Unglaub T Bruckner L P M üller P Eysel M Seker Source Type: research

Therapeutic injections and manual medicine in low-back pain : Bimodal synergies between evidence and empiricism
Orthopade. 2022 Mar 3. doi: 10.1007/s00132-022-04235-8. Online ahead of print.ABSTRACTBACKGROUND: Oriented towards the therapy planning and management of rheumatic patients, and based on the differentiated therapeutic principles of manual medicine (MM) with knowledge on evidence of therapeutic local infiltration techniques (TLI), the author pleads for the establishment of a structured, mechanism-based therapy concept in the sense of "treat to target" (T2T) for patients with (chronic) degenerative low-back pain (LBP) in outpatient pain therapy care.DIAGNOSTICS: This requires a consistent (primary) diagnosis with pain analys...
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: Uwe H W Sch ütz Source Type: research

Somatic dysfunction of the cervical spine and its complex clinical picture : The fundamentals of diagnostics of cervicobrachialgia and cervicocephalic syndrome through manual medicine
Orthopade. 2022 Mar 3. doi: 10.1007/s00132-022-04228-7. Online ahead of print.ABSTRACTPatients suffering from a segmental and somatic dysfunction of the cervical spine often present a wide variety of clinical symptoms related to cervicobrachial or cervicocephalic syndrome. These symptoms might evolve out of complex neural intersegmental or trigeminocervical interactions in the brain stem or the spinal cord of the cervical spine. After the exclusion of life-threatening preconditions, a careful physical examination with aspects of manual medicine aspects might unmask the cervical dysfunction as the primary cause of the sympt...
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: Florian Max-Josef Wagner Source Type: research

20 years of femoroacetabular impingement syndrome-an update
Orthopade. 2022 Mar;51(3):165-166. doi: 10.1007/s00132-022-04221-0. Epub 2022 Mar 3.NO ABSTRACTPMID:35238964 | DOI:10.1007/s00132-022-04221-0 (Source: Der Orthopade)
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: Hans Gollwitzer Christian Sobau Gregor M öckel Source Type: research

Mid- to long-term functional results after Bowers' hemiresection interposition arthroplasty of the distal radio-ulnar joint
DISCUSSION: Hemiresection interposition arthroplasty is a reliable and safe surgical technique with good subjective and functional outcomes in the mid- to long-term.PMID:35238965 | DOI:10.1007/s00132-022-04237-6 (Source: Der Orthopade)
Source: Der Orthopade - March 3, 2022 Category: Orthopaedics Authors: C K Spies F Unglaub T Bruckner L P M üller P Eysel M Seker Source Type: research