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
A functional approach to disorders of the loco-motor system-a way to a better understanding?
Orthopade. 2022 Mar 1. doi: 10.1007/s00132-022-04231-y. Online ahead of print.ABSTRACTBACKGROUND: Disorders of the loco-motor system are frequent and expensive. The current method of diagnosing and treating these disorders does not appear to be successful.DIAGNOSTICS: A functional approach based on the model of the functional system incorporates all aspects relevant to disorders of the loco-motor system. Most disturbances the system can compensate. If compensating mechanisms are not sufficient, the system decompensates, and symptoms develop. It is important to search not only for structural changes but also for somatic dys...
Source: Der Orthopade - March 1, 2022 Category: Orthopaedics Authors: Kay Niemier Volker Liefring Lothar Beyer Source Type: research
A functional approach to disorders of the loco-motor system-a way to a better understanding?
Orthopade. 2022 Mar 1. doi: 10.1007/s00132-022-04231-y. Online ahead of print.ABSTRACTBACKGROUND: Disorders of the loco-motor system are frequent and expensive. The current method of diagnosing and treating these disorders does not appear to be successful.DIAGNOSTICS: A functional approach based on the model of the functional system incorporates all aspects relevant to disorders of the loco-motor system. Most disturbances the system can compensate. If compensating mechanisms are not sufficient, the system decompensates, and symptoms develop. It is important to search not only for structural changes but also for somatic dys...
Source: Der Orthopade - March 1, 2022 Category: Orthopaedics Authors: Kay Niemier Volker Liefring Lothar Beyer Source Type: research
Imaging in manual medicine-Necessary and interesting aspects
Orthopade. 2022 Feb 28. doi: 10.1007/s00132-022-04229-6. Online ahead of print.ABSTRACTThe German Society for Manual Medicine no longer demands mandatory X‑ray diagnostics prior to high-velocity, low-amplitude manipulation. Indication is based on the general justification as a result of anamnesis and clinical examination. With appropriate indications, imaging primarily serves to exclude contraindications. The use of X‑ray diagnostics to determine the treatment technique or direction is obsolete, especially in infants. Detection of segmental dysfunction as the therapeutic indication is of scientific interest only. Other...
Source: Der Orthopade - February 28, 2022 Category: Orthopaedics Authors: Rigobert Klett Source Type: research
Imaging in manual medicine-Necessary and interesting aspects
Orthopade. 2022 Feb 28. doi: 10.1007/s00132-022-04229-6. Online ahead of print.ABSTRACTThe German Society for Manual Medicine no longer demands mandatory X‑ray diagnostics prior to high-velocity, low-amplitude manipulation. Indication is based on the general justification as a result of anamnesis and clinical examination. With appropriate indications, imaging primarily serves to exclude contraindications. The use of X‑ray diagnostics to determine the treatment technique or direction is obsolete, especially in infants. Detection of segmental dysfunction as the therapeutic indication is of scientific interest only. Other...
Source: Der Orthopade - February 28, 2022 Category: Orthopaedics Authors: Rigobert Klett Source Type: research
Surgical treatment of a symptomatic intra-articular osteoid osteoma (IAOO)
Orthopade. 2022 Feb 22. doi: 10.1007/s00132-022-04218-9. Online ahead of print.ABSTRACTThe intra-articular osteoid osteoma (10% of cases) is a rare clinical finding. Based on atypical clinical signs and various radiological results the period to obtain a diagnosis and initiate the appropriate treatment is often very long. This case reports on a 32-year old female patient with knee pain on flexion and stress, which rarely occurred at night. Radiofrequency ablation (RFA) was contraindicated for IAOO in the trochlea femoris due to the direct subchondral location. Therefore, surgical rehabilitation by means of a cartilage-bone...
Source: Der Orthopade - February 23, 2022 Category: Orthopaedics Authors: Daniel Sch üll J örg Schmehl Philipp Dalheimer Source Type: research
Surgical treatment of a symptomatic intra-articular osteoid osteoma (IAOO)
Orthopade. 2022 Feb 22. doi: 10.1007/s00132-022-04218-9. Online ahead of print.ABSTRACTThe intra-articular osteoid osteoma (10% of cases) is a rare clinical finding. Based on atypical clinical signs and various radiological results the period to obtain a diagnosis and initiate the appropriate treatment is often very long. This case reports on a 32-year old female patient with knee pain on flexion and stress, which rarely occurred at night. Radiofrequency ablation (RFA) was contraindicated for IAOO in the trochlea femoris due to the direct subchondral location. Therefore, surgical rehabilitation by means of a cartilage-bone...
Source: Der Orthopade - February 23, 2022 Category: Orthopaedics Authors: Daniel Sch üll J örg Schmehl Philipp Dalheimer Source Type: research
Surgical treatment of a symptomatic intra-articular osteoid osteoma (IAOO)
Orthopade. 2022 Feb 22. doi: 10.1007/s00132-022-04218-9. Online ahead of print.ABSTRACTThe intra-articular osteoid osteoma (10% of cases) is a rare clinical finding. Based on atypical clinical signs and various radiological results the period to obtain a diagnosis and initiate the appropriate treatment is often very long. This case reports on a 32-year old female patient with knee pain on flexion and stress, which rarely occurred at night. Radiofrequency ablation (RFA) was contraindicated for IAOO in the trochlea femoris due to the direct subchondral location. Therefore, surgical rehabilitation by means of a cartilage-bone...
Source: Der Orthopade - February 23, 2022 Category: Orthopaedics Authors: Daniel Sch üll J örg Schmehl Philipp Dalheimer Source Type: research
Surgical treatment of a symptomatic intra-articular osteoid osteoma (IAOO)
Orthopade. 2022 Feb 22. doi: 10.1007/s00132-022-04218-9. Online ahead of print.ABSTRACTThe intra-articular osteoid osteoma (10% of cases) is a rare clinical finding. Based on atypical clinical signs and various radiological results the period to obtain a diagnosis and initiate the appropriate treatment is often very long. This case reports on a 32-year old female patient with knee pain on flexion and stress, which rarely occurred at night. Radiofrequency ablation (RFA) was contraindicated for IAOO in the trochlea femoris due to the direct subchondral location. Therefore, surgical rehabilitation by means of a cartilage-bone...
Source: Der Orthopade - February 23, 2022 Category: Orthopaedics Authors: Daniel Sch üll J örg Schmehl Philipp Dalheimer Source Type: research
Surgical treatment of a symptomatic intra-articular osteoid osteoma (IAOO)
Orthopade. 2022 Feb 22. doi: 10.1007/s00132-022-04218-9. Online ahead of print.ABSTRACTThe intra-articular osteoid osteoma (10% of cases) is a rare clinical finding. Based on atypical clinical signs and various radiological results the period to obtain a diagnosis and initiate the appropriate treatment is often very long. This case reports on a 32-year old female patient with knee pain on flexion and stress, which rarely occurred at night. Radiofrequency ablation (RFA) was contraindicated for IAOO in the trochlea femoris due to the direct subchondral location. Therefore, surgical rehabilitation by means of a cartilage-bone...
Source: Der Orthopade - February 23, 2022 Category: Orthopaedics Authors: Daniel Sch üll J örg Schmehl Philipp Dalheimer Source Type: research
