[Primary treatment of flexor tendon injuries].
JR Abstract The treatment of flexor tendon injuries is still challenging, especially in the region of the narrow annular ligaments and tendon sheaths of the 3‑segment fingers and the thumb (zone 2). In the course of time, the primary suture of the flexor tendons has prevailed over traditional recommendations for a secondary tendon replacement after healing of the wound. Improvements regarding suture techniques and materials and, above all the follow-up treatment, have been crucial for better results and remarkable changes in flexor tendon surgery. The suture techniques are determined by the location o...
Source: Der Unfallchirurg - January 22, 2020 Category: Orthopaedics Authors: Schäfer W, Hohbach JR Tags: Unfallchirurg Source Type: research

[Combined dorsoventral corrective spondylodesis in prone position : Treatment of posttraumatic kyphosis of the thoracolumbar junction].
PMID: 31965211 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - January 21, 2020 Category: Orthopaedics Authors: Kobbe P, Scholz M, Trobisch PD, Lichte P, Herren C, Hildebrand F, Pishnamaz M Tags: Unfallchirurg Source Type: research

[Decisive factors for an accomplished clinical claims and risk management].
Abstract Damage to health caused by complications and errors is part of the reality of medical treatment. In order to avoid further negative consequences in the event of legal claims as a result of excessive processing times or unjustified refusals, a good cooperation between the physician and claims management in the clinic and the legal processor in liability insurance is required. In order to avoid false assumptions in claims processing, a critical analysis of the facts of the case is necessary. In addition, findings from claims management must be recorded and effectively implemented in the clinical practice. ...
Source: Der Unfallchirurg - January 15, 2020 Category: Orthopaedics Authors: Meyer A, Zacher J Tags: Unfallchirurg Source Type: research

[Treatment of ankle fractures: operative techniques : Standards, tips and pitfalls].
PMID: 31925455 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - January 10, 2020 Category: Orthopaedics Authors: Kamin K, Notov D, Kleber C, Al-Sadi O, Rammelt S Tags: Unfallchirurg Source Type: research

[Incorrect aftercare of a surgically treated metatarsal fracture].
Abstract A 60-year-old patient suffered an ankle distortion resulting in a comminuted fracture of the fifth metatarsal. On the same day the accident occurred the patient presented to an emergency department and immediate operative treatment of the fracture was performed by intramedullary Kirschner wires with closed reduction and internal fixation. The aftercare was carried out on an outpatient basis by a registered orthopedist in accordance with the surgeon's instructions. In the radiological control 14 days after surgery a dislocation of the fracture was detected and 1 week later a rectif...
Source: Der Unfallchirurg - January 8, 2020 Category: Orthopaedics Authors: Zyskowski M, Wurm M, Neuhof T Tags: Unfallchirurg Source Type: research

[Postoperative treatment and rehabilitation following flexor tendon injuries].
CONCLUSION: A stable tendon repair with smooth gliding is the foundation for treatment after flexor tendon injuries. After intraoperative active digital extension-flexion testing of the sutured tendon an early active rehabilitation approach should follow. New splint designs in combination with primary stable tendon suture techniques have the potential to improve the postoperative outcome, presupposing a reliable cooperation of the patient. PMID: 31915878 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - January 8, 2020 Category: Orthopaedics Authors: Willkomm LM, Bickert B, Wendt H, Kneser U, Harhaus L Tags: Unfallchirurg Source Type: research

[Treatment of flexor tendon injuries in children].
Abstract Injuries to the flexor tendons in children are less common than in adults. The clinical examination and diagnostics require extensive experience. Leaving flexor tendons untreated will result in growth disorders of the affected finger. Therefore, the indications for operative exploration of any type of open injury in a child's hand should be liberally applied. As for adults the primary treatment of flexor tendon injuries as an emergency is rarely indicated. In the recent literature various tendon suture techniques and rehabilitation protocols have been differently assessed. According to the Ulm algori...
Source: Der Unfallchirurg - January 8, 2020 Category: Orthopaedics Authors: Moeller RT, Mentzel M, Vergote D, Bauknecht S Tags: Unfallchirurg Source Type: research

[Infection control training for physicians to improve hand hygiene on surgical rounds : The more the better?]
DISCUSSION AND PROSPECTS: Training concerning hand hygiene has to be improved to increase the prevention of infections. Tailored interventions with a high amount of practical relevance are suited to increase the compliance with preventive procedures (e.g. hand hygiene compliance). To improve the infection prevention for physicians in the long term, a firm knowledge about the indications for hand hygiene procedures is needed. This can be ensured by infection control training with a practical focus, small memory aids and permanent support from infection prevention professionals. PMID: 31883028 [PubMed - a...
Source: Der Unfallchirurg - December 27, 2019 Category: Orthopaedics Authors: Schuchardt J, Chaberny IF, Schock B Tags: Unfallchirurg Source Type: research

[Immediate consent directly after patient enlightening talk-valid or void? : Consider time for thought!]
Abstract Patients must be informed of the chances of success and risks well in advance of the intended treatment measure so that they can adequately maintain a freedom of choice and thus the right to self-determination by carefully considering the reasons for and against the recommended measure. Fixed deadlines for the time between information and consent cannot be set as a blanket measure. There can be many different aspects that must be considered, which can lead to different deadlines in individual cases, which should lie between information, consent and the start of the measure. If a treatment measure does not...
Source: Der Unfallchirurg - December 20, 2019 Category: Orthopaedics Authors: Neu J Tags: Unfallchirurg Source Type: research

[Flawed initial treatment of dog bite injury].
Abstract A 73-year-old male patient suffered multiple dog bites to the left hand and lower arm. The initial treatment in hospital consisted of conservative treatment with wound closure strips and bandages. For further treatment the patient was referred to the general practitioner who found a discharge of pus below the wound closure strips 2 days later. On the 3rd day the patient was admitted to a different hospital where surgical treatment with débridement, placement of vacuum bandages and subsequent flap plasty was conducted on admission. An examination 1 year later revealed stabbing pain ov...
Source: Der Unfallchirurg - December 19, 2019 Category: Orthopaedics Authors: Landeg M, Bogner-Flatz V, Neuhof T Tags: Unfallchirurg Source Type: research

[Modified arthroscopic technique to replace the posterior cruciate ligament in multiligament knee injuries : Results compared to open tibial inlay technique].
CONCLUSION: The results of the two operation techniques were not significantly different. The arthroscopic approach is therefore regarded as the preferred method in this institute. PMID: 31834418 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - December 13, 2019 Category: Orthopaedics Authors: Janko M, Seufert L, Schramm D, Marzi I, Frank J Tags: Unfallchirurg Source Type: research

[Secondary reconstruction of flexor tendons].
uml;nert JG Abstract The secondary reconstruction of flexor tendons is in most cases very demanding and tedious. The indications, selection of the correct surgical procedure, operative technique and further treatment have to be individually adjusted and are mostly very difficult. Due to the previous operations unpleasant surprises may occur intraoperatively, which must be recognized and treated by the surgeon. Nevertheless, a significant improvement of the function of the whole hand can be achieved for most patients, e.g. by a two-stage flexor tendon transplantation or other techniques described in this artic...
Source: Der Unfallchirurg - December 10, 2019 Category: Orthopaedics Authors: Langer MF, Wieskötter B, Oeckenpöhler S, Unglaub F, Spies C, Grünert JG Tags: Unfallchirurg Source Type: research

Dank an die Gutachterinnen und Gutachter 2019.
Authors: PMID: 31796997 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - December 3, 2019 Category: Orthopaedics Tags: Unfallchirurg Source Type: research

Hot Topic: Schmerz.
Authors: PMID: 31784783 [PubMed - in process] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - December 1, 2019 Category: Orthopaedics Tags: Unfallchirurg Source Type: research

[Shoulder stiffness].
PMID: 31784784 [PubMed - in process] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - December 1, 2019 Category: Orthopaedics Authors: Imhoff A Tags: Unfallchirurg Source Type: research

[Development and first application testing of a new protocol for preclinical spinal immobilization in children : Assessment of indications based on the E.M.S. IMMO Protocol Pediatric].
CONCLUSION: The E.M.S. IMMO Protocol Pediatric provides decision-making support whether pediatric spine immobilization is indicated with respect to the cardiopulmonary status of the patient. In a first analysis, the E.M.S. IMMO Protocol Pediatric improves decision making by emergency medical care providers. PMID: 31768566 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - November 25, 2019 Category: Orthopaedics Authors: Nolte PC, Uzun DD, Liao S, Kuch M, Grützner PA, Münzberg M, Kreinest M Tags: Unfallchirurg Source Type: research

[Sacral stress fracture in a  recreational long-distance runner].
[Sacral stress fracture in a recreational long-distance runner]. Unfallchirurg. 2019 Nov 16;: Authors: Heitmann M, Teßmann UJ Abstract The current boom in recreational sports leads to an increase in the number of long-distance runners. In addition to typical disease patterns (e.g. of the Achilles tendon) stress fractures are seen more and more frequently. These mostly occur in the lower leg and foot bones and are rarely seen in the pelvis (e.g. sacrum). Atypical and protracted complaints therefore require a detailed medical history of the patient and should if in any doubt lead to radi...
Source: Der Unfallchirurg - November 16, 2019 Category: Orthopaedics Authors: Heitmann M, Teßmann UJ Tags: Unfallchirurg Source Type: research

[Culture of safety and clinical risk management].
Abstract An error-resistant safety culture can only be achieved through proactive clinical risk management. In April 2019 the Federal Joint Committee once again increased the pressure on hospitals by means of the Quality Promotion and Enforcement Directive (QFD Directive) to take measures within the framework of clinical risk management in order to reduce the error and harm rate and therefore to significantly improve patient safety. In the long term this can only be achieved by positively influencing the safety culture and thus the attitudes and motives of all employees. Clinical risk management should focus on th...
Source: Der Unfallchirurg - November 14, 2019 Category: Orthopaedics Authors: Euteneier A Tags: Unfallchirurg Source Type: research

[Clinical examination of the knee].
This article gives an overview of the most important examination techniques of the knee joint, with which the decisive analysis of acute or chronic injuries and overuse syndromes of the knee can be carried out. Particularly in the field of ligament instability, this article provides a practical guide for the differentiated examination of complex rotational instability of the knee joint. In addition, the most important patellar and meniscal examination techniques are described. PMID: 31728556 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - November 14, 2019 Category: Orthopaedics Authors: Herbort M, Kittl C, Domnick C, Glasbrenner J, Fink C, Herbst E Tags: Unfallchirurg Source Type: research

[How dangerous is American football in a  German amateur league? An injury analysis according to playing position over a period of four seasons].
[How dangerous is American football in a German amateur league? An injury analysis according to playing position over a period of four seasons]. Unfallchirurg. 2019 Nov 13;: Authors: Geßlein M, Frodl A, Millrose M, Biber R, Bail HJ, Wolpert AK Abstract BACKGROUND: American football is known for its high risk of injury, especially in the professional field. Although the number of players in the German football league (GFL) has risen in recent years, data concerning the injury rates of German amateur players in American football are scarce. OBJECTIVE: Analysis of the injury rates in...
Source: Der Unfallchirurg - November 13, 2019 Category: Orthopaedics Authors: Geßlein M, Frodl A, Millrose M, Biber R, Bail HJ, Wolpert AK Tags: Unfallchirurg Source Type: research

[Posttraumatic and postoperative shoulder stiffness : Trauma, rotator cuff reconstruction, instability operations and shoulder arthroplasty].
Abstract Apart from primary or idiopathic frozen shoulder, the secondary form of glenohumeral stiffness can also develop after trauma or surgery. The cause for these secondary forms of restricted range of motion can be distinguished into intra-articular and extra-articular factors. Posttraumatic stiffness can develop after minor or major trauma to the bony or soft tissues of the shoulder girdle. After minor trauma the course and clinical presentation is similar to the primary form as pathomorphological correlates are often not detectable; therefore, treatment protocols are adapted according to those for primary sh...
Source: Der Unfallchirurg - November 12, 2019 Category: Orthopaedics Authors: Toft F, Moro F, Scheibel M Tags: Unfallchirurg Source Type: research

[Relevance of disaster and deployment medicine for medical students : A  pilot study based on an interdisciplinary lecture series].
DISCUSSION: The medical students questioned considered disaster and deployment medicine to be an integral part of the curriculum. Despite some statistical differences between the two groups, the survey showed that medical students possess a great interest in disaster medicine. Both groups were in favor of further integrating e‑learning tools. A regular inclusion of disaster and deployment medicine into the spectrum of medical student teaching is warranted. PMID: 31696247 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - November 6, 2019 Category: Orthopaedics Authors: Kasselmann N, Bickelmayer J, Peters H, Wesemann U, Oestmann JW, Willy C, Back DA Tags: Unfallchirurg Source Type: research

[ATLS ® and TDSC®: how it fits together : A treatment concept for mass casualty and terrorist-related mass casualty situations, life-threatening and special scenarios].
[ATLS® and TDSC®: how it fits together : A treatment concept for mass casualty and terrorist-related mass casualty situations, life-threatening and special scenarios]. Unfallchirurg. 2019 Nov 05;: Authors: Franke A, Bieler D, Paffrath T, Wurmb T, Wagner F, Friemert B, Achatz G Abstract Terrorist-related mass casualty incidents represent a medical and organizational challenge for all hospitals. The main reasons are the special patterns of injuries, the onset and development of the scenario, the lack of information at the beginning, the overall number of casualties and the number of un...
Source: Der Unfallchirurg - November 5, 2019 Category: Orthopaedics Authors: Franke A, Bieler D, Paffrath T, Wurmb T, Wagner F, Friemert B, Achatz G Tags: Unfallchirurg Source Type: research

[Claims management from the perspective of the lawyer : Top 7 errors in medical liability law].
CONCLUSION: Even by observing a few legal requirements, numerous liability traps can be avoided in the context of medical treatment. PMID: 31690984 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - November 5, 2019 Category: Orthopaedics Authors: Heberer J, Eicher M Tags: Unfallchirurg Source Type: research

[Deep posterior chronic exertional compartment syndrome as a  cause of leg pain-German version].
[Deep posterior chronic exertional compartment syndrome as a cause of leg pain-German version]. Unfallchirurg. 2019 Nov 05;: Authors: Winkes M, van Eerten P, Scheltinga M Abstract A small proportion of patients with exertional leg pain (ELP) have deep posterior chronic exertional compartment syndrome (dp-CECS). These individuals report pain, tightness and cramps deep in the calf muscles that are elicited by exercise, but may also be present during rest to a lesser extent. Physical examination often reveals painful palpation of the flexor muscles in the area immediately dorsomedial to th...
Source: Der Unfallchirurg - November 5, 2019 Category: Orthopaedics Authors: Winkes M, van Eerten P, Scheltinga M Tags: Unfallchirurg Source Type: research

[Necessity for radiological examinations in children : Children in two levels].
n W Abstract The diagnostics and treatment of pediatric skeletal trauma can be fundamentally different from adults. Based on in-house data the diagnostic approach to the most frequently encountered pediatric injury patterns is discussed. The necessity for a primary X‑ray imaging or computed tomography examination is questioned. Both diagnostic methods cause stochastic radiation damage. Therefore, it is important to perform the safest examination for the child while injuries are correctly diagnosed. PMID: 31679062 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - November 2, 2019 Category: Orthopaedics Authors: Vossschulte H, Thaumüller C, Barthlen W Tags: Unfallchirurg Source Type: research

[Erratum to: Operative treatment of stiff shoulder : Arthroscopic arthrolysis, mobilization under anesthesia and postoperative management].
r F PMID: 31667553 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - October 30, 2019 Category: Orthopaedics Authors: Berthold DP, Scheiderer B, Martetschläger F Tags: Unfallchirurg Source Type: research

[Emergency room activation due to trauma mechanism].
CONCLUSION: A significant number of patients admitted to a TCU due to the cause of accident (the so-called B criteria of the white book), have severe and potentially life-threatening injuries, which necessitate a prioritized and immediate treatment by a TCU team. Whether a reduced TCU team is sufficient in this situation needs to be critically examined. PMID: 31667554 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - October 30, 2019 Category: Orthopaedics Authors: Schweigkofler U, Sauter M, Wincheringer D, Barzen S, Hoffmann R Tags: Unfallchirurg Source Type: research

[Traumatic periprosthetic fractures in patients with total hip replacement].
Abstract The incidence of periprosthetic hip fractures is increasing due to the increase in endoprosthetic hip replacements. These fractures require a staged and individual treatment concept with the aim of mobilization of the patient as early as possible. The special challenge in the diagnostics is to identify pre-existing signs of loosening of the prosthesis. When the prosthesis is still firmly fixed femoral fractures can be treated with angular stable osteosynthesis. Loosened stems usually have to be revised, mostly in combination with osteosynthesis. Fractures around the acetabulum with a fixed cup can be...
Source: Der Unfallchirurg - October 24, 2019 Category: Orthopaedics Authors: Lichte P, Kobbe P, Pishnamaz M, Hildebrand F Tags: Unfallchirurg Source Type: research

[Conservative treatment of frozen shoulder].
Abstract Idiopathic shoulder stiffness (i.e. frozen shoulder, FS) is a common pathology of the glenohumeral joint characterized by a sudden onset of pain syndrome and progressive restriction of the range of motion. While the histological changes of FS are accompanied by synovial inflammation and increasing capsular fibrosis, the underlying cause of FS is still unknown. The treatment options for FS are multifarious and include medication, local steroid injection, physiotherapy, hydrodistension, manipulation under anesthesia, arthroscopic and open capsular release. As the disease is usually self-limiting a...
Source: Der Unfallchirurg - October 24, 2019 Category: Orthopaedics Authors: Franz A, Klose M, Beitzel K Tags: Unfallchirurg Source Type: research

[Typical alterations of frozen shoulder in MRI examinations].
Abstract Magnetic resonance imaging (MRI) is routinely used for the diagnostic assessment of diseases of the shoulder joint. Depending on the clinical presentation native imaging, intravenous (IV) or intra-articular injection of contrast medium can be performed (MR arthrography). Advances in imaging technology nowadays enable early detection of characteristic changes in the clinical picture of frozen shoulder. These changes typically include thickening of the coracohumeral ligament, the axillary pouch and the capsule at the rotator interval. Furthermore, obliteration of the subcoracoidal fat pad can also be observ...
Source: Der Unfallchirurg - October 21, 2019 Category: Orthopaedics Authors: Hawi N, von Falck C, Krettek C, Meller R Tags: Unfallchirurg Source Type: research

[The diagnosis and management of medial tibial stress syndrome : An evidence update-German version].
Abstract Medial tibial stress syndrome is a common overuse injury in jumping and running athletes. It is defined as exercise-induced pain along the distal posteromedial border of the tibia and the presence of recognisable pain on palpation over a length of 5 or more centimetres. This overview article provides an evidence update on the diagnosis and management of athletes with medial tibial stress syndrome. PMID: 31628497 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - October 18, 2019 Category: Orthopaedics Authors: Winters M Tags: Unfallchirurg Source Type: research

[Chronic exertional compartment syndrome as a  cause of anterolateral leg pain-German version].
[Chronic exertional compartment syndrome as a cause of anterolateral leg pain-German version]. Unfallchirurg. 2019 Oct 18;: Authors: de Bruijn J, Winkes M, van Eerten P, Scheltinga M Abstract Exercise-induced leg pain (ELP) and tightness may be caused by a chronic exertional compartment syndrome (CECS). Although CECS can develop in any muscle compartment, most individuals suffer from an anterior tibial muscle CECS (ant-CECS). Typically, a patient with ant-CECS experiences discomfort toward the end of sports activity or in the hours thereafter. Physical examination may reveal tenderness ...
Source: Der Unfallchirurg - October 18, 2019 Category: Orthopaedics Authors: de Bruijn J, Winkes M, van Eerten P, Scheltinga M Tags: Unfallchirurg Source Type: research

[120-day follow-up after proximal femoral fractures-first results from the Geriatric Trauma Registry DGU ®].
CONCLUSION: Despite the clear advantages of interdisciplinary treatment, the results are still limited concerning mobilization and quality of life. Further analysis of causative and influencing factors is necessary. PMID: 31598740 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - October 9, 2019 Category: Orthopaedics Authors: Schoeneberg C, Knobe M, Babst R, Friess T, Volland R, Hartwig E, Schmidt W, Lendemans S, Buecking B, AltersTraumaRegister DGU Tags: Unfallchirurg Source Type: research

[The irreducible ankle dislocation: beware of the Bosworth injury].
This article reports the course, treatment and clinical outcome 12 months after trauma of a Bosworth fracture with associated impaction of the posteromedial pilon and fracture of the posterior malleolus. To date, there are only few reports of comparable injuries in the German language literature. PMID: 31578602 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - October 2, 2019 Category: Orthopaedics Authors: Hasler J, Antoniadis A, Gkagkalis G, Flury A, Moerenhout K Tags: Unfallchirurg Source Type: research

Schulter/Ellenbogen.
Authors: PMID: 31555881 [PubMed - in process] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - September 28, 2019 Category: Orthopaedics Tags: Unfallchirurg Source Type: research

[Do we need new care structures in trauma surgery? : Altered needs of an aging society].
PMID: 31555882 [PubMed - in process] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - September 28, 2019 Category: Orthopaedics Authors: Hesse E Tags: Unfallchirurg Source Type: research

[Occult scaphoid fractures: current evidence and diagnostic algorithm].
l S Abstract Scaphoid fractures are frequent but are overlooked in 20-40% of cases on initial radiographs. In so-called occult scaphoid fractures, i.e. clinical scaphoid fractures with negative X‑ray diagnostics, the hand of the patient is often empirically immobilized with a cast and the X‑ray diagnostics repeated 10 days later. Based on the current literature the authors propose a diagnostic algorithm that incorporates various patient characteristics and socioeconomic aspects and suggests a possible follow-up treatment. For high-demand and manually working patients, timely advanced diagnostic ...
Source: Der Unfallchirurg - September 23, 2019 Category: Orthopaedics Authors: Flury A, Günkel S Tags: Unfallchirurg Source Type: research

[Bilateral humeral shaft fractures from weightlifting : Case report of an unusual sports accident].
TL PMID: 31538204 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - September 19, 2019 Category: Orthopaedics Authors: Bockmann B, Ibe L, Drügh J, Moewes A, Schulte TL Tags: Unfallchirurg Source Type: research

[Orientation for emergency and law enforcement personnel in internal threat situations in hospitals : Are guidance and orientation systems needed for hospitals?]
CONCLUSION: For targeted localization of an internal incident there only seem to be three German systems worldwide that enable an intuitive and immediate orientation and guidance within buildings. An increasing threat of worldwide terrorism and the fact that hospitals are seen as crucial infrastructures for attacks by terrorists make the implementation of guidance and orientation systems in hospitals urgently necessary. This is the first review dealing with this topic. PMID: 31538205 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - September 19, 2019 Category: Orthopaedics Authors: Ventzke MM, Segitz O Tags: Unfallchirurg Source Type: research

[Rupture of the distal biceps tendon].
z A Abstract With an incidence of 3% of all biceps tendon injuries, rupture of the distal biceps tendon is a rare injury but can be associated with significant functional impairment of the elbow. In case of a complete rupture, the diagnosis can be made clinically with a pronounced power deficit, in particular for supination of the forearm. In cases of unclear symptoms magnetic resonance imaging should be included. Regarding the therapeutic approach, there is general consensus in the current literature that surgical treatment with anatomical reconstruction of the tendon footprint is superior to the c...
Source: Der Unfallchirurg - September 18, 2019 Category: Orthopaedics Authors: Völk C, Siebenlist S, Kirchhoff C, Biberthaler P, Buchholz A Tags: Unfallchirurg Source Type: research

[Intramedullary button refixation  of the distal biceps tendon in a single incision technique : Surgical technique (approach of the authors)].
[Intramedullary button refixation of the distal biceps tendon in a single incision technique : Surgical technique (approach of the authors)]. Unfallchirurg. 2019 Sep 18;: Authors: Völk C, Siebenlist S, Kirchhoff C, Biberthaler P, Buchholz A PMID: 31535173 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - September 18, 2019 Category: Orthopaedics Authors: Völk C, Siebenlist S, Kirchhoff C, Biberthaler P, Buchholz A Tags: Unfallchirurg Source Type: research

[Operative treatment of stiff shoulder : Arthroscopic arthrolysis, mobilization under anesthesia and postoperative management].
r F Abstract The operative treatment of stiff shoulder using arthroscopically assisted arthrolysis is indicated in patients with persistent, symptomatic and therapy-resistant movement restrictions. Patients should be informed about relevant risks, supervised rehabilitation and possible recurrences. The surgical procedure provides a precise and controlled semicircular capsulotomy and is followed by an intensive rehabilitation program in order to minimize the risk of recurrences. PMID: 31529137 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - September 16, 2019 Category: Orthopaedics Authors: Berthold DP, Scheiderer B, Martetschläger F Tags: Unfallchirurg Source Type: research

[Effects of the new injury type catalogue of the German statutory accident insurance on a center for severe injury type procedures].
CONCLUSION: The modifications of the VAV in the observational period led to an enormous increase in SAV cases. It remains to be seen whether this development is confirmed in subsequent quarters. The increase in CMI, the number of necessary operations, operating room times and duration of hospitalization showed the necessity of these innovations on structural changes of hospitals involved in the treatment of SAV cases. PMID: 31501974 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - September 9, 2019 Category: Orthopaedics Authors: Lodde MF, Katthagen JC, Freistühler M, Schliemann B, Roßlenbroich S, Hartensuer R, Raschke MJ Tags: Unfallchirurg Source Type: research

[Involvement of nonaccident-related diseases and ailments in assessments for private accident insurance : A  problem discussion and assistance].
[Involvement of nonaccident-related diseases and ailments in assessments for private accident insurance : A problem discussion and assistance]. Unfallchirurg. 2019 Sep 06;: Authors: Schmidt J, Schmidt I Abstract With the clarification by the Federal Court of Justice, the distinction between the principle of equivalence and the principle of adequacy for assessment has again come to the fore. In contrast to the equivalence principle for assessments in the German statutory accident insurance (DGUV), the principle of adequacy applies in private accident insurance. This means that an accident is alway...
Source: Der Unfallchirurg - September 6, 2019 Category: Orthopaedics Authors: Schmidt J, Schmidt I Tags: Unfallchirurg Source Type: research

Fu ß und Sprunggelenk.
Fuß und Sprunggelenk. Unfallchirurg. 2019 Sep;122(9):666-667 Authors: PMID: 31444540 [PubMed - in process] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - August 26, 2019 Category: Orthopaedics Tags: Unfallchirurg Source Type: research

[Way cleared for telemedicine].
PMID: 31444541 [PubMed - in process] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - August 26, 2019 Category: Orthopaedics Authors: Mutschler W Tags: Unfallchirurg Source Type: research

[Importance of osteoporosis-related fractures for patients].
CONCLUSION: The effects of osteoporosis and fractures are multifactorial and often severe for the patient. The measures for prevention of osteoporotic fractures should be consistently implemented in the daily clinical routine and the necessary diagnostics and treatment should be rapidly initiated. PMID: 31440789 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - August 22, 2019 Category: Orthopaedics Authors: Maus U, Böcker W, Schultz K, Maier GS, Weber I, Hesse E Tags: Unfallchirurg Source Type: research

[Reduction of needlestick injuries by 48  % in 1 year : Effects of improvement of the safety concept according to the European Union Council directive 2010/32/EU at a large regional hospital].
CONCLUSION: Implementation of the EU Council directive 2010/32/EU, resulted in an almost 50% reduction in NSIs over 1 year, including the complete prevention of NSIs due to scalpels. In addition, the anamnestic presence of immunization against hepatitis B and index patient identification were significantly increased. PMID: 31428806 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - August 19, 2019 Category: Orthopaedics Authors: Busche MN, Klein JM, Kröger B, Siewe J, Faber H, Müßler J, Reuter S, Bastian L, Vogt PM Tags: Unfallchirurg Source Type: research

[Treatment of patients with fragility fractures].
CONCLUSION: There is evidence that with optimal care the treatment of patients with fragility fractures can be significantly improved. PMID: 31428807 [PubMed - as supplied by publisher] (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - August 19, 2019 Category: Orthopaedics Authors: Bücking B, Neuerburg C, Knobe M, Liener U Tags: Unfallchirurg Source Type: research