Eur Radiol 7:192–197īohndorf K, Kilcoyne RF (2002) Traumatic injuries: imaging of peripheral musculoskeletal injuries. Semin Musculoskelet Radiol 7(1):5–18īachmann GF, Melzer C, Heinrichs CM, Möhring B, Rominger MB (1997) Diagnosis of rotator cuff lesions: comparison of US and MRI on 38 joint specimens. J Bone Joint Surg 49-A:774–784Īrmfield DR, Stickle RL, Robertson DD, Towers JD, Debski RE (2003) Biomechanical basis of common shoulder problems. eines konservativen oder operativen Vorgehens getroffen wird.Īllman FL (1967) Fractures and ligamentous injuries of the clavicle and its articulation. Die Kenntnis der gängigen klinischen Klassifikationssysteme ist unerlässlich für eine adäquate Befunderstellung, auf deren Basis die Entscheidung bzgl. Wesentlich ist die weitgehend überlagerungsfreie Darstellung aller Komponenten des Schultergelenks. Basis jeder bildgebenden Abklärung traumatischer Schulterläsionen ist die so genannte Traumaserie, die aus zumindest 2–3 Aufnahmen in unterschiedlichen Ebenen, anteriorposterior (Grashey-Aufnahme), lateral (Y-Aufnahme) sowie axillär, besteht. Die Diagnose einer akuten traumatischen ossären Schulterläsion kann zumeist auf Basis der Anamnese und einer exakten klinischen Untersuchung sowie mit Hilfe konventioneller Röntgenbilder gestellt werden und erfordert nur in bestimmten Fällen weiterführende bildgebende Methoden. Dabei ändern sich in Abhängigkeit zum Alter des Patienten Lokalisation und Art der Verletzung. None of the patients had to be referred back to the outpatient clinic because of persistent problems and/or unacceptable results.Verletzungen des Schultergürtels sind häufig und ereignen sich von der Geburt bis in das hohe Alter. One of these children additionally stated a minor flexion deficit of the elbow already present at the last follow-up in the outpatient clinic, which showed no progress. Three children noted a minimal deficiency in strength of the injured arm in comparison to the contralateral extremity. A telephone survey with a response rate of 87% (74 patients) was undertaken in September 2007. This problem was solved in all instances within the following 6 months. In five cases, hyposensitivity of the skin above the proximal aspect of the radial bone was noted postoperatively. There were no late complications in this series (e.g., lack of consolidation, pseudarthrosis). Median follow-up time was 6 months (range, 2-50 months). After a median of 8.6 weeks (range, 5.0-17.1 weeks), implants were removed. Of these, 31 were treated with a combination of screw and Kirschner wire fixation, 13 with a single screw, and in three cases, the fracture was fixed with Kirschner wires only. From Januto December 31, 2006, 85 children with a median age of 6.1 years had lateral condyle fracture of the humerus treated. Routine physiotherapy is normally not required. Implants are removed following consolidation (confirmed by X-ray) after approximately 2-3 months. Subsequently, upper-arm plaster cast for 3-4 weeks postoperatively. Long upper-arm plaster cast until wound healing is achieved. In all cases, suture repair of the periosteum is advisable. In older children (& amp amp amp amp amp gt or = 5 years of age) or in cases requiring compression radial screw fixation is recommended. In smaller children (& amp amp amp amp amp lt 5 years of age) fixation with Kirschner wires. Open reduction of the lateral humeral condyle via a lateral approach to the elbow joint. Incomplete, so-called hanging fractures of the lateral humeral condyle without notable secondary dislocation on follow-up. Relative: complete fractures of the lateral humeral condyle which demonstrate a dislocation & amp amp amp amp amp lt or = 2 mm on follow-up. Absolute: fractures with a complete dislocation or those in which plaster-free control X-ray on day 4 shows a gap of & amp amp amp amp amp gt 2 mm. Surgical treatment of lateral humeral condyle fractures with reduction and retention in order to prevent lasting malalignment, pseudarthrosis, and joint instability.
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