A5084912819- Orthopedic Surgery and Rehabilitation
- Elbow and Forearm Trauma Treatment
- Musculoskeletal synovial abnormalities and treatments
- Dupuytren's Contracture and Treatments
- Reconstructive Surgery and Microvascular Techniques
- Mesenchymal stem cell research
- Nerve Injury and Rehabilitation
- Disaster Response and Management
- Artificial Intelligence in Healthcare and Education
- Peripheral Nerve Disorders
- Traumatic Ocular and Foreign Body Injuries
- Wound Healing and Treatments
- Medical Malpractice and Liability Issues
- Surgical Sutures and Adhesives
- Shoulder Injury and Treatment
- Bone fractures and treatments
- Nail Diseases and Treatments
- Musculoskeletal Disorders and Rehabilitation
- Sarcoma Diagnosis and Treatment
- Musculoskeletal pain and rehabilitation
- Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Clinical Reasoning and Diagnostic Skills
- Tendon Structure and Treatment
- Burn Injury Management and Outcomes
- Genital Health and Disease
Ludwig-Maximilians-Universität München
2021-2025
LMU Klinikum
2023-2025
München Klinik
2024
Distal radius fractures rank among the most prevalent in humans, necessitating accurate radiological imaging and interpretation for optimal diagnosis treatment. In addition to human radiologists, artificial intelligence systems are increasingly employed assessments. Since 2023, ChatGPT 4 has offered image analysis capabilities, which can also be used of wrist radiographs. This study evaluates diagnostic power identifying distal fractures, comparing it with a board-certified radiologist, hand...
Dupuytren's disease (DD) is a systemic connective tissue disorder of the palm, predominantly affecting men Northern European or Caucasian origin over 55. In addition to conventional surgery, contracture can be treated in minimally invasive way by injecting bacterial collagenase into cord. However, studies on long-term success rate when compared gold standard, surgical limited fasciectomy, are limited. This monocentric retrospective study examined 35 patients who had been with for...
Background: Early diagnosis of giant cell arteritis (GCA) is crucial to avoid loss vision, but detailed headache characteristics GCA have been poorly studied. Clinical prediction rules shown promise in guiding management decisions suspected GCA. Methods: This a prospective, monocentric cohort study on patients ≥50 years age with The diagnostic efficacy and safety previously published rule embedded stepwise algorithm compared the final clinical incorporating results temporal artery biopsy...
Background: Hamate-lunate impingement or osteoarthritis can be a cause of ulnar-sided wrist pain. In the literature, lunate has commonly been classified according to configuration its distal articular surface into type 1 and 2, as described by Viegas. A possesses only for capitate, while 2 shows an additional medial facet articulating directly with hamate. Type lunates have identified risk factor pain development in midcarpal wrist. However, this does not sufficiently explain all arthritic...
Hand injuries compose up to 30% of all in emergency care. However, there is a lack epidemiological data reflecting patient or accident-related variables, injury types, injured anatomical structures trauma localization.The objective this study (1) provide information on hand and their patterns (2) visualise the frequencies affected areas relation most common mechanisms using color-coded heatmaps.This prospective single-center observational trial conducted at surgical department Germany...
: The reconstruction of plantar load-bearing foot defects faces many plastic surgeons with a major challenge. optimal patient- and defect-oriented reconstructive strategy must be selected.
Zusammenfassung Hintergrund Verletzungen durch Explosionen oder pyrotechnische Ereignisse können zu schwerwiegenden Handverletzungen führen, die teilweise langfristige Auswirkungen sowohl für den Betroffenen als auch das Gesundheitssystem haben. Bislang konnte Einführung eines landesweiten Verbots von Feuerwerkskörpern zum Jahreswechsel lediglich vorübergehend im Rahmen der Schutzmaßnahmen zur Eindämmung Covid-19-Pandemie umgesetzt werden. Diese zwei Ausnahmejahre konnten Sinne...
In the treatment of basal thumb osteoarthritis (OA), intra-articular autologous fat transplantation has become great interest within recent years as a minimally invasive and effective alternative to surgical intervention with regard pain reduction. This study aims assess its long-term effectiveness.
Within its 2 week period, the Oktoberfest attracts around 6 million visitors yearly to Munich, Germany. Due alcohol intake, congested halls, and disorderly activities, numerous accidents occur. Although many hand injuries are observed, impact of on severe trauma injury frequency is under investigated.Data from regional emergency medical service (EMS) was analyzed over a 9 year period regarding during world's largest fair compared corresponding in years 2020 2021 where event cancelled due...
Zusammenfassung Innerhalb der letzten 50 Jahre hat sich eine Trendwende in Beugesehnenchirurgie vollzogen. Nach Einführung 2-Strang-Kernnaht wurde den 90igern die 4-Strang-Technik, später sogar 6-Strang-Technik propagiert. Die vorliegende Studie wertet Online Umfrage unter DGH Mitgliedern zur eingesetzten Nahttechnik von Beugesehnenverletzungen Zone 2 aus. Ziel war es, ein realistisches Bild aktuellen nationalen Versorgungsrealität Deutschland zu ermitteln. Material und Methoden Mittels...
Zusammenfassung Hintergrund Patient-reported outcome measures (PROMs) nehmen einen immer größeren Stellenwert in der gegenwärtigen Patientenversorgung ein. Leider sind die gängigsten PROMs Handchirurgie sehr zeitaufwändig und decken meist nicht tatsächlichen, diagnosespezifischen Beschwerden Patienten ab. Zur Diagnostik Verlaufskontrolle bei Rhizarthrose entwickelten validierten Noback Mitarb. den Fragebogen “Thumb Disability Examination” (TDX). Dieser aus 20 Fragen bestehende erfasst...
Abstract Beyond clinical examination, the various forms of carpal instability are assessed with radiologic methods and arthroscopy. For this purpose, imaging demand for spatial contrast resolution is particularly high because small ligamentous structures involved. The entities classified into degrees severity. Early (dynamic) can either be indirectly detected X-ray stress views cineradiography or by direct visualization ruptured ligaments in high-resolution magnetic resonance (MR) MR...
Abstract Background Pain of the hand and wrist affects a large patient population. If onset is unrelated to recent trauma, first medical contact rarely established with specialized surgeon. Objective The objective this investigation was (1) visualize localization pain using pain-related heatmaps in common pathologies, (2) test whether differences between these pathologies exist regard sociodemographic aspects, (3) evaluate major patient-reported complaints associated pathologies. Methods...
Background and Objectives: While autologous fat grafting has been carried out in the clinical field for many years, utilization of isolated cultured adipose-derived stem cells (ADSCs) is highly restricted countries. However, ADSCs are under investigation currently heavily researched cell-based therapy approaches regenerative medicine. Objective: For future therapies with ADSCs, vitro cell expansion might be necessary cases. Thus, cellular characteristics may altered though process being...
Zusammenfassung Hintergrund Die Handgelenksarthroskopie (HG-ASK) ist ein handchirurgisches Standardverfahren zur Diagnose und Behandlung von Handgelenksbeschwerden. Obwohl für elektive handchirurgische Eingriffe die perioperative Antibiotikagabe Infektprophylaxe (PAP) nicht allgemein empfohlen wird, gibt es bezüglich der elektiven HG-ASK keinen offiziellen Standard. In dieser Studie sollte daher tatsächliche klinische Anwendung PAP bei in Deutschland ermittelt Bezug zu den strukturellen...
Abstract Unclear wrist tumors are a common clinical presentation in patients with pain and movement restrictions of the wrist. We report rare case benign tumor 63-year-old female patient who presented ganglion-like swelling right hand. After examination preoperative radiological diagnostics, indication for an open surgery was indicated resection either typical ganglion cyst or peripheral nerve sheath made. Interestingly, suspected diagnosis not correct. The intraoperative finding...
Background: Ulnar impaction syndrome (UIS) is a common degenerative wrist condition which results from positive ulnar variance, leading to an overload on the carpus. shortening osteotomy (USO) and arthroscopic wafer procedure (AWP) are established therapies for UIS if conservative management fails. This study assessed algorithm-guided treatment of over period 10 years. Methods: prospective observational compared outcome 54 patients who underwent either USO or AWP based predefined algorithm....
After failed conservative therapy or in the absence of any intervention, a rupture digital subcutaneous extensor tendon at distal interphalangeal (DIP) joint, known as mallet finger, may lead to chronic extension deficit due excessive scarring and elongation. Various surgical techniques restore phalanx have been proposed, but an optimal approach has not yet established. To tighten tendon, purse-string suture can be applied. Although it shown efficacy, result significant bulging scar...
Die Deckung von Weichteildefekten an Hand und distalem Unterarm stellt in der rekonstruktiven Handchirurgie eine komplexe Herausforderung dar. Eine geringe Narbenbildung, gute Gleitfähigkeit Sehnen bzw. Nerven dünne Weichteilbedeckung sind Voraussetzungen für Wiederherstellung Handfunktion. In diesem Artikel werden lokal gestielte Lappenplastiken zur Defektrekonstruktion vorgestellt unter Berücksichtigung alternativer rekonstruktiver Verfahren diskutiert.
Overboarding politcal influence in Germany concerning medical issues has come to a new peak. The report by the IGES Institute published 2022 made an important contribution this regard. Unfortunately, only that part of recommendations were implemented version contract for outpatient surgery according Section 115b SGB V (AOP contract), called expansion surgery. In particular, those aspects are from point view patient-specific adjustment (e. g. old age, frailty, comorbidities) as well...