Search PubMedSearch

Biomedical subjects

D Scharplatz

Publications and source records attributed to D Scharplatz.

9 recordsLinked to original sources

[Bilateral traumatic hip dislocation].

The bilateral hip displacements are discussed. We divide these injuries in posterior, anterior and in an equal bilateral luxations of the hip. All types are rare (120 cases found in the literature), after all most of them are posterior hip luxations. Immobilisation must be considered for eight weeks, partial weight bearing to week ten, after this period full weight bearing can be allowed. Discharge from the hospital after three months. The danger of arthroses and femoral-neck necroses in this bilateral injury is discussed.

Accidents, Traffic

Zollinger-Ellison syndrome, duodenal carcinoid (gastrinoma), and hyperthyroidism.

A 43 year old man is presented who suffered from the association of a toxic adenoma of the thyroid gland and a Zollinger-Ellison syndrome (ZES) due to a metastasizing duodenal gastrinoma. There were no other signs of a multiple endocrine neoplasia syndrome, type I (MEN-I). The patient presented here shows that the association of ZES and thyroid disease may also occur in patients with sporadic ZES.

Adenoma

[Lower leg fractures with rupture of the syndesmosis].

In tibia and fibula fractures the classification of Weber for malleolar fractures is not valuable. Very rare are fractures of the lower leg (tibia and fibula) together with a ruptured syndesmosis. But it exists, the surgeon has to know it, if the patient complains in addition of pain in the region of the lateral malleolus. One typical case is reported. In 4760 documented tibia fractures we had 39 cases with ruptures of ligaments. Lesions of the syndesmosis were seen in 11 cases and fractures of the Volkmann triangle in 4 cases.

Adult

[Should Volkmann's great triangle be screwed?].

The accurate reposition of the posterior tibia ridge is a technically exacting undertaking. On the basis of 22 screwed--all done ventrally--and 11 non-screwed Volkmann's triangles which are more than a third of the lateral extension of the distal tibia joint surface can be shown that a screwing in faulty position is worse than non-screwing. Consequently it is better to omit screwing or to do the reposition visually with the corresponding access.

Bone Screws

Thoracoabdominal trauma in ski accidents.

Higher speed in ski sports has in recent years increased the number of thoracoabdominal injuries. Our restrospective study concerns 30 patients from the region of Chur, Switzerland, injured between 1965 and 1976. The patients were all male with an average age of 26 years. Details of the injuries, operations and treatment are given and a few typical cases are demonstrated.

Abdominal Injuries

[Surgical treatment of intra-articular calcaneus fractures].

The instable fractures of os calcis are usually treated by conservative methods with early functional mobilization. In a few cases we think that in the Tongue Type and especially in the Joint Depression Type of Essex-Lopresti a surgical treatment may be useful to reestablish the congruence and the geometry of the joint surface.

Calcaneus

Fracture-dislocations of the elbow.

This paper presents a series of 105 cases of fracture-dislocation of the elbow joint. All these fractures differ in mechanism, age of patient and method of treatment, so problems arise in classification. Causes can be grouped together more easily than in principles of treatment. The cases are classified into 2 major groups and 10 subgroups. Single fracture types are analysed and the optimal type of treatment is studied. As with all joint fractures, adequate reconstruction is obilgatory to remove all steps in the articular cartilage, and rigid fixation is mandatory except for the radial head, where excision is indicated. The different fracture types and their relevant operations are illustrated with examples.

Adolescent