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Biomedical subjects

E Ludolph

Publications and source records attributed to E Ludolph.

At least 37 records · Page 2Linked to original sources
PubMed1990

[The diagnosis of so-called whiplash injury of the cervical vertebrae. A case report].

The acceleration injury of the cervical spine (so-called whip-lash injury) is a common traumatic mechanism in traffic accident. Severe damages are possible. Scepticism is necessary, if several hours or days are symptom-free. Radiological results which seem to prove an injury should be controlled. Severe injuries are in consideration of the symptom-free course incredible. This is demonstrated with a description of a case.

Cervical Vertebrae↗
PubMed1990

[Injuries to the cervical spine in children and adolescents].

Lesions of the cervical vertebral column are rare in children. Proper assessment of traumatically conditioned changes is possible only if the physician is fully conversant with the specific characteristics and variations of the normal cervical vertebral column in children. It is difficult to perform differential diagnosis distinguishing between a pseudo subluxation C2/C3 and C3/C4 that is merely a variant of the normal status on the one hand, and a genuine, traumatically conditioned subluxation on the other; likewise, it is difficult to draw a clear diagnostic line between a persistent basal epiphyseal cartilage of the dens axis and a non-dislocated dens fracture. Cervical CT has decisively improved vertebral column diagnostics and has become invaluable. CT examination serves both to help clarify a fracture seen in the plain X-ray in respect of stability or instability, and to definitely confirm or exclude a fracture that appeared to be an uncertain finding. It is from this diagnosis alone that any decision regarding treatment can be taken.

Adolescent↗
PubMed1989

[Supination stability of the Adimed-Stabil-II shoe in capsule-ligament instability of the upper ankle joint].

A prerequisite for functional treatment of an unstable capsular ligament of the ankle joint is sufficient protection against supination through exterior stabilization. Examination of 20 such patients provided with a Adimed-Stabil II shoe proved that the new, improved Adimed-Stabil II shoe is reliable and sufficient protection against supination. All 20 patients had an unstable capsular ligament of the ankle joint, which was later proved by operation. In suitable cases, treatment with this shoe can be recommended to reduce the duration of disablement.

Adolescent↗
PubMed1988

[Dislocations of the elbow joint].

In a collective follow-up study the results of conservative and operative treatment of luxations of the elbow joint were assessed. In all, 433 patients were followed-up; 315 of them had a ligamentous injury, 225 flake fractures. Because of the amount of soft and bone tissue damage, 241 patients were treated operatively. The functional results of these operations were good in 90% and comparable to those in patients receiving conservative treatment. This confirms that operative treatment of elbow luxations has to be recommended in cases with considerable ligamentous and bone damage.

Adult↗
PubMed1987

[Post-traumatic chronic instability of the shoulder joint. Therapy and results].

If posttraumatic chronic instability of the AC-joint causes subjective complaints, this is an indication for operative therapy. In our unit 38 patients were treated at all. In most cases previous treatment had been conservative. Syndesmoplasty was done with local tissue. 33 patients were examined radiological and clinical after a minimum time of twelve months after operative treatment. The AC-joints of 25 patients were stable, in five cases there was a slight instability, in three cases there was a severe instability. Only with four patients the diminuation of mobility was of consequence.

Bone Wires↗
PubMed1987

[Dislocation of the patella--causality in legal accident insurance].

Fifty-two expertises on connections between cause and effect of patellar dislocations were examined with a view to improving the standards of medical expertizing. On principle, the mechanism of injury is the decisive criterion in determining whether the injury can be considered capable of causing the dislocation. It was found that in about one-half of the cases the dislocation was wrongly attributed to the event and that a reasonable connection existed in only one-quarter of the cases. The typical causes of error in reasoning - first dislocation, impressive pattern of injury, no degenerative changes - are listed and discussed. The importance of the pattern of damage for the first occurrence of a dislocation is demonstrated. The suitability of different courses of events for contributing essentially to the dislocation is discussed.

Adolescent↗
PubMed1987

[Expert assessment of reduced earning capacity in legal accident insurance following traumatic loss of the spleen].

For legally binding assessment of reduced earning capacity after loss of spleen in adolescents and adults--in accordance with the Federal German compulsory accident insurance regulations--the article offers a brief review of expertising practice and then proceeds to examine dogmatically which of the cases of subsequent damage after loss of spleen are relevant according to German social security laws. The risk covered by Federal German compulsory accident insurance is critically discussed while bearing in mind that assessment of reduced earning capacity is done exclusively under the viewpoint of objectifiable functional losses.

Adult↗
PubMed1986

[Conservative or operative fracture treatment--alternative information in relative indications].

The aim of every treatment of bone fractures is the recovery of function. The treatment - conservative or operative - assumes the consent of the patient. This consent is only effective, if the patient is well informed about course and risks of the treatment. In case of alternative indication the information has to be alternative in reference to the typical risks. The information of the patient before immediate operative treatment and alternative indication might be problematic. It is possible to renounce any information but renunciation of information assumes a basic knowledge of both possible kinds of treatment.

Fracture Fixation, Internal↗
PubMed1986

[Expert evaluation of meniscus damage].

There are four main reasons for mistakes in giving expert opinions about injuries of the meniscus. The report about the accident isn't sufficiently detailed. The expert questions the injured person himself. The mechanics of the knee are unknown. The juridical and medical problems of degeneration and previous damage are unknown. The points are discussed to get a higher standard of expert opinions.

Expert Testimony↗
PubMed1986

[Dislocations of the carpal bones. Diagnosis and therapy].

Dislocations of the carpal bones are rare. Because of the difficult radiological anatomy of the carpus, the diagnosis of such injuries is often missed. The treatment of a primary diagnosed luxation is easy, and an anatomical position of the carpal bones can be achieved by closed reduction. The functional result is good. In contrast the treatment of delayed diagnosed dislocations is very problematic, and the outcome of the mainly operative therapy is unsatisfactory on the whole. The radiological findings on dislocations of the carpal bones are discussed in principle. The indication of non-operative and operative treatment is outlined.

Bone Screws↗
PubMed1986

[Anatomy of the ligaments of the upper ankle joint].

The ankle joint is stabilized by a specialized system of ligaments. These are the medial and lateral collateral ligaments and the anterior and posterior syndesmoses, the arrangement and orientation of which can only be understood in terms of function. In the vast majority of cases, injury involves the fibular capsuloligamentous apparatus which, according to anatomical and intra-operative findings, exhibits considerable anatomical variability, recognition of which is a prerequisite for the correct diagnosis and therapy of such lesions.

Ankle Joint↗
PubMed1985

[Expert testimony on rotator cuff rupture].

In giving an expert opinion, it is difficult to differentiate between the two possible causes of damage of the rotator cup, degeneration and trauma. After description of the anatomical problems, different causes for degenerative changes, especially of the supraspinatus tendon, are discussed. Various possibilities of accidents are analysed if they can cause damage of the rotator cup. The special conditions of the private accident insurance are discussed.

Accidents↗
PubMed1985

[Functional therapy in primary unstable injuries of the thoracic and lumbar spine. Indications and limits].

There are good results in the functional conservative treatment of the primary stable lesion of the thoracic and the lumbar part of the spine. Late results show that traumatic deformation can be compensated by the spine and by trained muscles. Segmental mobility can be generally neglected. Real late instabilities are very seldom. Static complaints caused by left deformation are important especially if the spine was previously damaged. Then, primary or early secondary operative reposition, replacement and segmental spondylodesis are indicated.

Combined Modality Therapy↗
PubMed1984

Research into the anatomy and X-ray diagnostics of the fibular ligaments at the ankle joint.

In the literature widely differing statements are found as to the extent of the radiographically seen tilt of the talus after rupture of the fibular ligaments. Our studies on cadavers showed that there can be no exact correlation between the instability found on X-ray investigation and the intraoperatively ascertained damage of the ligamentous structures. The intraoperatively found damage is usually greater than presumed on X-ray investigation. The main reason for these findings is to be seen in the various anatomical shapes of the fibular ligaments. We have certified this in our studies on 20 amputated feet. For clinical purpose it is not of interest which of the ligaments is damaged, but it is of great importance to know whether there is a rupture or not. Anamnesis and clinical state may be important in deciding whether to operate or not.

Ankle Injuries↗