Biomedical subjects
Publications and source records attributed to F Schröter.
Expert assessment of tendon injuries depends on differences between private and public insurance providers in the way preexisting conditions have to be taken into account. In most cases degenerative and injury-dependent factors have to be balanced. Common tendon injuries such as Achilles and biceps tendon ruptures as well as rotator cuff tears are discussed.
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Since the enactment of the first Occupational Illness Ordinance (Berufs-Krankheiten-Verordnung, BKV) in 1925, not only the prevention of and compensation for workplace accidents but also the competence for recognizing specific occupational diseases has been imposed on the occupational association. Analogous to technological advancement, the BKV has taken into account new hazards with corresponding amplifications. Despite this system of listing specific diseases, it is necessary to perform an investigation of causality for each individual case, which can only be successful with reliable information about the recognizable illness and its differential diagnosis as well as about the legal guidelines for an examination of causality. The mitigation produced by the administration of justice with the theory of properly significant conditions and the comparatively minor requirements for evidence with respect to origin nevertheless do not resolve all of the problems in the practical application of occupational illness law. This uncertainty reoccurs in almost all of the so-called "surgical" occupational diseases (BK2101-2110). This is not difficult to recognize in the following descriptions and elucidations of the specific diseases. Recommendations for the practical rendering of an expert opinion are provided.
Until now there has been no definition of a typical job-related back injury. During the examination the only possibility was to separate all recognizable non-job-influenced injuries from the diagnosis, through which a step-by-step, logically organized progression was proven in practice. If the professional hypothetical claims are fulfilled, then the remaining disability is the outcome of job stress and can so be evaluated. The clinical-functional and neurological evidence delivers a conclusive evaluation in percentages that can be attuned without difficulty to verified standards of traumatic spinal assessment.
Very often, patellar luxation or subluxation after spontaneous setting is difficult to diagnose. Concomitant injuries can be highly misleading during diagnosis. Traumatic luxation almost always results from forces exerted on the knee indirectly and by way of the muscles, and must be differentiated from habitual luxation. When the constitution favors the occurrence of luxation it is not the clinical and radiological results that are relevant to the assessment. Only an exact analysis of the course of events can clarify whether the trauma can be recognized as a basic cause covered by insurance laws.
Accident reports and medical statements (a total of 719) concerning chain-saw injuries were evaluated. Chain-saw wounds can be found in all parts of the body, especially the thighs and fingers. The typical chain-saw wound is a multiple superficial laceration, soft tissue wounds are usually heavily bruised and jagged , and bone lesions are rare and superficial. Among 188 finger injuries, only 15 slight bone lesions were seen. The frequency of all injuries decreases as one progresses from the thumb to the little finger and from the finger tip to the finger. The more proximal the isolated finger injury, the more frequently is it diagonal or even longitudinal. Incomplete or complete finger amputations were not observed.
The eosinophilic granuloma of the intestine is a rare disease and is difficult to classify as far as etiology and pathogenesis are concerned. Unexplained, recurrent colicky obstipation and diarrhea accompained by anemia should induce x-ray examination of the small intestine and selective angiography in case of acute bleeding. Therapy with corticosteroids is justified in cases with diffuse involvement of the intestine without stenoses or ulcerations. Otherwise surgical removal of the involved segments with cure the disease, which is always benign.
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