Three topics are of major importance in the legal evaluation of bone tumors: The questions of medical liability, of causality and of medical evaluation. Concerning medical liability, the legal consequences of proven cases of malpractice are stressed. A causal connection between an accused trauma and the occurrence of a malignant bone tumor can be denied in nearly all circumstances. Due to the well known occurrence of a secondary sarcoma, the irradiation of a benign bone tumor or tumorlike lesion is strongly disfavored. In cases of medical evaluation, patients with malignant bone tumors should be judged by the same criteria as patients with any other diseases and impairments.

Bone Neoplasms↗

PubMedDate not supplied

[Postoperative infections and wound healing disorders in patients with infantile cerebral palsy].

As part of a retrospective study including 569 patients with ICP and a group of 405 controls, the risk of postoperative wound healing disorders and wound infections was investigated in surgically treated children with cerebral palsy. The higher rate of wound healing disorders in ICP patients could not be attributed to factors such as excessively long duration of operation, secondary interventions, or a high number of interventions per operation. Rather, the causes of the increased risk of infection have to be seen in connection with the symptoms of ICP itself, such as immunological weakness, increased tendency to sweat, reduced circulation in the affected extremity and disturbances of sensitivity and perception. A direct link between these parameters and increased risk of postoperative infection can only be established by prospective studies.

Adolescent↗

PubMedDate not supplied

[Development and assessment of so-called rotator cuff ruptures].

The following conclusions can be drawn from our investigations: We could not find out isolated ruptures of the supraspinatus tendon, which were caused exclusively by injury. Mostly ruptures of the rotatory cuff develop spontaneously, the basic degenerative changes involve also the shoulder joint and the acromioclavicular joint. The term rupture of rotatory cuff is misleading, because it signals to the patient the existence of aftermath of injuries and for the most part the rupture is not found in the tendons of the rotatory muscles but in the supraspinatus tendon. The degenerative cuff defects with spontaneous ruptures must be differentiated in medical certificate from the rare rotatory cuff ruptures, which are caused by injury alone. Seldom exogenous mechanical stress may lead to an enlargement of a preexistent rupture with symptoms and clinical signs, which occur for the first time. On the promises, that an adequate injury has occurred, that roentgenographic changes deteriorated within 3 months after the injury and a degenerative defect of rotatory cuff with clinical relevance can be excluded for the time before the injury, the damage of the shoulder has to be accepted by the insurance as an injury after accident. In the most times occasional causes with inadequate injuries to the shoulder are brought up, to assert an old degenerative defect of the shoulder as an aftermath of injury. There are no interrelations between intraoperative findings and mechanism of injury. The anamnestic statement of the patient concerning earlier diseases and injuries are often unreliable.(ABSTRACT TRUNCATED AT 250 WORDS)

Accidents, Occupational↗

PubMedDate not supplied

[Unilateral finger polyarthrosis as a late sequel of frostbite].

Unilateral Osteoarthritis involving all interphalangeal joints are in some cases late sequelae of cold injury. Case report.

Aged↗

PubMedDate not supplied

[Problems of posture and the locomotor system as a result of amputation of a lower extremity (author's transl)].

While it is true that partial loss of a leg regularly leads to additional stress on the remaining parts of the body, the ability of the organism to compensate for this is evidently so good that under everyday conditions with physiological stress the additional load is tolerated by the vertebral column and the remaining leg. Conversely, the residual function of the amputated leg is likely to be impaired if the prosthesis is too short, and if these are any lumbosacral defects damage will probably result. This applies in particular to cases with scoliosis due to false posture.

Amputation, Surgical↗

PubMedDate not supplied

[Leg deformity and meniscus damage. Occupational disease regulation no. 2102].

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Adult↗