[Cervical spinal column in lateral radiographs from an orthopedic viewpoint].
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Biomedical subjects
Publications and source records attributed to H Hirschfelder.
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X-rays of 102 sternoclavicular joints from post-mortem examination were interpreted systematically. In 89 cases we found an osteoarthrosis. We investigated the correlation between stage of osteoarthrosis and size and form of articular surface, age, sex and right or left preference. We also made a review about anatomy, embryology and pathology of the sternoclavicular joint. The differential diagnosis of sternoclavicular pain is discussed.
An osteometry of instable glenohumeral-joints was done by computerized tomography. In comparison of type and direction of the instability, a marked retroversion of the glenoid was found in posterior luxation, not only in the instable, but also in the contralateral side. There seems no statistical prove of an influence by a changed radius or width of the humerus-head nor by a reduced retrotorsion of the humerus. Posttraumatic disorders like HILL-SACHS-lesions or BANKART-lesions are more easily detected by computerized tomography than by conventional radiography.
Elongated Styloid Process Syndrome requires its consideration in differential diagnosis of degenerative disease of the cervical spine. Radiating pain on certain movements of the cervical spine is a symptom of an elongated styloid process as well. First basic anatomy and pathology, symptoms and differential diagnosis of the elongated styloid syndrome are discussed. A case history is presented together with X-rays of the cervical spine and images of three dimensional CT-reconstruction to show the full length of an elongated styloid process.