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Biomedical subjects

H Mau

Publications and source records attributed to H Mau.

At least 91 records · Page 5Linked to original sources
PubMed1981

[Perthes' disease, symptomatic atypical juvenile osteochondroses of the femoral epiphysis and skeletal retardation (author's transl)].

A classification of atypical femoral osteochondroses with children is offered and explained by pertinent examples. In every single case has the diagnosis Perthes disease to be confirmed by securing a skeletal retardation by means or the carporadiogram. If there is no adequate skeletal retardation present or if it is exceedingly high, and if the children are more than 9 years old at the beginning, or if the course of the disease is unusually slow, we have to take into consideration the occurrence of a symptomatic osteochondrosis of the femoral epiphysis. Symptomatic in this context does not mean painful as in the anglo-american literature but rather "due to a special known etiology". In the majority of cases, then, we are confronted with a local manifestation of systemic osteochondrodystrophy. It's spondyloepiphyseal character can best be verified by a lateral X-ray of the lower dorsal and dorsolumbar spine, apart from an X-ray of the hand. Familiar occurrence, bilateral involvement, diminished height and relative early onset do equally point to a systemic underlying osteochondrodystrophic disease. Different symptomatic basic diseases, however, may also be represented by those signs, including skeletal retardation.

Age Determination by Skeleton↗
PubMed1980

[Chondropathia patellae].

Chondropathia patellae on a constitutional basis, in the narrow sense of the term, is predominantly responsible for producing the painful or irritated knee in juveniles and adolescents, with an incidence peak around the 20th year of life. The traumatic form associated with signs will often produce the same disorders of the patellar gliding path and of the gliding areas, such as the hyperpression and lateralisation syndrome, as well as habitual luxation. Clinically, degenerative articular damage may temporarily exacerbate into a kind of synovitis "chondsrodetritica", especially on overstraining and after microtraumas. On reviewing the case history, the retropatellar pain after prolonged seating and on walking downhill, is particularly characteristic; this pain can also radiate in medial direction. It is also often reported that the knee tends to "give way" suddenly, and to "interlock" or "become entangled". The leading clinical symptom is, besides a feeling of roughness, the "characteristic" pain caused by the gliding pressure of the patella. Conservative treatment, consisting of physiotherapy, isometric exercises of the quadriceps femoris muscle preceded or if permissible followed by heat and massage treatment, and therapy directed at protecting the cartilage - while avoiding cortisone preparations - should be discontinued if the success of treatment does not last significantly longer than the application. Satisfactory results can be obtained with the three basic operations such as proximolateral relief operation (longitudinal splitting of the retinacula), distal relief surgery (lifting of the tuberositas) and smoothening or more vertical excision of the focus of cartilaginification, in conjunction with further surgical interventions.

Adrenal Cortex Hormones↗
PubMed1980

[Transplantation of the posterior tibial muscle for treatment of Equinus deformity of the foot and club foot (author's transl)].

The transplantation of the posterior tibial muscle to the dorsal aspect of the foot perforating the interosseous membrane, in the presence of intact muscle function is indicated for the treatment of equinus deformity of the foot following trauma, for flaccid and even spastic paralyses as well as for recurrences of club feet. Contractures of the foot ought to be corrected beforehand. Further requirements for getting good results are the insertion of the tendon close to the middle of the dorsum of the foot in order to prevent an overcorrection, eventually physiotherapy and the use of a night splint as well as a regular follow up. The experiences with 8 feet operated on are confronted with the literature stressing certain operative detals. This procedure deserves a wider application with correct indication and evaluation of the transplants.

Adolescent↗
PubMed1980

[Animal experimental studies on the restoration of bladder function in neurologic bladder disorders].

On German country pigs by subarachnoidal alcohol injection a neurogenic disturbance of the function of the urinary bladder was produced, the size of which was judged by clinical, rodynamic and histologic examinations. Between the 3rd and 83rd day after the subarachnoidal alcohol injection a 5 times 10 cm large sigment of the detrusor was substituted by a pediculated transponat of the muscle of the small intestine (ileum). The result of the following examinations in a period between 3 and 192 days after this intervention were the result that neither functionally nor histologically an involution of the changes typical for a disturbance of the innervation at the bladder was to be observed.

Animals↗
PubMed1980

[A new operative method for urinary diversion in the non-excluded intestine--preliminary report on experimental studies in swine].

The hyperchloremic acidosis is a frequent complication of the urinary elimination through the non-excluded bowels. The dimensions are dependent on the renal function and on the quantity of the reabsorbed urine ingredients. A reduction of the absorbent surface of the intestine will aspire to for the lessening of the reabsorption. The urinary contamination of the proximal parts of the intestine is prevented by means of a telescopelike invagination of the colon sigmoideum creating some kind of a flutter valve. The operative technique is described. X-ray examinations demonstrate the effectiveness of the invagination.

Animals↗
PubMed1979

[Aetiopathogenesis of scoliosis, hip dysplasia and torticollis in infancy (author's transl)].

The special risk of the newborn to acquire, skeletal deformities is based on the increased plasticity, intensity of growth and extrapyramidal activity of reflexes which influence each other. These 3 factors may lead to structural growth- and weight bearing deformities in the presence of shrinking contractures and a unilateral oblique habitual position of the trunk. Considering the "Seventh Syndrome" the dual pathogenesis of scoliosis in infancy is discussed from our present point of view (including scoliosis due to oblique body position - moulded baby syndrome - and its deterioration as against true idiopathic infantile or advanced juvenile scoliosis respectively. Similarly is discussed the relation of hip dysplasia due to oblique habitual trunk position in regard to hip dysplasia in connection with CDH as well as the habitual oblique position of the head as against true muscular torticollis.

Diagnosis, Differential↗
PubMed1977

[Scoliosis and spondylolisthesis (author's transl)].

The coincidence of a scoliosis with a lumbosacral spondylolysis or spondylolisthesis has remained largely ignored in the German language literature. After a survey of the foreign literature the pathogenesis of various combination forms is discussed. Primarily with the aid of oblique X-rays of lumbar scoliosis a scheme of classification involving 7 categories is worked out. The two main categories comprise unstable spondylolisthetic scolioses with increasing abnormal posture and scoliotic spondylolistheses. In these cases a lumbar scoliosis probably induces an asymmetric spondylolysis. The scheme provides the basis for discussion of conservative and surgical treatment. Taking of a standing X-ray is indispensable as a preliminary measure with every lumbar scoliosis. Oblique X-rays of the lumbosacral section appear to be equally necessary at least once. Unilateral laminar sclerosis can be a valuable sign of contralateral one-sided spondylolyses, as can scoliotic E-forms of the spinal column as well. Spondylolisthetic "scolioses" should be fused in the lumbosacral section at an early stage to prevent secondary structural curvatures. Scoliotic spondylolyses-spondylolistheses at this level should on the other hand, only be fused in serious cases accompanied by pain and progression, supplementing dorsolumbar fusion of scoliosis. In any case, the lowest lumbar vertebra must only be fused in an almost straight position. The correction should also be carried out in the case of difficult spondylolisthetic scolioses prior to the lumbosacral dorsolateral fusion using the v. Lackum transsection cast if certain, above all neurologic, findings permit.

Adolescent↗
PubMed1976

[Diagnosis and treatment of a rare intrapulmonary vascular anomaly in a child (author's transl)].

In the present case an artery originating from the abdominal aorta and running through the diaphragma into the inferior lobe of the left lung was identified by retrograde aortography. It ended in a vascular coil which was drained by regular pulmonary veins. By transthoracal resection of pulmonary parenchyma and malformation was removed without complications. Such anomalies represent absolute but not urgent indications for surgery. Without treatment, the shunt volume will cause additional straining for the heart. Furthermore, pulmonary complications and thromboembolic processes may arise.

Aorta↗