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  • 1995-1999  (4)
  • Lateral calcaneal artery  (2)
  • Aufhängung  (1)
  • Key words Occult fracture • Conventional radiography • Scintigraphy • CT • MRI  (1)
  • 1
    ISSN: 1433-044X
    Keywords: Schlüsselwörter Röntgenbilderpräsentation ; Aufhängung ; Lagerung ; Key words Presentation of X-ray pictures ; Suspension ; Storage
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Immediate presentation of the more significant X-ray pictures facilitates planning and supervision of therapy in trauma surgery and orthopedics. If a wire rope is stretched in front of the window X-ray pictures can be clipped onto it, which avoids time-consuming searches. Suspended filing boxes placed in each sickroom make appropriate storage of each patient's X-ray pictures possible. The expenditure for all this amounted to 100 DM for each two-bedded room. Wire ropes and boxes were technically easy to install with a minimum investment of time. The presentation of X-ray pictures considerably increased the patients' understanding of their illness. It was also very rare for X-ray pictures to get mixed up once this system had been instituted.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 20 (1999), S. 419-423 
    ISSN: 1279-8517
    Keywords: Lateral calcaneal artery ; Calcaneal fracture ; Flap ; Avascular necrosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract An anatomic study of the lateral extraosseous and intraosseous arterial supply of the calcaneus and the lateral soft tissue was carried out on 10 fresh lower adult cadaver legs using different anatomic and radiologic procedures (plastination, modified Spalteholz clearing technique, digital subtraction and rotational angiography and computed tomographic angiography). Consistent patterns of extraosseous and intraosseous lateral calcaneal vascular anatomy were demonstrated. The lateral calcaneal artery is a branch of the anterior tibial artery which crosses over the calcaneal tuberosity and forms a large lateral arch with the lateral tarsal artery which is a branch of the dorsalis pedis artery. The intraosseous circulation is supplied laterally by the lateral calcanear artery, medially via the short branches of the lateral plantar artery. Comparing magnet resonance images after fresh calcaneal fractures the lateral calcanear artery may be interrupted by the impacted lateral bulge, by the conventional lateral surgical approach, or by applying a lateral osteosynthesis plate. This may cause avascular bone necrosis. Furthermore the lateral calcanear artery can clinically serve as a vascular pedicle for a local rotational skin flap to cover soft tissue defects of the heel.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 419-423 
    ISSN: 1279-8517
    Keywords: Lateral calcaneal artery ; Calcaneal fracture ; Flap ; Avascular necrosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé L'étude anatomique de la vascularisaiton artérielle extra et intraosseuse du calcanéus et des parties molles a été faite sur 10 jambes fraîches de cadavres d'adultes. Différentes techniques anatomiques et radiologiques ont été utilisées : plastination, diaphanisation (technique de Spaltholtz modifiée), angiographie numérisée par soustraction, angiographie rotationnelle et angiographie par tomographie computérisée. Les aspects habituels de l'anatomie vasculaire de la région latérale du calcanéus ont été décrits : l'ACL est un rameau de l'artère tibiale postérieure ; elle surcroise la tubérosité calcanéenne et constitue une large arcade latérale avec l'artère tarsienne latérale, branche de l'artère dorsale du pied. La moitié de la circulation intraosseuse passe par l'ACL, médialement par des rameaux courts de l'artère plantaire latérale. Lorsqu'on examine les images obtenues en IRM lors de fractures récentes du calcanéus, on constate que l'ACL risque d'être lésée par l'élargissement latéral du calcanéus écrasé. Elle peut l'être aussi lors de l'abord latéral classique de l'os ou lors de l'application d'une plaque d'ostéosynthèse. Le risque en est la nécrose ischémique de l'os. Enfin, l'ACL peut constituer un pédicule vasculaire intéressant pour un lambeau local de rotation, lors de la couverture des pertes de substances cutanées du talon.
    Notes: Summary An anatomic study of the lateral extraosseous and intraosseous arterial supply of the calcaneus and the lateral soft tissue was carried out on 10 fresh lower adult cadaver legs using different anatomic and radiologic procedures (plastination, modified Spalteholz clearing technique, digital subtraction and rotational angiography and computed tomographic angiography). Consistent patterns of extraosseous and intraosseous lateral calcaneal vascular anatomy were demonstrated. The lateral calcaneal artery is a branch of the anterior tibial artery which crosses over the calcaneal tuberosity and forms a large lateral arch with the lateral tarsal artery which is a branch of the dorsalis pedis artery. The intraosseous circulation is supplied laterally by the lateral calcanear artery, medially via the short branches of the lateral plantar artery. Comparing magnet resonance images after fresh calcaneal fractures the lateral calcanear artery may be interrupted by the impacted lateral bulge, by the conventional lateral surgical approach, or by applying a lateral osteosynthesis plate. This may cause avascular bone necrosis. Furthermore the lateral calcanear artery can clinically serve as a vascular pedicle for a local rotational skin flap to cover soft tissue defects of the heel.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Der Unfallchirurg 102 (1999), S. 43-49 
    ISSN: 1433-044X
    Keywords: Key words Occult fracture • Conventional radiography • Scintigraphy • CT • MRI ; Schlüsselwörter Okkulte Fraktur • Konventionelle ; Radiographie • Szintigraphie • CT • MRT
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Der Begriff „okkulte Fraktur“ kennzeichnet das Fehlen sichtbarer Frakturzeichen in der zur Erstdiagnose durchgeführten konventionellen Radiographie bei dennoch vorhandener Fraktur. Die Diagnosestellung gelingt erst im Verlauf oder mittels weiterführender Diagnostik. Die hierzu durchgeführten Szintigraphie- und CT-(Computertomographie)Untersuchungen verfügen jedoch nur über eine mäßige Sensitivität und Spezifität. Mit der Magnetresonanztomographie (MRT) steht ein Verfahren zur Verfügung, das sowohl die Frühdiagnose der „okkulten Fraktur“ als auch die Diagnose etwaiger chondraler und ligamentärer Begleitverletzungen erlaubt. In der vorliegenden Studie berichten wir über 23 Patienten mit einer traumatischen Fraktur in 5 verschiedenen anatomischen Regionen, bei denen die Diagnose bei negativem Röntgenbefund mit der MRT gestellt werden konnte.
    Notes: Summary The term “occult fracture” defines the lack of visible fracture signs in conventional radiography although a fracture exists. The diagnosis is made in the sequel or through further diagnostic procedures. The use of scintigraphy and CT examinations is limited by their moderate sensitivity and specificity. In contrast, MRI is a diagnostic tool that allows early diagnosis of a fracture and of accompanying chondral or ligament damage. We report on 23 patients with traumatic fractures at 5 different anatomical sites, all of which were negative by x-ray, but the diagnosis could subsequently be made with MRI.
    Type of Medium: Electronic Resource
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