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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Orthopäde 26 (1997), S. 961-971 
    ISSN: 1433-0431
    Keywords: Schlüsselwörter Athleten • Ermüdungsverletzungen • Ermüdungsfrakturen ; Key words Fractures ; stress • Sports • Athletic injuries
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Stress fractures are one of the most common overuse injuries seen in athletes, accounting for up to 20 % of all injuries presented to sports medicine clinics. Runners are particularly prone to these injuries, however, it is difficult to predict injury as there is usually a critical interplay between the athlete's biomechanical predisposition, training methods, and other factors such as diet, and muscle strength and flexibility. This article will discuss the key clinical findings for the majority of stress fractures encountered in a sports medicine practice. A classification scheme will also be described that will allow the clinician to make appropriate treatment decisions based on the degree of risk for each injury.
    Notes: Zusammenfassung Manche sonst gesunde Athleten, vor allem Läufer, erleiden Ermüdungsverletzungen oder Ermüdungsfrakturen während ihrer Karriere. Es versteht sich von selbst, daß die Vorbeugung oder das frühzeitige Eingreifen die bevorzugte Handlungsweise ist. Jedoch ist es recht schwierig die Verletzung vorauszusehen, da in der Regel eine kritische Wechselwirkung zwischen einer individuellen biomechanischen Veranlagung des Läufers, der Trainingsmethode (Volumen und Intensität der Aktivität) und anderen Faktoren, wie Diät, Muskelkraft und Flexibilität vorliegt. So kann z. B. die Ermüdung der Muskulatur die schockabsorbierende Fähigkeit von exzentrischen Kontraktionen reduzieren, was zur Folge hat, daß die einwirkenden Kräfte des Körpergewichts vermehrt direkt die knöcherne Struktur belasten.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2161
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Skeletal radiology 27 (1998), S. 365-368 
    ISSN: 1432-2161
    Keywords: Key words Impingement injection ; Shoulder ; MRI
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Objective. To determine how long injected fluid from an impingement test remains in the bursa or adjacent soft tissues after an injection. Design and patients. Six patients prospectively underwent MRI of the shoulder immediately before and after an impingement test injection, and at 3 days, 2 weeks and 4 weeks later. MR images were evaluated and graded for fluid distribution within the bursa and adjacent soft tissues. The rotator cuff was evaluated for signal abnormalities related to the injection. Results and conclusion. Three days after the injection, the soft tissue fluid had returned to pre-injection levels or less in five of the six patients. No patients showed rotator cuff signal abnormalities related to the impingement test injection. We recommend a delay of 3 days before a shoulder MR examination after an injection has been performed, to avoid misinterpretations.
    Type of Medium: Electronic Resource
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