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  • 1
    Digitale Medien
    Digitale Medien
    Neonatal hip: from anatomy to cost-effective sonography (1998)
    Springer
    European radiology 8 (1998), S. 1030-1039 
    Details
    ISSN: 1432-1084
    Schlagwort(e): Key words: Hip ; Neonatal hip ; Hip anatomy ; Hip dislocation ; Hip ultrasound
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract. Therapeutic success in treating congenital dysplasia of the hip is associated with early diagnosis, but the specific neonatal anatomy makes screening difficult. The purpose of this study was to determine whether this specific neonatal anatomy is taken into account by current ultrasound (US) techniques. Anatomic studies were performed on 22 hips, US examinations on 7750 neonatal hips; 2370 untreated hips were reexamined at 1 month by US and at 3 months by X-ray. The transformation of the neonatal cartilaginous acetabulum into an osseous cavity is dependent on harmonious metaphyseal growth and a properly seated femoral head. Defects in the acetabular roof, together with displacement of the femoral head, cause an abnormal anatomical relationship which leads to further deformities. The described sonographic techniques give only partial information on these specific abnormalities. The sonographic monoplanar methods as used in Graf's technique, which relies largely on acetabular development, lead to difficulties in assessing posterior coverage of the femoral head and difficulties in assessing alignment of the metaphyseal weight-bearing surface with the femoral head. Combining Graf's morphological analysis with Novick's dynamic technique enables one to more accurately define the relationship of the femoral head and the acetabulum and increases the reliability and predictive value of the examination, while reducing the number of doubtful cases. This makes screening cost effective.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s003300050510
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  • 2
    Digitale Medien
    Digitale Medien
    Right nonrecurrent inferior laryngeal nerve and arteria lusoria: the diagnostic and therapeutic implications of an anatomic anomaly (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 237-238 
    Details
    ISSN: 1279-8517
    Schlagwort(e): Non recurrent inferior laryngeal nerve ; Retroesophageal subclavian artery ; Thyroid ; Surgery
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s00276-998-0237-5
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  • 3
    Digitale Medien
    Digitale Medien
    Anatomic study of the pre- and neonatal hip. Physiopathologic considerations on dysplasia and congenital dislocation of the hip (1997)
    Springer
    Surgical and radiologic anatomy 19 (1997), S. 155-159 
    Details
    ISSN: 1279-8517
    Schlagwort(e): Neonatal hip ; Congenital dislocation of the hip ; Anatomy of the hip
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Therapeutic success in dysplasia and congenital dislocation of the hip depends on an early diagnosis. The physiopathology remains very debatable and several concepts are propounded. For a better physiopathologic understanding, the authors have carried out a study of the morphology and development of 22 pre- and neonatal hips. At first, the acetabulum is cartilaginous and distorted by the moving femoral head; this acetabulum is histologicaly affected by the femoral pressure. The pathologic hip is characterized by defective posterior bony coverage of the femoral head by the acetabulum. The acetabulum ossifies during the 3 months following birth, forming a cup-like cavity under the pressure of the femoral head. Therefore, neonatal screening tests such as sonography must take place in the first weeks of life.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s00276-997-0155-y
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  • 4
    Digitale Medien
    Digitale Medien
    Trophic ulcers in giant incisional hernias-pathogenesis and treatment (1997)
    Springer
    Hernia 1 (1997), S. 71-76 
    Details
    ISSN: 1248-9204
    Schlagwort(e): Incisional hernia ; Surgical treatment ; Cutaneous ulcer
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The authors define a framework for the classification and pathogenesis of trophic ulcers in giant incisional hernias. These ulcers are the result of ischemic changes; they are always situated at the vertex of the herniation and their presence complicate treatment for they are always infected. The management of the ulcer and of the hernia are two distinct concerns which must be considered separately.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF02427665
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  • 5
    Digitale Medien
    Digitale Medien
    Anatomo-radiological study of the popliteal artery during knee flexion (1995)
    Springer
    Surgical and radiologic anatomy 17 (1995), S. 255-262 
    Details
    ISSN: 1279-8517
    Schlagwort(e): Popliteal artery ; Knee flexion ; MRI
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Résumé Les auteurs ont étudié les modifications morphologiques de l'a. poplitée lors de la flexion du genou. L'étude radio-anatomique comporte l'analyse d'artériographies de profil pour différents degrés de flexion articulaire, puis des dissections pour objectiver les structures anatomiques en cause dans l'adaptation morphologique de l'a. poplitée au mouvement articulaire. Chez 5 sujets volontaires, non athéromateux, 15 séquences angiographiques en I.R.M. ont été réalisées au niveau des genoux en position d'extension et de flexion. Les artériographies et l'angio-I.R.M. montrent qu'au fur et à mesure que le degré de flexion articulaire augmente, des flexuosités apparaissent au niveau de l'a. poplitée haute supra-articulaire alors que les parties moyenne et basse de l'a. poplitée gardent une courbure harmonieuse, s'écartant du plan postérieur de l'articulation. Les dissections semblent montrer que cette adaptation artérielle se fait entre deux points fixes, l'un proximal : le canal des adducteurs, l'autre distal : l'origine de l'a. tibiale antérieure. L'angio-I.R.M. paraît une voie d'avenir dans l'exploration des vaisseaux des membres. L'opposition comportementale des différents segments de l'a. poplitée permet de mieux comprendre la physiopathologie des traumatismes et des malpositions de l'axe artériel poplité.
    Notizen: Summary We studied the morphological modifications of the popliteal artery during knee flexion. An anatomical, radiological study consisted of analysis of lateral arteriographs in different degrees in joint flexion followed by dissection to reveal the anatomical structures involved in the morphological adaptation of the popliteal artery to joint movement. In five non-atheromatous volunteers, 15 MRI angiographic sequences were done at the level of the knee in extension and flexion. The arteriographs and angio MRI showed that as joint flexion increased tortuosities appeared in the supra-articular upper popliteal artery while the middle and lower parts of the popliteal artery kept an even curve retracted from the posteriror surface of the joint. Dissection seemed to show that this arterial adaptation occurred between two fixed points, one proximal (the adductor canal) and the other distal (the origin of the anterior tibial artery). Angio MRI seems to be a future route for the assessment of the limb vessels. The contrasting behaviour of the different segments of the popliteal artery allows us to understand better the pathophysiology of trauma and malpositions of the popliteal arterial trunk.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF01795060
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  • 6
    Digitale Medien
    Digitale Medien
    Right nonrecurrent inferior laryngeal nerve and arteria lusoria: the diagnostic and therapeutic implications of an anatomic anomaly (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 227-232 
    Details
    ISSN: 1279-8517
    Schlagwort(e): Non recurrent inferior laryngeal nerve ; Retroesophageal subclavian artery ; Thyroid ; Surgery
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Résumé Les auteurs rapportent 17 cas de non recurrence du nerf laryngé inferieur droit, observés en 15 ans de pratique de la chirurgie thyroidienne et parathyroidienne. Dans les deux dernières observations, l'existence d'une artère subclavière droite aberrante — ou arteria lusoria, constamment associée à l'anomalie nerveuse, a pu être confirmée par une angioIRM. S'appuyant sur la revue de la littérature et sur leur expérience personnelle, les auteurs rappellent la fréquence de cette double anomalie, son explication embryologique et son interêt anatomique et chirurgical. Ils insistent sur les circonstances diagnostiques et les conséquences thérapeutiques, très différentes chez l'enfant et chez l'adulte, d'une anomalie notamment vasculaire dont on connait mal les complications évolutives.
    Notizen: Summary The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF01628900
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  • 7
    Digitale Medien
    Digitale Medien
    The mesh plug repair of groin hernias: A three year experience (1998)
    Springer
    Hernia 2 (1998), S. 31-34 
    Details
    ISSN: 1248-9204
    Schlagwort(e): Groin hernia ; Surgical treatment ; Plug repair
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The first results of 140 mesh plug repairs for groin hernias are reported retrospectively. The procedures were performed by 4 surgeons who were totally free to choose mesh plug repair in every individual case. From January 1995 to October 1997 the choice of this operation increased from 20% to 54%. The operation was performed with slight modifications of the original technique as described by Rutkow and Robbins. 84% of the patients were available to follow-up (median 34 months, extremes 3 to 58). Results can be considered as good concerning the recurrence rate (0.9%) but tolerance of the material remains questionable: 7 patients (6.3%) experienced long-lasting pain in the groin leading to plug removal in 2 cases. These data must be considered and need further evaluation.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF01207771
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  • 8
    Digitale Medien
    Digitale Medien
    Desmoid tumor of the abdominal wall: Report of seven cases (1997)
    Springer
    Hernia 1 (1997), S. 163-167 
    Details
    ISSN: 1248-9204
    Schlagwort(e): Desmoid tumor ; Abdominal wall ; Mersilene prosthesis
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The authors report 7 cases of desmoid tumors of the abdominal wall treated between 1975 and 1996. The treatment of these infiltrating and recurrent connective tissue tumors can only be surgical, by means of wide parietal excision. The severe mutilations of the abdominal wall require different techniques of repair, often combining plastic procedures and the use of prosthetic material. In this short series no tumoral recurrence has so far been noted and the abdominal wall has been firmly restored.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF01234752
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  • 9
    Digitale Medien
    Digitale Medien
    Right nonrecurrent inferior laryngeal nerve and arteria lusoria: the diagnostic and therapeutic implications of an anatomic anomaly: Review of 17 cases (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 227-232 
    Details
    ISSN: 1279-8517
    Schlagwort(e): Non recurrent inferior laryngeal nerve ; Retroesophageal subclavian artery ; Thyroid ; Surgery
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s00276-998-0227-7
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  • 10
    Digitale Medien
    Digitale Medien
    Anatomic study of the pre- and neonatal hip. physiopathologic considerations on dysplasia and congenital dislocation of the hip (1997)
    Springer
    Surgical and radiologic anatomy 19 (1997), S. 155-159 
    Details
    ISSN: 1279-8517
    Schlagwort(e): Neonatal hip ; Congenital dislocation of the hip ; Anatomy of the hip
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Résumé Le succès du traitement des dysplasies et luxations congénitales de hanche est lié à la précocité du diagnostic. La physiopathologie de ces affections reste discutée et plusieurs conceptions ont pu être proposées. Les auteurs ont réalisé une étude structurale et évolutive de 22 hanches anté et néonatales afin de mieux comprendre cette physiopathologie. Dans les périodes anté- et néonatale, l'acétabulum est cartilagineux, déformable sous l'action d'une tête fémorale en mouvement et il est le siège de remainements histologiques dépendant de la pression exercée par l'épiphyse fémorale. L'ossification de l'acétabulum s'effectue lors du ler trimestre postnatal, construisant la cavité articulaire sous l'effet de la pression de la tête du fémur. Dysplasies et luxations apparaissent comme un défaut de couverture postéro-supérieure de l'épiphyse fémorale par l'acétabulum. Le dépistage d'anomalies, notamment par l'échographie, devra donc être réalisé dans les premières semaines de la vie.
    Notizen: Summary Therapeutic success in dysplasia and congenital dislocation of the hip depends on an early diagnosis. The physiopathology remains very debatable and several concepts are propounded. For a better physiopathologic understanding, the authors have carried out a study of the morphology and development of 22 pre- and neonatal hips. At first, the acetabulum is cartilaginous and distorted by the moving femoral head; this acetabulum is histologicaly affected by the femoral pressure.The pathologic hip is characterized by defective posterior bony coverage of the femoral head by the acetabulum. The acetabulum ossifies during the 3 months following birth, forming a cup-like cavity under the pressure of the femoral head. Therefore, neonatal screening tests such as sonography must take place in the first weeks of life.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF01627966
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