Notfallbehandlung von Luxationen großer Gelenke View Full Text


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Article Info

DATE

2020-07-28

AUTHORS

R. Klein, F. Laue, G. Matthes, C. Wölfl

ABSTRACT

Joint dislocations are always accompanied by rupture of the joint capsule. Depending on the forces exerted on the joint as well as individual bone quality, fractures (dislocation fractures) and injuries to ligaments occur. As blood vessels and nerves can also be damaged, reduction is an urgent measure. Only impaired peripheral perfusion, loss of motor function or sensation justify reduction without radiological documentation. As reduction can be a painful procedure, analgosedation is nearly always necessary. Evidence for superiority of individual maneuvers is weak. Reduction is followed by immobilization and documented by another control X‑ray. Follow-up treatment depends on concomitant injuries, age and individual demands on joint function. Even with correct follow-up treatment, deficits often persist. This article deals with the diagnostics and treatment of dislocations of the shoulder, elbow, hip, patella and knee. More... »

PAGES

557-571

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10049-020-00742-3

DOI

http://dx.doi.org/10.1007/s10049-020-00742-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1129716728


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