3-Jahres Ergebnisse nach winkelstabiler Plattenosteosynthese am proximalen Humerus unter besonderer Berücksichtigung elektromyographischer Befunde View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-12

AUTHORS

J Theopold, P Hepp, T Engel, B Marquaß, C Leihe, C Josten

ABSTRACT

Ziel der Studie war es mittelfristige funktionelle und radiologische Ergebnisse unter Einbeziehung einer Oberflächenaktivitätsmessung nach operativer Versorgung proximaler Humerusfrakturen mittels winkelstabiler Plattenosteosynthese zu erhalten. Im Rahmen einer prospektiven Studie (2003-2005) (EBA Level IIa) wurden 39 Patienten eingeschlossen (Alter Mittel 64 Jahre, min 18-max 88). 23 Patienten (59%) konnten nach 3 Jahren (min 20-max 41 Monaten) erneut untersucht werden. (Constant, Dash und Neer Score). Alle Patienten wurden über den anterolateralen Deltasplitting-Zugang operiert. Bei 14 Patienten (60%) erfolgte eine muskuläre Oberflächenaktivitätsmessung. Im Constant Score zeigt sich nach 3 Monaten ein befriedigendes Ergebnis (mittel 64,5 (56-70 Punkte)) im Vergleich zu den guten Ergebnissen nach einem Jahr (mittel 75,7 (71-85 Punkte)). Bei der 3 Jahres Untersuchung kam es nochmals zu einer Verbesserung der guten Ergebnisse (mittel 80,5). In der isokinetischen Untersuchung der Abduktion bestand eine Kraftminderung der verletzten Seite um 40%. Es kam zu einer Aktivitätssteigerung im Bereich des M. trapezius (142%). Die Adduktion zeigte eine geringere Kraftminderung der verletzten Seite. Es kommt drei Jahre nach operativer Versorgung zu einer Verbesserung des funktionellen Ergebnisses im Vergleich zu der Untersuchung nach einem Jahr, insbesondere der Beweglichkeit. Im Bereich des Schultergürtels scheint es zu Kompensationsmechanismen der Schulterhilfsmuskulatur zu kommen. More... »

PAGES

178-186

Journal

TITLE

Obere Extremität

ISSUE

4

VOLUME

3

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11678-008-0001-9

DOI

http://dx.doi.org/10.1007/s11678-008-0001-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006665417


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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11678-008-0001-9'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11678-008-0001-9'

Turtle is a human-readable linked data format.

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RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11678-008-0001-9'


 

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