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Biomedical subjects

A Bernau

Publications and source records attributed to A Bernau.

26 records · Page 2Linked to original sources
PubMedDate not supplied

[Oligosymptomatic celiac disease--axis correction of extreme genu valgum with a gliadin-free diet].

We report on a girl who suffered from a severe left-sided Genu valgum. As there was a remarkable deterioration despite a conservative orthopedic therapy on osteotomy was planned. However, preoperative investigations revealed a malabsorption syndrome with osteomalacia due to coeliac disease. This gliadin-sensitive enteropathy had already been diagnosed and treated in infancy but had been ignored, since no abdominal symptoms had occurred after re-introduction of normal food. Four years after start of gliadin-free diet the false position of the left leg had disappeared and an operative correction had not to be performed.

Adolescent↗
PubMedDate not supplied

[Reduction of radiation exposure in full spine images in youth].

With a phantom of the vertebral column in 16 measuring series using diagnostic dosimeters the influence of grid, recording voltage, focus-film distance (FFD) and film-foil-systems on the radiation exposure was examined. With identical film-foil systems this resulted in a dose reduction by a factor of 4 to 7 for X-rays without grid compared to X-rays using grid. Therefore in case of follow-ups with questions about the statics of the vertebral column it is recommended to X-rays without grid. The studies can substantiate also the recommendations aiming at the avoidance of long exposure times to apply small mAs-products and voltages as high possible, to use highly sensitive film-screen systems (e.g. EU 600) and not to exceed a FFD of 2 m). These actions even when used separately and certainly when used simultaneously cause a considerable cut in radiation exposure. A radiation exposure decreasing effect is given by taking total X-rays compared to partial X-rays which is appropriate especially with slim patients.

Adolescent↗
PubMedDate not supplied

[The Tübingen hip flexion splint in the treatment of hip dysplasia].

The intrauterine hip position coincides with the so called squatting position with more than 90 degrees of flexion. This position is considered the best prerequisite for physiological development of the infant hips. In this position, pressure is equally distributed and there is no tension on the capsular blood vessels. A hip flexion splint is described which in a simple way provides for a reliable fixation of a newborn's hip in a flexion angle of more than 90 degrees an also for controlled abduction. Our splint is indicated in hip dysplasia. The paper illustrates the application on this inexpensive splint and its day-to-day care. Also we report on third party experience. The paper is summarized in the initial poster presentation.

Follow-Up Studies↗
PubMedDate not supplied

[Emergency treatment in clinical practice in incidents following injections].

A treatment concept is presented which is applicable in particular to emergencies in the office following parenteral drug administration. For physicians with office practices such events are particularly serious, for one thing because they are left to their own devices and may no longer be familiar with emergency procedure, and for another because if insurmountable complications occur the patient's and his/her family's suspicions of incorrect treatment--irrespective of possible litigation--often cannot be convincingly refuted even when they are unfounded. The paper describes the authors' own, jointly revised emergency concept for an orthopedic practice with a broad treatment spectrum. It will probably be generally applicable wherever undesirable side effects following injections--in particular after nerve block--are likely to occur.

Algorithms↗
PubMedDate not supplied

[Reproducibility of x-rays of the spinal column while standing].

Standing x-rays, especially of children, are often used for therapeutic decisions. As it is known, wrong decisions happen because of temporary one--sided bearing when different weight is put on the feet. This can be avoided by using a new pair of scales which compares the weight of both feet. The patient and the technologist are given optical and acoustic signals when the weight of both feet is the same. Using this pair of scales means that correctly reproducible x-rays can be taken, provided that the patient's knees are extended.

Adolescent↗
PubMedDate not supplied

[Commentary on the article "Is the mechanical traction of the cervical spine still acceptable?" by R. Dorian ].

Referring to literature Dorian reported on severe complications after apparative traction of the cervical vertebral column up to cross-sectional paralysis and sudden death during treatment. Based on these reports he presents a list of contraindications which comprises nearly all diseases of the cervical vertebral column. The author summarizes his statements claiming that the apparative traction at no means can be a routine method because of it's inherent extreme risks. The comment in hand states that none of the complications claimed have been exemplified by the author in the original paper. Neither authors are named in the text, nor such complications are mentioned in the papers cited in the publication index. A request to the author for completion of literature proofs remained negative. Such complications were also not encountered by 36 orthopedic surgeons in practice who together survey 375 years of treatment with this method. On the contrary a corresponding inquiry yielded that in opposition to the statement of Dorian the apparative traction of the cervical vertebral column is indeed a widely spread standard method in orthopedic practice. The incidents claimed are also unknown to various experts an to importers of traction devices neither from their own experience nor from the literature. Consequently none of the essential statements in Dorian's contribution is proven and therefore the conclusions are unallowable.

Cervical Vertebrae↗