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Biomedical subjects

E Ludolph

Publications and source records attributed to E Ludolph.

At least 19 recordsLinked to original sources
PubMed1992

[Occupational accident insurance in intervertebral disk damage--new aspects of legal evaluation?].

The AUB 88 (conditions of private insurance) contain in comparison to the AUB 61 a pratical exclusion of damage of an intervertebral disk. The effort as possible cause of damage is no longer insured, the accident only as preponderate cause. The damage is only insured, if there is a connection in cause. The positive evidence of diagnostic methods are discussed and their significance for expert opinions. Damage of intervertebral disk is generally of degenerative genesis. The so called accident marks the moment of manifestation of the damage not the moment of its development.

Disability Evaluation↗
PubMed1992

[Expert assessment of so-called post-thrombotic syndrome in compulsory accident insurance].

Expertising a late damage after thrombosis requires most careful investigation of the findings, a detailed description of the damage, and a definition of the impairment of functions. This is imperative for arriving at an administrative decision to implement the conclusions arrived at by the expert without committing a legal error by such implementation. Estimation and determination of the damage and of awarding a reasonable compensation requires a detailed consideration of the circumstances of each case and observance of the legal principle of equal rights.

Disability Evaluation↗
PubMed1992

[Indications, choice of procedure and results of conservative therapy of spinal injuries].

For conservative treatment of injuries of the cervical spine, two different methods are available: The HALO fixator and the collar. The choice depends on the kind and extension of the injury. Stable thoracic and lumbar vertebral fractures are treated in a conservative functional way in order to strengthen the muscular apparatus. Three-point-fixation with a brace is not necessary. Functional therapeutic methods can also be applied in the case of instable fractures if they are not operable. During a rigid confinement to bed, the postural reduction by increasing lordosis has turned out to be the treatment of choice. As an essential measure the patient has to take part in a "backschool" with postural exercises for the daily life.

Braces↗
PubMed1992

[Patellar dislocation. Diagnostic and forensic problems].

Very often, patellar luxation or subluxation after spontaneous setting is difficult to diagnose. Concomitant injuries can be highly misleading during diagnosis. Traumatic luxation almost always results from forces exerted on the knee indirectly and by way of the muscles, and must be differentiated from habitual luxation. When the constitution favors the occurrence of luxation it is not the clinical and radiological results that are relevant to the assessment. Only an exact analysis of the course of events can clarify whether the trauma can be recognized as a basic cause covered by insurance laws.

Diagnosis, Differential↗
PubMed1991

[Compartment syndrome--indication for a treatment error?].

The compartment syndrome is a complication caused by trauma or treatment, which indicates liability especially as a result of minor injuries or treatment. According to the outstanding importance of observation of the course of treatment the careful documentation also has to be stressed. However, remaining damages give no reason for an (apparent) evidence of a failure of treatment.

Compartment Syndromes↗
PubMed1990

[The diagnosis of so-called whiplash injury of the cervical vertebrae. A case report].

The acceleration injury of the cervical spine (so-called whip-lash injury) is a common traumatic mechanism in traffic accident. Severe damages are possible. Scepticism is necessary, if several hours or days are symptom-free. Radiological results which seem to prove an injury should be controlled. Severe injuries are in consideration of the symptom-free course incredible. This is demonstrated with a description of a case.

Cervical Vertebrae↗
PubMed1990

[Injuries to the cervical spine in children and adolescents].

Lesions of the cervical vertebral column are rare in children. Proper assessment of traumatically conditioned changes is possible only if the physician is fully conversant with the specific characteristics and variations of the normal cervical vertebral column in children. It is difficult to perform differential diagnosis distinguishing between a pseudo subluxation C2/C3 and C3/C4 that is merely a variant of the normal status on the one hand, and a genuine, traumatically conditioned subluxation on the other; likewise, it is difficult to draw a clear diagnostic line between a persistent basal epiphyseal cartilage of the dens axis and a non-dislocated dens fracture. Cervical CT has decisively improved vertebral column diagnostics and has become invaluable. CT examination serves both to help clarify a fracture seen in the plain X-ray in respect of stability or instability, and to definitely confirm or exclude a fracture that appeared to be an uncertain finding. It is from this diagnosis alone that any decision regarding treatment can be taken.

Adolescent↗
PubMed1989

[Supination stability of the Adimed-Stabil-II shoe in capsule-ligament instability of the upper ankle joint].

A prerequisite for functional treatment of an unstable capsular ligament of the ankle joint is sufficient protection against supination through exterior stabilization. Examination of 20 such patients provided with a Adimed-Stabil II shoe proved that the new, improved Adimed-Stabil II shoe is reliable and sufficient protection against supination. All 20 patients had an unstable capsular ligament of the ankle joint, which was later proved by operation. In suitable cases, treatment with this shoe can be recommended to reduce the duration of disablement.

Adolescent↗
PubMed1987

[Dislocation of the patella--causality in legal accident insurance].

Fifty-two expertises on connections between cause and effect of patellar dislocations were examined with a view to improving the standards of medical expertizing. On principle, the mechanism of injury is the decisive criterion in determining whether the injury can be considered capable of causing the dislocation. It was found that in about one-half of the cases the dislocation was wrongly attributed to the event and that a reasonable connection existed in only one-quarter of the cases. The typical causes of error in reasoning - first dislocation, impressive pattern of injury, no degenerative changes - are listed and discussed. The importance of the pattern of damage for the first occurrence of a dislocation is demonstrated. The suitability of different courses of events for contributing essentially to the dislocation is discussed.

Adolescent↗
PubMed1987

[Expert assessment of reduced earning capacity in legal accident insurance following traumatic loss of the spleen].

For legally binding assessment of reduced earning capacity after loss of spleen in adolescents and adults--in accordance with the Federal German compulsory accident insurance regulations--the article offers a brief review of expertising practice and then proceeds to examine dogmatically which of the cases of subsequent damage after loss of spleen are relevant according to German social security laws. The risk covered by Federal German compulsory accident insurance is critically discussed while bearing in mind that assessment of reduced earning capacity is done exclusively under the viewpoint of objectifiable functional losses.

Adult↗
PubMed1986

[Dislocations of the carpal bones. Diagnosis and therapy].

Dislocations of the carpal bones are rare. Because of the difficult radiological anatomy of the carpus, the diagnosis of such injuries is often missed. The treatment of a primary diagnosed luxation is easy, and an anatomical position of the carpal bones can be achieved by closed reduction. The functional result is good. In contrast the treatment of delayed diagnosed dislocations is very problematic, and the outcome of the mainly operative therapy is unsatisfactory on the whole. The radiological findings on dislocations of the carpal bones are discussed in principle. The indication of non-operative and operative treatment is outlined.

Bone Screws↗
PubMed1985

[Expert testimony on rotator cuff rupture].

In giving an expert opinion, it is difficult to differentiate between the two possible causes of damage of the rotator cup, degeneration and trauma. After description of the anatomical problems, different causes for degenerative changes, especially of the supraspinatus tendon, are discussed. Various possibilities of accidents are analysed if they can cause damage of the rotator cup. The special conditions of the private accident insurance are discussed.

Accidents↗