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Biomedical subjects

E Scharizer

Publications and source records attributed to E Scharizer.

At least 19 recordsLinked to original sources

[Observations on the expert evaluation of hand injuries].

The number of hand injuries in overall occupational injuries has remained constant over the last fifteen years. Injuries to the dominant hand and the non-dominant hand are assessed differently. Because of changes in the work environment with increase in mechanization, key-boards, and demands on fine motor skills, the question arises whether this differential evaluation is still proper.

Accidents, Occupational

[Thibièrge-Weissenbach syndrome].

The author reports the case history of a female patient with a special form of progressive scleroderma, the Thibièrge-Weissenbach-syndrome. The removal of the recurring calcifications in the fingers made ten operations within eleven years necessary. After description of the pathology possible differential diagnoses are discussed.

Calcinosis

[Tumors and tumor-like diseases of the carpal bones].

This presentation concerns the findings in 105 tumors or tumor-like lesions in the bones of the carpus. These tumors generally produce complaints which are uncharacteristic and they are quite difficult to recognize on X-ray. Due to this difficulty, there may be many different therapies before the correct final diagnosis is confirmed. These tumors are usually found in the scaphoid, capitate, lunate, or hamate. Of the 105 tumors, 45.7% were osteoid osteoma, which has an incidence of only 11.33% of all bone tumors in the body as a whole. Of the remaining tumors, 15.24% were diagnoses to be intraosseous ganglia (= tumorlike lesions). Lesser percentages were giant-cell tumors, osteochondromas, chondromas. One intraosseous lipoma was found and this had never before been reported. The majority of the patients were between twenty and thirty years of age. With surgical removal, complaints are generally reduced. Dramatic relief from pain is reported by patients when an osteoid osteoma is removed. The most important deduction from these findings is that tumors in the carpus are not as rare as once assumed. The possibility of bone tumors should be considered in patients with intractable pain in the carpus.

Bone Cysts

[Contribution to camptodactyly].

A case of camptodactyly of three fingers in the left and four fingers in the right hand in a 20 year old patient is described. His mother showed the same appearances with great changes in the skeleton. This case emphasizes that an early operation is justified for the prevention of skeletal deformities.

Adult

[A case report: pseudarthrosis of the os lunato-triquetrum?].

The reported case is in its development, diagnostic, course, and legal aspect so extraordinary, that an explicit report is justified. The patient complained of pain in his right wrist region some days following an unusual work with a drilling machine for eight days. The X-rays six months later showed an irregular joint space between the lunate and triquetrum bone, while on his left wrist a synostosis between these bones was found. These changes seemed to be suspicious for a pseudarthrosis of a congenital synostosis, but this diagnosis led to a six years' controversy in several legal procedures. The different interpretations (judgements) by the attending doctors, specialists, and judicial experts, show again the importance of an exact early documentation with sufficient primary X-rays, eventually with comparison of the other hand. During treatment, nothing should be left undone which could support or refute especially an unusual diagnosis.

Adult

[Progress in flexor-tendon surgery].

The treatment of fresh injuries with the modified technique of primary suture followed by a dressing in the relaxed position of the suture together with the parallel progress in transplantation have brought a new stimulus to flexor tendon surgery. The possibilities of selecting the best approach in every case have become greater and have been extended to include the field of micro-surgery. Also, technical progress has become more cautious. Each intensive specialization, which must necessarily be limited in its application to only a few centres, obliges all surgeons however, to master and apply the theoretical principles of these advances.

Contracture

[Non-traumatic subluxation of the scaphoid bone of the hand].

It is demonstrated in three clinical case reports that a subluxation of the scaphoid bone and a diastasis between the scaphoid and the lunate can occur in association not only with traumatic injury but with chronic inflammatory conditions of the wrist. In one case the etiology was purulent synovitis, in the 2nd an unspecific synovitis with serous exudate, and in the 3rd case rheumatoid arthritis.

Adult