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Biomedical subjects

M Neubert

Publications and source records attributed to M Neubert.

7 recordsLinked to original sources

[Elbow dislocation in children and adolescents caused by sports].

In the Sportsclinic Stuttgart 11 young athletes were treated because of a dislocation of the elbow joint from 1988-1990. They were 7 girls and 4 boys with an average age of 12.5 years. Mechanism of the dislocation and its diagnosis and treatment are reported. Indication and ways for non-operative and operative treatment in the Sportsclinic Stuttgart are described. Operation should be performed on open injuries, concomitant vessel and nerve damages and dislocated bone fractures. Two typical case reports of young athletes are given.

Adolescent

[Dislocation of the peroneal tendon--clinical aspects and therapy].

During the past 3 years, 22 patients were operated on at the Stuttgart Sports Clinic for dislocation of peroneal tendons. 5 patients were operated on after an acute injury, while 17 were treated because of a chronic dislocation. Sports trauma was the reason in 13 cases (59%). Soft tissue operations were performed 7 times, and a modification of the Kelly-operation 15 times.

Adolescent

[Ultrasound and clinical findings of the patellar ligament after excision of the central third for cruciate ligament-plasty].

The use of a central one-third patellar tendon as a substitute for a damaged cruciate ligament has grown in popularity in recent years. 15 patients undergoing physical check-ups were examined clinically and with the aid of ultrasound imaging on both knees 2 years after the operation. The purpose of this study was to demonstrate changes of the patellar tendon after removal of its central third. Pain is not reported in the removal area, the clinical examinations show identical findings on both patellar tendons, X-ray and ultrasound evaluations do not demonstrate any change in patellar position. Sonographically there is an increase of cross-sectional diameter over 10% without any obvious intratendinous structural change. Our clinical and sonographical results are compared with biomechanical and histological observations of animal studies.

Adult

[Patellar dislocation in athletes. Arthroscopic diagnosis and therapy].

Out of 270 arthroscopies performed in the Sports Clinic in Stuttgart-Bad Cannstatt in 1987 and 1988, 317 (11.5%) were done because of hemarthrosis of the knee after an acute trauma. Besides ruptures of the anterior cruciate ligament and synovial ruptures, in 53 cases (16.4%) acute patellar dislocation was found. These were only the first dislocations. Most, i.e., 44 (83%) occurred in sports, such as soccer (18) and skiing (9), which were the most frequent sports involved. Thirty-three (62.2%) were young men with an average age of 21.5 years. The clinical history, physical examination and plain X-rays failed in more than 50% to come up with a diagnosis. Arthroscopy showed the typical pattern of patellar dislocations with hemarthrosis, rupture and hematoma of the medial quadriceps retinaculum and a concomitant cartilage lesion, which was found in 39 cases (66%). During arthroscopy, operative treatment could also be performed, such as the extraction of splinter bone fragments and chondroplasties. Seven chondral and osteochondral fragments were refixated. Immobilization of the knee was guaranteed for 4 weeks by the application of a plaster splint. Only one recurrent dislocation was observed.

Adolescent

[Results and assessment of computerized tomography in the initial diagnosis in polytrauma].

In a period from 1984 to 1986 (T-scan was used as acute diagnostic in 74 polytraumatized patients. The patients were brought by emergency car or helicopter during or shortly after shock treatment directly to the computerized tomography. In all patients several regions of the body (head, thorax, abdomen, extremities) were examined in the (T-scan. Nearly two third of the patients (n = 58) were examined because of an uncertain abdominal trauma. In 27 of these patients pathological results were found, which have been followed by immediate laparotomy. Besides the high efficiency one more advantage of the method is its non-invasivity.

Abdominal Injuries

Model aided dynamic process analysis and optimization for the nourseothricin fermentation.

The relation between product formation and growth kinetics could be characterized by two facts: the specific product formation rate depends on the ageing of the population and on the specific growth rate. These relation was formulated and quantified by a mathematical model, which was fitted to experimental data of a representative fermentation run und used to predict an optimal fermentation mode. In the result of this discussion cyclic fed batch fermentation was found to be optimal.

Anti-Bacterial Agents