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T Naumann

Publications and source records attributed to T Naumann.

50 records · Page 3Linked to original sources
PubMed1990

[Congenital or acquired cleft of the tibial and fibular sesamoid bone of the phalanges of the hallux in a young athlete?].

Splitting of the medial sesamoid bone of the first metatarsophalangeae is relatively frequent, whereas splitting of the tibial and fibular sesamoid bone occurs rarely (6). Differential diagnosis must consider (in respect of pathogenesis) both a fracture if there is an adequate trauma, and a stress fracture. Diagnosis is discussed on the basis of an available case report and compared with the reports published in the literature.

Adult↗
PubMed1988

[Epiphysiolysis of the proximal tibia--an atypical sports injury?].

Epiphyseolysis of the proximal tibia is a most unusual injury. The case reports show that there was no adequate trauma leading to this damage. One has to argue, that disposition could be a predisposing factor. Therapy and prognosis of this injury are presented.

Adolescent↗
PubMedDate not supplied

[Can follow-up scintigraphy be a decision aid for therapy choice in Perthes disease?].

In the period from 1988 to 1982 91 patients with M. Legg-Calvé-Perthes received orthopaedic treatment. In 51 cases surgical treatment for femoral head containment by intertrochanteric derotation varus osteotomy was performed. 40 patients were treated conservatively. Most cases received a Thomas-splint to eliminate weightbearing on the affected hip, some used crutches. Out of this group we present 6 cases that showed during the time of their first examination the radiologic stages 1 and 2 according to Waldenström. At the time when the M. Perthes was diagnosed these patients received a radionuclide bone scan, which was repeated of the average 6 months later to aid in the choice of therapy. Two other cases are presented for comparison, who received the first bone scan in the Perthes stage 2 and 3 according to Waldenström (fragmentation stage) showing an activity defect and were then operated with a derotation varus osteotomy after the follow-up bone scan had not shown revascularisation. All patients that had a complete revascularisation in the follow-up bone scan during the fragmentation stage had a good final result after conservative treatment. For other cases, where the bone scan in the fragmentation stage shows a persisting lack of epiphysis perfusion, it is recommended to decide for surgical treatment with derotational varus osteotomy, since the development of "head-at-risk" signs is likely, which will not resolve after later surgery.

Child↗
PubMedDate not supplied

[Incidence of joint-specific risk factors in patients with advanced cox- and gonarthroses in the Ulm Osteoarthrosis Study].

AIM OF STUDY: To determine the prevalence of joint specific risk factors in patients with different patterns of advanced hip and knee osteoarthritis (OA). METHODS: We performed a cross-sectional multicenter study in four orthopaedic hospitals in the southwest of Germany. A detailed medical history (date and nature of trauma, conservative and surgical treatment of congenital or acquired joint disorders known as secondary causes of OA) and radiographic evaluation (sequelae of hip dysplasia, slipped capital femoral epiphysis or other malformations) was obtained in 809 patients with advanced hip (n = 420) or knee (n = 389) osteoarthritis, which required unilateral total joint replacement. According to the presence or absence of joint specific risk factors, patients were classified as having secondary or primary (idiopathic) OA. RESULTS: In 41.7% (25.5%) of patients with hip OA and 33.4% (11.1%) of patients with knee OA some predisposing abnormality of the operated (or contralateral) joint could be observed. In hip OA the underlying pathological conditions were mainly hip dysplasia (25.0% in the operated joint and 14.8% in the non-operated joint) and slipped capital femoral epiphysis (7.1% and 14.8%), while knee OA was most often associated with a history of severe trauma (28.6% and 8.3%) CONCLUSION: While there is a lack of comparable investigations in patients with advanced knee OA, the presented data is somewhat contradictory to earlier reports of the prevalence of identified underlying risk factors in patients with hip OA. The reported differences, however, might be attributed to different methodological approaches and could also resemble recent changes in the multifactorial ethiopathologic concept of OA.

Aged↗
PubMedDate not supplied

[Pain in the thigh following Zweymüller's total endoprosthesis: computerized tomography studies of the morphological behavior of the metadiaphyseal femur].

Since March 1983, 473 Zweymüller prostheses have been implanted at the authors' clinic. A total of 413 patients were examined subsequently; the mean follow-up period was 20 months. On the basis of the follow-up examinations the patients can be classified in three groups with regard to thigh pain: Patients who were completely free of pain at the time of follow-up were assigned to Group 1. This group included 70.5% of the authors' patients. Group 2 included patients who complained of a slight ventrolateral pain at commencement of stressing, though the pain eased distinctly after a few months. This applied to 23.9% of the patients studied. Patients in Group 3 complain immediately postoperatively of a severe, persistent pain at rest, which becomes even more intense when they attempt to put weight on the joint. This group included 5.6% of the authors' patients. Computerized tomographic studies enable morphologic changes in the compacta, i.e., atrophy, to be detected with greater accuracy. If such atrophy-which is tantamount to loosening of the prosthesis-occurs, it is a sign that the impact of the prosthesis on the diaphysis is too hard. This results in pathologic border stresses, as a consequence of which paradoxical bone resorption occurs. As a rule, these prostheses have to be changed; conservative treatment is not possible.

Aged↗
PubMedDate not supplied

[Extra-abdominal aggressive fibromatosis: case report and literature review].

The extra-abdominal aggressive fibromatosis is a locally aggressive non-metastasizing fibroproliferative tumor of the locomotive system with an extremely high recurrence rate. By means of a case report the treatment possibilities are discussed. The recommended treatment of choice is a wide resection where possible. The indications for radio-, chemo- or hormone therapy are presented.

Adolescent↗
PubMedDate not supplied

[Presentation of a treatment concept of Duchenne muscular dystrophy with the aim at improvement and restoration of walking and standing ability].

A concept for treating progressive muscular dystrophy type Duchenne is presented. It aims at the improvement of quality of life by surgery of the lower extremities. 60 Duchenne patients were treated by a standard operating regime. The different stages of the disease required different postoperative rehabilitation measures.

Adolescent↗
PubMedDate not supplied

[Infiltrating intramuscular hemangioma].

The infiltrating intramuscular hemangioma has a high recurrence rate in case of incomplete resection. NMR is presently the most suitable diagnostic procedure to secure the diagnosis and to demonstrate the extent of infiltrative growth of this relatively rare soft tissue tumor. The case of an infiltrating hemangioma of the thigh in a 9 year old girl is presented, highlighting diagnostic and different treatment modalities.

Angiography↗
PubMedDate not supplied

Comparing the rate of femoral head necrosis of two different treatments of congenital dislocation of the hip.

We examined 120 patients with 140 congenital dislocations of the hip joint for femoral head necrosis. Of these, 77 hips were reduced with a Hoffmann-Daimler brace and the patients were subsequently placed in a spica cast in Lange position after a period in the Lorenz position. The hips of 43 patients were reduced the same way but were retained in a spica as described by Fettweis. The Lorenz group showed 10 grade II and III femoral head necroses, whereas there was only one grade III necrosis in the Fettweis group. The results were compared with the collected statistics of the German survey of congenital dislocation of the hip.

Braces↗