RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
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The author studied 200 shoulders in 100 normal persons over the age of 60 and found the following changes in the acromioclavicular joint due to old age: simple sclerosis of the joint surfaces, some new bone formation, hypertrophy of the acromial end of the clavicle, uneveness of the acromion and caudal dislocation of the clavicle. Marginal changes of the clavicle at the point of attachment of the coraco-clavicular ligament are also due to old age and are not a sign of rheumatoid arthritis.
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Case Reports
[Transvenous removal of a catheter which has embolised to the heart (author's transl)].
The removal of intravenous catheters that embolized into the vena cava superior and the right atrium, is described. This is done with a "Dormia basket", in conjunction with a controllable Medi-Tech-Selection-Catheter. This set is especially suited for the removal of intracardial foreign bodies. The extraction of a catheter is a relatively expedient procedure without undue discomfort for the patient.
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The present paper deals with the findings on examination of the chest and at autopsy in 100 selected surgical patients under intensive care; of these 17% were post-traumatic, 55% had post-operative lung complications and in 28% there had been no trauma or previous operations. The accuracy of the radiological diagnosis was checked against the autopsy findings. ⋯ The most common mis-diagnosis was in the demonstration of emboli and infarcts, where accuracy was only 64%. The difficulties in differential diagnosis of the radiological appearances due to these pulmonary complications are discussed.
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The myelograms of 7 patients with traction injury of the brachial plexus are compared with the operation findings. It appears that not only the roentgenological sign of the "traumatic meningocele" but also other myelographic abnormalities are to be considered as indications of a nerve root lesion. ⋯ Myelographic examination of each patient with posttraumatic brachial palsy should be performed as soon as possible. A sufficient myelographic diagnosis of the nerve root lesion can be achieved only in considering also the less impressive radiological signs.