Sportverletzung Sportschaden : Organ der Gesellschaft für Orthopädisch-Traumatologische Sportmedizin
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Sportverletz Sportschaden · Sep 2009
Case Reports[The operative treatment of rhizarthrosis for patients with extreme exposure of the hand by athletic activities--is the trapeziectomy with interposition of an pyrocarbon spacer a option for treatment?].
The rhizarthrosis is the most common degenerative joint disease of the hand. Incidence is detected around 10 %. For the treatment of rhizarthrosis different conservative and surgical methods are available. As many publications deal with the outcome of different surgical procedures. However there are no experiences in possibility of resuming an extreme exposure of the hand by athletic activities and the relevant timeframe between surgical treatment and the resumption as well as which of the competing surgical procedures you should suggest the patient. ⋯ The trapeziectomy with interposition of an pyrocarbonspacer is a worthfull alternative compared to other established operative techniques. The demonstrated casuistic proves that this treatment matches both the high and multiaxial stress on the first ray of athletes. Four dislocations in the examined collective and the price of the implant of 930 Euro has to be discussed critically.
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Sportverletz Sportschaden · Sep 2009
Case Reports[Exertional compartment syndrome of the lower leg and common peroneal nerve palsy as combined injury after weight lifting].
While the compartment syndrome after traumatic injury is a well-known entity and well recognised, an exercise-induced acute compartment syndrome is seldom and often missed. Delayed diagnosis and treatment can result in a poor outcome such as loss of function or limb. ⋯ A thorough case history provided the clue to understand the resulting pathology. This case shows again the necessity of good medical assistance for athletes in leisure-time sport activities.