Unfallchirurgie
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The good prognosis of proximal humeral fractures in children and adolescents is explained by the anatomy of the shoulder and the physiology of the proximal humeral epiphysis. The treatment of these injuries therefore is mainly conservative. Based on the results of 24 patients operated between 1970 and 1980 a therapeutic concept concerning indication, timing and operative technique is proposed.
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Ruptures of the quadriceps and patellar tendon are comparatively rare lesions. From the number of cases from 1973 till 1983 17 ruptures of the femoral extensor tendon and 8 ruptures of the patellar tendon were controlled diagnostically, therapeutically and in view of their long-term results. Causally in the group of quadriceps tendons 13 spontaneous ruptures were facing 4 traumatically caused ruptures. ⋯ In each individual case the aspects of expert opinion were traced - above all in case of tendon ruptures with osseous patella lesions. For the first time a temporally staggered bilateral spontaneous rupture of the patella was described. The operative approach has been discussed just as much as the necessity to examine the internal knee-joint structures arthroscopically in case of the plurality of accompanying retinaculum lesions.