25911
2021
eng
424-429
3
5
article
1
2022-03-03
--
--
Less than 9.5-mm coracohumeral distance on axial magnetic resonance imaging scans predicts for subscapularis tear
Background
Diagnosis of subscapularis (SSC) tendon lesions on magnetic resonance imaging (MRI) can be challenging. A small coracohumeral distance (CHD) has been associated with SSC tears. This study was designed to define a specific threshold value for CHD to predict SSC tears on axial MRI scans.
Methods
This retrospective study included 172 shoulders of 168 patients who underwent arthroscopic surgery for rotator cuff tear or glenohumeral instability. Diagnostic arthroscopy confirmed an SSC tear in 62 cases (36.0%, test group a), rotator cuff tear tears other than SSC in 71 cases (41.3%, control group b) and glenohumeral instability without any rotator cuff tear in 39 cases (22.7%, zero-sample group c). All patients had a preoperative MRI of the shoulder (1.5T or 3T). Minimum CHD was measured on axial fat-suppressed proton density-, T2-, or T1-weigthed sequences. Receiver operating characteristics analysis was used to determine the threshold value for CHD, and sensitivity and specificity were calculated.
Results
CHD measurement had a good interobserver reliability (Intraclass correlation coefficient 0.799). Mean CHD was highly significantly (P < .001) less for test group a (mean 7.3 mm, standard deviation ± 2.2) compared with control group b (mean 11.1 mm, standard deviation ± 2.3) or zero-sample group c (mean 13.6 mm, standard deviation ± 2.9). A threshold value of CHD <9.5 mm had a sensitivity of 83.6% and a specificity of 83.9% to predict SSC tears.
Conclusion
A CHD <9.5 mm on MRI is predictive of SSC lesions and a valuable tool to diagnose SSC tears.
JSES International
10.1016/j.jseint.2021.01.014
urn:nbn:de:bvb:20-opus-259118
publish
JSES International (2021) 5:3, 424-429. https://doi.org/10.1016/j.jseint.2021.01.014
false
true
CC BY-NC-ND: Creative-Commons-Lizenz: Namensnennung, Nicht kommerziell, Keine Bearbeitungen 4.0 International
Thomas Reichel
Stefan Herz
Mohammed el Tabbakh
Thorsten Alexander Bley
Piet Plumhoff
Kilian Rueckl
eng
uncontrolled
subscapularis tear
eng
uncontrolled
coracohumeral distance
eng
uncontrolled
rotator cuff tear
eng
uncontrolled
coracohumeral impingement
Medizin und Gesundheit
open_access
Institut für diagnostische und interventionelle Radiologie (Institut für Röntgendiagnostik)
Lehrstuhl für Orthopädie
Förderzeitraum 2021
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/25911/1-s2.0-S2666638321000761-main.pdf
26528
2022
deu
246–250
3
51
article
1
--
--
--
Insuffizienzfraktur der Klavikula nach Implantation einer inversen Schulterendoprothese
Wir stellen den seltenen Fall einer Insuffizienzfraktur der Klavikula nach Implantation einer inversen Schulterendoprothese (RSA) vor. Als Ursache solcher Frakturen wird eine vermehrte Zugbelastung durch den Musculus deltoideus nach RSA diskutiert. In den wenigen verfügbaren Fallberichten zeigten die betroffenen Patienten deutliche Funktionseinschränkungen. Die Versorgung erfolgte im vorliegenden Fall mit Plattenosteosynthese. Trotz intraoperativ gutem Korrekturergebnis kam es im Verlauf ohne Trauma zum Osteosyntheseversagen mit weiterer Dislokation der Fraktur.
Der Orthopäde
10.1007/s00132-021-04205-6
urn:nbn:de:bvb:20-opus-265286
publish
Der Orthopäde 2022, 51(3):246–250. DOI: 10.1007/s00132-021-04205-6
false
true
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Laura Elisa Streck
Lothar Seefried
Franca Genest
Thomas Reichel
Maximilian Rudert
Kilian Rueckl
deu
uncontrolled
Schulterendoprothetik
deu
uncontrolled
Glenohumeralgelenk
deu
uncontrolled
Osteoporose
deu
uncontrolled
Osteosynthese
deu
uncontrolled
Fraktur
deu
uncontrolled
postoperative Komplikationen
Medizin und Gesundheit
open_access
Lehrstuhl für Orthopädie
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/26528/Streck_Kasuistiken.pdf
25227
2021
eng
1
11
article
1
--
2021-12-23
--
Defining a synovial fluid white blood cell count threshold to predict periprosthetic infection after shoulder arthroplasty
Background: The diagnosis of periprosthetic shoulder infection (PSI) requires a thorough diagnostic workup. Synovial fluid aspiration has been proven to be a reliable tool in the diagnosis of joint infections of the lower extremity, but shoulder specific data is limited. This study defines a threshold for synovial fluid white blood cell count (WBC) and assesses the reliability of microbiological cultures. Methods: Retrospective study of preoperative and intraoperative fluid aspiration of 31 patients who underwent a revision of a shoulder arthroplasty (15 with PSI defined by IDSA criteria, 16 without infection). The threshold for WBC was calculated by ROC/AUC analysis. Results: WBC was significantly higher in patients with PSI than in other patients. A threshold of 2800 leucocytes/mm\(^3\) showed a sensitivity of 87% and a specificity of 88% (AUROC 0.92). Microbiological cultures showed a sensitivity of 76% and a specificity of 100%. Conclusions: A threshold of 2800 leucocytes/mm\(^3\) in synovial fluid can be recommended to predict PSI. Microbiological culture has an excellent specificity and allows for targeted antibiotic therapy. Joint aspiration presents an important pillar to diagnose PSI.
Journal of Clinical Medicine
2077-0383
10.3390/jcm11010050
urn:nbn:de:bvb:20-opus-252275
2022-01-03T15:38:38+00:00
sword
swordwue
attachment; filename=deposit.zip
624aa745abab9c2fc5a9053ea8ee42af
Journal of Clinical Medicine (2022) 11:1, 50. https://doi.org/10.3390/jcm11010050
false
true
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Laura Elisa Streck
Chiara Gaal
Johannes Forster
Christian Konrads
Sebastian Philipp von Hertzberg-Boelch
Kilian Rueckl
eng
uncontrolled
upper extremity
eng
uncontrolled
joint infection
eng
uncontrolled
joint aspiration
eng
uncontrolled
leucocyte count
eng
uncontrolled
cutibacteria
eng
uncontrolled
ICM
eng
uncontrolled
MSIS
eng
uncontrolled
IDSA
eng
uncontrolled
WBC
Medizin und Gesundheit
open_access
Institut für Hygiene und Mikrobiologie
Lehrstuhl für Orthopädie
Import
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/25227/jcm-11-00050-v2.pdf
22932
2020
eng
499-502
3
4
article
1
2021-03-03
--
--
Isolated mononeuropathy of the suprascapular nerve: traumatic traction injury as an important differential diagnosis to the entrapment syndrome
No abstract available.
JSES International
10.1016/j.jseint.2020.04.008
urn:nbn:de:bvb:20-opus-229322
publish
JSES International 4 (2020) 499-502. DOI:10.1016/j.jseint.2020.04.008
true
true
CC BY-NC-ND: Creative-Commons-Lizenz: Namensnennung, Nicht kommerziell, Keine Bearbeitungen 4.0 International
Julian S. Meyer
Florian M. Hessenauer
Thomas Reichel
Mirko Pham
Piet Plumhoff
Kilian Rueckl
eng
uncontrolled
MR neurography
eng
uncontrolled
Suprascapular nerve
eng
uncontrolled
compression syndrome
eng
uncontrolled
neuropathy
eng
uncontrolled
shoulder neurolysis
eng
uncontrolled
suprascapular notch
Medizin und Gesundheit
open_access
Lehrstuhl für Orthopädie
Institut für diagnostische und interventionelle Neuroradiologie (ehem. Abteilung für Neuroradiologie)
Förderzeitraum 2020
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/22932/Meyer.pdf
17743
2018
eng
4323518
2018
article
1
2019-02-26
--
--
Comparison of elution characteristics and compressive strength of biantibiotic-loaded PMMA bone cement for spacers: Copal\(^®\) spacem with gentamicin and vancomycin versus Palacos\(^®\) R+G with vancomycin
Purpose. Copal\(^®\) spacem is a new PMMA bone cement for fabricating spacers. This study compares elution of gentamicin, elution of vancomycin, and compressive strength of Copal\(^®\) spacem and of Palacos\(^®\) R+G at different vancomycin loadings in the powder of the cements. We hypothesized that antibiotic elution of Copal\(^®\) spacem is superior at comparable compressive strength. Methods. Compression test specimens were fabricated using Copal\(^®\) spacem manually loaded with 0.5 g gentamicin and additionally 2 g, 4 g, and 6 g of vancomycin per 40 g of cement powder (COP specimens) and using 0.5 g gentamicin premixed Palacos\(^®\) R+G manually loaded with 2 g, 4 g, and 6 g of vancomycin per 40 g of cement powder (PAL specimens). These specimens were used for determination of gentamicin and vancomycin elution (in fetal calf serum, at 22°C) and for determination of compressive strength both prior and following the elution tests. Results. Cumulative gentamicin concentrations (p < 0.005) and gentamicin concentration after 28 days (p ≤ 0.043) were significantly lower for COP specimens compared to PAL specimens. Cumulative vancomycin concentrations were significantly higher (p ≤ 0.043) for COP specimens after the second day. Vancomycin concentrations after 28 days were not significantly higher for the Copal specimens loaded with 2 g and 4 g of vancomycin. Compressive strength was not significantly different between COP specimens and PAL specimens before elution tests. Compressive strength after the elution tests was significantly lower (p = 0.005) for COP specimens loaded with 2 g of vancomycin. Conclusion. We could not demonstrate consistent superior antibiotic elution from Copal\(^®\) spacem compared to Palacos\(^®\) R+G for fabricating gentamicin and vancomycin loaded spacers. The results do not favor Copal\(^®\) spacem over Palacos\(^®\) R+G for the use as a gentamicin and vancomycin biantibiotic-loaded spacer.
BioMed Research International
10.1155/2018/4323518
urn:nbn:de:bvb:20-opus-177435
BioMed Research International Volume 2018, Article ID 4323518. DOI: 10.1155/2018/4323518
false
true
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Sebastian P. Boelch
Kilian Rueckl
Clara Fuchs
Martin Jordan
Markus Knauer
Andre Steinert
Maximilian Rudert
Martin Luedemann
eng
uncontrolled
Copal\(^®\) spacem
eng
uncontrolled
PMMA bone cement
eng
uncontrolled
elution
eng
uncontrolled
compressive strength
Chirurgie und verwandte medizinische Fachrichtungen
open_access
Lehrstuhl für Orthopädie
Klinik und Poliklinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie (Chirurgische Klinik II)
Förderzeitraum 2018
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/17743/02_Boelch_BioMed_Research_International.pdf
20053
2019
eng
636
20
article
1
2020-03-05
--
--
The posterior-anterior-flexed view is essential for the evaluation of valgus osteoarthritis. A prospective study on 134 valgus knees
Background
Radiographic imaging is an important tool to assess osteoarthritis (OA). Lateral compartment osteoarthritis (valgus OA) usually starts with cartilage degeneration along the posterior aspect of the lateral femoral condyle. There is evidence that the posterior-anterior (PA)-flexed view is more sensitive when diagnosing early stages of valgus OA compared to the anterior-posterior (AP) view. The current paper analyzes the value of the PA-flexed view for patients scheduled for total knee arthroplasty (TKA).
Methods
Radiographs of 134 valgus knees were assessed prior to TKA. The minimal joint space width (minJSW) was measured on AP and PA-flexed views. The extent of mechanical deformity was measured on hip to ankle standing films.
Results
49 (36.6%) AP views showed Kellgren and Lawrence (K/L)-grade 4 osteoarthritis in the lateral compartment, 82 (63.4%) showed grade 3 or less. The PA-flexed view resulted in an increased K/L-grading to grade 4 for 53 knees (62.4%) that were considered grade 3 or less on standard AP-radiographs. There was a significant differences between lateral minJSW on AP and PA-flexed view for patients with up to 10 degrees of mechanical valgus deformity (p < 0.001), as well as 11 to 15 degrees of mechanical deformity (p = 0.021). Only knees with severe deformity of more than 15 degrees did not show a difference in minJSW between PA-flexed view and AP view (p = 0.345).
Conclusions
The PA-flexed view is superior to the standard AP view in quantifying the extent of valgus OA in patients with zero to fifteen degrees of valgus deformity. It is recommended for the initial assessment of patients with valgus osteoarthritis and better documents the extent of osteoarthritis prior to TKA.
BMC Muscoskeletal Disorders
10.1186/s12891-019-3012-3
urn:nbn:de:bvb:20-opus-200536
BMC Musculoskeletal Disorders 20, 636 (2019). https://doi.org/10.1186/s12891-019-3012-3
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Kilian Rueckl
Armin Runer
Ulrich Bechler
Martin Faschingbauer
Sebastian Philipp Boelch
Peter Keyes Sculco
Friedrich Boettner
eng
uncontrolled
Valgus osteoarthritis
eng
uncontrolled
Knee
eng
uncontrolled
PA-flexed view
eng
uncontrolled
View
eng
uncontrolled
Radiographs
Medizin und Gesundheit
open_access
Lehrstuhl für Orthopädie
Förderzeitraum 2019
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/20053/Rueckel_BMC_MuscoskeletalDiseases2019.pdf
30079
2022
eng
23
article
1
--
--
--
The role of synovial fluid aspiration in shoulder joint infections
Background
Joint aspiration with analysis of synovial fluid white blood cell count (WBC) and microbiological culture is a widely established aspect in the diagnosis of shoulder joint infections (SJI). In case of a two stage revision for SJI, joint aspiration before re−/implantation of a total shoulder arthroplasty (TSA) was used to rule out persistent infection for years but its value is under debate. Shoulder specific data on all aspects is rare. The current study aims to answer the following research questions: Does joint aspiration have an insufficient predictive value in the diagnosis of SJI in (1) initial workup and (2) before definite arthroplasty with polymethylmethacrylate (PMMA)-Spacer in place?
Methods
This retrospective evaluation investigates 35 patients that were treated for SJI with a two staged implantation of a TSA after debridement and implantation of an PMMA-Spacer. Joint aspirations were performed preoperatively (PA) and before re−/implantation of the prosthesis while spacer was in place (interstage aspiration, IA). Samples were taken for microbiological culture and analysis of WBC. Sensitivity and specificity were calculated with reference to intraoperative microbiological samples. Receiver Operating Characteristic (ROC), Area-Under-Curve analysis (AUC) and calculation of the Youden index were performed to find optimum cut-off for WBC.
Results
The sensitivity of microbiological cultures from PA was 58.3% and the specificity was 88.9%. The mean WBC was 27,800 leucocytes/mm3 (range 400-96,300). The maximum Youden index (0.857) was a cut-off of 2600 leucocytes/mm3 with a sensitivity of 85.7% and a specificity of 100.0%. The sensitivity and specificity of IA were 0.0% and 88.5%, respectively.
Conclusions
Preoperative aspiration is likely to miss Cutibacteria spp. and CoNS and cannot rule out infection for sure. However, we recommend it for its advantages of targeted antibiotic therapy in case of germ identification. Empiric antibiotic therapy should cover Cutibacteria and CoNS even if aspiration showed negative microbiological cultures. In contrast, the diagnostic value of interstage aspiration does not qualify for its routine use.
BMC Musculoskeletal Disorders
10.1186/s12891-022-05285-x
urn:nbn:de:bvb:20-opus-300795
@articleStreck.2022, author = Streck, Laura Elisa and Forster, Johannes and von Hertzberg-Boelch, Sebastian Philipp and Reichel, Thomas and Rudert, Maximilian and Rueckl, Kilian, year = 2022, title = The role of synovial fluid aspiration in shoulder joint infections, pages = 390, volume = 23, number = 1, journal = BMC musculoskeletal disorders, doi = 10.1186/s12891-022-05285-x,
md5:b7e9e5d3d7aeaccab1c6ca8c339d6223
2023-01-23T07:16:37+00:00
/tmp/phpNw3NlL
bibtex
63ce3455546207.97235445
BMC Musculoskeletal Disorders (2022) 23:390. doi:10.1186/s12891-022-05285-x
false
true
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Laura Elisa Streck
Johannes Forster
Sebastian Philipp von Hertzberg-Boelch
Thomas Reichel
Maximilian Rudert
Kilian Rueckl
eng
uncontrolled
revision arthroplasty
eng
uncontrolled
periprosthetic joint infection
eng
uncontrolled
white blood cell count
eng
uncontrolled
septic
eng
uncontrolled
microbiological culture
eng
uncontrolled
interstage aspiration
Medizin und Gesundheit
open_access
Institut für Hygiene und Mikrobiologie
Lehrstuhl für Orthopädie
Förderzeitraum 2022
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/30079/s12891-022-05285-x.pdf
23062
2020
eng
959-963
4
article
1
2021-03-11
--
--
Infection control and outcome of staged reverse shoulder arthroplasty for the management of shoulder infections
Background
The treatment of septic arthritis, caused by either hematogenous seeding, injections, or surgery, can be challenging. Staged reverse shoulder arthroplasty (RSA) with temporary implantation of an antibiotic-loaded spacer is widely accepted but still discussed controversially. This study investigated the shoulder-specific bacterial spectrum, infection control rate, functional outcome, and infection-free survival rate after staged RSA in the mid- to long-term follow-up. It was hypothesized that staged RSA would show a high infection-free survival rate.
Methods
A total of 39 patients treated with staged RSA for primary septic arthritis (n = 8), secondary infection (n = 8), or periprosthetic infection (n = 23) were retrospectively included. The infection control rate was calculated based on cultures taken intraoperatively at spacer removal and RSA implantation. Infection-free survival was defined as no revision due to infection. The minimum follow-up period for functional outcome assessment was 2 years (n = 14; mean, 76 months; range, 31-128 months).
Results
Cutibacterium (26%) and coagulase-negative staphylococci (23%) were the predominant pathogens. The infection control rate was 90%. The cumulative infection-free survival rate was 91% after 128 months. Follow-up examinations showed a mean Constant score of 48 (range, 7-85), a mean QuickDASH (short version of Disabilities of the Arm, Shoulder and Hand questionnaire) score of 40.0 (range, 11.4-93.3), and a mean pain score of 1.6 (range, 0-7).
Conclusion
Staged RSA implantation was confirmed to be a reliable treatment option for primary, secondary, and periprosthetic infections of the shoulder. The infection control rate and infection-free survival rate are satisfactory. However, patients and surgeons must be aware of functional impairment even after successful treatment of infections.
JSES International
10.1016/j.jseint.2020.08.012
urn:nbn:de:bvb:20-opus-230620
publish
JSES International 4 (2020) 959-963. https://doi.org/10.1016/j.jseint.2020.08.012
true
true
CC BY-NC-ND: Creative-Commons-Lizenz: Namensnennung, Nicht kommerziell, Keine Bearbeitungen 4.0 International
Sebastian Philipp Boelch
Laura Elisa Streck
Piet Plumhoff
Christian Konrads
Frank Gohlke
Kilian Rueckl
eng
uncontrolled
shoulder infection
eng
uncontrolled
periprosthetic infection
eng
uncontrolled
two stage
eng
uncontrolled
spacer
eng
uncontrolled
reerse shoulder arthoplasty
eng
uncontrolled
shoulder arthroplasty
eng
uncontrolled
outcome
Medizin und Gesundheit
open_access
Lehrstuhl für Orthopädie
Förderzeitraum 2020
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/23062/10.1016.j.jseint.2020.08.012.pdf
26576
2021
eng
2021
article
1
2022-04-05
--
--
Diagnosis of chronic infection at total hip arthroplasty revision is a question of definition
Purpose. Contradicting definitions of periprosthetic joint infection (PJI) are in use. Joint aspiration is performed before total hip arthroplasty (THA) revision. This study investigated the influence of PJI definition on PJI prevalence at THA revision. Test quality of prerevision aspiration was evaluated for the different PJI definitions. Methods. 256 THA revisions were retrospectively classified to be infected or not infected. Classification was performed according to the 4 different definitions proposed by the Musculoskeletal Infection Society (MSIS), the Infectious Diseases Society of America (IDSA), the International Consensus Meeting (ICM), and the European Bone and Joint Infection Society (EBJIS). Only chronic PJIs were included. Results. PJI prevalence at revision significantly correlated with the applied PJI definition (p=0.01, Cramer's V=0.093). PJI prevalence was 20.7% for the MSIS, 25.4% for the ICM, 28.1% for the IDSA, and 32.0% for the EBJIS definition. For synovial fluid white blood cell count, the best ROC-AUC for predicting PJI was 0.953 in combination with the MSIS definition. Conclusion. PJI definition significantly influences the rate of diagnosed PJIs at THA revision. Synovial fluid white blood cell count is a reliable means to rule out PJI. In cases with a borderline high synovial white blood cell count before THA revision as the only sign of chronic PJI, an extended diagnostic work-up should be considered.
Biomed Research International
10.1155/2021/8442435
urn:nbn:de:bvb:20-opus-265762
publish
Biomed Research International (2021) 2021:8442435. https://doi.org/10.1155/2021/8442435
false
true
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Sebastian Philipp Boelch
Kilian Rüeckl
Laura Elisa Streck
Viktoria Szewczykowski
Manuel Weißenberger
Axel Jakuscheit
Maximilian Rudert
eng
uncontrolled
periprosthetic joint infection
eng
uncontrolled
algorithm
eng
uncontrolled
consensus
Chirurgie und verwandte medizinische Fachrichtungen
open_access
Lehrstuhl für Orthopädie
Förderzeitraum 2021
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/26576/8442435.pdf
22926
2020
eng
21
article
1
2021-03-03
--
--
No functional differences in anatomic reconstruction with one vs. two suture anchors after non-simultaneous bilateral distal biceps brachii tendon rupture: a case report and review of the literature
Background
Surgical reattachment of the tendon is still the gold standard for ruptures of the distal biceps brachii tendon. Several fixation techniques have been described in the literature, with suture anchors being one of the most common fixation techniques. Currently, there is no data available on how many anchors are required for a safe and stable refixation. In this case report clinical data of a patient with non-simultaneous bilateral distal biceps tendon ruptures treated with a different number of suture anchors for each side (one vs. two) are demonstrated.
Case presentation
A 47-year-old factory worker suffered a rupture of the distal biceps tendon on both arms following two different occasions. The left side was fixed using a single suture anchor, while refixation on the right side was performed with two anchors. The patient was prospectively followed for one year. Functional outcome was assessed using the Andrews Carson Score (ACS), the Oxford Elbow Score (OES), and the Disabilities of Arm, Shoulder and Hand (DASH) Score after six, twelve, 24 and 48 weeks. Furthermore, an isokinetic strength measurement for flexion strength was performed after 24 and 48 weeks. After 48 weeks the patient presented with excellent functional outcome scores and no follow-up complications. During the follow-up period, no differences in the functional scores nor in the isokinetic flexion strength measurement could be detected. Furthermore, no radiological complications (like heterotopic ossifications) could be detected in the postoperative radiographs after one year.
Conclusions
Anatomic reattachment of the distal biceps tendon is a successful operative treatment option for distal biceps tendon ruptures. Suture anchor fixation remains one of the most common techniques, as it allows fast surgery and provides good results with respect to range of motion (ROM) and functional scoring according to the current literature. However, the number of anchors required for a stable fixation remains unclear. As indicated by our presented case, we hypothesize, that there are no significant differences between a one-point or a two-point fixation. In the presented case report, no intraindividual differences between the usage of one versus two suture anchors were evident in the short-term follow-up.
BMC Musculoskeletal Disorders
10.1186/s12891-020-03304-3
urn:nbn:de:bvb:20-opus-229266
publish
BMC Musculoskeletal Disorders (2020) 21:270 https://doi.org/10.1186/s12891-020-03304-3
true
true
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Manuel Weissenberger
Tizian Heinz
Kilian Rueckl
Maximilian Rudert
Alexander Klug
Reinhard Hoffmann
Kay Schmidt-Horlohé
eng
uncontrolled
Non-simultaneous bilateral distal biceps tendon rupture
eng
uncontrolled
Distal biceps tendon repair
eng
uncontrolled
Anatomic reattachment
eng
uncontrolled
Suture anchor
eng
uncontrolled
Case report
Medizin und Gesundheit
open_access
Lehrstuhl für Orthopädie
Förderzeitraum 2020
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/22926/12891_2020_Article_3304.pdf
20166
2019
eng
6840693
2019
article
1
2020-03-16
--
--
Hibernoma of the upper extremity: complete case of a rare but benign soft tissue tumor
Hibernoma is a rare benign lipomatous tumor showing differentiation of brown fatty tissue. To the author’s best knowledge, there is no known case of malignant transformation or metastasis. Due to their slow, noninfiltrating growth hibernomas are often an incidental finding in the third or fourth decade of life. The vast majority are located in the thigh, neck, and periscapular region. A diagnostic workup includes ultrasound and contrast-enhanced MRI. Differential diagnosis is benign lipoma, well-differentiated liposarcoma, and rhabdomyoma. An incisional biopsy followed by marginal resection of the tumor is the standard of care, and recurrence after complete resection is not reported. The current paper presents diagnostic and intraoperative findings of a hibernoma of the upper arm and reviews similar reports in the current literature.
Case Reports in Orthopedics
10.1155/2019/6840693
urn:nbn:de:bvb:20-opus-201669
Case Reports in Orthopedics (2019) 2019:6840693. https://doi.org/10.1155/2019/6840693
false
true
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Thomas Reichel
Kilian Rueckl
Annabel Fenwick
Niklas Vogt
Maximilian Rudert
Piet Plumhoff
eng
uncontrolled
benige tumor
Medizin und Gesundheit
open_access
Pathologisches Institut
Lehrstuhl für Orthopädie
Förderzeitraum 2019
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/20166/Reichel_CaseReportsInOrthopedics_2019.pdf