[Relevant aspects of the individual medical examination in SLAP lesion: traumatic versus degenerative/preexisting changes]. / Relevante Aspekte der gutachtlichen Beurteilung der SLAP-Läsion: Traumatische Verãnderungen versus degenerative/anlagebedingte Veränderungen.

In the case of SLAP-lesions the upper part of the labrum glenoidale is affected and the long tendon of the biceps muscle can be involved. In literature different types of the lesions are classified. In the case of an individual medical examination, it should be kept in mind that variations of normal anatomy exist and for that reason the examiner should analyse if there is a real pathological condition. He should also discuss the pathogenesis with special regard to the mechanisms of trauma as published in literature. With SLAP-lesions there should be a functional disabling symptomatology of the affected shoulder that occurs directly or at least shortly after the accident. Also the imaging modalities and, when available the findings of an operative treatment, should be analysed to see if other trauma-lesions exist. These aspects will be discussed in the following paper.

[MRI--diagnosis bone bruise]. / MRT-diagnose Bone Bruise.

The diagnosis bone bruise was at first established by means of MRI in 1987. Up to now the discussion as to whether bone bruise has to be interpretated simply as a radiological finding or a harbinger of post-traumatic arthritis is controversial. In this article, we demonstrate two different cases in individual medical assessments of bone bruise with different patterns of injuries. While regarding the literature concerning bone bruise, we discuss the consequences of these injuries in IMA.

[RSI-repetitive strain injury--a work-related disease?]. / RSI-repetitive Strain Injury--eine Berufskrankheit?

It is not scientifically proven that problems in the neck, shoulder, arm and hand which patients complain of after repetitive activities at work, are due to structural damage caused by physical stress at the workplace. As a consequence, from the orthopedic point of view, RSI cannot be accepted as a work-related disease.

[Isolated traumatic meniscus rupture--is there progress?]. / Der isolierte traumatische Meniskusriss--gibt es neue Erkenntnisse?

A review of the literature revealed that there are no new scientific data which can rule out the existence of an isolated traumatic meniscus tear. However, the large number of publications on the subject of meniscus pathology do suggest that the traumatic tear of a "healthy" meniscus without ligamental or osseous concomitant lesions is indeed very rare. In order to perform an individual medical examination, therefore, medical experts need every available information to assess such a case.

Complications after treatment of patients with osteogenesis imperfecta with a Bailey-Dubow rod.

The purpose of this study was to analyse the complications using the Bailey-Dubow expanding intramedullary rods in patients with osteogenesis imperfecta. Between 1985 and 1996 intramedullary rodding of 107 long bones with expanding Bailey-Dubow rods was performed in 29 patients suffering from osteogenesis imperfecta. Indications for using rods included osseous deformities and bone deformities in combination with fractures. The average follow-up was 3.5 years (range 2 months to 9 years). The total complication rate in these patients was 63.5% (68 rods). The main complication was rod migration often combined with perforation of joint, bone and soft tissue. Additionally, there was a high incidence of new fractures as well as refractures. Other complications like infections, pseudarthrosis, lack of elongation or over-elongation of the rods, and loosening of the T-piece were only rarely seen. Based on our experience and the information available in the literature, the Bailey-Dubow rod is currently the most successful way to stabilize the growing long bones of patients suffering from osteogenesis imperfecta. However, when using this device, the surgeon as well as the parents of the patient must be aware of the high incidence of complications.