ABSTRACT
The ophthalmologist is the primary consultant for patients with disorders of the lacrimal duct. The basic examination includes inspection and slit-lamp microscopy of the ocular surface and its adnexa as well as irrigation of the lacrimal pathway. For further treatment, interdisciplinary examination methods offer precise diagnostic findings. Good cooperation among ophthalmologists, otorhinolaryngologists, and radiologists can be highly beneficial for the patient. Rhinogenic causes of lacrimal obstruction can be found by rhinoscopy and nasal endoscopy. Further information is gained by radiologic imaging, which offers dynamic pictures and a good overview of the lacrimal system and neighbouring structures. Lacrimal endoscopy allows direct viewing of the causes of stenosis. These precise and complete diagnostics make consultation easier, especially regarding new minimally invasive surgical techniques.
Subject(s)
Endoscopy/methods , Lacrimal Apparatus Diseases/diagnosis , Ophthalmoscopy/methods , Patient Care Team , HumansSubject(s)
Reflex Sympathetic Dystrophy/therapy , Fractures, Bone/surgery , Humans , Postoperative Complications/classification , Postoperative Complications/diagnosis , Postoperative Complications/therapy , Reflex Sympathetic Dystrophy/classification , Reflex Sympathetic Dystrophy/diagnosis , Risk Factors , Treatment OutcomeABSTRACT
Thirty seven patients with a necrotic lunate or a partially necrotic scaphoid bone underwent surgery. The necrotic bone was replaced with autologous tendons. The late follow-up examination showed good stability within the carpal skeleton and no progression of the osteoarthritis. The patients reported marked relief of symptoms and improved function of the wrist. Postoperative active motion and strength were only slightly impaired. Very few complications and a smooth professional rehabilitation characterize this surgical procedure.
Subject(s)
Carpal Bones/surgery , Osteonecrosis/surgery , Tendons/transplantation , Wrist Joint/surgery , Adolescent , Adult , Child , Female , Humans , Male , Middle Aged , Movement , Radiography , Time Factors , Transplantation, Autologous , Wrist/diagnostic imagingABSTRACT
Several experimental rupture tests of the extensor pollicis longus tendon proved that a rupture of a tendon caused by experiments is located in a region in which the rupture is mainly found clinically as well. By using a newly developed Silicon impression system it can be proved that in the course of a tendon there is always a certain place which has the smallest cross section. This is more or less identical with the location of the rupture. Thus, ruptures of the extensor pollicis longus tendon can be experimentally simulated.
