[Focal myositis--an indication for surgery? A case report]. / Die fokale Myositis - eine chirurgische Indikation? Eine Fallbeschreibung.

This case report describes focal myositis, a rare inflammatory pseudotumorous disease previously not mentioned in the surgical literature. Most often a single muscle of the upper or lower extremity is affected. Usually the diagnostic process and treatment require a long time. We present a useful diagnostic cascade and a surgical therapy, which allows the histological differentiation between malignant and inflammatory disease. Even after partial resection of the tumor, the prognosis of focal myositis is excellent.

[Dislocation of the elbow joint--therapy and treatment outcome]. / Die Ellenbogenluxation--Therapie und Behandlungsergebnisse.

At our hospital, closed dislocations of the elbow without neurovascular or osseous lesion are treated conservatively after successful reduction in the absence of a tendency to redislocation. Indications for surgery are irreducible dislocations and those with a tendency to redislocation as well as open soft tissue injuries, neurovascular and osseous concomitant injuries. During a period of 10 years 113 patients were treated according to this strategy. Of these patients, 46 had simple dislocations of the elbow and 67 suffered from dislocations with osseous lesions. In 95 patients follow-ups could be performed after a mean period of 55 months. In more than 75% of cases good or excellent functional results were documented; unfavourable results were seen only in patients with osseous lesions. Nearly all of the patients had a stable elbow joint at the end of therapy.

[The Chopart dislocation. A frequently underestimated injury and its sequelae. A clinical study]. / Die Chopart-Luxation. Eine häufig unterschätzte Verletzung und ihre Folgen. Eine klinische Studie.

During a 7-year period (between July 1987 and June 1994) 19 patients were treated for Chopart dislocation. Seventeen patients were examined clinically 48 months following trauma. We found 1 excellent, 6 good, 6 mediocre, and 4 poor results. Only 4 patients were able to achieve their pre-accident level of work and no patients could return to sports at the same level. In our patients, Chopart dislocation had a negative social consequence both at the work place and in recreational activities. In long-term follow-up, the Chopart dislocation was the most debilitating injury even for polytrauma patients.

[Reichel syndrome. A case report with review of the literature]. / Das Reichel-Syndrom. Eine Fallbeschreibung mit Literaturüberblick.

In the case report presented, we describe the Reichel syndrome-synovial chondromatosis. The disease is monoarticular, involves no trauma or inflammation, and tends to cause a build-up of floating cartilage. Its prognosis is good. On the basis of a review of the literature, we present its etiology, diagnosis, differential diagnosis and histology. For the initial treatment we recommend resection of the floating cartilage. If the disease occurs, we recommend synovectomy in addition.

Intraosseous leiomyoma of the neck of the femur. A case report.

Intraosseous benign leiomyoma is a rare manifestation of disseminated leiomyomatosis. In a 54 year old housewife presenting with a painful left hip due to a cystic lesion of the femoral neck, histological assessment following resection of the cyst showed a benign intraosseous leiomyoma. Years before a diagnosis of disseminated peritoneal leiomyomatosis had been made.

[Osseous leiomyoma--a first-time description]. / Das ossäre Leiomyom--Eine Erstbeschreibung.

In a 54-year old housewife presenting with left hip pain due to a circumscribed intraosseous lesion of the femoral neck, histological assessment following resection showed a benign intraosseous leiomyoma. Years ago a diagnosis of disseminated peritoneal leiomyomatosis had been made.