{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T04:59:25Z","timestamp":1757566765407},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T00:00:00Z","timestamp":1590796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T00:00:00Z","timestamp":1590796800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Klinikum rechts der Isar der Technischen Universit\u00e4t M\u00fcnchen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurg"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Der Goldstandard in der Therapie der skaphoidalen Pseudarthrose ist die Reduktion und Versorgung mit Beckenkamminterponat und Herbert-Schraube, um die h\u00e4ufig beobachtete Humpback-Deformit\u00e4t zu reduzieren. Diese Studie korreliert das Ausma\u00df der Humpback-Deformit\u00e4t nach Skaphoidrekonstruktion mit postoperativen klinischen und radiologischen Parametern.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Zwischen 2008 und 2010 wurden 56\u00a0Patienten mit skaphoidaler Pseudarthrose operiert. Davon konnten 34 in diese retrospektive Studie eingeschlossen werden. Das durchschnittliche Nachuntersuchungsintervall betrug 7,3\u00a0Monate. Die Humpback-Deformit\u00e4t wurde entlang der Skaphoidl\u00e4ngsachse mittels Computertomographie (CT) beurteilt, w\u00e4hrend f\u00fcr das klinische Ergebnis der Disability of the Arm, Shoulder and Hand (DASH) Score sowie die Handkraft (Jamar), der Bewegungsumfang (RoM), Mayo Wrist Score (MWS) und andere Parameter verwendet wurden.<\/jats:p>\n                <jats:p>Die Patienten wurden in 2 Gruppen eingeteilt: 1.\u00a0keine oder nur geringe Humpback-Deformit\u00e4t (&lt;25\u00b0), 2.\u00a0schwere Humpback-Deformit\u00e4t (&gt;45\u00b0).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Der Bewegungsumfang und die DASH Scores waren f\u00fcr die erste Gruppe etwas besser, w\u00e4hrend die zweite eine signifikant erh\u00f6hte Inzidenz f\u00fcr Osteophytenbildung (<jats:italic>p<\/jats:italic>\u202f&lt;\u20090,05) und verringerten Bewegungsumfang (\u221216\u00b0) aufwies.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Wir postulieren, dass der gr\u00f6\u00dfte Nachteil einer nichtreduzierten Humpback-Deformit\u00e4t das h\u00e4ufigere Auftreten von Osteophyten im dorsalen Aspekt des Skaphoids ist. Dies kann in der Extension eine Einklemmung hervorrufen und somit signifikanten Einfluss auf den Bewegungsumfang des Handgelenks nehmen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Grad der Evidenz<\/jats:title>\n                <jats:p>III<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-020-00825-3","type":"journal-article","created":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T13:03:12Z","timestamp":1590843792000},"page":"132-137","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Osteophytenbedingtes Impingement verringert die Beweglichkeit bei in \u201eHumpback\u201c-Deformit\u00e4t fehlverheilter Skaphoidrekonstruktion"],"prefix":"10.1007","volume":"124","author":[{"given":"P.","family":"Moog","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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Diese Studie hat keinerlei finanzielle Unterst\u00fctzung von \u00f6ffentlichen, kommerziellen oder gemeinn\u00fctzigen Unternehmen erhalten.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Alle beschriebenen Untersuchungen wurden  im Einklang mit den Bestimmungen der zust\u00e4ndigen Ethik-Kommission, mit nationalem Recht und gem\u00e4\u00df der Deklaration von Helsinki von 1975 (in der aktuellen, \u00fcberarbeiteten Fassung) durchgef\u00fchrt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}