{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T14:10:12Z","timestamp":1755785412753,"version":"3.44.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Universit\u00e4tsklinikum M\u00fcnster"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Hintergrund<\/jats:title>\n            <jats:p>Die Pr\u00e4valenz von Spitzfu\u00dffehlstellungen ist ein aus Sicht der Autoren untersch\u00e4tztes medizinisches und sozio\u00f6konomisches Problem und bislang unzureichend untersucht. Eine   Dorsalextension im oberen Sprunggelenk (OSG) &lt;\u202f10\u00b0 kann zu Einschr\u00e4nkungen des Gangbildes f\u00fchren.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ziel der Arbeit<\/jats:title>\n            <jats:p>Die  Arbeit sollte die Pr\u00e4valenz von Spitzfu\u00dffehlstellungen anhand der Einschr\u00e4nkung der Dorsalextension im OSG in Grad bei station\u00e4r behandelten Patienten erfassen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material und Methoden<\/jats:title>\n            <jats:p>In dieser Querschnittstudie wurden die aktiven Bewegungsgrade im OSG von 205 Patienten am Universit\u00e4tsklinikum M\u00fcnster prospektiv mit einem Goniometer untersucht. Eingeschlossen wurden 136 unfallchirurgische und 69\u00a0neurologische Patienten. Der Zusammenhang einer eingeschr\u00e4nkten Dorsalextension zu weiteren klinischen Parametern wurde mittels Chi-Quadrat bzw. Exaktem Test nach Fischer untersucht. Das Signifikanzniveau wurde auf <jats:italic>p<\/jats:italic>\u202f&lt;\u20090,05 festgelegt.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Insgesamt wurden 205 Patienten mit einem Altersdurchschnitt von 59\u00a0Jahren eingeschlossen. Bei der Geschlechterverteilung lag eine leichte Pr\u00e4dominanz des m\u00e4nnlichen Geschlechtes (55,1\u202f%) vor. Die durchschnittliche Dorsalextension im oberen Sprunggelenk lag rechtsseitig bei 7,03\u00b0 und linksseitig bei 8,92\u00b0. Es wiesen 72,2\u202f% der Patienten eine Dorsalextension im OSG &lt;\u202f10\u00b0, 38,1\u202f% eine Dorsalextension &lt;\u202f5\u00b0 und 16,1\u202f% eine Dorsalextension &lt;\u202f0\u00b0 auf mindestens einer Seite auf. Es konnte kein relevanter Zusammenhang zwischen Alter, Geschlecht, Dauer des station\u00e4ren Aufenthalts oder Behandlungsgrund und dem Auftreten einer Einschr\u00e4nkung der Dorsalextension beobachtet werden.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diskussion<\/jats:title>\n            <jats:p>Die Ergebnisse lassen vermuten, dass die Einschr\u00e4nkung der Dorsalextension ein h\u00e4ufiges Problem in unserem Kollektiv von unfallchirurgischen und neurologischen Patienten darstellt. Insbesondere das Vorliegen von &gt;\u202f10\u202f% manifesten Spitzf\u00fc\u00dfen, die die Neutralposition im OSG nicht erreichen konnten, ist ein relevantes Ergebnis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Graphic abstract<\/jats:title>\n          <\/jats:sec>","DOI":"10.1007\/s00113-025-01582-x","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T01:27:08Z","timestamp":1746494828000},"page":"693-698","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pr\u00e4valenz des \u201eSpitzfu\u00dfes\u201c bei station\u00e4r behandelten Patienten eines Universit\u00e4tsklinikums","Prevalence of equinus deformity in inpatients treated at a university hospital"],"prefix":"10.1007","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8839-9383","authenticated-orcid":false,"given":"Alexander","family":"Milstrey","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leo-Lion","family":"Eisfeld","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanette","family":"K\u00f6ppe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Minnerup","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Raschke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Ochman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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