{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:54Z","timestamp":1740126834241,"version":"3.37.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Die Madelung-Deformit\u00e4t ist eine angeborene oder erworbene\n                    Wachstumsst\u00f6rung des Unterarmes, die f\u00fcr betroffene Patienten mit erheblichen\n                    Einschr\u00e4nkungen der Lebensqualit\u00e4t einhergehen kann. In der Literatur wurden\n                    verschiedene M\u00f6glichkeiten der operativen Therapie der Erkrankung beschrieben.\n                    Mit der vorliegenden Studie sollte der Frage nachgegangen werden, ob die\n                    Physiolyse mit Resektion des Vickers-Bandes die Progredienz der Erkrankung in\n                    einem eigenen jungen Patientenkollektiv erfolgreich aufhalten konnte, wie es\n                    anhand der bisherigen Literatur zu diesem Thema zu erwarten w\u00e4re.<\/jats:p><jats:p>\n          Material und Methoden Die Akten aller Patienten mit Madelung-Deformit\u00e4t,\n                    die zwischen Januar 2001 und Juni 2017 prim\u00e4r mit einer Physiolyse mit Resektion\n                    des Vickers-Bandes behandelt worden sind, wurden retrospektiv ausgewertet. Die\n                    Patienten wurden zu einer Nachuntersuchung eingeladen und bez\u00fcglich des\n                    OP-Outcomes untersucht. Erhoben wurden Schmerzen in Ruhe und unter Belastung,\n                    der Bewegungsumfang der Handgelenke und das Aktivit\u00e4tsniveau. Zudem wurden von\n                    jedem operierten Handgelenk R\u00f6ntgenbilder in zwei Ebenen angefertigt und\n                    radiologische Messungen durchgef\u00fchrt. Die so erhobenen Daten wurden mit den\n                    Daten aus den Patientenakten verglichen.<\/jats:p><jats:p>\n          Ergebnisse 9 Handgelenke wurden eingeschlossen. Das Durchschnittsalter zum\n                    Zeitpunkt der Operation lag bei 13,2 Jahren, der durchschnittliche\n                    Nachbeobachtungszeitraum betrug 5,0 Jahre. Die Extension und Ulnarduktion nahmen\n                    von pr\u00e4operativ bis zur Nachuntersuchung leicht ab, w\u00e4hrend sich die Beugung\n                    minimal sowie die Radialduktion und die Unterarmdrehung erkennbar verbesserten.\n                    Der Punktwert f\u00fcr Ruheschmerzen auf der visuellen Analogskala stieg von\n                    pr\u00e4operativ 0,25 Punkten auf 1,88 Punkte zum Zeitpunkt der Nachuntersuchung.\n                    Unter Belastung stieg der durchschnittliche Punktwert f\u00fcr Schmerzen von 2,00 auf\n                    4,25 Punkte. Der mittlere DASH-Score stieg von 6,04 Punkten vor der Operation\n                    auf 12,20 Punkte zum Zeitpunkt der Nachuntersuchung. Die Durchschnittswerte von\n                    zwei der f\u00fcnf gemessenen McCarroll-Parameter stiegen an, im Fall der Absenkung\n                    des Os Lunatum statistisch signifikant. Bei einem Handgelenk war ein\n                    Folgeeingriffe erforderlich.<\/jats:p><jats:p>\n          Schlussfolgerung Die Progredienz der Madelung-Deformit\u00e4t konnte in unserem\n                    Kollektiv durch die Physiolyse mit Resektion des Vickers-Bandes nur teilweise\n                    aufgehalten und eine signifikante Zunahme der Schmerzsymptomatik im\n                    Untersuchungszeitraum nicht vermieden werden. Bei Patienten, die vor Abschluss\n                    ihres L\u00e4ngenwachstums stehen, sollte dieses Verfahren daher mit Zur\u00fcckhaltung\n                    eingesetzt werden.<\/jats:p>","DOI":"10.1055\/a-2262-0112","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T23:11:52Z","timestamp":1712963512000},"page":"235-241","source":"Crossref","is-referenced-by-count":0,"title":["Physiolyse mit Resektion des Vickers-Bandes bei adoleszenten\n                Patienten mit Madelung-Deformit\u00e4t"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9530-0425","authenticated-orcid":false,"given":"Alexander","family":"Reck","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie, Rh\u00f6n Klinikum Campus Bad Neustadt, Bad\n                    Neustadt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Pillukat","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie, Rh\u00f6n Klinikum Campus Bad Neustadt, Bad\n                    Neustadt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"van Schoonhoven","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie, Rh\u00f6n Klinikum Campus Bad Neustadt, Bad\n                    Neustadt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1037","DOI":"10.1148\/93.5.1037","article-title":"Madelung\u2019s deformity: observations in 17 patients","volume":"93","author":"A H Felman","year":"1969","journal-title":"Radiology"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1016\/j.hcl.2008.12.003","article-title":"Failure of differentiation: Part II (arthrogryposis, camptodactyly,\n                    clinodactyly, madelung deformity, trigger finger, and trigger thumb)","volume":"25","author":"J M Ty","year":"2009","journal-title":"Hand Clin"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/S0266-7681(05)80262-1","article-title":"Madelung Deformity: surgical prophylaxis (physiolysis) during the late growth\n                    period by resection of the dyschondrosteosis lesion","volume":"17B","author":"D Vickers","year":"1992","journal-title":"J Hand Surg Br"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1177\/1753193420981522","article-title":"The prevalence of Vickers\u2019 ligament in Madelung\u2019s deformity: a retrospective\n                    multicentre study of 75 surgical cases","volume":"46","author":"S Farr","year":"2021","journal-title":"J Hand Surg Eur Vol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"S349","DOI":"10.1016\/j.otsr.2014.06.007","article-title":"Radiological and clinical analysis of Madelung\u2019s deformity in children","volume":"100","author":"S Huguet","year":"2014","journal-title":"Orthop Traumatol Surg Res: OTSR"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1177\/1753193409346070","article-title":"Madelung\u2019s deformity: a review","volume":"35","author":"A Dubey","year":"2010","journal-title":"J Hand Surg Eur Vol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2090","DOI":"10.1016\/j.jhsa.2015.03.033","article-title":"Madelung Deformity","volume":"40","author":"S H Kozin","year":"2015","journal-title":"J Hand Surg Am"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1856","DOI":"10.1007\/s00247-015-3390-0","article-title":"Madelung deformity and Madelung-type deformities: a review of the clinical and\n                    radiological characteristics","volume":"45","author":"S Ali","year":"2015","journal-title":"Pediatr Radiol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1142\/s0218810401000424","article-title":"Histopathological analysis of Leri-Weill dyschondrosteosis: disordered growth\n                    plate","volume":"6","author":"C F Munns","year":"2001","journal-title":"Hand Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1016\/j.jhsa.2010.02.003","article-title":"Madelung\u2019s deformity: diagnostic thresholds of radiographic measurements","volume":"35","author":"H R McCarroll","year":"2010","journal-title":"J Hand Surg Am"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L","article-title":"Development of an upper extremity outcome measure: the DASH (disabilities of the\n                    arm, shoulder and hand) [corrected]. 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