{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T10:13:40Z","timestamp":1773483220840,"version":"3.50.1"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Nach Beugesehnenverletzungen der Hand bestehen unterschiedliche M\u00f6glichkeiten der\n                    Weiterbehandlung. Diese k\u00f6nnen eingeteilt werden in passiv- und aktiv-dynamische\n                    Behandlungsregime. Die Auswahl der optimalen Weiterbehandlung richtet sich\n                    insbesondere nach den biomechanisch einwirkenden Kr\u00e4ften in der postoperativen\n                    Be\u00fcbung der Finger. Es bedarf deshalb quantitativer biomechanischer\n                    Untersuchungen. In dem vorliegenden Experiment wurde untersucht, welche Kr\u00e4fte\n                    in verschiedenen Handgelenkspositionen auf die oberfl\u00e4chlichen und tiefen\n                    Fingerbeugesehnen einwirken. Es wurde eine Messvorrichtung entwickelt mit deren\n                    Hilfe sich sowohl die Gesamtkr\u00e4fte der Finger, als auch die isolierten Kr\u00e4fte\n                    der oberfl\u00e4chlichen (FDS) und tiefen (FDP) Fingerbeugesehnen in vivo\n                    quantifizieren lie\u00dfen. Die Auswertung der Messungen erfolgte am Zeige-, Mittel-,\n                    Ring- und Kleinfinger (D2 \u2013 D5) beider H\u00e4nde von 50 Probanden, darunter 31\n                    Frauen (62%) und 19 M\u00e4nnern (38%). Mittels mixed ANOVA wurden die\n                    Einflussfaktoren H\u00e4ndigkeit, Geschlecht, Finger und Handgelenksposition auf\n                    gegenseitige Abh\u00e4ngigkeit \u00fcberpr\u00fcft (p&lt;0,05) und weiter mittels t-Tests und\n                    einfaktoriellen ANOVAs differenziert (p&lt;0,05). Es zeigte sich eine\n                    statistisch signifikante Kraftreduktion der Fingerkr\u00e4fte durch Beugung des\n                    Handgelenkes. An D3 wurden im Mittel die h\u00f6chsten, an D5 die geringsten Kr\u00e4fte\n                    registriert. Zwischen D2 und D4 zeigte sich kein signifikanter Unterschied. Im\n                    Mittel wurden an D2, D3 und D4 h\u00f6here Kr\u00e4fte durch den FDS als durch den FDP\n                    erreicht. An D5 zeigte sich ein umgekehrtes Kraftverh\u00e4ltnis mit einer h\u00f6heren\n                    Kraftentwicklung des FDP. Die Summe der isolierten Kr\u00e4fte des FDS und FDP ergab\n                    an D2 bis D4 rund 80%, an D5 waren es lediglich 60%. Die \u00fcbrige Kraftentwicklung\n                    kann durch den Einfluss der Mittelhandmuskulatur und im Falle von D5 zus\u00e4tzlich\n                    durch den M. flexor digiti minimi erkl\u00e4rt werden. Die Ergebnisse erm\u00f6glichen\n                    eine differenzierte Einsch\u00e4tzung der biomechanischen Kr\u00e4fte bei aktiver\n                    Fingerbeugung.<\/jats:p>","DOI":"10.1055\/a-2687-6357","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T22:30:30Z","timestamp":1761172230000},"page":"319-326","source":"Crossref","is-referenced-by-count":1,"title":["Selektive in vivo Kraftmessung oberfl\u00e4chlicher und tiefer\n                    Fingerbeugesehnen in Abh\u00e4ngigkeit von der Handgelenksposition"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3899-0866","authenticated-orcid":false,"given":"Simon","family":"Bauknecht","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lebelt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Mentzel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Engleder","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizintechnik und Mechatronik, Technische Hochschule Ulm,\n                    Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4866-2164","authenticated-orcid":false,"given":"Richard-Tobias","family":"Moeller","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Vergote","sequence":"additional","affiliation":[{"name":"Chirurgie III, Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/s0072-968x(81)80051-4","article-title":"The influence of protected passive mobilization on the healing of flexor\n                    tendons: a biochemical and microangiographic study","volume":"13","author":"R H Gelberman","year":"1981","journal-title":"Hand"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/s0363-5023(82)80083-x","article-title":"Effects of early intermittent passive mobilization on healing canine flexor\n                    tendons","volume":"7","author":"R H Gelberman","year":"1982","journal-title":"J Hand Surg Am"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"615","DOI":"10.3109\/17453678108992156","article-title":"The importance of controlled passive mobilization on flexor tendon healing. 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