{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T23:12:08Z","timestamp":1790032328870,"version":"4.0.1"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Karpometakarpale Luxationsfrakturen der ulnaren Strahlen sind seltene, jedoch\n                    komplexe Verletzungen der Hand, die uns nicht selten vor Herausforderungen\n                    stellen. Epidemiologisch zeigen sich die Patienten \u00fcberwiegend m\u00e4nnlich, in\n                    jungem Alter und mit einem hohen Anteil an Verletzungen als Schlagfolge.\n                    Aufgrund der nicht immer eindeutigen Klinik und der h\u00e4ufig \u00fcbersehenen\n                    Verletzung in der konventionellen Bildgebung, besteht ein erh\u00f6htes\n                    Risikopotential f\u00fcr verz\u00f6gerte Diagnostik und Therapie, welche mit einem\n                    schlechteren Outcome einherzugehen scheint. Die fr\u00fche CT- Diagnostik bei\n                    Verdachtsdiagnose erscheint essentiell.<\/jats:p>\n                  <jats:p>Neben einer konsistenten Beteiligung des V. Mittelhandknochens, zeigen sich auch\n                    der IV. Mittelhandknochen sowie das Os hamatum anteilig oder kombiniert\n                    mitbetroffen. Die konservative Therapie erscheint nur in seltenen F\u00e4llen\n                    gleichwertig und die operative Therapie ist meist zu bevorzugen. Die Wahl des\n                    operativen Zugangs und der osteosynthetischen Versorgung mit transfixierenden\n                    oder reponierenden K- Dr\u00e4hten, Schrauben- und Plattenosteosynthese ist vom\n                    jeweiligen Verletzungsfall abh\u00e4ngig und sollte fallabh\u00e4ngig entschieden\n                    werden.<\/jats:p>\n                  <jats:p>Die klinischen Ergebnisse sind nach regelrechter operativer Versorgung trotz\n                    komplexer Verletzung h\u00e4ufig gut, jedoch fehlen verl\u00e4ssliche Langzeitdaten zu\n                    postoperativen Einschr\u00e4nkungen und Arthroseentwicklung. Im mittelfristigen\n                    Verlauf k\u00f6nnen mittels Handtherapie gute Ergebnisse bez\u00fcglich Kraft und Funktion\n                    erreicht werden. Im Falle einer posttraumatischen Arthrose mit anhaltenden\n                    Beschwerden sind verschiedene Rettungsoperationen mit unterschiedlichen\n                    Vorteilen und Risiken m\u00f6glich.<\/jats:p>","DOI":"10.1055\/a-2938-7233","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T22:49:32Z","timestamp":1790030972000},"source":"Crossref","is-referenced-by-count":0,"title":["Ulnare karpometakarpale Luxationsfrakturen des 4.+5.\n                    Strahls"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5355-6933","authenticated-orcid":false,"given":"Arne","family":"Tenbrock","sequence":"additional","affiliation":[{"name":"Krankenhaus Waldfriede e V, Germany","place":["Berlin-Zehlendorf"],"department":["Handchirurgie, obere Extremit\u00e4t und Fu\u00dfchirurgie, Zentrum f\u00fcr\n                    Orthop\u00e4die, Unfallchirurgie, Zentrum f\ufeff\u00fcr Rheumatologie und\n                    Rheumaorthop\u00e4die"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Weber","sequence":"additional","affiliation":[{"name":"BG Klinikum Bergmannstrost Halle, Germany","place":["Halle (Saale)"],"department":["Klinik f\u00fcr Plastische und Handchirurgie,\n                    Brandverletztenzentrum"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Lautenbach","sequence":"additional","affiliation":[{"name":"Krankenhaus Waldfriede e V, Germany","place":["Berlin-Zehlendorf"],"department":["Handchirurgie, obere Extremit\u00e4t und Fu\u00dfchirurgie, Zentrum f\u00fcr\n                    Orthop\u00e4die, Unfallchirurgie, Zentrum f\ufeff\u00fcr Rheumatologie und\n                    Rheumaorthop\u00e4die"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"ref1","volume-title":"Hrsg. 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