Der Heutige Stand Der Lehre Vom Sudeck-Syndrom
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Die Lehre vom Sudeck-Syndrom hat einen Punkt erreicht, an dem eine Sichtung und Zusammenfassung erforderlich erscheint. Die erheb- liche Zunahme des Syndroms in Deutschland, aber auch in anderen Ländern Europas, hat das Krankheitsbild mit in den Vordergrund des wissenschaftlichen, praktisch-ärztlichen und sozial-wirtschaftlichen Inter- esses gerückt. Wichtige neue Erkenntnisse auf den Gebieten der Ätio- logie und Pathogenese, der Therapie und der Versicherungsmedizin, die in einer sehr gro en Zahl von Arbeiten enthalten sind, bedürfen einer zusammenfassenden Darstellung. Auch ist das Sudeck-Syndrom keines- wegs mehr nur eine Angelegenheit der Unfallärzte und der Röntgen- ologen; es hat mit seinem "Formenkreis" Einzug in fast alle Sonder- fächer der Heilkunde gehalten. Diese Ausweitung macht ebenfalls eine zusammenfassende und abstimmende Bearbeitung wünschenswert, will man die sich abzeichnende Entwicklung einer autarken, durch spezialistische Vorhänge getrennten und auseinander strebenden Beur- teilung des "Sudeck" vermeiden. Dabei erhebt sich die Frage, ob und inwieweit es bei dem heutigen Stand der Forschung überhaupt noch möglich ist, derartige Probleme aus einer Feder zur Darstellung zu bringen. Gerade am Sudeck - "Syndrom" wird deutlich, wie schwer es ist, die Forschungsergebnisse der verschiedenen Sonderfächer zu über- brücken, ja, vielleicht noch ganz zu verstehen. Wenn daher ein Ver- treter eines medizinischen Teilgebietes es unternimmt, die an der Sudeckschen Dystrophie beteiligte, periphere und zentrale Regulations- störung mit ihren vegetativ-nervalen, hormonalen und chemischen Ein- flüssen auf die periphere Durchblutung und den Stoffwechsel abzu- handeln, so sind di. esem Unterfangen auch beim besten Streben nach Wahrheit gewisse qualitative und quantitative Grenzen gezogen, welche die Bitte um Nachsicht erklären.
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