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Die Arthrosis Deformans Des Kniegelenkes: Ätiologie - Pathogenese - Klinik - Begutachtung by Walter Mohing, K. Idelberger

Die Arthrosis Deformans Des Kniegelenkes: Ätiologie - Pathogenese - Klinik - Begutachtung

by Walter Mohing , K. Idelberger
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Book cover type: Paperback
  • ISBN13: 9783642484674
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Springer
  • Publisher Imprint: Springer
  • Publication Date:
  • Pages: 212
  • Original Price: EUR 51.39
  • Language: German
  • Edition: Softcover Repri
  • Item Weight: 404 grams
  • BISAC Subject(s): General

Als ich vor etwa 7 Jahren meinem damaligen Oberarzt, Herrn Dr. MOHING für seine Habilitationsarbeit das Thema "Die Arthrosis deformans des Kniege- lenkes" vorschlug, bewegten mich 2 Fragen: 1. Spielen am Kniegelenk präarthro- tische Veränderungen eine ähnlich gro e Rolle wie am Hüftgelenk und 2. Wird die Bedeutung statisch-mechanischer Ursachen für die Arthroseentstehung im Kniegelenk nicht überschätzt Beide Fragen hängen eng zusammen. Betrachtet man die Häufigkeit und Schwere der Arthrose an den verschiedenen Artikulationen, so rangieren die Gelenke der unteren Extremitäten bei weitem vor denen der oberen. Aber nicht die Sprunggelenke, die die grö te Last zu tragen haben, stehen an erster Stelle, sondern die Kniegelenke. Und nach ihnen kommen zunächst noch die Hüftgelenke. Für den Vorrang des Hüftgelenkes gibt es eine plausible Erklärung: die relative Häufigkeit präarthrotischer Krankheiten wie Epiphysenwanderung, M. Perthes, Hüftluxation. Am Kniegelenk sind jedoch derartige zur Inkongruenz führende präarthrotische Formänderungen (Osteochon- drosis dissecans, Tibia vara (BLouNT) erheblich seltener. So wurden hier, auf der Suche nach fa baren exogenen Schäden, statisch-mechanische Ursachen in den Vordergrund gerückt, z. B. X-oder O-Beine, überhöhtes Körpergewicht.

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