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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Archives of orthopaedic and trauma surgery 111 (1992), S. 220-223 
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The transgluteal approach to the hip, first described by Bauer et al. [1] in 1979, has since become a recognized routine method. Its longitudinal incision of the fibers of the gluteus medius and minimus and the vastus lateralis muscles takes advantage of the tendinous junction of these muscles over the greater trochanter. This paper describes the modifications of the transgluteal approach described in the literature and compares them to the original procedure. In 52 hip specimens, including attached muscles, the insertions and different variations of the junction of the gluteus medius, minimus and vastus lateralis muscles over the greater trochanter are described and statistically analysed. In 59.6% of all specimens there proved to be a united tendinous junction of all the muscles referred to above, while in 40.4% autonomous insertions of the gluteus medius and/or gluteus minimus were seen. In accordance with the anatomical results, the form of incision described by the original authors can be considered the most favourable. In roughly one-third of all hip operations, autonomous insertions of gluteus medius and minimus must be taken into account, since otherwise total or partial upward displacement of the autonomous muscle insertions could occur.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Archives of orthopaedic and trauma surgery 106 (1987), S. 285-290 
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die distale femorale Fixierung des Tractus iliotibialis wurde an 100 Kniegelenken untersucht. Es fand sich ein Fasersystem mit 3 Bündeln: ein supracondylärer Ansatz verlief schräg nach distal und inserierte am supracondylärem Femur. Ein weiteres Faserbündel mit querem Verlauf verband oberfächlichen Tractus und dorsolateralen Femur. Das dritte Fasersystem verlief bogenförmig zwischen dem Tuberculum Gerdy und dorsolateralem Femur. Abstandsmessungen zwischen dem Tub.Gerdy und den femoralen Insertionen des Tractus ergaben isometrische Verhältnisse über den Bewegungsumfang des Kniegelenks nur für die Insertionsstelle am dorsolateralen Femur. Der gelenksübergreifende Anteil des distalen Tractus erscheint wesentlich für die statische laterale Stabilisierung des Kniegelenks, die Insertionsstelle am dorsolateralen Femur sollte bei Rekonstruktionen oder Raffungen beachtet werden.
    Notes: Summary The anatomy of the distal femoral fixation of the iliotibial tract was studied in 100 knee joints. A fiber bundle system with three main parts was isolated: (a) the supracondylar bundle oriented from proximal-lateral to distal-medial and fixed to the supracondylar area of the femur; (b) the fibers near to the septum with transverse course between superficial tract and dorsolateral femur; (c) the retrograde tracts which connect Gerdy's tubercle with the dorsolateral femur and form an are bridging the knee joint. Distance measurements over the range of motion of the knee joint revealed isometric conditions only for the insertion point on the dorsolateral femur. The retrograde fibers are believed to be static stabilizers of the lateral side of the knee, and their insertion point on the dorsolateral femur is the correct site for refixation or reefing of the distal iliotibial tract.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-119X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Duodenal goblet cells and Brunner's-gland cells obtained from two species of New World monkeys (Saimiri sciureus andSaguinus fuscicollis) were studied using conventional histochemical methods and by applying a panel of 17 labelled lectins. The secretions of both goblet and Brunner'-gland cells were found to contain neutral mucosubstances, while those of goblet cells also exhibit acid and sulphated carbohydrate components. Lectin binding studies allowed a more detailed analysis of the mucus glycoproteins. Marked differences between the two examined species were not detected.N-Acetyl-galactosamine, galactose, fucose andN-Acetyl-glucosamine were found to be the predominante sugar residues in Brunner's-glands glycoproteins, with mannose and glucose being only minor components.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    International orthopaedics 11 (1987), S. 193-196 
    ISSN: 1432-5195
    Keywords: Tarsal tunnel syndrome ; Proximal, Distal
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Certaines observations cliniques et électromyographiques de syndromes du tunnel tarsien permettent de penser qu'une seule des deux branches terminales du nerf tibial postérieur est comprimée. Dans cette étude anatomique les auteurs montrent quelles sont les structures qui peuvent entraîner l'atteinte isolée du nerf plantaire interne ou externe. Ils décrivent une voie d'abord chirurgical du tunnel tarsien.
    Notes: Summary Clinical and electromyographic studies in the tarsal tunnel syndrome may suggest compression of only one of the two terminal branches of the posterior tibial nerve. This anatomical study demonstrates the structures which may cause isolated damage to either the medial plantar or the lateral plantar nerves. A surgical approach to the tarsal tunnel is described.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 373 (1988), S. 91-96 
    ISSN: 1435-2451
    Keywords: Intestinal anastomosis ; Sutureless anastomosis ; Breaking strength ; Bursting pressure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Am Rattencolon, Kaninchencolon und Schweinedünndarm konnte nachgewiesen werden, daß eine Heilung von Darmanastomosen möglich ist, obwohl die initial adaptierende Naht nach einer Stunde entfernt wird. Durch invertierende Einzelknopfnähte (Jobert) werden die Darmenden zunächst adaptiert. Nach einer Stunde ist eine fibrinöse Verlötung der Darmwände eingetreten. Die invertierten Serosaflächen sind verklebt. Der Berstungsdruck weist am 1., 3. und 7. postoperativen Tag zwischen nahtfreier und Nahtanastomose keinen signifikanten Unterschied auf. Die Reißfestigkeit der Anastomose beträgt eine Stunde nach Entfernung der Fäden 19,5 ± 5,8 g = 0,19 N und 24 h nach Entfernungder Fäden80.5 g ± 9,5 g = 0,80 N. Art und Ausdehnung der Verwachsungen sind bei nahtfreien und genähten Anastomosen gleich. Im histologischen Bild zeigen Nahtanastomosen Nekroseareale, welche bei nahtfreien Anastomosen fehlen.
    Notes: Summary Healing of intestinal anastomoses was found to be effective in rat, rabbit and pig even after temporary approximation by sutures for one hour. Approximation of bowel segments was achieved by interrupted inverting sutures. After one hour a fibrinous connection of inverted serosa segments was to be observed. Bursting pressure was determined on the 1st, 3rd and 7th postoperative day. There was no significant difference between sutureless and regular anastomoses. Determination of breaking strength of approximated anastomoses one hour and twenty-four hours after removal of sutures was found to be 0.19 N and 0.8 N, respectively. Extent of adhesions was similar in conventional and sutureless anastomoses. Histologic analyses revealed areas of necrosis in sutured anastomoses, whereas in sutureless anastomoses no necrosis could be detected.
    Type of Medium: Electronic Resource
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