Alexander Schuh

• Prof. Dr. med. habil.
• Head at Marktredwitz Hospital

The common cause of neck pain in the elderly is degenerative disease. Metastasis to the atlantoaxial spine is rare and is a sequela of prostate cancer, thyroid carcinoma, breast cancer, nasopharyngeal cancer, rhabdomyosarcoma, renal cell carcinoma, or bronchial carcinoma. We present the case of a healthy 66-year-old female patient with severe neck...

The annual incidence of shoulder joint dislocation is 8.2–23.9 per 100,000 persons. A detailed medical history often provides the decisive indications for a correct diagnosis. After gentle reduction and immobilization with an orthosis a magnetic resonance imaging (MRI) examination of the shoulder is performed. The treatment decision (surgical versu...

Background: Uncemented acetabular components are widely used in modern total hip arthroplasty (THA). Modularity has numerous advantages including the ability to use supplementary screw fixation for the shell, and allow to switch from ceramic to polyethylene (PE) bearings and vice versa, and the use of lipped and face-changing liners. Objective:...

Ganglion cysts in the knee region can manifest as anterior knee pain. Unlike synovial cysts, these lesions lack synovial epithelial lining and occur secondary to mucoid degeneration of connective tissue because, often in response to chronic irritation and repetitive traumas. However, an intratendinous location is a rare finding. In the knee region,...

Traumatic pulmonary hernia is an uncommon occurrence resulting from chest trauma, typically covered by the skin. Chest trauma may arise from penetrating or blunt mechanisms, with blunt trauma being more frequently observed. When lung herniation transpires, various symptoms such as chest pain, dyspnea, subcutaneous emphysema, bone crepitation, and h...

Cubital tunnel syndrome is the second most common neuropathy of the upper extremity. Cubital tunnel syndrome caused by intraneural ganglion cysts is rare in clinical practice. We present the case of a 71-year-old male patient with a 4-month history of cubital tunnel syndrome of the left elbow due to an intraneural ganglion cyst. After revision of t...

Running is one of the most popular sports worldwide motivating many non-athletic people to start new physical activities. But especially novice runners are at risk to develop injuries as they tend to run with prejudicial posture. Hence, there has been considerable research to identify factors improving running performance. One of these factors is t...

The use of modular femoral stems in primary and revision arthroplasty of the hip has become popular within the last decade. On the other hand, modularity creates new potential problems like fretting, crevice and galvanic corrosion, component loosening, dissociation, and fracture of modular prostheses. Recently a problem of fracture of a locking scr...

Tibial plateau fractures (TPF) comprise 1% of all fractures, despite their limited frequency, due to their intraarticular nature they commonly result in significant functional morbidity. Generally, younger, and middle-aged men (64%) tend to have fractures as a result of high-energy trauma, such as high-speed motor vehicle accidents or falls from a...

Intramuscular myxoma (IM) is a benign, soft tissue neoplasm of mesenchymal origin. IM is rare, with an incidence of between 0.1 and 0.13 in every 100,000 individuals. Onset is usually between the fourth and seventh decades of life, predominantly in women (70%). The thigh is the common site of involvement seen in 51% patients, followed by upper arm...

Intraosseous calcaneal lipoma is a rare benign bone tumor. The incidence of intraosseous lipoma involving the calcaneus has been noted to account for fewer than 8-15% of all intraosseous lipoma. The etiology of the lesion is unknown. A post-traumatic secondary bone reaction, healing bone infarct, and benign neoplasm have been discussed. The symptom...

Das sogenannte "Bewegungssegment" als kleinste Einheit für den funktionalen Aufbau der Wirbelsäule besteht jeweils aus zwei Wirbeln und der dazwischenliegenden Bandscheibe. Für die Funktion der Wirbelsäule sind die Bandscheiben von großer Bedeutung. Neben der Bewegungsfunktion haben sie eine Pufferfunktion und gewährleisten die Druckverteilung inne...

Purpose: Peripheral nerve blocks can be a suitable alternative to central neuraxial blockage, as the sole anaesthetic agent for better early postoperative outcomes, decreased hospital stay and earlier mobilisation after anterior cruciate ligament reconstruction (ACLR) surgery. The purpose of this study was to compare consciousness during the proced...

Sehnen- und Sehnenscheidenerkrankungen wie die Tendovaginitis stenosans de Quervain und der schnellende Finger sind die häufigsten Erkrankungen, die einen Patienten veranlassen, sich bei einem Handchirurgen vorzustellen. Weitere häufige Erkrankungen der Hand bzw. Handgelenk sind die Polyarthrose, die Rhizarthrose, der Morbus Dupuytren und das Karpa...

Macromastia often leads to physical complaints involving pain in the shoulder/neck area. In Germany, there are virtually no reliable data on the effects of breast reduction surgery with regard to neck and spine complaints. Therefore, the authors carried out a retrospective study to investigate the effect of breast-reducing surgery on neck pain and...

Introduction An acute patellofemoral dislocation is the most common acute knee injury in children. Recent studies suggest up to 40% of immature patients may develop recurrent instability. MPFL reconstruction has become a mainstay for the treatment of patellofemoral instability. Aim of the recent study is to show our experiences of MPFL reconstructi...

Purpose The outcome of arthroscopic anterior cruciate ligament reconstruction (ACLR) in the non-athlete population is under-reported. The study aimed to compare the functional outcomes of ACLR in the non-athlete and athlete population by patient reported outcome measures (PROMs)- International Knee Documentation Committee score (IKDC), Lysholm knee...

Purpose Aim of this study was to compare outcomes of a newer technique of pie-crusting of the femoral origin of medial collateral ligament (MCL) with the conventional medial release, for correcting varus deformity during total knee arthroplasty. Null hypothesis was that there is no difference in clinical outcomes between these two techniques. Meth...

Die primäre Hüft- und Knieendoprothetik stellt das erfolgreichste Therapiekonzept zur Behandlung des Endstadiums der Coxarthrose bzw. der Gonarthrose dar nach Ausschöpfen der konservativen und gelenkerhaltenden operativen Therapiemaßnahmen. Hüft- und Knieendoprothesen zählen mit mehr als 445.000 Eingriffen im Jahr 2017 zu den häufigsten operativen...

Purpose This article aimed to study in a systematic manner outcomes and complication rates after total knee arthroplasty (TKA) in patients who have undergone a prior knee arthroscopy for osteoarthritis. Our hypothesis was that a prior knee arthroscopy may be detrimental to the outcomes of knee arthroplasty in the future. Methods Electronic searche...

Die Lebenszeitprävalenz von Schulterschmerzen beträgt 70%. 50% der Betroffenen leiden über einen Zeitraum von über einem Jahr an Schulterschmerzen. In der täglichen (Hausarzt-) Praxis finden sich am häufigsten atraumatische Schulterschmerzen in Zusammenhang mit der Rotatorenmanschette (Rotatorenmanschettenruptur und/oder Impingementsyndrom), der Om...

Background This study sought to retrospectively evaluate the clinical and magnetic resonance imaging (MRI) outcomes of u-HA/PLLA pin (u-HA/PLLA: hydroxyapatite/poly-L-lactic acid) pin fixation of unstable osteochondritis dissecans (OCD) lesions of the knee. Methods Seven adolescent patients (four females and three males) with arthroscopically unsta...

Purpose Acetabulum fractures are being increasingly seen with low impact injuries in elderly patients. This article aimed to study systematically literature on geriatric acetabulum fractures. Objectives of this systematic review were to study (1) demography of patients, common mechanisms of injury and types of fracture patterns commonly seen in eld...

Das postoperative Delir tritt bei rund einem Drittel der älteren Patienten auf. Es handelt sich um eine schwere Komplikation, die für die betroffenen Patienten und ihre Angehörigen sehr belastend ist. Der Hausarzt, der zumindest bei elektiven Operationen für die Operationsvorbereitung verantwortlich ist, kann Maßnahmen treffen, um das Risiko für ei...

Femoral component fracture in total knee replacement (TKR) is a rare complication. In the majority of case reports, stress fractures of the femoral component have predominantly affected the medial condyle, following uncemented implantation of fixed-bearing knees. We report the case of fracture of the lateral condyle of a cemented fixed TKR due to b...

Über die letzten Jahre zeigte sich innerhalb der deutschen Bevölkerung ein deutlicher Trend hin zum Übergewicht. Durch technologischen Fortschritt nimmt die Zahl wirbelsäulenchirurgischer Eingriffe, insbesondere von Fusionsoperationen zu. Bei adipösen Patienten sollte man sich bei der Indikation und der Op.-Vorbereitung der spezifischen prä-, intra...

Introduction: The use of modular femoral stem design has grown increasingly popular over the last decade because of the advantage of more optimization of femoral anteversion, limb length, and femoral component offset and intraoperative flexibility when partial hip implant revision is required. Possible complications include corrosion, dissociation...

Nach einem künstlichen Hüftgelenksersatz klagen bis zu 6% der Patienten mit radiologisch unauffälligen Prothesen über Schmerzen im Operationsbereich. Hier ist eine sorgfältige Diagnostik essenziell, um die Ursachen benennen und das weitere Vorgehen planen zu können.

Purpose Surgical treatment for partial rotator cuff tears may include debridement of the tear, subacromial decompression or repair of the tear. Repair of the tear can be either in-situ repair, or completion of the tear followed by repair. Though it is agreed that surgical repair is required for tears more than 50% of the thickness of rotator cuff,...