J Jerosch

St. Augustinus-Kliniken, Neuss, North Rhine-Westphalia, Germany

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Publications (479)473.24 Total impact

  • J. Jerosch
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    ABSTRACT: This article presents the spectrum of indications for the use of hyaluronic acid (HA) based on the recommendations of the European League Against Rheumatism (EULAR), the American College of Rheumatology (ACR), the Osteoarthritis Research Society International (OARSI), the International Institute for Health and Clinical Excellence (NICE) and the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) taking the reality of patient care in Europe into account.
    No preview · Article · Oct 2015 · Zeitschrift für Rheumatologie
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    ABSTRACT: Viscosupplementation (VS) with hyaluronic acid is currently used by physicians to treat osteoarthritis. However, many aspects of this treatment remain questionable and subject of controversy. A group of 8 experts in this field, from European countries, met to debate on 24 statements previously listed by the group members. Based on an extensive research of the literature and expert opinion, a consensus position has been proposed for each statement. Agreement was achieved on some recommendations. In particular, the expert achieved unanimous agreement in favor of the following statements: VS is an effective treatment for mild to moderate knee OA; VS is not an alternative to surgery in advanced hip OA; VS is a well-tolerated treatment of knee and other joints OA; VS should not be used only in patients who have failed to respond adequately to analgesics and NSAIDs; VS is a "positive" indication but not a "lack of anything better" indication; the dosing regimen must be supported by evidence-based medicine; cross-linking is a proven means for prolonging IA residence time of HA; the best approach to inject accurately knee joint is the lateral mid-patellar one; when VS is performed under fluoroscopy, the amount of radiopaque contrast agent must be as low as possible to avoid viscosupplement dilution. These clear recommendations have been established to help practitioners in the use of viscosupplementation. Copyright © 2015 Elsevier Inc. All rights reserved.
    Full-text · Article · Apr 2015 · Seminars in Arthritis and Rheumatism
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    ABSTRACT: The aim of this study was to evaluate the clinical and radiological outcome of the Total Evolutive Shoulder System (TESS) in patients with cuff tear arthropathy and patients in need of a revision arthroplasty. In this sequential study, 67 patients (56 non-stemmed, 11 stemmed) were evaluated after a mean follow-up of 17.5 months. The relative Constant and DASH scores, radiological joint geometry changes, complications and postoperative problems, which are not likely to affect the outcome, were evaluated. A significant increase was noticed for the relative Constant (11.3 vs. 78.8 %) and DASH scores (73.7 vs. 31.8) without significant differences between both etiology groups. Complication rates were similar to previous studies. An aseptic loosening of the non-stemmed humeral component was not noticed in the cuff tear arthropathy group, whereas one case with a loosening was noticed in the revision arthroplasty group. With nine cases (13.4 %), scapular notching rates were very low. On average, the acromiohumeral distance increased by 17 mm and the humeral offset by 13.9 mm; the height of the center of rotation decreased by 4.6 mm and the lateral glenohumeral offset by 6.1 mm, p < 0.05, respectively. Regarding the joint geometry, surgery with the TESS system provided adequate distalization and medialization of the humerus and the center of rotation. This corresponds to a good clinical outcome. The use of the surgical opportunity to implant the prosthesis with a relatively low neck-shaft angle might explain the low rates of scapular notching in our series. Regarding the case with a loosening of the humeral component, the surgeon should carefully indicate a stemless version for metaphyseal press-fit fixation in patients with revision arthroplasty.
    No preview · Article · Apr 2015 · Archives of Orthopaedic and Trauma Surgery
  • J. Jerosch
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    ABSTRACT: Total hip replacement is one of the most successful operation of the last century. However, there are still patients with complaints with a total hip replacement. The diagnostic workout is not always easy. The cause for complaints can be multiple. Mechanical causes (intra- And extracapsular) can be differentiated from infection and other causes outside the hip itself. Of main importance for the diagnostic workup is the specific pain history, the clinical examination including the gait analysis. Plain x-rays include the pelvis as well as the complete femur. The onset of pain in relation to the implantation of the implant can also give some clues. Infection is still the most important problem to rule out. Leg length discrepancies are also important clinical and legal problem. Sometime even diagnostic arthroscopy is necessary.
    No preview · Article · Apr 2015 · Chirurgische Praxis
  • Joerg Jerosch
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    ABSTRACT: Opinions differ regarding the surgical treatment of posterior calcaneal exostosis. After failure of conservative treatment, open surgical bursectomy and resection of the calcaneal prominence is indicated by many investigators. Clinical studies have shown high rates of unsatisfactory results and complications. Endoscopic calcaneoplasty (ECP) is a minimally invasive surgical option that can avoid some of these obstacles. ECP is an effective procedure for the treatment of patients with posterior calcaneal exostosis. The endoscopic exposure is superior to the open technique and has less morbidity, less operating time, fewer complications, and the disorders can be better differentiated. Copyright © 2015 Elsevier Inc. All rights reserved.
    No preview · Article · Dec 2014 · Foot and Ankle Clinics of North America
  • J Jerosch
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    ABSTRACT: Die zurzeit auf dem Markt befindlichen Hüftkurzschäfte unterscheiden sich erheblich und lassen sich differenzieren in schenkelhalserhaltende, -teilerhaltende und -resezierende Systeme. Im vorliegenden Beitrag werden die Abweichungen in den Designmerkmalen dargestellt. Besonderer Wert wird dabei auf die unterschiedlichen Implantationstechniken sowie die Besonderheiten der einzelnen Systeme hinsichtlich der Reproduzierbarkeit der individuellen Anatomie des Patienten, aber auch die osteologische Potenz gelegt.
    No preview · Article · Jul 2014 · Der Orthopäde
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    ABSTRACT: Humeral resurfacing arthroplasty represents an alternative option to hemiarthroplasty for treatment of cuff tear arthropathy (CTA), with the advantages as follows: suitability for relatively young and high-demand patients because of preservation of bone stock and no loss of length, less invasive surgery, shorter operation time, no risk of periprosthetic stem fractures, and revision surgery can be undertaken easily. In the current study, resurfacing arthroplasty in combination with latissimus dorsi tendon transfer for CTA was performed. Three hypotheses: first, humeral resurfacing arthroplasty in combination with latissimus dorsi tendon transfer would improve the overall functional outcome in patients with CTA. Second, this combination would improve humeral external rotation. Third, this combination would improve abduction and shoulder elevation. Study was conducted as an observational case series. Fourteen patients (nine ♀ and five ♂) having CTA were included. Follow-up was carried out at the end of the 28th month for all patients. Constant Score was used for follow-up evaluation. Dorso-axillary approach was used for latissimus dorsi tendon transfer and ventral deltopectoral approach for Copeland resurfacing. Tendons were fixed to the greater tuberosity with two anchors. The absolute Constant Score significantly improved from 34 preoperatively to 69 postoperatively, relative Constant Score from 42 to 91 %, elevation from 95° to 138°, abduction from 88° to 147°, and external rotation from 16° to 22° (not significant). Humeral resurfacing arthroplasty in combination with latissimus dorsi tendon transfer in patients having CTA with preserved subscapularis function has satisfactory short-term functional clinical outcome. LEVEL OF EVIDENCE: IV.
    No preview · Article · Mar 2014 · European Journal of Orthopaedic Surgery & Traumatology
  • J Jerosch · S Stobbe · G Schmid · J Schunck · T Filler
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    ABSTRACT: Purpose: The purpose of the present study was to evaluate the MRI of the hip musculature as well as specific blood parameters on comparison of the Bauer approach with the minimally invasive ALMI approach. Material and methods: We compared two patient groups after total hip replacement, which were operated either via the Bauer or the ALMI approach. All 47 patients had the same cementless hip design. All surgeries were performed by two experienced hip surgeons with experience of more than 1200 ALMI approaches. The patient groups did not differ concerning age, sex or side which was operated on. All MRI were performed in a standardised technique with a Philips Outlook Proview (0.23 Tesla). Patients were scanned preoperatively, within 2 weeks after surgery and at time of follow-up 14 months after surgery. The evaluation of the MRI findings was performed by two independent and blinded examiners. In order to document the muscle damage we documented myoglobin (the day before surgery, 6 hours postoperatively and at the first postop. day) und troponin (6 hours postoperatively). Results: Preoperatively the male patients showed a significantly larger diameter of the gluteus medius muscle. We also could demonstrate in many patients a fatty degeneration even before surgery. At time of follow-up there was no significant difference between the two patient populations concerning the fatty degeneration. There was also no significant difference concerning the muscle atrophy. Muscle oedema, that was present before surgery, however, was no longer present at the time of follow-up. Two patients even preoperatively showed a lesion of the gluteus medius tendon. The range of the postoperative myoglobin level was high (118-5411 µg/L), in the ALMI group the standard deviation was 1445 µg/L, in the Bauer group it was 738 µg/L. There was no significant difference between both groups. Similar findings were documented for the troponin levels. Conclusion and clinical relevance: Even before THR many patients show significant degeneration in the hip muscles. Muscle oedema that was present before surgery had disappeared at the time of follow-up. The fatty degeneration was still present at the time of follow-up. There was no difference concerning the muscle atrophy between the ALMI and the Bauer groups.
    No preview · Article · Dec 2012 · Zeitschrift fur Orthopadie und Unfallchirurgie
  • J. Jerosch · D. Mertens · T.J. Filler
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    ABSTRACT: In over head athletes a dysfunction of the suprascapular nerve is described. In the literature there is mentioned a relation between the spinoglenoid ligament and the dysfunction of the suprascapular nerve. A judge variability of this ligament is described. There are a significant number of cases a possible entrapment of different origin. These findings have implications on the diagnostic and the treatment.
    No preview · Article · Aug 2012 · Chirurgische Praxis
  • Jörg Jerosch · Manfred Söhling
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    ABSTRACT: Objectives To evaluate two doses of botulinum toxin A [BoNT-A] for the treatment of chronic myofascial pain syndrome [MPS]. Methods: A 12-week, open-label, randomized study in which patients [N = 163] with MPS in the neck and shoulder girdle muscles were treated with intramuscular injections of 200 U [25 Utrigger point [TrP]] or 320 U [40 UTrP] BoNT-A. Results: At Week 7, 34.8 percent of BoNT-A 200 U and 34.3 percent of BoNT-A 320 U patients had clinically significant improvement in pain. Treatment was well-tolerated. Conclusions: Both doses provided effective relief from chronic MPS; benefits were maintained for at least three months.
    No preview · Article · May 2012 · Journal of Musculoskeletal Pain
  • J Jerosch · S Sokkar · M Dücker · A Donner
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    ABSTRACT: Posterior calcaneal exostosis treatment modalities have given rise to many controversial opinions. After failure of the conservative treatment, surgical bursectomy and resection of the calcaneal exostosis are indicated by many authors. But clinical studies also show a high rate of unsatisfactory results with a relative high incidence of complications. The minimally invasive surgical technique by an endoscopic calcaneoplasty (ECP) could be an option to overcome some of these problems. Between 1999 und 2010 we operated 164 patients with an age range between 16 and 67 years, 81 males and 83 females. The radiological examination prior to surgery documented in all cases a posterior superior calcaneal exostosis that showed friction to the Achilles tendon. All patients included in the study had no clinical varus of the hind foot, nor cavus deformities. All patients had undergone a trial of conservative treatment for at least 6 months and did not show a positive response. The average follow-up was 46.3 (range: 8-120) months. According to the Ogilvie-Harris score 71 patients presented good and 84 patients excellent results, while 5 patients showed fair results, and 4 patients only poor results. All the post-operative radiographs showed sufficient resection of the calcaneal spur. In 61 patients the preoperative MRI showed a partial rupture of the Achilles tendon close to the insertion side. In no case could we observe a complete tear at the time of follow-up. Only minor postoperative complications were observed. In many patients we could observe a chondral layer at the posterior aspect of the calcaneus. Close to the intersion the Achilles tendon showed also in many patients a chondroide metaplasia. ECP is an effective and minimally invasive procedure for the treatment of patients with calcaneal exostosis. After a short learning curve the endoscopic exposure is superior to the open technique, has less morbidity, less operating time, and nearly no complications. Moreover, the pathology can be better differentiated.
    No preview · Article · Dec 2011 · Zeitschrift fur Orthopadie und Unfallchirurgie
  • J Jerosch
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    ABSTRACT: The presently available short hip stem designs show significant differences and can be differentiated into those containing the neck, those partially containing the neck and neck resection designs. In this article the currently available designs will be presented. Except for the Mayo stem there are no long-term results available. There are significant differences between the the systems especially with respect to reproducibility of the individual anatomy of patients therefore DEXA and DSA studies are needed in order to identify problematic stem designs early before clinical failures are produced in a large number of patients.
    No preview · Article · Nov 2011 · Der Orthopäde
  • J Jerosch · T Filler · T Mertens
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    ABSTRACT: In over-head motion athletes a dysfunction of the suprascapular nerve has been described. In the literature a relation between the spinoglenoid ligament and the dysfunction of the suprascapular nerve is mentioned. An appreciable variability of this ligament is described. The purpose of the present study was the anatomic documentation of the spinoglenoid ligament and its relation to the suprascapular nerve. In 36 shoulder specimen the suprascapular nerve, the spinoglenoid and bony parameter of the scapula were documented. The statistic evaluation was performed with SPSS12.0. In all but one specimen a spinoglenoid ligament was present. In 20 cases (56 %) the infraspinatus muscle inserted at the spinoglenoid ligament. In five cases (14 %) the spinoglenoid ligament reached the glenohumeral joint capsule. In two cases the suprascapular nerve was completely fixed with the ligament, in four cases the perineural soft tissue had a close connection to the ligament. In four cases a branch of the nerve passed through the ligament. All together in 28 % of the specimen there were mechanical conflicts. In one case a ganglion compressed the nerve. Our anatomic study showed in a significant number of cases a possible entrapment of different origins. These findings have implications both for diagnostics and treatment.
    No preview · Article · Oct 2011 · Zeitschrift fur Orthopadie und Unfallchirurgie
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    Jörg Jerosch
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    ABSTRACT: Osteoarthritis (OA) is a degenerative joint disease that is characterized by increasing loss of cartilage, remodeling of the periarticular bone, and inflammation of the synovial membrane. Besides the common OA therapy with nonsteroidal anti-inflammatory drugs (NSAIDs), the treatment with chondroprotectives, such as glucosamine sulfate, chondroitin sulfate, hyaluronic acid, collagen hydrolysate, or nutrients, such as antioxidants and omega-3 fatty acids is a promising therapeutic approach. Numerous clinical studies have demonstrated that the targeted administration of selected micronutrients leads to a more effective reduction of OA symptoms, with less adverse events. Their chondroprotective action can be explained by a dual mechanism: (1) as basic components of cartilage and synovial fluid, they stimulate the anabolic process of the cartilage metabolism; (2) their anti-inflammatory action can delay many inflammation-induced catabolic processes in the cartilage. These two mechanisms are able to slow the progression of cartilage destruction and may help to regenerate the joint structure, leading to reduced pain and increased mobility of the affected joint.
    Preview · Article · Aug 2011 · International Journal of Rheumatology
  • J. Jerosch · J. Heisel · A. Schulz
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    ABSTRACT: For the differential diagnosis of knee pain is the past history as well as the clinical examination most important. Most of the patient plain x-rays are showing the diagnosis. Only rarely a MRI is necessary. Bonescan or computertomography is usually not indicated. Most important for the clinical examination is a reduction of weight as well as the adaptation of the activities of daily living. Physicaltherapy is usually followed by non steroidal and inflammatory drugs. Recently the use of SYSADOA (symptomatic slow acting drugs against osteoathritis) have more and more impact. Nowadays we have good evidence for the use of intraarticular hyaluron acids. Elective cartilage treatment seems to be useful in younger patients. Correctionosteotomy around the knee are more and more replaced by unilateral joint replacement. A new trend is the patient adopted and the prothetic replacement, which only those soft joint replaced which are destroyed.
    No preview · Article · Jun 2011 · Tagliche Praxis
  • J Jerosch · C Grasselli · P C Kothny · D Litzkow · T Hennecke
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    ABSTRACT: The purpose of the study was to analyse different parameters before and after implantation of a modern short-stem hip design. In this prospective radiological study 250 consecutive hips with degenerative hip osteoarthritis were included (246 patients). The patients were operated by five different surgeons at 4 different hospitals and a metadiaphysial fixed short-stem prothesis (Mini Hip, Corin) was used. Standardised X-rays were performed with the same technique pre- and postoperatively in all patients. Different anatomic parameters of the hip were documented by using the pre- and postoperative Xrays (ofset, CCD angle, length of leg). All measurements were performed by an independent examiner. The 246 patients included 129 females and 117 males. The average age of the patients was 59.7 years (range: 27-82 years). The offset only changed by + 0.28 cm (SD: 0.45 cm) after surgery. We could document only a small decrease of -0.51° (SD: 4.10°) of the CCD angle. The length of the leg increased on average by + 0.09 cm (SD: 0.34 cm). We found no difference between the measurements of female and male patients. Conspicuous was also the increasing use of small protheses (size 2) for hips with a small CCD angle and the increasing implantation of large protheses (size 9) in hips with a high CCD angle. Our results showed that we could reconstruct the individual geometry of the hip quite well by using the metadiaphysial short-stem prothesis. The tendency of an increasing CCD angle and a decrease of the offset seems not to be existent with the design of this kind of short-stem prothesis.
    No preview · Article · Apr 2011 · Zeitschrift fur Orthopadie und Unfallchirurgie
  • J. Jerosch

    No preview · Article · Dec 2010 · Perioperative Medizin
  • J. Jerosch · J. Heisel · A. Schulz
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    ABSTRACT: For the differential diagnosis of knee pain is the past history as well as the clinical examination most important. Most of the patient plain x-rays are showing the diagnosis. Only rarely a MRI is necessary. Bonescan or computertomography is usually not indicated. Most important for the clinical examination is a reduction of weight as well as the adaptation of the activities of daily living. Physicaltherapy is usually followed by non steroidal and inflammatory drugs. Recently the use of SYSADOA (symptomatic slow acting drugs against osteoathritis) have more and more impact. Nowadays we have good evidence for the use of intraarticular hyaluron acids. Elective cartilage treatment seems to be useful in younger patients. Correctionosteotomy around the knee are more and more replaced by unilateral joint replacement. A new trend is the patient adopted and the prothetic replacement, which only those soft joint replaced which are destroyed.
    No preview · Article · Aug 2010 · Chirurgische Praxis
  • J. Jerosch · M. Loew

    No preview · Article · Jun 2010 · Obere Extremität
  • J. Jerosch · J. Heisel
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    ABSTRACT: During the last decade there have been significant changes in the perioperative management of total hip replacement patients. This process begins in the preoperative phase. Many patients are much better informed and standardized preoperative patient programs improve patient outcome and optimize the clinical pathways. The techniques in perioperative pain management have also significantly improved. The surgeon should not only rely on the anesthesiologist but should also use the options available during surgery. Postoperative weight bearing is handled in a much more progressive way than previously. In a standard primary hip replacement pain-adapted full weight bearing is possible if there are no patient-specific problems. There has also been a shift in the postoperative capability of performing athletic or recreational activities. In general patients can perform those activities that were performed before the surgery, which also includes, for example downhill skiing.
    No preview · Article · Jan 2010 · Der Unfallchirurg

Publication Stats

4k Citations
473.24 Total Impact Points

Institutions

  • 2008-2010
    • St. Augustinus-Kliniken
      Neuss, North Rhine-Westphalia, Germany
    • Santa Chiara Hospital
      Trient, Trentino-Alto Adige, Italy
  • 1991-2002
    • University of Münster
      • • Institute of Anatomy
      • • Clinic for General Orthopedics and Tumor Orthopedics
      Münster, North Rhine-Westphalia, Germany
  • 2001
    • Johannes Kepler University Linz
      • Forschungsinstitut für Pflege- und Gesundheitssystemforschung
      Linz, Upper Austria, Austria
  • 2000
    • Christian-Albrechts-Universität zu Kiel
      • UKSH Klinik für Orthopädie
      Kiel, Schleswig-Holstein, Germany
  • 1999
    • Ruhr-Universität Bochum
      Bochum, North Rhine-Westphalia, Germany
  • 1998
    • Arabella Park Orthopedic Center, Munich
      München, Bavaria, Germany
  • 1989-1998
    • Heinrich-Heine-Universität Düsseldorf
      • Orthopädische Klinik
      Düsseldorf, North Rhine-Westphalia, Germany
  • 1997
    • Schön Klinik München Harlaching
      München, Bavaria, Germany
  • 1989-1991
    • Medizinische Laboratorien Düsseldorf
      Düsseldorf, North Rhine-Westphalia, Germany
  • 1988-1990
    • Orthopädische Universitätsklinik Friedrichsheim
      Frankfurt, Hesse, Germany