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Article ; Online: Epiphyseolysis capitis femoris.

Berg, Sebastian / Kuminack, K F

Radiologie (Heidelberg, Germany)

2023 Volume 63, Issue 10, Page(s) 745–748

Abstract: Background: In slipped capital femoral epiphysis (SCFE), the femoral head slides in an anterosuperior direction along the growth plate. The femoral head remains in the acetabulum. The pathogenesis of SCFE is multifactorial. An important predisposing ... ...

Title translation	Slipped capital femoral epiphysis.
Abstract	Background: In slipped capital femoral epiphysis (SCFE), the femoral head slides in an anterosuperior direction along the growth plate. The femoral head remains in the acetabulum. The pathogenesis of SCFE is multifactorial. An important predisposing factor is obesity. Problem: Epiphysiolysis can compromise the blood supply to the epiphysis and osteonecrosis of the femoral head may result. Diagnostics and prognosis: Conventional radiography represents the first diagnostic step. The long-term prognosis of the disease depends on the residual deformity of the femoral head and in the worst case may result in early osteoarthritis of the hip joint.
MeSH term(s)	Humans ; Slipped Capital Femoral Epiphyses/diagnostic imaging ; Slipped Capital Femoral Epiphyses/surgery ; Hip Joint/diagnostic imaging ; Osteoarthritis, Hip/diagnostic imaging ; Osteoarthritis, Hip/etiology ; Radiography ; Femur Head/diagnostic imaging
Language	German
Publishing date	2023-07-04
Publishing country	Germany
Document type	English Abstract ; Journal Article ; Review
ISSN	2731-7056
ISSN (online)	2731-7056
DOI	10.1007/s00117-023-01177-w
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Kindliche Beckenfrakturen

Karvouniaris, Nikos / Kuminack, Kerstin / Schmal, Hagen

Orthopädie und Unfallchirurgie up2date

2021 Volume 16, Issue 02, Page(s) 147–160

Keywords	Unfallchirurgie ; Kindertraumatologie ; Pädiatrie ; Beckenfraktur ; Schockraum ; Polytrauma
Language	German
Publishing date	2021-03-18
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	2207798-4
ISSN	1861-1982 ; 1611-7859
ISSN (online)	1861-1982
ISSN	1611-7859
DOI	10.1055/a-1170-2440
Database	Thieme publisher's database

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Article: Is Whole-Body Computed Tomography the Standard Work-up for Severely-Injured Children? Results of a Survey among German Trauma Centers.

Bayer, J / Reising, K / Kuminack, K / Südkamp, N P / Strohm, P C

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca

2015 Volume 82, Issue 5, Page(s) 332–336

Abstract: Purpose of the study: Whole-body computed tomography is accepted as the standard procedure in the primary diagnostic of polytraumatised adults in the emergency room. Up to now there is still controversial discussion about the same algorithm in the ... ...

Abstract	Purpose of the study: Whole-body computed tomography is accepted as the standard procedure in the primary diagnostic of polytraumatised adults in the emergency room. Up to now there is still controversial discussion about the same algorithm in the primary diagnostic of children. The aim of this study was to survey the participation of German trauma-centres in the care of polytraumatised children and the hospital dependant use of whole-body computed tomography for initial patient work-up. Material and methods: A questionnaire was mailed to every Department of Traumatology registered in the DGU (German Trauma Society) databank. Results: We received 60,32% of the initially sent questionnaires and after applying exclusion criteria 269 (53,91%) were applicable to statistical analysis. In the three-tiered German hospital system no statistical difference was seen in the general participation of children polytrauma care between hospitals of different tiers (p = 0.315). Even at the lowest hospital level 69,47% of hospitals stated to participate in polytrauma care for children, at the intermediate and highest level hospitals 91,89% and 95,24% stated to be involved in children polytrauma care, respectively. Children suspicious of multiple injuries or polytrauma received significantly fewer primary whole-body CTs in lowest level compared to intermediate level hospitals (36,07% vs. 56,57%; p = 0.015) and lowest level compared to highest level hospitals (36,07% vs. 68,42%; p = 0.001). Comparing the use of whole-body CT in intermediate to highest level hospitals a not significant increase in its use could be seen in highest level hospitals (56,57% vs. 68,42%; p = 0.174). Conclusion: According to our survey, taking care of polytraumatised children in Germany is not limited to specialised hospitals or a defined hospital level-of-care. Additionally, there is no established radiologic standard in work-up of the polytraumatised child. However, in higher hospital care -levels a higher percentage of hospitals employs whole-body CTs for primary radiologic diagnostics in polytraumatised children.
MeSH term(s)	Child ; Child Health Services/organization & administration ; Child Health Services/standards ; Child Health Services/statistics & numerical data ; Germany ; Health Care Surveys ; Humans ; Multiple Trauma/diagnostic imaging ; Tomography, X-Ray Computed/methods ; Tomography, X-Ray Computed/standards ; Tomography, X-Ray Computed/utilization ; Trauma Centers/standards ; Trauma Centers/statistics & numerical data
Language	English
Publishing date	2015
Publishing country	Czech Republic
Document type	Journal Article ; Multicenter Study
ZDB-ID	418889-5
ISSN	0001-5415
ISSN	0001-5415
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Article: Surgical treatment of supracondylar humerus fractures in children.

Reising, K / Schmal, H / Kohr, M / Kuminack, K / Südkamp, N P / Strohm, P C

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca

2011 Volume 78, Issue 6, Page(s) 519–523

Abstract: Purpose of the study: Surgical techniques for the treatment of supracondylar fractures in children are repeatedly the subject of discussion. The aim of the present study was to compare experience with the technique of crossed Kirschner wires at our own ... ...

Abstract	Purpose of the study: Surgical techniques for the treatment of supracondylar fractures in children are repeatedly the subject of discussion. The aim of the present study was to compare experience with the technique of crossed Kirschner wires at our own hospital with current literature. Patients and methods: In the period from 2000-2006 a total of 86 children aged 1.7 to 12.7 years were treated by means of crossed K-wire osteosynthesis. Follow up was conducted at an average of 32 months. Outcomes were evaluated based on von Laer's criteria. Results: Reported complications were migration of the K-wires in 7% of cases and secondary dislocation and re-operation in 4% of cases. Lesion of the radial nerve was diagnosed postoperatively in two cases. Hospital stay was 1.5 days on average. Postoperative immobilization in an upper arm splint and implant removal after 6 weeks on average. 57% of the children received physiotherapy during the course of treatment. Slight varization was found in 11% of children and an unsatisfactory range of motion in 13%. Satisfactory outcomes were recorded for 83% of patients. Conclusion: K-wire osteosynthesis is associated with a low complication rate and continues to be a safe standard procedure for the stabilization of supracondylar humerus fractures. Key words: supracondylar humerus fracture, Kirschner wires, paediatric fractures.
MeSH term(s)	Bone Wires/adverse effects ; Child ; Child, Preschool ; Female ; Fracture Fixation, Internal/adverse effects ; Humans ; Humeral Fractures/surgery ; Infant ; Male
Language	English
Publishing date	2011
Publishing country	Czech Republic
Document type	Journal Article
ZDB-ID	418889-5
ISSN	0001-5415
ISSN	0001-5415
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Article: Clinical outcome after surgical treatment of transitional fractures of the distal tibia in children.

Strohm, P C / Hauschild, O / Reising, K / Kuminack, K / Südkamp, N P / Schmal, H

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca

2011 Volume 78, Issue 2, Page(s) 97–100

Abstract: Purpose of the study: Fractures affecting a partially closed physis are described as transitional fractures. The distal tibia is one of the most common locations for transitional fractures second only to the distal radius. Aim of this retrospective ... ...

Abstract	Purpose of the study: Fractures affecting a partially closed physis are described as transitional fractures. The distal tibia is one of the most common locations for transitional fractures second only to the distal radius. Aim of this retrospective study was to evaluate the clinical and radiological results after surgical treatment of transitional fractures of the distal tibia. Patients and methods: From May 2003 to March 2009 24 children (median age 14 years) received surgical treatment for transitional fractures of the distal tibia. 89% (21/24) of patients were followed up after 27.5 (range 6 to 72) months to assess functional out come (using the AO Foot and Ankle Score). Results: Nine girls and 15 boys were included in the study with the girls being younger on average (12.4 ± 0.9 vs. 14.3 ± 1.1 years, p = 0.00013). Two-plane fractures were present in 4 cases, 15 and 5 children sustained tri-plane I and II fractures, respectively. Median preoperative fracture displacement was measured at 4 mm (range 3 to 11 mm). Traumatic supination of the ankle joint during sports activities was the predominant injury mechanism (18/24 cases) followed by bicycle or motorbike accidents (6/24). A satisfactory reduction (1 mm or less) was achieved in all but one patient. In this case revision surgery was necessary to restore anatomical reduction. No perioperative complications occurred in the remaining 23 cases. Metal implants were removed upon fracture consolidation after 8.2 ± 6.7 months. At the time of follow-up none of the children were impaired in activities of daily living and there were no restrictions in sporting activity. All patients sco- red good or excellent results on the AO Foot and Ankle Score. Discussion: Surgical stabilization can be recommended as a safe and effective treatment strategy in displaced transitional fractures of the distal tibia and will lead to good or excellent mid term results.
MeSH term(s)	Adolescent ; Ankle Joint/diagnostic imaging ; Child ; Epiphyses/diagnostic imaging ; Epiphyses/injuries ; Female ; Humans ; Male ; Radiography ; Tibial Fractures/diagnostic imaging ; Tibial Fractures/surgery
Language	English
Publishing date	2011
Publishing country	Czech Republic
Document type	Journal Article
ZDB-ID	418889-5
ISSN	0001-5415
ISSN	0001-5415
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Article: Intertrochantäre Femurfrakturen im Kindesalter.

Strohm, P C / Schmal, H / Kuminack, K / Reising, K / Südkamp, N P

Der Unfallchirurg

2006 Volume 109, Issue 5, Page(s) 425–430

Abstract: Based on two cases and a review of the literature, we describe a rare injury in childhood, intertrochanteric femoral fracture. Because of the insertion and traction of muscles at the proximal femur, conservative treatment is difficult. The hip muscles ... ...

Title translation	Intertrochanteric femoral fractures in children.
Abstract	Based on two cases and a review of the literature, we describe a rare injury in childhood, intertrochanteric femoral fracture. Because of the insertion and traction of muscles at the proximal femur, conservative treatment is difficult. The hip muscles pull the proximal fragment into flexion, abduction and external rotation. In our opinion, surgical stabilization is the therapy of choice. We use an angular stable, locking compression plate for the stabilization of these fractures. Postoperatively, mobilization with full weight bearing is possible.
MeSH term(s)	Adolescent ; Bone Plates ; Child ; Epiphyses, Slipped/complications ; Female ; Follow-Up Studies ; Fracture Fixation, Internal/instrumentation ; Fracture Fixation, Internal/methods ; Fracture Healing ; Hip Fractures/diagnostic imaging ; Hip Fractures/surgery ; Humans ; Radiography ; Time Factors
Language	German
Publishing date	2006-05
Publishing country	Germany
Document type	Case Reports ; Journal Article
ZDB-ID	605965-x
ISSN	1433-044X ; 0177-5537
ISSN (online)	1433-044X
ISSN	0177-5537
DOI	10.1007/s00113-006-1111-8
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Article ; Online: Outcome and risk factors in children after traumatic cardiac arrest and successful resuscitation.

Zwingmann, Jörn / Lefering, Rolf / Bayer, Jörg / Reising, Kilian / Kuminack, Kerstin / Südkamp, Norbert P / Strohm, Peter C

Resuscitation

2015 Volume 96, Page(s) 59–65

Abstract: Introduction: Prospective collected data of the TraumaRegister DGU(®) were analyzed to derive survival rates and predictors for non-survival in the children who had suffered traumatic cardiorespiratory arrest. Different time points of resuscitation ... ...

Abstract	Introduction: Prospective collected data of the TraumaRegister DGU(®) were analyzed to derive survival rates and predictors for non-survival in the children who had suffered traumatic cardiorespiratory arrest. Different time points of resuscitation efforts (only preclinical, in the emergency room (ER) or preclinical+ER) were analyzed in terms of mortality and neurological outcome. Methods: The database of the TraumaRegister DGU(®) comprising 122,742 patients from 1993 to 2013 was analyzed. The main focus of this survey was on the paediatric group defined by an age ≤ 14 years who could be compared to adults. Different statistical analysis (univariate and multivariate analysis, logistic regression) were performed with mortality as the target variable. Differences between the paedatric group and adults were analysed by Fisher's exact test. Results: Data after preclinical and/or ER resuscitation from 152 children and 1690 adults were analyzed. A good or moderate outcome (GOS 5+4) was found in 19.4% of the children's group compared to 12.4% of the adults (p=0.02). Analysis of the GOS 5+4 subgroups after preclinical resuscitation only revealed that these outcomes were achieved by 19.4% of the paediatric group and 13.2% of the adults (p=0.24), after ER-only resuscitation by 37.0% of the children and 19.6% of the adults (p=0.046), and after preclinical and ER resuscitation by only 10.9% of the children compared to 2.5% of the adults (p=0.006). Taking only survivors into account, 84.8% of the children and 62% of the adults had a GOS 4+5. The highest risk for mortality in the logistic regression model was associated with preclinical intubation, followed by GCS 3, blood transfusion and severe head injury with AIS ≥3 and ISS. Conclusions: CPR in children after severe trauma seems to yield a better outcome than in adults, and appears to be more justified than the current guidelines would imply. Resuscitation in the ER is associated with better neurological outcomes compared with resuscitation in a preclinical context or in both the preclinical phase and the ER. Our children's outcomes seem to be better than those in most of the earlier studies, and the data presented might support algorithms in the future especially for paediatric resuscitation.
MeSH term(s)	Adult ; Cardiopulmonary Resuscitation/methods ; Child ; Emergency Medical Services/methods ; Female ; Germany/epidemiology ; Heart Arrest/epidemiology ; Heart Arrest/etiology ; Heart Arrest/therapy ; Humans ; Incidence ; Male ; Prospective Studies ; Registries ; Risk Factors ; Survival Rate/trends ; Wounds and Injuries/complications
Language	English
Publishing date	2015-11
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	189901-6
ISSN	1873-1570 ; 0300-9572
ISSN (online)	1873-1570
ISSN	0300-9572
DOI	10.1016/j.resuscitation.2015.07.022
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Conference proceedings: Die operative Behandlung der proximalen Humerusfrakturen im Wachstumsalter

Reising, K. / Kuminack, K. / Südkamp, N.P. / Strohm, P.C.

2007 , Page(s) P14–1020

Event/congress	71. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 93. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 48. Tagung des Berufsverbandes der Fachärzte für Orthopädie; Deutscher Kongress für Orthopädie und Unfallchirurgie; Berlin; ; Berufsverband der Fachärzte für Orthopädie; 2007
Keywords	Medizin, Gesundheit
Publishing date	2007-10-09
Publisher	German Medical Science GMS Publishing House; Düsseldorf
Document type	Conference proceedings
Database	German Medical Science

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Conference proceedings: Patellafrakturen im Kindesalter

Schmal, H. / Strohm, P. / Reising, K. / Kuminack, K. / Südkamp, N.

2007 , Page(s) W29–218

Event/congress	71. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 93. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 48. Tagung des Berufsverbandes der Fachärzte für Orthopädie; Deutscher Kongress für Orthopädie und Unfallchirurgie; Berlin; ; Berufsverband der Fachärzte für Orthopädie; 2007
Keywords	Medizin, Gesundheit
Publishing date	2007-10-09
Publisher	German Medical Science GMS Publishing House; Düsseldorf
Document type	Conference proceedings
Database	German Medical Science

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Conference proceedings: Die Therapie der Femurschaftfrakturen im Kindesalter

Kuminack, K. / Bayer, J. / Reising, K. / Südkamp, N. P. / Strohm, P.

2010 , Page(s) WI27–1360

Event/congress	74. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 96. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 51. Tagung des Berufsverbandes der Fachärzte für Orthopädie; Deutscher Kongress für Orthopädie und Unfallchirurgie; Berlin; ; Berufsverband der Fachärzte für Orthopädie; 2010
Keywords	Medizin, Gesundheit
Publishing date	2010-10-21
Publisher	German Medical Science GMS Publishing House; Düsseldorf
Document type	Conference proceedings
DOI	10.3205/10dkou281
Database	German Medical Science

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