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DerSchmerz.90130205.eng.abstr
DerSchmerz.90130205.eng.abstr
[ { "id": "DerSchmerz.90130205.eng.abstr-passage-0", "type": "abstract", "text": [ "Background : Associations between back pain , the quality of sleep and the quality of matresses have not yet been investigated systematically . Methods : At check-out we asked 265 consecutive guests of a trade fair hotel about the subjective quality of sleep in the previous night . Nine rooms had been equipped with new mattresses of three different qualities and prices , but this was kept blind to the hotel staff and the guests . Sleep quality was assessed on an analog scale between 1 ( very good ) and 5 ( very bad ) and was analyzed in comparison to the remaining 8-year old mattresses of the hotel , but also with respect to social ( e.g. private vs. professional reason for the stay ) as well as personal ( e.g. previous experience with low back and sleep complaints ) characteristics of the guests . Results : The three qualities of the mattresses correlated significantly and positively with the perceived quality of sleep , but the difference to the \" old \" mattresses was most pronounced for those guests who were staying overnight for professional reasons , or who frequently were suffering from low back pain or sleep disturbances . Conclusion : At least for chronic sufferers from back pain and sleep problems , the association between sleep quality and quality of the mattress is significant ." ], "offsets": [ [ 0, 1310 ] ] } ]
[ { "id": "DerSchmerz.90130205.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Associations" ], "offsets": [ [ 13, 25 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004083" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 39, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "sleep" ], "offsets": [ [ 61, 66 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037313" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "back pain" ], "offsets": [ [ 34, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004604" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Methods" ], "offsets": [ [ 144, 151 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "sleep" ], "offsets": [ [ 253, 258 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037313" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "mattresses" ], "offsets": [ [ 321, 331 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024940" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "prices" ], "offsets": [ [ 365, 371 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0080045" }, { "db_name": "UMLS", "db_id": "C0033118" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "blind" ], "offsets": [ [ 392, 397 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0525065" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "analog" ], "offsets": [ [ 467, 473 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243071" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "scale" ], "offsets": [ [ 474, 479 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175659" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "old" ], "offsets": [ [ 578, 581 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0331059" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "mattresses" ], "offsets": [ [ 582, 592 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024940" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "sleep" ], "offsets": [ [ 759, 764 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037313" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "mattresses" ], "offsets": [ [ 847, 857 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024940" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "sleep" ], "offsets": [ [ 928, 933 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037313" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "old" ], "offsets": [ [ 964, 967 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0331059" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "mattresses" ], "offsets": [ [ 970, 980 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024940" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 1119, 1123 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "sleep" ], "offsets": [ [ 1127, 1132 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037313" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "back pain" ], "offsets": [ [ 1114, 1123 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004604" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "sleep disturbances" ], "offsets": [ [ 1127, 1145 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037317" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-t9", "type": "umlsterm", "text": [ "low back pain" ], "offsets": [ [ 1110, 1123 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024031" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 1202, 1206 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "sleep" ], "offsets": [ [ 1211, 1216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037313" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "association" ], "offsets": [ [ 1232, 1243 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004083" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "sleep" ], "offsets": [ [ 1252, 1257 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037313" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "mattress" ], "offsets": [ [ 1285, 1293 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024940" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "back pain" ], "offsets": [ [ 1197, 1206 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004604" } ] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "sleep problems" ], "offsets": [ [ 1211, 1225 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037317" } ] } ]
[]
[]
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"normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s2-r2-t1.2-t1.1", "type": "affects", "arg1_id": "DerSchmerz.90130205.eng.abstr-s2-t1", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s4-r1-t1.1-t3.1", "type": "affects", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t1", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-r1-t8.1-t6.1", "type": "result_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s5-t8", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t6", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-r2-t8.1-t7.1", "type": "associated_with", "arg1_id": "DerSchmerz.90130205.eng.abstr-s5-t8", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-r3-t8.1-t3.1", "type": "associated_with", "arg1_id": "DerSchmerz.90130205.eng.abstr-s5-t8", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-r4-t8.1-t3.1", "type": "affects", "arg1_id": "DerSchmerz.90130205.eng.abstr-s5-t8", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-r5-t1.1-t8.1", "type": "result_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t1", "arg2_id": "DerSchmerz.90130205.eng.abstr-s5-t8", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-r6-t6.1-t3.1", "type": "affects", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t6", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-r7-t8.1-t9.1", "type": "associated_with", "arg1_id": "DerSchmerz.90130205.eng.abstr-s5-t8", "arg2_id": "DerSchmerz.90130205.eng.abstr-s5-t9", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s5-r8-t6.1-t8.1", "type": "result_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t6", "arg2_id": "DerSchmerz.90130205.eng.abstr-s5-t8", 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"normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r4-t7.1-t4.1", "type": "evaluation_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r5-t5.1-t7.1", "type": "causes", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t5", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r6-t7.1-t3.1", "type": "evaluation_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r7-t2.1-t7.1", "type": "result_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t2", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r8-t7.1-t2.1", "type": "result_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r9-t7.1-t2.1", "type": "evaluation_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r10-t3.1-t7.1", "type": "result_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t3", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r11-t1.1-t4.1", "type": "evaluation_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t1", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r12-t4.1-t7.1", "type": "result_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t4", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r13-t1.1-t3.1", "type": "evaluation_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t1", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r14-t5.1-t4.1", "type": "evaluation_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t5", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r15-t1.1-t7.1", "type": "associated_with", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t1", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r16-t1.1-t2.1", "type": "evaluation_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t1", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r17-t5.1-t3.1", "type": "evaluation_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t5", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r18-t7.1-t4.1", "type": "result_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r19-t7.1-t5.1", "type": "associated_with", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t7", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerSchmerz.90130205.eng.abstr-s6-r20-t5.1-t2.1", "type": "evaluation_of", "arg1_id": "DerSchmerz.90130205.eng.abstr-s6-t5", "arg2_id": "DerSchmerz.90130205.eng.abstr-s6-t2", "normalized": [] } ]
DerSchmerz.90130213.eng.abstr
DerSchmerz.90130213.eng.abstr
[ { "id": "DerSchmerz.90130213.eng.abstr-passage-0", "type": "abstract", "text": [ "In paediatric oncology , optimal pain control is still a challenge . A structured pain history and the regular scoring of pain intensity using age-adapted measuring tools are hallmarks of optimal pain control . Psychological measures are as important as drug therapy in prophylaxis or control of pain , especially when performing invasive procedures . Pain control is oriented on the WHO analgesic ladder . On no account the paediatric patient should have to climb up the ' analgesic ladder ' - strong pain requires the primary use of strong drugs . Opioids should be given by the oral route and by the clock - short acting opioids should be used to treat break-through pain . Alternatives are IV infusion and patient-controlled analgesia . Constipation is the adverse effect most often seen with ( oral ) opioid therapy . Adverse effects should be anticipated , and prophylactic treatment should be given consistently . The assistance of paediatric nurses is of utmost importance in paediatric pain control . Nurses deliver the basis for rational and effective pain control by scoring pain intensity and documenting drug administration as well as adverse effects . The nurses ' task is also to prepare the patient for and monitor the patient during painful procedures . It is the responsibility of both nurse and doctor to guarantee emergency intervention during sedation whenever needed . In our paper we comment on drug selection and dosage , pain measurement tools , and documentation tools for the purpose of pain control . Those tools may be easily integrated into daily routine ." ], "offsets": [ [ 0, 1586 ] ] } ]
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DerSchmerz.90130249.eng.abstr
DerSchmerz.90130249.eng.abstr
[ { "id": "DerSchmerz.90130249.eng.abstr-passage-0", "type": "abstract", "text": [ "Background : Since there is no epidemiologic assessment of the frequency of pain caused by tumor in Germany , tumor-pain-prevalence is estimated indirectly on the basis of mortality and median survival . Knowing that about 50% of all patients having metastases or incurable locoregional recurrence suffer from pain every day , the product of median survival times mortality was calculated to achieve the number of patients ' days with tumor-caused pain per year ( 82.710.690 days in Germany 1995 ) . By division with 365 ( days ) , it is calculated that 226.605 patients require tumor pain related treatment at one day in Germany . Another calculation based on Bonica's publications that 60-90% of patients suffering from advanced cancer are having pain and based on an estimated tumor prevalence 1989/90 revealed a tumor pain prevalence of 221.826." ], "offsets": [ [ 0, 849 ] ] } ]
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], "offsets": [ [ 100, 107 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017480" } ] }, { "id": "DerSchmerz.90130249.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "tumor-pain-prevalence" ], "offsets": [ [ 110, 131 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerSchmerz.90130249.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "tumor-pain-prevalence" ], "offsets": [ [ 110, 131 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130249.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "tumor-pain-prevalence" ], "offsets": [ [ 110, 131 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220900" }, { "db_name": "UMLS", "db_id": "C0033105" } ] }, { "id": "DerSchmerz.90130249.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "mortality" ], "offsets": [ [ 172, 181 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026566" }, { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": 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"id": "DerSchmerz.90130249.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "Germany" ], "offsets": [ [ 483, 490 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017480" } ] }, { "id": "DerSchmerz.90130249.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 562, 570 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerSchmerz.90130249.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 579, 584 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerSchmerz.90130249.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 585, 589 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130249.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 598, 607 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": 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[]
[]
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DerSchmerz.90130266.eng.abstr
DerSchmerz.90130266.eng.abstr
[ { "id": "DerSchmerz.90130266.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction : Many causes are given as the main reason for inadequate pain therapy . The objective of our study was to demonstrate the current position of doctors in general practice all over Austria who prescribe prescriptions ." ], "offsets": [ [ 0, 230 ] ] } ]
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[]
[]
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DerSchmerz.90130273.eng.abstr
DerSchmerz.90130273.eng.abstr
[ { "id": "DerSchmerz.90130273.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction : The use of transdermal fentanyl is gaining in importance in the management of cancer pain . We describe the reasons for switching opioid medication to transdermal fentanyl in a pain management unit ." ], "offsets": [ [ 0, 214 ] ] } ]
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[]
[]
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DerSchmerz.90130279.eng.abstr
DerSchmerz.90130279.eng.abstr
[ { "id": "DerSchmerz.90130279.eng.abstr-passage-0", "type": "abstract", "text": [ "As polycythemia vera is a myeloproliferative syndrome , it is based on an autonomic increase in the proliferation of all hematopoetic cells - mostly of erythropoesis . An increase in blood viscosity induces disturbed microcirculation , resulting in headaches with clinical symptoms . So far , the headache in polycythemia vera has not been classified ." ], "offsets": [ [ 0, 352 ] ] } ]
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[]
[]
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DerSchmerz.90130304.eng.abstr
DerSchmerz.90130304.eng.abstr
[ { "id": "DerSchmerz.90130304.eng.abstr-passage-0", "type": "abstract", "text": [ "The pathogenesis of drug abuse in patients suffering from drug-induced headache is not known in detail . It is unclear whether drug abuse in chronic daily headache should be classified as a form of drug dependence . Current findings concerning the neurobiological correlates of addictive behavior and affective disorders point to the importance of monoaminergic dysregulation , especially a dysfunction of central serotonergic neurotransmission . We reviewed the literature on drug-induced headache and examined hypothetical pathomechanisms of addiction . Drugs causing drug-induced headache such as paracetamol , coffein and ergotamine interfere with behavior patterns or neurotransmitter systems that are also affected by drugs of abuse . Several drugs that ameliorate acute headache interact with central serotonergic neurotransmission and may affect anxiety and depression in patients with chronic daily headache . Non human primate and human studies revealed mechanisms of serotonergic dysfunction in drug dependence , which may also be relevant for drug-abuse in medication-induced headache . Medication-induced dysfunction of monoaminergic , especially serotonergic neurotransmission , may affect drug dependence by exacerbating mood disorders . Further studies are necessary to assess serotonergic neurotransmission in patients with drug-induced headache and abuse of medication ." ], "offsets": [ [ 0, 1388 ] ] } ]
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"id": "DerSchmerz.90130304.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "drug abuse" ], "offsets": [ [ 127, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013146" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "drug dependence" ], "offsets": [ [ 198, 213 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242511" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "chronic daily headache" ], "offsets": [ [ 141, 163 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0752147" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 224, 232 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "behavior" ], "offsets": [ [ 288, 296 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004927" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s3-t3", "type": 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490, 498 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018681" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "Drugs" ], "offsets": [ [ 556, 561 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013227" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "headache" ], "offsets": [ [ 583, 591 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018681" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "paracetamol" ], "offsets": [ [ 600, 611 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000970" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "ergotamine" ], "offsets": [ [ 626, 636 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014710" } ] }, { "id": "DerSchmerz.90130304.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "ergotamine" ], "offsets": [ [ 626, 636 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002508" } ] 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DerSchmerz.90130315.eng.abstr
DerSchmerz.90130315.eng.abstr
[ { "id": "DerSchmerz.90130315.eng.abstr-passage-0", "type": "abstract", "text": [ "When pain becomes chronic this is a process that takes place at several levels of the peripheral and central nervous systems . In recent years , proinflammatory substances like bradykinin , prostaglandins and signal molecules like cytokines have been identified as algogenic factors . In the present paper we examined whether cytokines play a role also in non-inflammatory peripheral nerve lesions , i.e. whether they are of importance in the causation of pain in general and whether their antagonists can be used therapeutically . The development of pain after peripheral nerve lesion in animal models follows the process of Wallerian degeneration . During Wallerian degeneration the expression of proinflammatory cytokines in the nerve is upregulated . Here we studied the temporal course of cytokine expression with several different analytical methods , analyzing tumor necrosis factor- ( TNF ) and interleukin- ( IL- ) in the mouse model of chronic constrictive injury ( CCI ) of the sciatic nerve . This model is associated with reproducible pain related behavior in the animals . We found an early increase of TNF 12 hours after injury . Neutralizing antibodies to TNF were able to reduce the hyperalgesia that evolved due to the nerve injury . As TNF exerts its effects via two receptors , TNF receptor 1 ( TNF-R1) and TNF receptor 2 ( TNF R2), we also investigated , which of the receptors is relevant to the causation of pain in this model . It turned out that antibodies to TNF-R1, but not to TNF-R2 reduced hyperalgesia , indicating that TNF-R1 is the receptor concerned . Neu-tralizing antibodies to IL-1 receptor and to IL-6 receptor also reduced pain related behavior . These results lead to the conclusion that proinflammatory cytokines are involved not only in inflammatory pain but also in neuropathic pain . Therapeutic strategies involving cytokine inhibition have been tested experimentally and are already being used in preliminary clinical studies in immune-mediated diseases . In the future , they might be a useful addition to the range of treatments for patients with neuropathic pain ." ], "offsets": [ [ 0, 2112 ] ] } ]
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"db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "causation" ], "offsets": [ [ 443, 452 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085978" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 456, 460 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "antagonists" ], "offsets": [ [ 490, 501 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243076" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "peripheral nerve" ], "offsets": [ [ 373, 389 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031119" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "development" ], "offsets": [ [ 536, 547 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243107" }, { "db_name": "UMLS", 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"id": "DerSchmerz.90130315.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "Wallerian degeneration" ], "offsets": [ [ 626, 648 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043020" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "cytokines" ], "offsets": [ [ 715, 724 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079189" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "nerve" ], "offsets": [ [ 732, 737 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "Wallerian degeneration" ], "offsets": [ [ 658, 680 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043020" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "cytokine" ], "offsets": [ [ 794, 802 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079189" } ] }, { "id": "DerSchmerz.90130315.eng.abstr-s6-t2", "type": 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[]
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"result_of", "arg1_id": "DerSchmerz.90130315.eng.abstr-s15-t3", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t4", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s14-r9-t5.1-t4.1", "type": "associated_with", "arg1_id": "DerSchmerz.90130315.eng.abstr-s14-t5", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t4", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s14-r10-t3.1-t2.1", "type": "produces", "arg1_id": "DerSchmerz.90130315.eng.abstr-s15-t3", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t2", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s14-r11-t5.1-t2.1", "type": "measures", "arg1_id": "DerSchmerz.90130315.eng.abstr-s14-t5", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t2", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s14-r12-t4.1-t3.1", "type": "result_of", "arg1_id": "DerSchmerz.90130315.eng.abstr-s15-t4", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t3", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s14-r13-t1.1-t4.1", "type": "associated_with", "arg1_id": "DerSchmerz.90130315.eng.abstr-s15-t1", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t4", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s14-r14-t5.1-t3.1", "type": "measures", "arg1_id": "DerSchmerz.90130315.eng.abstr-s14-t5", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t3", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s15-r1-t1.1-t4.1", "type": "treats", "arg1_id": "DerSchmerz.90130315.eng.abstr-s15-t1", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t4", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s15-r2-t2.1-t1.1", "type": "affects", "arg1_id": "DerSchmerz.90130315.eng.abstr-s15-t2", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t1", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s15-r3-t1.1-t2.1", "type": "performs", "arg1_id": "DerSchmerz.90130315.eng.abstr-s15-t1", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t2", "normalized": [] }, { "id": "DerSchmerz.90130315.eng.abstr-s15-r4-t2.1-t4.1", "type": "treats", "arg1_id": "DerSchmerz.90130315.eng.abstr-s15-t2", "arg2_id": "DerSchmerz.90130315.eng.abstr-s15-t4", "normalized": [] } ]
DerSchmerz.90130324.eng.abstr
DerSchmerz.90130324.eng.abstr
[ { "id": "DerSchmerz.90130324.eng.abstr-passage-0", "type": "abstract", "text": [ "Objectives : A reduction of muscle tone in rats can be found after intraperitoneal or intrathecal injection of flupirtine in analgetic doses . However , a muscle-relaxing effect in patients with spasticity has not yet been shown . In this study we investigated whether flupirtine can reduce the increased muscle tone in patients with spasticity ." ], "offsets": [ [ 0, 346 ] ] } ]
[ { "id": "DerSchmerz.90130324.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Objectives" ], "offsets": [ [ 0, 10 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018017" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 28, 34 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "rats" ], "offsets": [ [ 43, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034693" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "injection" ], "offsets": [ [ 98, 107 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021485" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "flupirtine" ], "offsets": [ [ 111, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0060583" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "analgetic" ], "offsets": [ [ 125, 134 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002771" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "muscle tone" ], "offsets": [ [ 28, 39 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026841" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "intrathecal injection" ], "offsets": [ [ 86, 107 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021896" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "muscle-relaxing" ], "offsets": [ [ 155, 170 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 181, 189 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "spasticity" ], "offsets": [ [ 195, 205 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026838" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "flupirtine" ], "offsets": [ [ 269, 279 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0060583" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 305, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 320, 328 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "spasticity" ], "offsets": [ [ 334, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026838" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "muscle tone" ], "offsets": [ [ 305, 316 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026841" } ] }, { "id": "DerSchmerz.90130324.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "increased muscle tone" ], "offsets": [ [ 295, 316 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026826" } ] } ]
[]
[]
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"id": "DerSchmerz.90130324.eng.abstr-s3-r13-t1.1-t4.1", "type": "affects", "arg1_id": "DerSchmerz.90130324.eng.abstr-s3-t1", "arg2_id": "DerSchmerz.90130324.eng.abstr-s3-t4", "normalized": [] }, { "id": "DerSchmerz.90130324.eng.abstr-s3-r14-t1.1-t4.1", "type": "location_of", "arg1_id": "DerSchmerz.90130324.eng.abstr-s3-t1", "arg2_id": "DerSchmerz.90130324.eng.abstr-s3-t4", "normalized": [] } ]
DerSchmerz.90130332.eng.abstr
DerSchmerz.90130332.eng.abstr
[ { "id": "DerSchmerz.90130332.eng.abstr-passage-0", "type": "abstract", "text": [ "Lumbar puncture ( LP ) is a routine technique performed for a variety of procedures , e.g. diagnosis , administration of drugs , myelography and spinal anaesthesia . Postdural puncture headache is a common complication ( 30-40% in diagnostic LP ) . Prevention can be accomplished by using small-gauge needles ( =25 G ) or pencil-point needles ( 22 G ) . Therapy should be carried out in a stepwise approach . The first step is bedrest , use of analgetics , i.v. fluids and an adequate guidance of the patient ." ], "offsets": [ [ 0, 510 ] ] } ]
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[]
[]
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DerSchmerz.90130341.eng.abstr
DerSchmerz.90130341.eng.abstr
[ { "id": "DerSchmerz.90130341.eng.abstr-passage-0", "type": "abstract", "text": [ "This article describes the historic roots of acetylsalicylic acid ( ASA ) from the first experiments at 1800 until the introduction into the pharmaceutical market in 1899. In 1869 , Hermann Kolbe enlightened the chemical structure of salicylic acid , which was used at that time as an analgetic and antipyretic drug . Because of the side effects , for example the irritation of the stomach , analytical chemists and pharmacologists searched for chemical modifications . In August 1897 Felix Hoffmann ( 1868-1946 ) was successful in acetylizing the salicylic acid to acetylsalicyl acid ( ASA ) . Between 1897 and 1899 Kurt Witthauer ( 1865-1911 ) collected clinical data and experiences on the efficiency of ASA as an analgetic and antipyretic drug . In 1899 ASA was introduced into the pharamaceutical market as Aspirin and became soon one of the most successful drugs of its time . The indication exceeds analgesia in the mean time and to prophylaxis of myocardial ischaemia or cerebral stroke , among others ." ], "offsets": [ [ 0, 1011 ] ] } ]
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"offsets": [ [ 285, 294 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002771" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "antipyretic" ], "offsets": [ [ 299, 310 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003419" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "drug" ], "offsets": [ [ 311, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013227" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "acetylsalicylic acid" ], "offsets": [ [ 45, 65 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004057" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "chemical structure" ], "offsets": [ [ 212, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220807" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "salicylic acid" ], "offsets": [ [ 234, 248 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036079" }, { "db_name": "UMLS", "db_id": "C0036080" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "stomach" ], "offsets": [ [ 382, 389 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038351" }, { "db_name": "UMLS", "db_id": "C0024623" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "side effects" ], "offsets": [ [ 333, 345 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001688" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "acid" ], "offsets": [ [ 558, 562 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001128" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "acid" ], "offsets": [ [ 580, 584 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001128" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "ASA" ], "offsets": [ [ 587, 590 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004057" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "salicylic acid" ], "offsets": [ [ 548, 562 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036079" }, { "db_name": "UMLS", "db_id": "C0036080" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "efficiency" ], "offsets": [ [ 693, 703 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013682" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "ASA" ], "offsets": [ [ 707, 710 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004057" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "analgetic" ], "offsets": [ [ 717, 726 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002771" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "antipyretic" ], "offsets": [ [ 731, 742 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003419" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "drug" ], "offsets": [ [ 743, 747 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013227" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "ASA" ], "offsets": [ [ 758, 761 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004057" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "market" ], "offsets": [ [ 802, 808 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024826" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "Aspirin" ], "offsets": [ [ 812, 819 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004057" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "drugs" ], "offsets": [ [ 863, 868 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013227" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "time" ], "offsets": [ [ 876, 880 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "analgesia" ], "offsets": [ [ 906, 915 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002766" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "time" ], "offsets": [ [ 928, 932 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "prophylaxis" ], "offsets": [ [ 940, 951 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033107" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "ischaemia" ], "offsets": [ [ 966, 975 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022116" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "stroke" ], "offsets": [ [ 988, 994 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038454" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "myocardial ischaemia" ], "offsets": [ [ 955, 975 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0151744" } ] }, { "id": "DerSchmerz.90130341.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "cerebral stroke" ], "offsets": [ [ 979, 994 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038454" } ] } ]
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DerSchmerz.90130367.eng.abstr
DerSchmerz.90130367.eng.abstr
[ { "id": "DerSchmerz.90130367.eng.abstr-passage-0", "type": "abstract", "text": [ "Background : Multidisciplinary treatment of patients with chronic pain in pain centers was studied . The conditions of all multidisciplinary pain centers in the German federal state of Northrhine-Westphalia ( NRW ) , an area of about 17 million inhabitants , were investigated ." ], "offsets": [ [ 0, 278 ] ] } ]
[ { "id": "DerSchmerz.90130367.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 31, 40 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerSchmerz.90130367.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 44, 52 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerSchmerz.90130367.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 66, 70 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130367.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 74, 78 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130367.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "pain centers" ], "offsets": [ [ 74, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242936" } ] }, { "id": "DerSchmerz.90130367.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 141, 145 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130367.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "pain centers" ], "offsets": [ [ 141, 153 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242936" } ] }, { "id": "DerSchmerz.90130367.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "multidisciplinary pain centers" ], "offsets": [ [ 123, 153 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242935" } ] } ]
[]
[]
[ { "id": "DerSchmerz.90130367.eng.abstr-s1-r1-t1.1-t4.1", "type": "treats", "arg1_id": "DerSchmerz.90130367.eng.abstr-s2-t1", "arg2_id": "DerSchmerz.90130367.eng.abstr-s1-t4", "normalized": [] }, { "id": "DerSchmerz.90130367.eng.abstr-s1-r2-t1.1-t3.1", "type": "treats", "arg1_id": "DerSchmerz.90130367.eng.abstr-s2-t1", "arg2_id": "DerSchmerz.90130367.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerSchmerz.90130367.eng.abstr-s1-r3-t5.1-t1.1", "type": "manages", "arg1_id": "DerSchmerz.90130367.eng.abstr-s1-t5", "arg2_id": "DerSchmerz.90130367.eng.abstr-s2-t1", "normalized": [] }, { "id": "DerSchmerz.90130367.eng.abstr-s1-r4-t5.1-t1.1", "type": "carries_out", "arg1_id": "DerSchmerz.90130367.eng.abstr-s1-t5", "arg2_id": "DerSchmerz.90130367.eng.abstr-s2-t1", "normalized": [] } ]
DerSchmerz.90130392.eng.abstr
DerSchmerz.90130392.eng.abstr
[ { "id": "DerSchmerz.90130392.eng.abstr-passage-0", "type": "abstract", "text": [ "Background : Otalgia is the sensation of pain in the ear , while referred otalgia is pain felt in the ear but originating from a nonotologic source . Ear pain is a diagnostic problem when examination of the ear shows no pathology . This article reviews the anatomic basis for referred otalgia and shows the common etiologies responsible for this symptom ." ], "offsets": [ [ 0, 355 ] ] } ]
[ { "id": "DerSchmerz.90130392.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Otalgia" ], "offsets": [ [ 13, 20 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013456" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "sensation" ], "offsets": [ [ 28, 37 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036658" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 41, 45 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "ear" ], "offsets": [ [ 53, 56 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013443" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "otalgia" ], "offsets": [ [ 74, 81 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013456" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 85, 89 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "ear" ], "offsets": [ [ 102, 105 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013443" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Ear" ], "offsets": [ [ 150, 153 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013443" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 154, 158 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 164, 174 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "ear" ], "offsets": [ [ 207, 210 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013443" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "pathology" ], "offsets": [ [ 220, 229 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0205469" }, { "db_name": "UMLS", "db_id": "C0030664" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "Ear pain" ], "offsets": [ [ 150, 158 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013456" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "anatomic" ], "offsets": [ [ 257, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220784" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "otalgia" ], "offsets": [ [ 285, 292 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013456" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "etiologies" ], "offsets": [ [ 314, 324 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" }, { "db_name": "UMLS", "db_id": "C0007463" } ] }, { "id": "DerSchmerz.90130392.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "symptom" ], "offsets": [ [ 346, 353 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] } ]
[]
[]
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DerSchmerz.90130398.eng.abstr
DerSchmerz.90130398.eng.abstr
[ { "id": "DerSchmerz.90130398.eng.abstr-passage-0", "type": "abstract", "text": [ "In a retrospective analysis of 299 consecutive patients with degenerative cervical spine disease the incidence of cervicogenic headache and the results of conservative and operative therapy have been investigated . Cervicogenic headache was noted in 117 of 299 patients ( 40% ) . 73 of those patients were treated conservatively . The cervicogenic headache resolved in 10% or improved in 27% and remained unchanged in 63% of the patients . 44 of these patients were operated by ventral discectomy , which was indicated in case of neurological deficit and painful shoulder-arm syndrome refractory to conservative treatment . In none of these patients the operation was indicated by the cervicogenic headache . In the postoperative follow-up with a mean of 6 months the headache resolved in 20% , improved in 60% and remained unchanged in 20% of the patients . These results suggest the existence of a cervicogenic headache , i.e. a headache due to disorders of the cervical spine , and the chance of successful operative treatment ." ], "offsets": [ [ 0, 1031 ] ] } ]
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"text": [ "headache" ], "offsets": [ [ 228, 236 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018681" } ] }, { "id": "DerSchmerz.90130398.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 261, 269 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerSchmerz.90130398.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "Cervicogenic headache" ], "offsets": [ [ 215, 236 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0458101" } ] }, { "id": "DerSchmerz.90130398.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 292, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerSchmerz.90130398.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "headache" ], "offsets": [ [ 348, 356 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018681" } ] }, { "id": "DerSchmerz.90130398.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 429, 437 ] ], "normalized": 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"DerSchmerz.90130398.eng.abstr-s8-r7-t3.1-t1.1", "type": "associated_with", "arg1_id": "DerSchmerz.90130398.eng.abstr-s8-t3", "arg2_id": "DerSchmerz.90130398.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerSchmerz.90130398.eng.abstr-s8-r8-t5.1-t1.1", "type": "treats", "arg1_id": "DerSchmerz.90130398.eng.abstr-s8-t5", "arg2_id": "DerSchmerz.90130398.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerSchmerz.90130398.eng.abstr-s8-r9-t4.1-t5.1", "type": "location_of", "arg1_id": "DerSchmerz.90130398.eng.abstr-s8-t4", "arg2_id": "DerSchmerz.90130398.eng.abstr-s8-t5", "normalized": [] }, { "id": "DerSchmerz.90130398.eng.abstr-s8-r10-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerSchmerz.90130398.eng.abstr-s8-t1", "arg2_id": "DerSchmerz.90130398.eng.abstr-s8-t3", "normalized": [] } ]
DerUnfallchirurg.01030002.eng.abstr
DerUnfallchirurg.01030002.eng.abstr
[ { "id": "DerUnfallchirurg.01030002.eng.abstr-passage-0", "type": "abstract", "text": [ "The internal fixation of fractures of shaft bones was spread out by a group of surgeons working together with Prevot . The principle of this method is a three point load carrying ( entry point , height of fracture and cancellous bone of the metaphysis of the opposite fracture part ) . From 1996 to 1999 86 children with fractures of the humerus , the fore-arm and the femur were operated in the technique of intramedullary nailing . The fractures affected the humerus to 3.5 % , the fore-arm to 65.1 % and the femoral shaft to 31.4 % . The postoperativ duration of stay in hospital after internal fixation of the fore-arm in the proximal and middle third lasted 7.2 days , the duration of immobilisation in a cast took 13.7 days . 96 % of the patients showed very good and good results after operation . The average stay in hospital for patients with femoral shaft fractures was 14.4 days . 17 weeks after operation the intramedullary nails were removed . At the time of first full weight bearing the legs showed an average shortening of 1.2 cm . The fractures of the humerus healed without any restriction of movements . Internal fixation is a minimal invasive operation technique with low risks and small operating trauma . Due to the stability a early mobilisation is possible . The reported results in the literature are all good . The only problem can be caused by too long nails irritating the skin ." ], "offsets": [ [ 0, 1407 ] ] } ]
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"id": "DerUnfallchirurg.01030002.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 229, 233 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerUnfallchirurg.01030002.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 268, 276 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030002.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "children" ], "offsets": [ [ 307, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008059" } ] }, { "id": "DerUnfallchirurg.01030002.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 321, 330 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030002.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "humerus" ], "offsets": [ [ 338, 345 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020164" } ] }, { "id": "DerUnfallchirurg.01030002.eng.abstr-s3-t4", 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[]
[]
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DerUnfallchirurg.01030012.eng.abstr
DerUnfallchirurg.01030012.eng.abstr
[ { "id": "DerUnfallchirurg.01030012.eng.abstr-passage-0", "type": "abstract", "text": [ "Fourty-nine patients with 50 complex acetabular fractures were treated with open reduction and internal fixation from August 1993 to February 1996 in a prospectively documented study . The fractures were fixed with small fragment implants through a modified extensile iliofemoral approach ( Maryland approach ) . Thirty-seven patients were polytraumatized with an ISS of 20 pts . on average . In 10 patients the ISS was > 25 pts . Good or anatomic initial fracture reduction with a fragment stepoff K 2 mm could be achieved in 48 fracturers ( 96 % ) . Thirty-six patients with 37 fractures could be evaluated after 25 months on average . In 28 fractures ( 76 % ) the functional outcome was good or excellent according to the d ' Aubigne and Harris scores . Radiological results were excellent in 21 fractures ( 57 % ) and satisfactory in 12 fractures ( Heeg score ) . In 7 cases ( 14 % ) a postoperative subcutaneous seroma had to be treated surgically . No wound infections , however , were observed . Further complications were secondary a loss of reduction in 4 cases ( 11 % ) , relevant heterotopic ossifications ( Brooker III/IV ) in 5 cases ( 14 % ) , and aseptic femoral head necrosis in 2 cases ( 5 % ) . In two cases a total hip replacement ( THR ) for posttraumatic arthritis had to be performed . Two more cases are scheduled for THR due to symptomatic femoral head necrosis . A good joint reconstruction can be achieved through the modified extensile iliofemoral approach ( Maryland ) in complex fractures of the acetabulum . However , the approach related morbidity seems to be worrysome . In complex fractures with comminution in the roof of the acetabulum the prognosis remains uncertain even in cases where initial anatomic joint reconstruction can be achieved ." ], "offsets": [ [ 0, 1778 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030022.eng.abstr
DerUnfallchirurg.01030022.eng.abstr
[ { "id": "DerUnfallchirurg.01030022.eng.abstr-passage-0", "type": "abstract", "text": [ "In an analysis of 3,838 restrained car drivers , the proportion of acceleration related injury of the cervical spine increased from under 10 % in 1985 to over 30 % in 1997. These injuries occurred mainly in the case of head-on or multiple collisions . Letters were sent to 1,136 of the injured persons , and of the 138 patients who returned the questionnaires , 121 ( 88 % ) were still suffering from their symptoms . It was a question of pain ( 74 % ) , tension ( 6 % ) and stiffness ( 5 % ) in the head ( 27 % ) , neck ( 55 % ) and shoulder ( 8 % ) area . The duration of the complaints was the longest after multiple collisions . In addition to a slight influence of the accompanying injuries on the duration of complaints , the individual constitution seems to be an important determining factor . In order to resolve the difficulties of conducting of this retrospective study , prospective studies are necessary which include documentation of diagnosis , treatment protocols , duration and type of complaints ." ], "offsets": [ [ 0, 1015 ] ] } ]
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DerUnfallchirurg.01030030.eng.abstr
DerUnfallchirurg.01030030.eng.abstr
[ { "id": "DerUnfallchirurg.01030030.eng.abstr-passage-0", "type": "abstract", "text": [ "Based on the \" Trauma Registry \" of the German Society of Trauma Surgery , an interclinical quality management ( QM ) system was implemented . The principles of the QM system as well as the differences in the quality of outcome and treatment are presented . The analysis uses the data on 2,069 severely injured ( ISS = 22 +/- 14 ) patients from 20 hospitals collected prospectively and anonymously between 2/93 and 12/97 . Outcome quality was analyzed by the TRISS method and Z-statistics . The Z-value of the whole series was -0 . 24. There were three hospitals with more than 150 patients that had a Ps value calculated by the TRISS method . Clinic A had a good ( -2 . 49 ) , clinic B an average ( -0 . 3 ) and clinic C ( 3.62 ) an adverse Z-value . The assessment of treatment quality was performed by criteria concerning both preclinical and acute clinical phases . Clinic C had a prolonged preclinical treatment time ( 90 min vs 62 min in clinic A ) for severely injured ( ISS > 15 ) patients . At the same time , the preclinical intubation rate for severe thoracic trauma ( AIS > 3 ) was lower ( 44 % ) in clinic C than in A ( 62 % ) . With 14 min clinic A had the shortest time until basic radiological and ultrasound diagnostics were completed ( X-rays of chest and pelvis and abdominal ultrasound ) in cases of severe blunt trauma ( ISS > 15 ) , compared to 54 min in clinic B or 31 min in clinic C. Also , cranial computed tomography for severe traumatic brain injury ( GCS 9 ) was applied significantly faster in clinic A ( after 36 min ) than in clinic C ( after 62 min ) . Delayed diagnoses were defined as the difference between the ISS at discharge and the ISS at completion of diagnostics in the emergency department ; this criterion was met best by clinic A with an ISS difference of two patients compared to five in clinic B and four in clinic C." ], "offsets": [ [ 0, 1864 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030038.eng.abstr
DerUnfallchirurg.01030038.eng.abstr
[ { "id": "DerUnfallchirurg.01030038.eng.abstr-passage-0", "type": "abstract", "text": [ "The results of anterior screw fixation of odontoid fractures in 28 patients are presented . There were 27 type II- and 1 type III-injuries . Non-union with persistent instability had to be notified in one patient ( 3.6 % ) , secondary posterior C1/2 fusion had to be performed . Incorrect positioning of the screws in the odontoid with penetration of the postero-lateral cortex occurred in 3 patients ( 10.7 % ) . Malpositioning of the odontoid after screw fixation was documented in 5 cases ( 17.9 % ) . Cardiopulmonary complications had to be treated in 5 patients ( 17.9 % ) , 4 patients ( 14.3 % ) died in the postoperative period . 17 patients could be followed up . Only 3 patients ( 17.8 % ) were free of symptoms . A significant limitation in ROM of axial rotation was seen in 44 % of the patients . With anterior screw fixation of the odontoid high fusion rates can be achieved , however the procedure is technically demanding . Regarding the functional outcome , there is no significant difference to other established treatment methods ." ], "offsets": [ [ 0, 1048 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030044.eng.abstr
DerUnfallchirurg.01030044.eng.abstr
[ { "id": "DerUnfallchirurg.01030044.eng.abstr-passage-0", "type": "abstract", "text": [ "This study evaluated 96 knee joints with osteoarthritis ( degree I according to Resnick ) . The patients were examined by three examiners with the following score systems : Larson , Lysholm , Marshall , Orthopaedische Arbeitsgemeinschaft Knie ( OAK ) , Hospital for Special Surgery ( HSS ) , Visual Analog Scale ( VAS ) , Tegner activity level , and the International Knee Documentation Committee ( IKDC ) scoring system . The portion of subjective criteria varied in the different scores between 22 and 95 % . Nevertheless , the agreement between criteria showed high correlations among the different examiners . Depending on the scoring system used and the examiners , different values were achieved . The results were significant at the 5 % level for the numerical results ( Friedmantest ) and for the total results ( Bowkertest ) . The Lysholm score showed results that were extremely dependent on the different examiners , and the evaluation was very strict . The HSS scoring system was not as strict . The Marshall and the OAK scoring system presented few differences . The Larson score results compared with the OAK , and the Marshall score results showed comparable results in the evaluation by the different examiners . The Visual Analog Scale presented difficulties when used by the patients . The results showed a tendency to the middle values , the patients did not use the whole spread . Apart from this , the correlation between these VAS values and the results of the other scoring systems were high . Since it was only used one time , the Tegner activity level could not efficiently show the limitation caused by knee-joint damage . At the level of 1-4 the Lysholm scoring system and the VSA scale resulted in high values ." ], "offsets": [ [ 0, 1739 ] ] } ]
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[]
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DerUnfallchirurg.01030068.eng.abstr
DerUnfallchirurg.01030068.eng.abstr
[ { "id": "DerUnfallchirurg.01030068.eng.abstr-passage-0", "type": "abstract", "text": [ "The \" Marjolin's ulcer \" is a malignant lesion which is developed especially at chronic wounds after burn trauma . The latency from primary trauma to the malignant transformation is about 30 years . The lesion is more aggressive than other squamous cell carcinomas . We report on the combined radiation and surgical therapy of an 65-year-old patient with this lesion on the right hand and regional lymph node metastases . The extensive tissue defect after wide excision was reconstructed with a reversal radial forearm flap ." ], "offsets": [ [ 0, 525 ] ] } ]
[ { "id": "DerUnfallchirurg.01030068.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "ulcer" ], "offsets": [ [ 17, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041582" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "malignant" ], "offsets": [ [ 30, 39 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "wounds" ], "offsets": [ [ 88, 94 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043250" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 106, 112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 140, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "malignant" ], "offsets": [ [ 154, 163 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 249, 253 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "carcinomas" ], "offsets": [ [ 254, 264 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "squamous cell carcinomas" ], "offsets": [ [ 240, 264 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007137" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "radiation" ], "offsets": [ [ 293, 302 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0851346" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 307, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 316, 323 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 342, 349 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "right" ], "offsets": [ [ 374, 379 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035621" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "hand" ], "offsets": [ [ 380, 384 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018563" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 398, 403 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "metastases" ], "offsets": [ [ 409, 419 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "lymph node" ], "offsets": [ [ 398, 408 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 436, 442 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "defect" ], "offsets": [ [ 443, 449 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243067" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "forearm" ], "offsets": [ [ 511, 518 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016536" } ] }, { "id": "DerUnfallchirurg.01030068.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 519, 523 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] } ]
[]
[]
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DerUnfallchirurg.01030076.eng.abstr
DerUnfallchirurg.01030076.eng.abstr
[ { "id": "DerUnfallchirurg.01030076.eng.abstr-passage-0", "type": "abstract", "text": [ "Dorsal dislocation of the fifth carpometacarpal joint after injury is rare . Only five cases are reported in the literature . We report on two cases of dorsal dislocation of the fifth carpometacarpal joint after injury and we give a review of relatet literature . There are two interesting aspects concerning diagnostic and therapy of dorsal dislocation of the fifth carpometacarpal joint . Anteriorposterior and lateral radiographs do not always provide adequate visualisation of this joint so a dislocation may be misdiagnosed . A radiograph taken with the forearm pronated 45 degrees from the routine anteriorposterior position better shows the dislocation . The adequate therapy consists in closed reduction , Kirschner wire fixation and cast immobilisation . A reduction without following Kirschner wire fixation - even in those dislocations that were found to be stable after closed reduction - is not recommended because of the risk of persisting pain after heavy manual work . In our two cases an instability of the fifth carpometacarpal joint exsisted after closed reduction . After Kirschner wire fixation and cast immobilisation for 6 weeks both patients showed 3 months after operative therapy a full range of movement and a powerfull grip without any pain in the fifth carpometacarpal joint ." ], "offsets": [ [ 0, 1305 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030093.eng.abstr
DerUnfallchirurg.01030093.eng.abstr
[ { "id": "DerUnfallchirurg.01030093.eng.abstr-passage-0", "type": "abstract", "text": [ "In Germany of the pre-war period Ernest Vaubel at Wiesbaden was the most emminent arthroscopist . He collaborated with the manufacturer Georg Wolf at Berlin and developed his own arthroscope , a jacobaeus-type thoracolaparascope with a 45 °-optic and an in- and outflow connecting piece . The optic was definitely longer than the trocard and the electric bulb at the tip was in danger during manipulation in a narrow joint . - Vaubel did a rather small series of arthroscopies from 1936 to 1939 at the University hospitals of Leipzig and Frankfurt , using local anaesthesia and air medium . 1938 he held a paper at the International Congress of Rheumatologists at Bath . In the same year he published a monograph titled \" Die Arthroskopie \" , the first book of world literature on this issue . 1939 he leaved the Frankfurt university hospital and went in his own private practice . 1941-1944 he did military service as medical officer of the air force . After war he hadn ' t more facilities to practice arthroscopy . - His ideas and his instrument were revived in the german speaking countries in the late fifties by the sports surgeons Gottwald Heiss at Stuttgart and Reinhold Suckert at Linz ." ], "offsets": [ [ 0, 1196 ] ] } ]
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[]
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DerUnfallchirurg.01030100.eng.abstr
DerUnfallchirurg.01030100.eng.abstr
[ { "id": "DerUnfallchirurg.01030100.eng.abstr-passage-0", "type": "abstract", "text": [ "Wound healing problems are caused by traumatic influence , due to iatrogenic effects as well as special circumstances of the patient and a combination of all these . The special difficulties of disturbed wound healing in trauma surgery are the possible involvement of the fractured bone and the danger of osteitis . Acute wound healing problems like infected hematoma , necrosis of the wound margins or dehiscense require early or emergency revision surgery with debridement and necrectomy . The sanitation of soft tissue problems encloses secondary sutures , meshgraft as well as local or free flaps . The goal of treatment in wound healing problems must be the avoidance of acute or chronic osteitis ." ], "offsets": [ [ 0, 703 ] ] } ]
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[]
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DerUnfallchirurg.01030110.eng.abstr
DerUnfallchirurg.01030110.eng.abstr
[ { "id": "DerUnfallchirurg.01030110.eng.abstr-passage-0", "type": "abstract", "text": [ "The authors collected 500 cases of breaks of the thighbone shaft which were treated using osteosynthesis with screws , between 1st January 1992 and 31st of December 1996 at the Department for Traumatology of the University Medical Center in Ljubljana . Most patients were male ( 70.6% ) , the average age was 36.6 years , and the majority of patients had been injured in traffic accidents . In 50% of cases , only the thighbone was broken , the rest had suffered multiple injuries , or were polytraumatised . Their stay in hospital averaged 17 days , while the average time to union was 21 weeks . In most cases ( 85% ) , treatment proceeded with no complications . Chronical post-traumatic osteitis occurred in 9 of the patients with open breaks ( 1.8% ) , and only in 2 patients ( 0.4% ) with closed breaks , which is within the limits of tolerance . With respect to our experience and results with osteosynthesis with plates and screws in the thighbone shaft , we believe that the mentioned method is good and gives results which are comparable to those achieved using other methods ." ], "offsets": [ [ 0, 1087 ] ] } ]
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"db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] } ]
[]
[]
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DerUnfallchirurg.01030115.eng.abstr
DerUnfallchirurg.01030115.eng.abstr
[ { "id": "DerUnfallchirurg.01030115.eng.abstr-passage-0", "type": "abstract", "text": [ "The aneurysmal bone cyst represents a tumorlike lesion , which does not occur frequently . Every site of the skeleton may be involved . Although it can be observed at any age , it distinctly predominates from 10 to 20 years of age . Distinction of aneurysmatic bone cysts from certain benign or malignant bone tumours requires subtle imaging techniques and an experienced bone tumour pathologist . Since the lesion shows a heterogeneous biological behaviour and typically occurs in the growing skeleton , a wide range of surgical procedures must be provided concerning tumour resection and defect reconstruction . In the current retrospective study results of 41 surgically treated aneurysmal bone cysts , thereof 5 latent , 31 active , and 5 aggressive lesions , were investigated . While morbidity due to the therapeutic measures was comparatively low even in extended lesions and demanding reconstructions , a recurrence rate of 19.5% had to be observed in our series . Taking into consideration the biological activity of the lesion , analysis of the recurrences revealed inappropriate surgical margins had been chosen at the primary operation in all of these patients . Since the risk of a local relapse is linked both to aggressiveness of the primary lesion and to surgical radicality , therapy of aneurysmal bone cyst requires preoperative staging and stage-dependent surgical procedures ." ], "offsets": [ [ 0, 1396 ] ] } ]
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[]
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DerUnfallchirurg.01030122.eng.abstr
DerUnfallchirurg.01030122.eng.abstr
[ { "id": "DerUnfallchirurg.01030122.eng.abstr-passage-0", "type": "abstract", "text": [ "Isolated severe head trauma ( SHT ) or SHT in combination with multiple injuries are important factors for the prognosis of morbidity and mortality in patients suffering from the consequences of accidents . The prognosis mainly depends on the presence of primary mechanic brain injury and the development of secondary brain damage . Causes for the development of secondary brain damage are the intracranial space demand after traumatic injury and edema formation which may result in iscemia , as well as inflammatory processes . Both isolated SHT and polytrauma with or without brain damage may result in a systemic inflammatory response syndrome ( SIRS ) due to the synthesis of cytokines and other inflammatory mediators which may cause a single or multiple organ failure ( MOF ) . Often the organism is able to survive isolated traumatic injuries and functional disturbances , but in combination or cumulation they may be lethal . The hypermetabolism after SHT is often regarded as an interaction between the central nervous system and the whole organism by the activation of the neuroendocrine axis . In contrast to the consequences of SHT for the whole organism , multiple injuries after polytrauma may affect brain functions , such as the shock dependent disturbance of the brain perfusion accompanied by brain hypoxia which may lead to an aggravated prognosis . Moreover , coagulation , metabolism and fracture healing are influenced by the onset of SIRS as well . Our knowledge about the bidirectional inflammatory interaction between brain and whole organism is still limited . In this context , the effects of secondary surgical interventions which may additionally stress a traumatized body have to be considered and are the subject for actual clinical discussions and experimental studies . This article tries to summarize some important aspects on this topic ." ], "offsets": [ [ 0, 1873 ] ] } ]
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}, { "id": "DerUnfallchirurg.01030122.eng.abstr-s8-r10-t4.1-t2.2", "type": "result_of", "arg1_id": "DerUnfallchirurg.01030122.eng.abstr-s9-t4", "arg2_id": "DerUnfallchirurg.01030122.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030122.eng.abstr-s8-r11-t4.1-t2.1", "type": "result_of", "arg1_id": "DerUnfallchirurg.01030122.eng.abstr-s9-t4", "arg2_id": "DerUnfallchirurg.01030122.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030122.eng.abstr-s8-r12-t1.1-t2.2", "type": "associated_with", "arg1_id": "DerUnfallchirurg.01030122.eng.abstr-s10-t1", "arg2_id": "DerUnfallchirurg.01030122.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030122.eng.abstr-s8-r13-t1.1-t4.1", "type": "analyzes", "arg1_id": "DerUnfallchirurg.01030122.eng.abstr-s10-t1", "arg2_id": "DerUnfallchirurg.01030122.eng.abstr-s9-t4", "normalized": [] }, { "id": "DerUnfallchirurg.01030122.eng.abstr-s9-r1-t2.1-t3.3", "type": "part_of", "arg1_id": 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DerUnfallchirurg.01030132.eng.abstr
DerUnfallchirurg.01030132.eng.abstr
[ { "id": "DerUnfallchirurg.01030132.eng.abstr-passage-0", "type": "abstract", "text": [ "Intramedullary stabilisation of long bones is an established treatment option since Kuentscher . Especially for tibial nailing different methodes were proposed in the past , were as the use of a fracture table was more or less the standard procedure . Since 4 years now we are nailing tibial fractures whithout fracture table . We are now using more and more a simple carbon fibre-frame , easily assembled by parts of the AO external fixator . So we can minimize the additional iatrogenic soft tissue damage during surgery and the logistic preoperative set-up in the operation theatre is shorter ." ], "offsets": [ [ 0, 597 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030156.eng.abstr
DerUnfallchirurg.01030156.eng.abstr
[ { "id": "DerUnfallchirurg.01030156.eng.abstr-passage-0", "type": "abstract", "text": [ "We report on a case of a 23 years old man who was polytraumatized in a car accident . He survived with excellent clinical outcome , but after 113 days after the accident he collapsed , massive bleeding out of the mouths started and the patient died within a few minutes . A gastric ulcer bleeding was assumed , but autopsy showed the beak-in of a posttraumatic aortic aneurysm into the esophagus . The difficulties of in time diagnosis of thoracic aorta lesions are discussed ." ], "offsets": [ [ 0, 477 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030160.eng.abstr
DerUnfallchirurg.01030160.eng.abstr
[ { "id": "DerUnfallchirurg.01030160.eng.abstr-passage-0", "type": "abstract", "text": [ "A 29 years old patient with an unsuspicious medical history is reported , who developed a toxic shock syndrome after intramedullary nailing for a closed tibia fracture . The patient died within 24 hours . The infection was caused by Streptococcus Group A. The diagnosis of the toxic shock syndrome was not without difficulties and was delayed . Post mortem examination revealed an unknown acute leukemia of the myeloic type ." ], "offsets": [ [ 0, 425 ] ] } ]
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[]
[]
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"id": "DerUnfallchirurg.01030160.eng.abstr-s3-r32-t4.1-t6.1", "type": "result_of", "arg1_id": "DerUnfallchirurg.01030160.eng.abstr-s3-t4", "arg2_id": "DerUnfallchirurg.01030160.eng.abstr-s3-t6", "normalized": [] }, { "id": "DerUnfallchirurg.01030160.eng.abstr-s3-r34-t2.1-t7.1", "type": "causes", "arg1_id": "DerUnfallchirurg.01030160.eng.abstr-s3-t2", "arg2_id": "DerUnfallchirurg.01030160.eng.abstr-s3-t7", "normalized": [] } ]
DerUnfallchirurg.01030183.eng.abstr
DerUnfallchirurg.01030183.eng.abstr
[ { "id": "DerUnfallchirurg.01030183.eng.abstr-passage-0", "type": "abstract", "text": [ "In this biomechanical study the implanted Unreamed Humeral Nail ( UHN ) has been tested concerning bending and torsional stiffnesses . In literature other intramedullary implants have been critisized for insufficient rotatory stability especially in transverse and short oblique fractures of the humeral shaft . This study examined , whether the implanted UHN , as well as the UHN implanted with interfragmentary compression through a specific compression device , is able to augment torsional stiffness significantly . To evaluate bending and torsional stiffnesses , the UHN has been compared biomechanically to the Russell-Taylor humeral nail ( RT ) in paired mid-shaft osteotomized cadaveric humeri . Identic paired comparison has been performed with the UHN without and UHN with interfragmentary compression . In anterior-posterior , as well as medio-lateral direction stiffness under four-point-bending is significantly higher in stabilizing with the RT . Under torsional loading with moments of 4 Nm , 6 Nm and 8 Nm the UHN reached more than the double torsional stiffness . The RT , which is only dynamically interlocked , owns a high initial \" play \" between bolts and nail itself . Through additional interfragmentary compression stiffness of the UHN under four-point-bending in anterior-posterior , as well as medio-lateral direction augments significantly . Also under torsional loading with moments of 4 Nm , 6 Nm und 8 Nm torsional stiffness increases with interfragmentary compression significantly . In comparison to other biomechanical studies of different autorship it is clear , that this statically interlocked intramedullary nailing of the humeral shaft is superior to non-statically interlocked types of nailing concerning their stabilizing potency in torsion and serves especially for fracture types , which are critically under rotation , as transverse or short oblique humeral shaft fractures ." ], "offsets": [ [ 0, 1918 ] ] } ]
[ { "id": "DerUnfallchirurg.01030183.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Nail" ], "offsets": [ [ 59, 63 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027342" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "literature" ], "offsets": [ [ 138, 148 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023866" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "implants" ], "offsets": [ [ 170, 178 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013183" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 279, 288 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "device" ], "offsets": [ [ 456, 462 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0699733" }, { "db_name": "UMLS", "db_id": "C0220819" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "nail" ], "offsets": [ [ 640, 644 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027342" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "humeri" ], "offsets": [ [ 695, 701 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020164" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "paired comparison" ], "offsets": [ [ 712, 729 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086766" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "anterior-posterior" ], "offsets": [ [ 817, 835 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032008" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "anterior-posterior" ], "offsets": [ [ 817, 835 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032009" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "direction" ], "offsets": [ [ 863, 872 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700158" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "anterior-posterior" ], "offsets": [ [ 1288, 1306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032008" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "anterior-posterior" ], "offsets": [ [ 1288, 1306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032009" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "direction" ], "offsets": [ [ 1334, 1343 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700158" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s11-t1", "type": "umlsterm", "text": [ "torsion" ], "offsets": [ [ 1773, 1780 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040480" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s11-t2", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 1807, 1815 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s11-t3", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 1851, 1859 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035868" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s11-t4", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 1907, 1916 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030183.eng.abstr-s11-t5", "type": "umlsterm", "text": [ "intramedullary nailing" ], "offsets": [ [ 1630, 1652 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021885" } ] } ]
[]
[]
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DerUnfallchirurg.01030191.eng.abstr
DerUnfallchirurg.01030191.eng.abstr
[ { "id": "DerUnfallchirurg.01030191.eng.abstr-passage-0", "type": "abstract", "text": [ "Biomechanical investigations in eight specimen elbow joints to test articulated external fixation showed correct extension-flexion joint position between 0 and 120 ° . The central axis through the radial and ulnar condyles varies less than 3 ° in total . X-ray kinematography showed correct articulation in all cases without subluxation . In six patients with persistent subluxation and complex fracture of the proximal ulna external fixation with an additional articulation was placed . All patients began with physiotherapy on the 3rd day after operation , the range of joint motion was 0-30-95 ° in all cases , after 6 weeks 0-30-110 ° . Additional articulated external fixation at the elbow joint can be an alternative treatment to long-term transfixation of the elbow in cases of complex injury ." ], "offsets": [ [ 0, 801 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030197.eng.abstr
DerUnfallchirurg.01030197.eng.abstr
[ { "id": "DerUnfallchirurg.01030197.eng.abstr-passage-0", "type": "abstract", "text": [ "The ulnar impaction syndrome is proven to be a common source of ulnar sided wrist pain . Ulna-shortening osteotomy represents a successful therapy for this kind of problem , both congenital or posttraumatic positive ulnar variance . Positive variance resulting from a distal radius fracture needs correct dorsal and radial angulation of the radius . In case of congenital positive variance arthroscopic debridement for decompression of the TFCC should be performed first . The adequate correction of the length is the major problem . Disorders of the distal radioulnar joint may result due to overcorrection . Oblique osteotomy using 7-hole-plates is our preferred treatment ." ], "offsets": [ [ 0, 676 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030203.eng.abstr
DerUnfallchirurg.01030203.eng.abstr
[ { "id": "DerUnfallchirurg.01030203.eng.abstr-passage-0", "type": "abstract", "text": [ "Fractures of the hand sceleton are common injuries . These are or are associated with phalangeal fractures . Kirschner wires can be used for osteosynthesis , but can cause lesions of periphereal finger structures . The aim of our study was to record the incidence of lesions in peripherial structures of the fingers caused by retrograde crossed inserted Kirschner wires of 1.0 , 1.25 , 1.4 and 1.6 mm diameter into the middle and proximal phalanges of the long fingers and the proximal phalanx of the thumb of 120 fresh cadaver hands . We found an increase of insertion attempt frequency and an increasing number of lesions with increasing Kirschner wire diameter . Because of these findings Kirschner wires of 1.0 or 1.25 mm diameter should be prefered to prevent the periphereal functional finger structures ." ], "offsets": [ [ 0, 811 ] ] } ]
[ { "id": "DerUnfallchirurg.01030203.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Fractures" ], "offsets": [ [ 0, 9 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hand" ], "offsets": [ [ 17, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018563" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 42, 50 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 97, 106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "wires" ], "offsets": [ [ 119, 124 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005978" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "finger" ], "offsets": [ [ 195, 201 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016129" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "Kirschner wires" ], "offsets": [ [ 109, 124 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086510" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "aim" ], "offsets": [ [ 219, 222 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0108800" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "incidence" ], "offsets": [ [ 254, 263 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220856" }, { "db_name": "UMLS", "db_id": "C0021149" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "fingers" ], "offsets": [ [ 308, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016129" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "wires" ], "offsets": [ [ 364, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005978" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "fingers" ], "offsets": [ [ 461, 468 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016129" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "thumb" ], "offsets": [ [ 501, 506 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040067" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "cadaver" ], "offsets": [ [ 520, 527 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006629" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "hands" ], "offsets": [ [ 528, 533 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018563" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "Kirschner wires" ], "offsets": [ [ 354, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086510" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "frequency" ], "offsets": [ [ 578, 587 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376249" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "wire" ], "offsets": [ [ 650, 654 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005978" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "Kirschner wire" ], "offsets": [ [ 640, 654 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086510" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 683, 691 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "wires" ], "offsets": [ [ 702, 707 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005978" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "finger" ], "offsets": [ [ 792, 798 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016129" } ] }, { "id": "DerUnfallchirurg.01030203.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "Kirschner wires" ], "offsets": [ [ 692, 707 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086510" } ] } ]
[]
[]
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DerUnfallchirurg.01030208.eng.abstr
DerUnfallchirurg.01030208.eng.abstr
[ { "id": "DerUnfallchirurg.01030208.eng.abstr-passage-0", "type": "abstract", "text": [ "Because the vascularization of ligaments is an important factor in ligament healing we wanted to examine the vascularization status of the medial collateral ligament of the knee . The type of vascularization was examined by mikroangiographie of 21 postmortem preparations . We could observe a vascularization from the proximal end of the ligament by one or two major vessels in all cases . These vessels were mostly localized in the ventral third of the ligament . From the proximal to the distal part of the ligament we found a decreasing density of blood vessels . We could not observe vessel free ligament areas . Due to this vascularization status we would advise the differentiation of two ligament areas respecting the following therapy . Because of the good vascularization in the proximal part of the ligament we can accept good conditions concerning complete healing after a non-operative treatment and an operative therapy by suture or refixation . In the case of interligamentous and distal ruptures operative reconstruction by sutures often is difficult and a conservative therapy leads to a high rate of poor results . Therefore we advise fibrin bonding in these ligament areas if a surgical procedure is indicated because of the high risk of vessel strangulation after suture ." ], "offsets": [ [ 0, 1291 ] ] } ]
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DerUnfallchirurg.01030215.eng.abstr
DerUnfallchirurg.01030215.eng.abstr
[ { "id": "DerUnfallchirurg.01030215.eng.abstr-passage-0", "type": "abstract", "text": [ "In a prospective randomized trial the early functional results after immobilisation in a cast were compared to those after using a vacuum stabilizing system . The vacuum stabilizing system Vacoped offers equivalent stability compared to a plaster cast . In contrast to the cast the Vacoped can be removed for body care and physical therapy . Additionally the range of motion for dorsalflexion/-extension in the upper ankle joint can be adjusted . From 9/1996 to 7/1997 there were 40 patients included in the study with an operated ankle fracture as monotrauma . Six weeks postoperatively the patients with cast treatment showed significantly higher functional deficits for the upper ankle joint ( 20% ) , the lower ankle joint ( 40% ) and muscle atrophy ( 2.1 cm side difference ) than the group with the vacuum stabilizing system ( upper ankle joint 15% , lower ankle joint 25% , 1.4 cm muscle atrophy ) . Five patients out of the group with the vacuum system were already at work three weeks postoperatively . Three months postoperatively the functional results for both groups were approximating . The vacuum stabilizing system Vacoped offers better early functinal results than conventional cast treatment after osteosynthesis of ankle fractures . Because of the increased patient comfort and the early ability for physical therapy the vacuum stabilizing system is preferable to cast treatment ." ], "offsets": [ [ 0, 1399 ] ] } ]
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"type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 537, 545 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "monotrauma" ], "offsets": [ [ 549, 559 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0540172" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "monotrauma" ], "offsets": [ [ 549, 559 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 592, 600 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 611, 620 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "ankle" ], "offsets": [ [ 683, 688 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003086" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 689, 694 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "ankle" ], "offsets": [ [ 715, 720 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003086" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 721, 726 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 739, 745 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s6-t8", "type": "umlsterm", 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"db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s10-t6", "type": "umlsterm", "text": [ "physical therapy" ], "offsets": [ [ 1319, 1335 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031818" } ] } ]
[]
[]
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"DerUnfallchirurg.01030215.eng.abstr-s6-t9", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s6-t15", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s6-r68-t2.1-t8.1", "type": "associated_with", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t2", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s6-t8", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s7-r1-t1.1-t3.1", "type": "performs", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t1", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t3", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s9-r1-t2.1-t4.1", "type": "associated_with", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t2", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t4", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s9-r2-t4.1-t2.1", "type": "associated_with", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t4", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s9-r3-t4.1-t1.1", "type": "result_of", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t4", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t1", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s9-r4-t2.1-t4.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t2", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t4", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s9-r5-t1.1-t4.1", "type": "result_of", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t1", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t4", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s10-r1-t2.1-t5.1", "type": "issue_in", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t2", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t5", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s10-r2-t1.1-t2.1", "type": "performs", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t1", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s10-r3-t1.1-t5.1", "type": "issue_in", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t1", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t5", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s10-r4-t1.1-t5.1", "type": "performs", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t1", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t5", "normalized": [] }, { "id": "DerUnfallchirurg.01030215.eng.abstr-s10-r5-t1.1-t3.1", "type": "performs", "arg1_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t1", "arg2_id": "DerUnfallchirurg.01030215.eng.abstr-s10-t3", "normalized": [] } ]
DerUnfallchirurg.01030240.eng.abstr
DerUnfallchirurg.01030240.eng.abstr
[ { "id": "DerUnfallchirurg.01030240.eng.abstr-passage-0", "type": "abstract", "text": [ "We report about a 61 years old patient , who suffered a rare ulnar dislocation of the ellbow after being arrested by the police ." ], "offsets": [ [ 0, 129 ] ] } ]
[ { "id": "DerUnfallchirurg.01030240.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "old" ], "offsets": [ [ 27, 30 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0331059" } ] }, { "id": "DerUnfallchirurg.01030240.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 31, 38 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030240.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "dislocation" ], "offsets": [ [ 67, 78 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012691" } ] }, { "id": "DerUnfallchirurg.01030240.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "police" ], "offsets": [ [ 121, 127 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085098" } ] } ]
[]
[]
[ { "id": "DerUnfallchirurg.01030240.eng.abstr-s1-r1-t3.1-t1.1", "type": "occurs_in", "arg1_id": "DerUnfallchirurg.01030240.eng.abstr-s1-t3", "arg2_id": "DerUnfallchirurg.01030240.eng.abstr-s1-t1", "normalized": [] }, { "id": "DerUnfallchirurg.01030240.eng.abstr-s1-r2-t3.1-t4.1", "type": "occurs_in", "arg1_id": "DerUnfallchirurg.01030240.eng.abstr-s1-t3", "arg2_id": "DerUnfallchirurg.01030240.eng.abstr-s1-t4", "normalized": [] }, { "id": "DerUnfallchirurg.01030240.eng.abstr-s1-r3-t1.1-t4.1", "type": "interacts_with", "arg1_id": "DerUnfallchirurg.01030240.eng.abstr-s1-t1", "arg2_id": "DerUnfallchirurg.01030240.eng.abstr-s1-t4", "normalized": [] }, { "id": "DerUnfallchirurg.01030240.eng.abstr-s1-r4-t4.1-t1.1", "type": "treats", "arg1_id": "DerUnfallchirurg.01030240.eng.abstr-s1-t4", "arg2_id": "DerUnfallchirurg.01030240.eng.abstr-s1-t1", "normalized": [] } ]
DerUnfallchirurg.01030243.eng.abstr
DerUnfallchirurg.01030243.eng.abstr
[ { "id": "DerUnfallchirurg.01030243.eng.abstr-passage-0", "type": "abstract", "text": [ "A 36-year old man suffered an isolated head injury with a fracture of the skull , epidural and subdural hematomas as well as brain contusion ( Abbreviated Injury Scale ( AIS ) : 5 points ) . The hematomas were evacuated by craniotomy . Because of high intracranial pressure ( ICP ) a barbiturate coma was necessary . Additionally , the patient demonstrated acute lung injury ( ARDS ) due to pneumonia 8 days after trauma . The patient recovered slowly and was transferred to neurorehabilitation on day 57 after injury . During the following 12 months the patient developed a significant deficit of hip motion ( extension/flexion : right : 0 °/10 °/20 ° , left : 0 °/10 °/30 ° ; external/internal rotation : right and left : 5 °/0 °/ 5 ° ; abduction/adduction : right : 10 °/0 °/25 ° , left : 10 °/0 °/10 ° ) . X-rays and CT-scanning revealed severe heterotopic ossification ( HO ) of both hips with ancylosis ( Brooker type IV ) . Resection of HO was carried out in a two stage procedure using Smith-Petersen approach . The prophylaxis for recurrence of HO included preoperative single-dose radiation ( 8 Gy ) and postoperative treatment with indomethacin ( 150 mg per day ) . The patient revealed 15 ( left hip ) and 12 ( right hip ) months after surgery the following range of hip movement : extension/flexion : right : 5 °/0 °/90 ° , left : 5 °/0 °/100 ° ; external/internal rotation : right : 20 °/0 °/30 ° , left : 20 °/0 °/20 ° ; abduction/adduction : right : 30 °/0 °/40 ° , left : 30 °/0 °/40 ° . No recurrence of HO was observed in x-ray . The patient is able to work in his profession as farmer ." ], "offsets": [ [ 0, 1606 ] ] } ]
[ { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "old" ], "offsets": [ [ 10, 13 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0331059" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "man" ], "offsets": [ [ 14, 17 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025266" }, { "db_name": "UMLS", "db_id": "C0024554" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "head" ], "offsets": [ [ 39, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018670" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 44, 50 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 58, 66 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "skull" ], "offsets": [ [ 74, 79 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037303" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "hematomas" ], "offsets": [ [ 104, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018944" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "brain" ], "offsets": [ [ 125, 130 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0153633" }, { "db_name": "UMLS", "db_id": "C0006104" }, { "db_name": "UMLS", "db_id": "C0496899" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "contusion" ], "offsets": [ [ 131, 140 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009938" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "Injury" ], "offsets": [ [ 155, 161 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "Scale" ], "offsets": [ [ 162, 167 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175659" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t12", "type": "umlsterm", "text": [ "head injury" ], "offsets": [ [ 39, 50 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018674" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t13", "type": "umlsterm", "text": [ "subdural hematomas" ], "offsets": [ [ 95, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018946" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t14", "type": "umlsterm", "text": [ "brain contusion" ], "offsets": [ [ 125, 140 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0149844" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s1-t15", "type": "umlsterm", "text": [ "Abbreviated Injury Scale" ], "offsets": [ [ 143, 167 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000722" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "hematomas" ], "offsets": [ [ 195, 204 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018944" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "craniotomy" ], "offsets": [ [ 223, 233 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010280" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "pressure" ], "offsets": [ [ 265, 273 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033095" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "barbiturate" ], "offsets": [ [ 284, 295 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220791" }, { "db_name": "UMLS", "db_id": "C0004745" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "coma" ], "offsets": [ [ 296, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009421" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "intracranial pressure" ], "offsets": [ [ 252, 273 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021880" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 336, 343 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "lung" ], "offsets": [ [ 363, 367 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024109" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 368, 374 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "ARDS" ], "offsets": [ [ 377, 381 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035222" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "pneumonia" ], "offsets": [ [ 391, 400 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032285" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 414, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "acute lung injury" ], "offsets": [ [ 357, 374 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242488" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 427, 434 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 511, 517 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 555, 562 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 598, 601 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "motion" ], "offsets": [ [ 602, 608 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026597" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "right" ], "offsets": [ [ 631, 636 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035621" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 696, 704 ] ], "normalized": 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}, { "id": "DerUnfallchirurg.01030243.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 972, 977 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 978, 987 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "prophylaxis" ], "offsets": [ [ 1024, 1035 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033107" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 1040, 1050 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerUnfallchirurg.01030243.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "single-dose" ], "offsets": [ [ 1079, 1090 ] ], "normalized": [ { "db_name": "UMLS", "db_id": 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"DerUnfallchirurg.01030243.eng.abstr-s12-t1", "arg2_id": "DerUnfallchirurg.01030243.eng.abstr-s12-t2", "normalized": [] } ]
DerUnfallchirurg.01030248.eng.abstr
DerUnfallchirurg.01030248.eng.abstr
[ { "id": "DerUnfallchirurg.01030248.eng.abstr-passage-0", "type": "abstract", "text": [ "Ossification of the Achilles tendon is the result of a traumatic , hypoxic injury of the tendon . The usually asymptomatic ossification has a clinical importance only in case of a new trauma . We report about a patient with an isolated fracture of the ossification without an accompanying rupture of the Achilles tendon . Because of the radiologically \" occult \" fracture the diagnosis could only be verified by MRI . With a conservative treatment without resection of the ossification we could reach painless recovery ." ], "offsets": [ [ 0, 520 ] ] } ]
[ { "id": "DerUnfallchirurg.01030248.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 29, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hypoxic" ], "offsets": [ [ 67, 74 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242184" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 75, 81 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 89, 95 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "Achilles tendon" ], "offsets": [ [ 20, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001074" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 184, 190 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 211, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 236, 244 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "rupture" ], "offsets": [ [ 289, 296 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035955" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 313, 319 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "Achilles tendon" ], "offsets": [ [ 304, 319 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001074" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 363, 371 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 376, 385 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "MRI" ], "offsets": [ [ 412, 415 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024485" } ] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 438, 447 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] } ]
[]
[]
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"id": "DerUnfallchirurg.01030248.eng.abstr-s4-r2-t1.1-t2.2", "type": "associated_with", "arg1_id": "DerUnfallchirurg.01030248.eng.abstr-s5-t1", "arg2_id": "DerUnfallchirurg.01030248.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s4-r3-t2.1-t1.1", "type": "associated_with", "arg1_id": "DerUnfallchirurg.01030248.eng.abstr-s4-t2", "arg2_id": "DerUnfallchirurg.01030248.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerUnfallchirurg.01030248.eng.abstr-s4-r4-t1.1-t2.1", "type": "associated_with", "arg1_id": "DerUnfallchirurg.01030248.eng.abstr-s5-t1", "arg2_id": "DerUnfallchirurg.01030248.eng.abstr-s4-t2", "normalized": [] } ]
DerUnfallchirurg.01030267.eng.abstr
DerUnfallchirurg.01030267.eng.abstr
[ { "id": "DerUnfallchirurg.01030267.eng.abstr-passage-0", "type": "abstract", "text": [ "During 1985 and 1993 , 7,410 persons were injured in traffic accidents in the area of Hanover . Of these , 306 ( 4.1% ) sustained a pelvic girdle injury . In 139 cases ( 45% ) , the pelvic girdle injuries were further classified ( Pennal and Tile ) and a technical reconstruction of the accident situation was performed . 52% were type A , 27% type B and 21% type C injuries . Some 47% of the casualties were vehicle occupants , 31% pedestrians , 12% motorcyclists and 10% cyclists . In restrained vehicle occupants pelvic girdle injuries occurred mostly in accidents with a delta-v of more than 30 km/h , whereas in unrestrained vehicle occupants , pedestrians and cyclists they also occurred with lower delta-v or collision speed . The percentage of type B and C injuries increased with higher velocities . In addition to further improvements in passive safety , lower collision speed or delta-v is necessary to reduce or prevent pelvic girdle injuries . The reconstruction of pelvic girdle injury mechanism in traffic accidents is possible , when both technical and medical parameters are considered ." ], "offsets": [ [ 0, 1104 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030275.eng.abstr
DerUnfallchirurg.01030275.eng.abstr
[ { "id": "DerUnfallchirurg.01030275.eng.abstr-passage-0", "type": "abstract", "text": [ "Acute compartment syndrome of the thigh has been infrequently reported in the literature . Closed femoral fractures and blunt soft tissue trauma are the main causes of this injury . The multiple injured patient in this case report developed a compartment syndrome of the thigh after intramedullary nailing of a comminuted fracture of the femur . Fasciotomy was performed two days after surgery because of extense swelling of the thigh in the ventilated and sedated patient . Sciatic and femoral nerve palsy was recognized after extubation of the patient nine days after the injury . During the following weeks the paresis of the femoral nerve recovered but neither motor nor sensory function of the sciatic nerve could be demonstrated . Therefore an operative revision of the sciatic nerve was performed eighteen weeks after trauma . No direct nerve injury could be detected but there were adhesions around the nerve as a sign of compression neuropathy caused by the compartment syndrome . The tibial component of the sciatic nerve showed a complete recovery within the next months but there was a persisting peroneal nerve palsy . Conclusion : Early clinical symptoms of a compartment syndrome like pain , paresthesia and paresis can not be ascertained in a ventilated and sedated patient . Tense swelling of the muscles is often the only detectable sign . Frequent measurements of compartment pressure should be done in these patients . We suggest early decompressive fasciotomy because the morbidity caused by fasciotomy in a borderline compartment syndrome is far outweighed by the morbidity that accompanies an undiagnosed untreated compartment syndrome with possible nerve palsy ." ], "offsets": [ [ 0, 1686 ] ] } ]
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"id": "DerUnfallchirurg.01030275.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 131, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 138, 144 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "causes" ], "offsets": [ [ 158, 164 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 173, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "femoral fractures" ], "offsets": [ [ 98, 115 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015802" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 203, 210 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 255, 263 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "thigh" ], "offsets": [ [ 271, 276 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039866" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "comminuted" ], "offsets": [ [ 311, 321 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0476171" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 322, 330 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "femur" ], "offsets": [ [ 338, 343 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015811" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "case report" ], "offsets": [ [ 219, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007320" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "compartment syndrome" ], "offsets": [ [ 243, 263 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009492" }, { "db_name": "UMLS", "db_id": "C0027743" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t9", "type": "umlsterm", "text": [ "intramedullary nailing" ], "offsets": [ [ 283, 305 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021885" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s3-t10", "type": "umlsterm", "text": [ "comminuted fracture" ], "offsets": [ [ 311, 330 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0476171" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 386, 393 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "thigh" ], "offsets": [ [ 429, 434 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039866" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 465, 472 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "nerve" ], "offsets": [ [ 495, 500 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "DerUnfallchirurg.01030275.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "palsy" ], "offsets": [ [ 501, 506 ] ], "normalized": [ { "db_name": "UMLS", "db_id": 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DerUnfallchirurg.01030281.eng.abstr
DerUnfallchirurg.01030281.eng.abstr
[ { "id": "DerUnfallchirurg.01030281.eng.abstr-passage-0", "type": "abstract", "text": [ "A total of 86 patients suffering from fractures of the thoracolumbar spine were followed up after an average time period of 57 months ( 12-98 ) . Of these patients , 56 were treated operatively and 30 conservatively . According to the AO/ASIF classification , 66% of the operated group were fractures of type A , 29% of type B , and 5% of type C. All patients were operated on by means of dorsal locking instrumentation with pedicular fixation and , apart from six patients , with transpedicular cancellous bone grafting . The conservative group was treated according to the guidelines of Boehler with closed reduction , plaster cast , and rehabilitation program . All fractures in the conservative group were of type A." ], "offsets": [ [ 0, 720 ] ] } ]
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[]
[]
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"arg2_id": "DerUnfallchirurg.01030281.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerUnfallchirurg.01030281.eng.abstr-s4-r2-t1.3-t2.2", "type": "uses", "arg1_id": "DerUnfallchirurg.01030281.eng.abstr-s4-t1", "arg2_id": "DerUnfallchirurg.01030281.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030281.eng.abstr-s4-r3-t1.3-t4.1", "type": "uses", "arg1_id": "DerUnfallchirurg.01030281.eng.abstr-s4-t1", "arg2_id": "DerUnfallchirurg.01030281.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerUnfallchirurg.01030281.eng.abstr-s5-r1-t1.1-t2.1", "type": "result_of", "arg1_id": "DerUnfallchirurg.01030281.eng.abstr-s5-t1", "arg2_id": "DerUnfallchirurg.01030281.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030281.eng.abstr-s5-r2-t2.1-t1.1", "type": "result_of", "arg1_id": "DerUnfallchirurg.01030281.eng.abstr-s5-t2", "arg2_id": "DerUnfallchirurg.01030281.eng.abstr-s5-t1", "normalized": [] } ]
DerUnfallchirurg.01030289.eng.abstr
DerUnfallchirurg.01030289.eng.abstr
[ { "id": "DerUnfallchirurg.01030289.eng.abstr-passage-0", "type": "abstract", "text": [ "The purpose of this prospective study was to determine concomittant lesions of glenohumeral dislocation and their correlation with the outcome , to determine the influence of various stabilizing operation techniques on the outcome . 106 shoulders [ 104 patients , 81 men , 23 women , mean age 36 ( 16-83 ) years ] operated because of shoulder instability after at minimum one shoulder luxation between 1988 to 1995 were evaluated 3 years ( 0.8-8 years ) postoperatively using Constant score . Preoperative arthroscopy was performed to document intraarticular lesions . There were 7 reluxations ( 5 because of a new accident ) , mostly after Putti-Platt procedures . The average modified Constant Score was 66 ( 10-85 ) points ( maximum 85 ) . 29 patients ( 27% ) had less than 60 points , mostly because of pain and restriction of function , and were evaluated as poor . Lesions of rotator cuff , long biceps tendon and subscapularis tendon had a bad prognosis . The severity of arthroscopically found lesions correlated with the outcome . Operations with shortening of subscapularis tendon or using a bone graft gave bad results . Anatomic reconstruction of the labrum-ligament complex in combination with a plasty of the extended capsule gave best results . Preoperative arthroscopy can determine the extent of different lesions after shoulder luxation which influence the outcome and is useful to select the optimal operation technique ." ], "offsets": [ [ 0, 1440 ] ] } ]
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"db_name": "UMLS", "db_id": "C0037004" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "shoulder" ], "offsets": [ [ 376, 384 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037004" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "arthroscopy" ], "offsets": [ [ 506, 517 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003904" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "accident" ], "offsets": [ [ 615, 623 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 653, 663 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 746, 754 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 807, 811 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "function" ], "offsets": [ [ 831, 839 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 909, 915 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 934, 940 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "prognosis" ], "offsets": [ [ 951, 960 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033325" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "rotator cuff" ], "offsets": [ [ 882, 894 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085515" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "Operations" ], "offsets": [ [ 1040, 1050 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 1084, 1090 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 1102, 1106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s9-t4", "type": "umlsterm", "text": [ "graft" ], "offsets": [ [ 1107, 1112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s9-t5", "type": "umlsterm", "text": [ "bone graft" ], "offsets": [ [ 1102, 1112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005976" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "Anatomic" ], "offsets": [ [ 1132, 1140 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220784" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s10-t2", "type": "umlsterm", "text": [ "labrum-ligament" ], "offsets": [ [ 1163, 1178 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s10-t3", "type": "umlsterm", "text": [ "capsule" ], "offsets": [ [ 1232, 1239 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006935" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s11-t1", "type": "umlsterm", "text": [ "arthroscopy" ], "offsets": [ [ 1273, 1284 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003904" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s11-t2", "type": "umlsterm", "text": [ "shoulder" ], "offsets": [ [ 1337, 1345 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037004" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s11-t3", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 1419, 1428 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerUnfallchirurg.01030289.eng.abstr-s11-t4", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 1429, 1438 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] } ]
[]
[]
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DerUnfallchirurg.01030295.eng.abstr
DerUnfallchirurg.01030295.eng.abstr
[ { "id": "DerUnfallchirurg.01030295.eng.abstr-passage-0", "type": "abstract", "text": [ "A huge amount of publications is existing dealing with topics of operative or nonopervative treatment , results and follow-up of fractures of the os calcis . Comparing the different studies one can see that there are a lot of different scores applicated for follow-up and outcome . Therefore it's difficult or impossible to compare the results of the different publications . The problems are discussed while evaluating own results of operative treated fractures of the os calcis . Between 1993 and 1996 we treated 27 fractures with ORIF ( open reduction and internal fixation ) . 25 of the patients could be followed-up after a mean of 22,1 months . For follow-up three recently published scores , the AOFAS Ankle-Hindfoot Scale ( AOFAS ) , the Calcaneal Fractures Scoring System ( CFSS ) according to Kerr and the Functional Outcome Assessment-Score ( FOA ) according to Thordarson were used ." ], "offsets": [ [ 0, 895 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030318.eng.abstr
DerUnfallchirurg.01030318.eng.abstr
[ { "id": "DerUnfallchirurg.01030318.eng.abstr-passage-0", "type": "abstract", "text": [ "The most common mechanism of pelvic fractures after blunt trauma is lateral commpression of the pelvis . Most of these fractures are of slight severity but it is possible , that a life-threatening hemorrhage can appear . The inferior epigastric artery is an atypical bleedingsite but it has to be considered in the search of the origin of the hemorrhage . Diagnostic tools are ultasound , computed tomography and angiography . After external fixation of the pelvis and persistent haemodynamic active bleeding is the percutaneous transcatheter embolization ( PTE ) in our opinion the treatment of choice . The introduced case is confirm with this statement ." ], "offsets": [ [ 0, 657 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030322.eng.abstr
DerUnfallchirurg.01030322.eng.abstr
[ { "id": "DerUnfallchirurg.01030322.eng.abstr-passage-0", "type": "abstract", "text": [ "WHO estimates that worldwide more than 4 million people are infected with tuberculosis ( TB ) , 95% of them living in third world countries . TB is once again the most frequent infectious disease [ 1 , 2 , 7 ] . Extrapulmonary forms ( EPTB ) frequently appear with HIV-associated TB [ 3 , 4 , 6 ] . We present the case of a 23-year old patient with abscess forming TB of the right apical lung with infiltration and partial osteolytical destruction of the 7th cervical- and the first thoracal vertebral body . Progressive spinal compression lead to partial sensomotorical deficits . Surgical revision of the abscess , an atypical resection of the right apical lung and right wing hemilaminectomy of Th1/2 for spinal decompression became necessary . The spinal stabilisation was achieved by conservative treatment for 6 weeks only by a Minerva cast and for another 8 weeks by a cervical stiffneck . Following mobilisation was without problems and the neurological deficits subsided within 3 months . Clinical examination and functional X-rays analysis proved vertebral stability and good function . The treatment of TB is basically conservative . Surgery is only recommended in case of functional and infectious complications ." ], "offsets": [ [ 0, 1225 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030326.eng.abstr
DerUnfallchirurg.01030326.eng.abstr
[ { "id": "DerUnfallchirurg.01030326.eng.abstr-passage-0", "type": "abstract", "text": [ "Pigmented villonodular synovitis ( PVNS ) is a disease that involves the lining of joints , bursae and tendon sheaths . The incidence is low and estimated to be 1.8 patients per million population . The cause of PVNS is unclear and discussed to be either inflammatory or neoplastic . PVNS has been described in 2 forms different for prognosis and treatment ( nodular and diffuse ) . The articular form almost appeares in the knee joint as we describe below in a 14 year-old patient ." ], "offsets": [ [ 0, 483 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030342.eng.abstr
DerUnfallchirurg.01030342.eng.abstr
[ { "id": "DerUnfallchirurg.01030342.eng.abstr-passage-0", "type": "abstract", "text": [ "There are no clear definitions of serious or complex hand injuries in the literature . Multistructural injuries involving a vital risk to the affected part of the body part are usually classified as complex . The quality of the reconstruction , based on sound management principles , determines the aesthetic and functional outcome for the patient . The strategies basically consist of : Careful radical dèbridement , thorough analysis of the defect and evaluation of lost functions , injury classification , Patient oriented reconstructive procedures , careful and realistic explanation of perspectives and risks to the patient . Following these principles will most likely achieve the planned objectives of treatment , such as , best possible restoration of form and function , cost-effective therapy , and early professional and social reintegration . Algorithmic approaches are an important aid in the clinical approach to these kinds of problems , making it possible to reach clear reproducible decisions that are amenable to standardization . Despite all individual decisions necessary to achieve optimal care , this standard theoretical framework will be able to improve the quality of care ." ], "offsets": [ [ 0, 1199 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030355.eng.abstr
DerUnfallchirurg.01030355.eng.abstr
[ { "id": "DerUnfallchirurg.01030355.eng.abstr-passage-0", "type": "abstract", "text": [ "The severe multiple trauma is of extraordinary medical and social and economical importance . Nevertheless there exist only a few german data to describe these patients . The aim of the study was an epidemiological analysis of 2069 patients of the Trauma Registry of the German Society of Trauma Surgery , recorded from 1993 - 1997. A descriptive kind of analysis of the incidence of injuries and complications of theis collective was done and the amount of therapeutic means examined . Most patients ( 56.7% ) were traffic victims , almost all patients suffered from blunt trauma . The relation male to female was 2.6 : 1 , the average Injury Severity Score 22.2 +/- 13.1 points , the average age was 38.5 +/- 18.7 years . Chest trauma was the most frequent significant injury ( AIS > = 3 points , 44.5% ) , followed by severe head injury ( 39.2% ) which was the most important reason for early lethality ( death = 24 h after trauma , 51.7% of all deceased ) and the total hospital lethality ( 18.6% ) . 68.9% of the patients showed injuries of the extremities . Patients were admitted to hospital in 71.7% in times of stand-by service ( between 4 p.m. and 8 a.m. , weekends , holidays ) and required ( median ) 4 days ventilation , 6 days ICU treatment and stayed in hospital 19 days . Complications recorded were organ failure ( lung 22.0% , circulation 18.7% , liver 9.6% , kidney 3.1% ) and sepsis ( 11.6% ) . The presented epidemiological analysis is comprehensive description of a large collective of multiple traumatized patients . The current data of the Trauma Registry of the German Trauma Society can be used to answer scientifical , clinical and economical questions and for quality management ." ], "offsets": [ [ 0, 1708 ] ] } ]
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DerUnfallchirurg.01030364.eng.abstr
DerUnfallchirurg.01030364.eng.abstr
[ { "id": "DerUnfallchirurg.01030364.eng.abstr-passage-0", "type": "abstract", "text": [ "During 1985 and 1995 , 3,260 restrained car drivers ( 1,228 front seat passengers ) were injured in 9,380 crashes involving cars . 179 ( 5.5% ) ( front seat passengers : 53.4% ) of those sustained fractures , of the arm . Among the 384 single fractures the hand ( 25% ) , wrist ( 23% ) and forearm ( 23% ) were affected most often , elbow ( 9% ) , upper arm ( 10% ) and shoulder ( 10% ) rather seldom . Half of the evaluated fractures of the long tubular bones were type A-fractures due to the AO classification and the other two quarters , respectively type B- and C-injuries in each case . 16% were open fractures . No considerable differences of the injury mechanism were found comparing drivers and front seat passengers . Since over half of all fractures resulted from a direct impact to the hand and/or arm , modifications are necessary in order to improve the energy absorption by means of padding the dashboard and the inner door . The use of side- and front-airbags could serve as an additional auxiliary equipment , as long as it doesn ' t induce a supplemental stress , through unfolding of the airbag ." ], "offsets": [ [ 0, 1114 ] ] } ]
[ { "id": "DerUnfallchirurg.01030364.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "car" ], "offsets": [ [ 40, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007297" }, { "db_name": "UMLS", "db_id": "C0004381" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "cars" ], "offsets": [ [ 124, 128 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007297" }, { "db_name": "UMLS", "db_id": "C0004381" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 197, 206 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "arm" ], "offsets": [ [ 216, 219 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003792" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "single" ], "offsets": [ [ 236, 242 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087136" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 243, 252 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "hand" ], "offsets": [ [ 257, 261 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018563" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "wrist" ], "offsets": [ [ 272, 277 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043262" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "forearm" ], "offsets": [ [ 290, 297 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016536" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "elbow" ], "offsets": [ [ 333, 338 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013769" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "arm" ], "offsets": [ [ 354, 357 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003792" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "shoulder" ], "offsets": [ [ 370, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037004" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 425, 434 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "bones" ], "offsets": [ [ 455, 460 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "classification" ], "offsets": [ [ 497, 511 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008902" }, { "db_name": "UMLS", "db_id": "C0008903" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 601, 605 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 606, 615 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "open fractures" ], "offsets": [ [ 601, 615 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016662" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 653, 659 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 750, 759 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "direct" ], "offsets": [ [ 776, 782 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700157" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "hand" ], "offsets": [ [ 797, 801 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018563" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "arm" ], "offsets": [ [ 809, 812 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003792" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "absorption" ], "offsets": [ [ 874, 884 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000854" }, { "db_name": "UMLS", "db_id": "C0220777" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "use" ], "offsets": [ [ 944, 947 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042153" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "equipment" ], "offsets": [ [ 1014, 1023 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220824" }, { "db_name": "UMLS", "db_id": "C0014672" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "stress" ], "offsets": [ [ 1072, 1078 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038435" } ] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "airbag" ], "offsets": [ [ 1106, 1112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162697" } ] } ]
[]
[]
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"type": "disrupts", "arg1_id": "DerUnfallchirurg.01030364.eng.abstr-s8-t1", "arg2_id": "DerUnfallchirurg.01030364.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s7-r6-t1.1-t5.1", "type": "result_of", "arg1_id": "DerUnfallchirurg.01030364.eng.abstr-s8-t1", "arg2_id": "DerUnfallchirurg.01030364.eng.abstr-s7-t5", "normalized": [] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s7-r7-t4.1-t2.1", "type": "adjacent_to", "arg1_id": "DerUnfallchirurg.01030364.eng.abstr-s8-t4", "arg2_id": "DerUnfallchirurg.01030364.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s7-r8-t4.1-t1.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030364.eng.abstr-s8-t4", "arg2_id": "DerUnfallchirurg.01030364.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerUnfallchirurg.01030364.eng.abstr-s7-r9-t2.1-t1.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030364.eng.abstr-s8-t2", "arg2_id": 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DerUnfallchirurg.01030371.eng.abstr
DerUnfallchirurg.01030371.eng.abstr
[ { "id": "DerUnfallchirurg.01030371.eng.abstr-passage-0", "type": "abstract", "text": [ "From a group of 41 consecutive patients receiving an endoprosthetic knee replacement 35 patients underwent complete pre- and postoperative documentation of life quality in the short term follow-up ." ], "offsets": [ [ 0, 198 ] ] } ]
[ { "id": "DerUnfallchirurg.01030371.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 31, 39 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030371.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "knee" ], "offsets": [ [ 68, 72 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022742" } ] }, { "id": "DerUnfallchirurg.01030371.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 88, 96 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030371.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 125, 138 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerUnfallchirurg.01030371.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "documentation" ], "offsets": [ [ 139, 152 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012972" } ] }, { "id": "DerUnfallchirurg.01030371.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "life" ], "offsets": [ [ 156, 160 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376558" } ] }, { "id": "DerUnfallchirurg.01030371.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "knee replacement" ], "offsets": [ [ 68, 84 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086511" } ] }, { "id": "DerUnfallchirurg.01030371.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "life quality" ], "offsets": [ [ 156, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034380" } ] } ]
[]
[]
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DerUnfallchirurg.01030375.eng.abstr
DerUnfallchirurg.01030375.eng.abstr
[ { "id": "DerUnfallchirurg.01030375.eng.abstr-passage-0", "type": "abstract", "text": [ "The fixation of hamstring grafts in ACL reconstruction requires a connector device . During the process of ingrowing the graft stability depends entirely on the fixation . The following study focused on the mechanical conditions of no 6 Ethibond , 5 mm Mersilene tape and 5 mm Polylene tape . The material were tested as loops with a length of 30 mm including the knot similar to intraoperative conditions . The ultimate tension load and elongation of the conditioned and unconditioned loops were investigated under cyclic load of 50 N and 100 N using a tension load machine . The ultimate tension load increased significantly only for Mersilene from 416 N to 462 N. However , the highest ultimate tension load showed Polylene with 479 N. The oscillating load up to 100 N revealed for unconditioned loops and elongation of 4.1 mm for Ethibond , 2.9 mm for Polylene and 5.4 mm for Mersilene . The elongation decreased significantly for the conditioned loops to a maximum of 1.4 mm . Concerning the amplitude during the period of oscillating load there was found a significant reduction as well . Based on our results Polylene showed the best mechanical properties . Regardless the intraoperatively used material we advocate the conditioning of the loops before anchoring the hamstring graft in ACL reconstruction ." ], "offsets": [ [ 0, 1313 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030401.eng.abstr
DerUnfallchirurg.01030401.eng.abstr
[ { "id": "DerUnfallchirurg.01030401.eng.abstr-passage-0", "type": "abstract", "text": [ "The possibility of a specific origin of joint infection should be considered in finding the diagnosis . This is demonstrated in a case of tuberculosis of the hip treated in the Dept . of Trauma Surgery in collaboration with the Medical Dept . of the Klinikum Minden . Microbiological and imaging examinations are essential to plan and perform a combined therapy of hip arthroplasty and concomittant medical antituberculous therapy . In accordance to a literature review , this procedure proved successful for both eliminating the local infection and the functional outcome of the operation ." ], "offsets": [ [ 0, 591 ] ] } ]
[ { "id": "DerUnfallchirurg.01030401.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "origin" ], "offsets": [ [ 30, 36 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079946" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 40, 45 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 46, 55 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 92, 101 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "tuberculosis" ], "offsets": [ [ 138, 150 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041296" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 158, 161 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Trauma" ], "offsets": [ [ 187, 193 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "Surgery" ], "offsets": [ [ 194, 201 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "collaboration" ], "offsets": [ [ 205, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282116" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "Microbiological" ], "offsets": [ [ 268, 283 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025953" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "imaging" ], "offsets": [ [ 288, 295 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 354, 361 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 365, 368 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "arthroplasty" ], "offsets": [ [ 369, 381 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003893" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 423, 430 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "literature" ], "offsets": [ [ 452, 462 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023866" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "review" ], "offsets": [ [ 463, 469 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282443" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 477, 486 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 536, 545 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 580, 589 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerUnfallchirurg.01030401.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "literature review" ], "offsets": [ [ 452, 469 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282441" } ] } ]
[]
[]
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DerUnfallchirurg.01030405.eng.abstr
DerUnfallchirurg.01030405.eng.abstr
[ { "id": "DerUnfallchirurg.01030405.eng.abstr-passage-0", "type": "abstract", "text": [ "The deepithelialized \" turn-over-flap \" is a reversed dermis flap . The pedicle of the flap remains intact . The mobile upper part of the flap is turned over the defect and the pedicle itself . A mesh graft covers both , the flap and the donor side . Two case reports will present the principles of the flap design and the clinical outcome of a patient with a defect over the lateral malleolar region and a patient with a defect over the Achilles tendon ." ], "offsets": [ [ 0, 455 ] ] } ]
[ { "id": "DerUnfallchirurg.01030405.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "dermis" ], "offsets": [ [ 54, 60 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011646" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 61, 65 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 87, 91 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 138, 142 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "defect" ], "offsets": [ [ 162, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243067" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "graft" ], "offsets": [ [ 201, 206 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 225, 229 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "donor" ], "offsets": [ [ 238, 243 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013018" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 303, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 345, 352 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "defect" ], "offsets": [ [ 360, 366 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243067" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 407, 414 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "defect" ], "offsets": [ [ 422, 428 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243067" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 447, 453 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "case reports" ], "offsets": [ [ 255, 267 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007320" } ] }, { "id": "DerUnfallchirurg.01030405.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "Achilles tendon" ], "offsets": [ [ 438, 453 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001074" } ] } ]
[]
[]
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DerUnfallchirurg.01030409.eng.abstr
DerUnfallchirurg.01030409.eng.abstr
[ { "id": "DerUnfallchirurg.01030409.eng.abstr-passage-0", "type": "abstract", "text": [ "Abstract This case presents the history of a 56-year-old patient suffering from low back pain for a period of several weaks . The radiological und histopathological examination showed hints for a spondylodiscitis of the fifth lumbar vertebra . Due to a progressive destruction of the fifth vertebra a ventral stabilisation was performed . Again the histological examination showed the characteristics of an unspezific spondylodiscitis . The last biopsy , taken during the explantation of the fixateur interne showed a high malignant lymphoma . A course of chemotherapy was started following the CHOP-Protocol acompanied by radiotherapy . This case demonstrates that meticulous clinical examination as well as advanced radiological techniques can fail in rare differential diagnosis of spondylodiscitis ." ], "offsets": [ [ 0, 803 ] ] } ]
[ { "id": "DerUnfallchirurg.01030409.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Abstract" ], "offsets": [ [ 0, 8 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000857" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "history" ], "offsets": [ [ 32, 39 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019664" }, { "db_name": "UMLS", "db_id": "C0019665" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 57, 64 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "back" ], "offsets": [ [ 84, 88 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004600" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 89, 93 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "period" ], "offsets": [ [ 100, 106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025344" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "back pain" ], "offsets": [ [ 84, 93 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004604" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "low back pain" ], "offsets": [ [ 80, 93 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024031" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "histopathological" ], "offsets": [ [ 147, 164 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243140" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "spondylodiscitis" ], "offsets": [ [ 196, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012624" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "vertebra" ], "offsets": [ [ 233, 241 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0549207" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "lumbar vertebra" ], "offsets": [ [ 226, 241 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024091" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "vertebra" ], "offsets": [ [ 290, 298 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0549207" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "spondylodiscitis" ], "offsets": [ [ 418, 434 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012624" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "biopsy" ], "offsets": [ [ 446, 452 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220797" }, { "db_name": "UMLS", "db_id": "C0005558" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "malignant" ], "offsets": [ [ 523, 532 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "lymphoma" ], "offsets": [ [ 533, 541 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "malignant lymphoma" ], "offsets": [ [ 523, 541 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "chemotherapy" ], "offsets": [ [ 556, 568 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013216" }, { "db_name": "UMLS", "db_id": "C0013217" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "CHOP-Protocol" ], "offsets": [ [ 595, 608 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0055598" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "radiotherapy" ], "offsets": [ [ 623, 635 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034618" }, { "db_name": "UMLS", "db_id": "C0034619" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 731, 741 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 772, 781 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "spondylodiscitis" ], "offsets": [ [ 785, 801 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012624" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "clinical examination" ], "offsets": [ [ 677, 697 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031809" } ] }, { "id": "DerUnfallchirurg.01030409.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "differential diagnosis" ], "offsets": [ [ 759, 781 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220820" }, { "db_name": "UMLS", "db_id": "C0011906" } ] } ]
[]
[]
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DerUnfallchirurg.01030413.eng.abstr
DerUnfallchirurg.01030413.eng.abstr
[ { "id": "DerUnfallchirurg.01030413.eng.abstr-passage-0", "type": "abstract", "text": [ "A new technique of a minimally invasive approach to the proximal femur was developed for the management of per- and subtrochanteric fractures using intramedullary nail blade systems . For creating the entry portal at the proximal femur a transkutaneously applied Kirschner-wire is used . Subsequently , a new developed trocar system ( TNS ) for the protection of the soft tissue during reaming procedures is placed via a small cutaneous incision . The reaming of the femoral shaft can be performed through this trocar system . A new targeting jig especially adapted to the gliding nail was used in this first series . From December 1998 to June 1999 12 patients were treated with this new technique in the Department of Trauma Surgery of the Philipps-University in Marburg . The mean age of the 8 female and 4 male patients was 78 ( +/- 12 ) years . The majority of the total group were old patients with a mean ASA score of 3-4 . Relevant intraoperative complications using the new dilatation approach were not observed . All patients were mobilised after few days . Postoperative complications or infections were not found . In the clinical practice of the management of per- and subtrochanteric femoral fractures the new dilatation approach has proved to be more comfortable and minimally invasive than the standard technique existing to date ." ], "offsets": [ [ 0, 1347 ] ] } ]
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"DerUnfallchirurg.01030413.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "femur" ], "offsets": [ [ 230, 235 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015811" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "Kirschner-wire" ], "offsets": [ [ 263, 277 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005978" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "trocar" ], "offsets": [ [ 319, 325 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041158" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "TNS" ], "offsets": [ [ 335, 338 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0146154" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 372, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s3-t4", "type": 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{ "id": "DerUnfallchirurg.01030413.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "female" ], "offsets": [ [ 797, 803 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086287" }, { "db_name": "UMLS", "db_id": "C0015780" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "male" ], "offsets": [ [ 810, 814 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024554" }, { "db_name": "UMLS", "db_id": "C0086582" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 815, 823 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "old" ], "offsets": [ [ 887, 890 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0331059" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 891, 899 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "ASA" ], "offsets": [ [ 912, 915 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004057" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 955, 968 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "dilatation" ], "offsets": [ [ 983, 993 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012356" }, { "db_name": "UMLS", "db_id": "C0012359" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "intraoperative complications" ], "offsets": [ [ 940, 968 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021890" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "All" ], "offsets": [ [ 1023, 1026 ] ], "normalized": [ { 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"db_name": "UMLS", "db_id": "C0032787" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s12-t1", "type": "umlsterm", "text": [ "dilatation" ], "offsets": [ [ 1224, 1234 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012356" }, { "db_name": "UMLS", "db_id": "C0012359" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s12-t2", "type": "umlsterm", "text": [ "standard" ], "offsets": [ [ 1310, 1318 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038137" }, { "db_name": "UMLS", "db_id": "C0175675" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s12-t3", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 1319, 1328 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s12-t4", "type": "umlsterm", "text": [ "date" ], "offsets": [ [ 1341, 1345 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011008" } ] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s12-t5", "type": "umlsterm", "text": [ "femoral fractures" ], "offsets": [ [ 1198, 1215 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015802" } ] } ]
[]
[]
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"arg1_id": "DerUnfallchirurg.01030413.eng.abstr-s12-t4", "arg2_id": "DerUnfallchirurg.01030413.eng.abstr-s12-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s11-r2-t2.1-t4.1", "type": "degree_of", "arg1_id": "DerUnfallchirurg.01030413.eng.abstr-s12-t2", "arg2_id": "DerUnfallchirurg.01030413.eng.abstr-s12-t4", "normalized": [] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s12-r1-t2.1-t1.1", "type": "evaluation_of", "arg1_id": "DerUnfallchirurg.01030413.eng.abstr-s12-t2", "arg2_id": "DerUnfallchirurg.01030413.eng.abstr-s12-t1", "normalized": [] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s12-r3-t2.1-t1.1", "type": "associated_with", "arg1_id": "DerUnfallchirurg.01030413.eng.abstr-s12-t2", "arg2_id": "DerUnfallchirurg.01030413.eng.abstr-s12-t1", "normalized": [] }, { "id": "DerUnfallchirurg.01030413.eng.abstr-s12-r4-t2.2-t1.1", "type": "evaluation_of", "arg1_id": "DerUnfallchirurg.01030413.eng.abstr-s12-t2", "arg2_id": 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DerUnfallchirurg.01030428.eng.abstr
DerUnfallchirurg.01030428.eng.abstr
[ { "id": "DerUnfallchirurg.01030428.eng.abstr-passage-0", "type": "abstract", "text": [ "Supracondylar femoral fractures still present a challenge to the treating surgeon . The incidence of delayed and non-unions is reduced due to the minimally invasive plating techniques , but establishing a correct axis and good function is still a problem . During the last few years new implants have been developed to allow less difficult operative techniques in minimally invasive surgery . The Less Invasive Stabilization System ( LISS ) is a percutaneous plating system with monocortical self-drilling screws . The screws are inserted with an aiming guide and form a stable angle with the plate . The distal femoral nail allows placement of a spiral blade in the nail , thereby enhancing the interlocking stability ." ], "offsets": [ [ 0, 720 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030444.eng.abstr
DerUnfallchirurg.01030444.eng.abstr
[ { "id": "DerUnfallchirurg.01030444.eng.abstr-passage-0", "type": "abstract", "text": [ "From January 1997 to August 1998 all stabel and nonstabel trochanteric femoral fractures ( n=72) were treated routinely by gamma nail using the correct operative technique . Patients showing additional osteoarthritis of the hip in radiographs hip replacement was performed by a cementless modular femoral hip prostheses from January 1996 to August 1998 ( n=28). Follow up period was 6 to 18 months . Operation time and blood loss were higher using the prostheses . However complications and letality ( 5% ) were not different during postoperativ course . In each group three operative technical complications occured . Using a modified Harris Hip Score ( without range of motion , contractions ) the score was decreased non significant comparing both groups first of all in unstabel fractures until follow up . In each group one revision ( loosening of prostheses , excessive shortening of femoral neck ) was necessary . Using the correct operative technique , the gamma nail prooved to be a save device with good outcome . Outcome using modular prostheses is comparable to gamma nail . Therefore the use of modular prostheses is justified in case of osteoarthrosis and in some cases of very unstable fracture ." ], "offsets": [ [ 0, 1211 ] ] } ]
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"DerUnfallchirurg.01030444.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "osteoarthritis" ], "offsets": [ [ 202, 216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029408" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 224, 227 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "radiographs" ], "offsets": [ [ 231, 242 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043299" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 243, 246 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 305, 308 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s2-t7", "type": 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"text": [ "complications" ], "offsets": [ [ 473, 486 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 595, 608 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Hip" ], "offsets": [ [ 643, 646 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "motion" ], "offsets": [ [ 672, 678 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026597" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 783, 792 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030444.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "range of motion" ], "offsets": [ [ 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DerUnfallchirurg.01030452.eng.abstr
DerUnfallchirurg.01030452.eng.abstr
[ { "id": "DerUnfallchirurg.01030452.eng.abstr-passage-0", "type": "abstract", "text": [ "The aim of this study was to develop and test a scoring system based on real-time ultrasonograpy ( US ) , which is able to predict the healing of a bone defect filled with a bone graft substitute or cancellous bone graft . We implanted porous hydroxy-apatite ( HA ) ceramic blocks into a segmental defect in the tibia of 51 sheep ; 14 sheep received autologous bone graft from the iliac crest . Follow-up times were 3 , 6 and 12 months . With the exception of the 12-month animals , there was a minimum of 6 animals in each group . At the end of follow-up the tibiae were tested in torsion to failure . These results were correlated with radiographic and ultrasound scores measured on the same specimens . With the scoring system it was possible to describe the osseous integration of the HA ceramic or mineralisation of the cancellous bone graft . Sheep with ceramic implant that developed non-unions showed a significantly lower score than sheep with a sufficient implant integration . A significant correlation between these scores and the biomechanical results was found . We were able to define a cut-off within the scoring system which made the prediction of instability/non-union possible . In our model we were able to predict the osseous integration of HA ceramics and autologous cancellous bone grafts with the use of real-time ultrasound ." ], "offsets": [ [ 0, 1350 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030462.eng.abstr
DerUnfallchirurg.01030462.eng.abstr
[ { "id": "DerUnfallchirurg.01030462.eng.abstr-passage-0", "type": "abstract", "text": [ "The decision whether a rotator cuff tear has a traumatic or degenerative origin still causes some controversy . Especially in medical expert appraisements the etiology of the rotator cuff tear plays an important role refering to insurance services for the patient . The purpose of this paper is to compare the intraoperative pathomorphologic shape of the cuff tear in traumatic and degenerative cases . This study reports of 56 patients with rotator cuff tears which were devided in primarily acute , subacute traumatic and degenerative study groups refering to their history of present illness . We considered the location of the tear , the shape and the size . Furthermore the grade of retraction of the supraspinatus tendon , its quality and the shape of the long head of biceps were examined . The results showed that in general the shape of the tear gives only in some cases significant information whether the etiology is traumatic or not . The isolated rupture of the subscapularis muscle and the hematoma at the edge of the tendon is siginificant for the trauma . In comparison with the degenerative study group the tenosynovitis and the dislocation of the long head of biceps is in our study sigificant for traumatic tears ." ], "offsets": [ [ 0, 1233 ] ] } ]
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DerUnfallchirurg.01030475.eng.abstr
DerUnfallchirurg.01030475.eng.abstr
[ { "id": "DerUnfallchirurg.01030475.eng.abstr-passage-0", "type": "abstract", "text": [ "Selected patients with minor lower limb injuries and low risk for deep vein thrombosis ( DVT ) , who required cast immobilizing and did not receive medical thrombosis prophylaxis , were included in a prospective study . The decision to give not medical thrombosis prophylaxis depended on an concept of individualised prophylaxis for patients at risk for thromboembolism . From March 1994 to March 1996 in 178 outpatients ( 118 men , 60 women , mean age 25,8 [ 16-39 ] years ) a clinical examination and a colour-coded duplex sonography were performed after removel of the cast for detection of DVT of the lower limb . A phlebographie was performed when thrombosis was suspected . Two patients developed a one bundle thrombosis of the calf . Clinical appearance of lung embolism was not observed . These results suggest , that low risk patients with minor injuries of the lower limb and plaster cast immobilisation do not need a medical thrombosis prophylaxis ." ], "offsets": [ [ 0, 960 ] ] } ]
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[]
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DerUnfallchirurg.01030479.eng.abstr
DerUnfallchirurg.01030479.eng.abstr
[ { "id": "DerUnfallchirurg.01030479.eng.abstr-passage-0", "type": "abstract", "text": [ "The giant cell synovialoma is a benign neoplasia classically located in the fingers . It mostly rises from tendon sheaths , sometimes from the synovia . Other locations than the fingers are rare . Making a differential diagnosis to lipomas , gangliomas or even malignant soft tissue tumors can be very difficult especially in rare locations . We report the case of a 21 years old man suffering from a giant cell synovialoma in the area of the right ankle joint . The clinical , radiological and patho-morphological findings are documented . The tumor was excised totally , other foci were not found . The problems of making the right diagnosis are described ." ], "offsets": [ [ 0, 659 ] ] } ]
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"umlsterm", "text": [ "giant cell" ], "offsets": [ [ 4, 14 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017526" } ] }, { "id": "DerUnfallchirurg.01030479.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 107, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerUnfallchirurg.01030479.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "synovia" ], "offsets": [ [ 143, 150 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039097" } ] }, { "id": "DerUnfallchirurg.01030479.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "fingers" ], "offsets": [ [ 178, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016129" } ] }, { "id": "DerUnfallchirurg.01030479.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 219, 228 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerUnfallchirurg.01030479.eng.abstr-s4-t2", "type": 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[]
[]
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DerUnfallchirurg.01030495.eng.abstr
DerUnfallchirurg.01030495.eng.abstr
[ { "id": "DerUnfallchirurg.01030495.eng.abstr-passage-0", "type": "abstract", "text": [ "Abstract Large-dose methylprednisolone has been advocated to lessen neurologic deficits in spinal cord injury for nearly a decade despite confounding statistical results in the Second National Acute Spinal Cord Injury Study ( NASCIS-2). Recent retrospective studies found lack of significant functional improvement , increases in the incidence of infectious complications and an increase in ventilated and intensive care days in steroid-treated groups . We report on five cases with severe hyperglycemia and nonketotic metabolic acidosis in otherwise non-diabetic patients with multiple blunt injuries and an associated spinal cord injury . Those adverse effects were induced by epinephrine and aggravated by methylprednisolone . We conclude that high-dose methylprednisolone should be avoided in multiple injured or otherwise compromised patients potentially needing catecholamine support ." ], "offsets": [ [ 0, 891 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030499.eng.abstr
DerUnfallchirurg.01030499.eng.abstr
[ { "id": "DerUnfallchirurg.01030499.eng.abstr-passage-0", "type": "abstract", "text": [ "The calcaneus pseudathrosis is rarly seen in clinical workday and we coundnit find any case be reported . In two casese the authors present the diagnosis and therapie of a non-union after a calcaneus fracture . The authors point especially at anatomical characteristics and biomechanical reasons and their meaning for aetiology of pseudathrosis after a calcaneus fracture ." ], "offsets": [ [ 0, 373 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030504.eng.abstr
DerUnfallchirurg.01030504.eng.abstr
[ { "id": "DerUnfallchirurg.01030504.eng.abstr-passage-0", "type": "abstract", "text": [ "Traumatic dislocations of the tibialis posterior tendon are a rare entity compared to other injuries of the ankle joint . It should be considered if the patient presents with the mechanism of an ankle sprain in combination with severe pain in the region of the internal malleolus . We report of two cases of a traumatic dislocation of the tibialis posterior tendon and discuss the clinical image and the operative treatment ." ], "offsets": [ [ 0, 425 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030507.eng.abstr
DerUnfallchirurg.01030507.eng.abstr
[ { "id": "DerUnfallchirurg.01030507.eng.abstr-passage-0", "type": "abstract", "text": [ "Injuries of the forefoot are a challenge for orthopaedic surgeons . After healing of bone and soft tissue damage , posttraumatic metatarsalgia can persist . The paper presents a therapy algorithm with newly designed insoles , which consist of the common orthopaedic adaptions like a rocker bottom and a stiffening of the sole . The therapy is shown on two cases . With these orthotics adequate is possible and pain relief realistic ." ], "offsets": [ [ 0, 433 ] ] } ]
[ { "id": "DerUnfallchirurg.01030507.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Injuries" ], "offsets": [ [ 0, 8 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "forefoot" ], "offsets": [ [ 16, 24 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016539" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 85, 89 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 99, 105 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "paper" ], "offsets": [ [ 161, 166 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030351" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 178, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "algorithm" ], "offsets": [ [ 186, 195 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002045" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "sole" ], "offsets": [ [ 321, 325 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037613" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 332, 339 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "orthotics" ], "offsets": [ [ 375, 384 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029365" } ] }, { "id": "DerUnfallchirurg.01030507.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 410, 414 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] } ]
[]
[]
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DerUnfallchirurg.01030533.eng.abstr
DerUnfallchirurg.01030533.eng.abstr
[ { "id": "DerUnfallchirurg.01030533.eng.abstr-passage-0", "type": "abstract", "text": [ "Pseudo-obstruction of the colon is characterized by a massive colonic dilatation without mechanical obstruction . It is rarely after hip surgery , however , untreated it may be complicated by a life threatening perforation of the colon . In a retrospective analysis we reviewed 11 patients ( 4 women , 7 men , mean age 75.2 years , range 67 to 86 years ) with pseudo-obstruction of the colon after hip surgery in the years 1995 to 1998. In relation to all patients aged 65 years and older who underwent surgery of the hip , the prevalence was 1.06% . The leading clinical symptom was abdominal distension . On plain x-rays , dilatation of the colon measured 13.3 cm on average ( 9-16 cm ) . In two patients ( 18% ) adaequate application of drugs stimulating the gastro-intestinal motility was sufficient , whereas in 8 patients ( 73% ) colonoscopic decompression had to be performed . In three of these , the procedure failed and because of persistent symtoms a coecostomy was performed . One patient underwent immediate laparotomy because of peritonitis . 2 patients ( 18% ) died because of a complicated course . Non operative treatment should not exceed 24 hours , endoscopic decompression and tube placement is considered as the treatment of choice . In cases of failure of these procedures , perforation of the colon and/or peritonism , urgent laparotomy with open decompression by a coecostomy is essential ." ], "offsets": [ [ 0, 1414 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030538.eng.abstr
DerUnfallchirurg.01030538.eng.abstr
[ { "id": "DerUnfallchirurg.01030538.eng.abstr-passage-0", "type": "abstract", "text": [ "This retrospective study presents the results of 41 patients with a lateral clavicle fracture eight years after the treatment at the Staatliche Orthopaedische Klinik of the LMU Muenchen in the time between 31.10.1979 and 31.10.1994. It could be shown that the lateral clavicle fractures , due to their variety , hold a special position among the clavicle fractures and thus need a differanciated therapeutic procedure . Among the operation methods the K-wire stabilisaton with cerclage was the most often chosen operation technique i.e. in 24 cases . The K-wire without cerclage was used in two cases . Twelfe fractures were treated with AO-plate-osteosynthesis . Three fractures had to be treated by resection , as they produced two pseudarthrosis and one serious AC-arthrosis during the conservative therapy . 92,7% of the subjective results of the 41 checked up patients were good and very good . The clinical follow-up of 36 and the radiological follow-up of 33 patients revealed in 97% a good and very good outcome in the Boenisch-Score ." ], "offsets": [ [ 0, 1043 ] ] } ]
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DerUnfallchirurg.01030552.eng.abstr
DerUnfallchirurg.01030552.eng.abstr
[ { "id": "DerUnfallchirurg.01030552.eng.abstr-passage-0", "type": "abstract", "text": [ "Experimental data and clinical as well as postmortem experiences have indicated that subdural hematomas are less frequent in acceleration injuries in traffic accidents compared to falls or assaults . The present report demonstrates that this does not hold true in the same way for bridging vein ruptures ( one of the predominant causes for subdural bleedings ) . Ruptures of these vessels without subdural bleeding ( SDB ) are only seldom mentioned in the literature . However , if no SDB is present , no one will look for these structures . In our institute a systematic analysis of the bridging veins in all cases of lethal blunt head injury is made : prior to the careful morphological preparation we investigate these vessels by radiographic imaging after filling with contrast medium . 6 car passengers ( age between 4 and 31 years ) which suffered a lethal head injury were examined in the last year . 2 victims had impressed fractures with cerebral compression injuries . In 1 case the base of the skull was broken and in 3 cases no skull fracture was present ; no serious focal brain injury had occured in these 4 cases , but 3 victims had signs of diffuse brain injury . In 5 cases a direct impact of the head against the interior of the car was obvious . In 5 cases ruptures of serveral bridging veins could be demonstrated . In one case ( survival for 3 days ) a minor SDB ( 20 ml ) was present and the ruptures had been closed by thrombosis ; another victim died at the scene . The other 3 victims survived between 4 and 15 hours without developing SDB and without closing of the ruptures by thrombosis . This combination is surprising and shows that our knowledge concerning the relationship between bridging vein ruptures and SDB is restrictred . The frequency of bridging vein lesions in severe head injuries is likely underestimated in the clinical as well as in the postmortem literature . A rapid increase of intracranial pressure after the accident resulting in a collapse of the cerebral circulation is probably responsible for the absence of the SDB in the presented cases ." ], "offsets": [ [ 0, 2095 ] ] } ]
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[]
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DerUnfallchirurg.01030557.eng.abstr
DerUnfallchirurg.01030557.eng.abstr
[ { "id": "DerUnfallchirurg.01030557.eng.abstr-passage-0", "type": "abstract", "text": [ "Methicillin resistant Staphylococcus aureus-strains , isolated from 1994 to 1997 from patients of the traumatic surgery hospital Tuebingen , were compared using lysotyping and pulsed-field gel electrophoresis . Both typing methods detected two clones causing an outbreak 1994 in 6 patients and a third endemic clone of MRSA , which was isolated from 5 patients ( 1995 ) , 4 patients ( 1996 ) , and 6 patients ( 1997 ) . Additionally other MRSA-types were found in 6 cases of which transmissions occurred in up to three patients . An epidemiological connection to MRSA isolated from patients of the university hospital of Tuebingen was made . Possible consequences for patient management and antibiotic strategies in MRSA-infections were discussed ." ], "offsets": [ [ 0, 748 ] ] } ]
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[]
[]
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"DerUnfallchirurg.01030557.eng.abstr-s4-t4", "arg2_id": "DerUnfallchirurg.01030557.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030557.eng.abstr-s4-r6-t3.1-t2.1", "type": "isa", "arg1_id": "DerUnfallchirurg.01030557.eng.abstr-s4-t3", "arg2_id": "DerUnfallchirurg.01030557.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030557.eng.abstr-s4-r7-t3.1-t1.1", "type": "manages", "arg1_id": "DerUnfallchirurg.01030557.eng.abstr-s4-t3", "arg2_id": "DerUnfallchirurg.01030557.eng.abstr-s5-t1", "normalized": [] } ]
DerUnfallchirurg.01030564.eng.abstr
DerUnfallchirurg.01030564.eng.abstr
[ { "id": "DerUnfallchirurg.01030564.eng.abstr-passage-0", "type": "abstract", "text": [ "Longstanding and untreated scaphoid fractures and scapholunate dissociations lead to painful destruction of the wrist with carpal collapse . The severity of degenerative arthrosis is classified in three stages and can be treated adaequate operatively . SNAC wrist ( scaphoid nonunion advanced collapse ) after failed fusion of the scaphoid and SLAC wrist ( scapholunate advanced collapse ) after scapholunate dissociation should be differentiated . The reconstruction of the scaphoid or scapholunate ligament in stage II and III is no reasonable option . Motion preserving procedures such as proximal row carpectomy or midcarpal arthrodesis are preferable in this situation . Thirty-one male patients ( average 41 years ) were treated for SNAC or SLAC wrist with midcarpal arthrodesis . All patients were reexamined , the mean follow-up was 15 months . Grip strength was measured with the Dexter-System , pain was evaluated by a visual analogue scale ( VAS 0-100 ) . Patients ' daily activities and general quality of life were estimated with the DASH-questionnaire . Pain was reduced to 50% compared to the preoperative situation . Grip strength improved to 60% of the opposite side . Active range of motion reached 50% of the contralateral wrist . Total DASH-score reached 39,0 . Nonunion at the fusion site necessitated additional surgery in four patients resulting in total wrist arthrodesis . 80% of the patients returned to their original occupation . Midcarpal fusion is a reliable procedure for treating the difficult condition of advanced carpal collapse is proper realignement of the carpus is performed . The DASH-score reflects the subjective impressions of the patients in daily life and justifies the choice of a salvage procedure preserving wrist mobility . Total wrist fusion represents the last line of defense ." ], "offsets": [ [ 0, 1829 ] ] } ]
[ { "id": "DerUnfallchirurg.01030564.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "scaphoid" ], "offsets": [ [ 27, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0223724" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 36, 45 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "dissociations" ], "offsets": [ [ 63, 76 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086168" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "wrist" ], "offsets": [ [ 112, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043262" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "carpal" ], "offsets": [ [ 123, 129 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007285" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "arthrosis" ], "offsets": [ [ 170, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022408" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "stages" ], "offsets": [ [ 203, 209 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "wrist" ], "offsets": [ [ 258, 263 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043262" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "scaphoid" ], "offsets": [ [ 266, 274 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0223724" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "scaphoid" ], "offsets": [ [ 331, 339 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0223724" } ] }, { "id": "DerUnfallchirurg.01030564.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "wrist" ], "offsets": [ 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DerUnfallchirurg.01030572.eng.abstr
DerUnfallchirurg.01030572.eng.abstr
[ { "id": "DerUnfallchirurg.01030572.eng.abstr-passage-0", "type": "abstract", "text": [ "There has been a marked increase in the incidence of pelvic fractures over the last few years . Associated injuries to the urogenital and vascular system as well as nerve injuries worsen the prognosis . Over a five year period 126 patients with severe pelvic trauma were treated . Out of these 39 ( 30.9% ) sustained additional peripelvic injuries and represent the study sample . Type B injuries according to the AO classification occurred in 16 ( 41% ) patients , type C fractures in 23 ( 59% ) patients . The spleen , liver and kidney were the most frequently injured organs ( 58.9% ) , followed by urogenital lesions ( 46.6% ) , nerve injuries ( 25.6% ) and vascular lesions ( 15.3% ) . The most common extrapelvic lesions were thoracic injuries in 56.4% and severe head injuries ( GCS 8 ) in 33.3% . The mean Hannover Polytraumascore was 35.6 points , the mean Injury Severity Score 27.6 points . Osteosnthesis was performed in 21 pelvic ring fractures ( 53% ) , eight procedures ( 50% ) in type B fractures and 13 ( 56% ) in type C fractures . In type B injuries the anterior pelvic ring was stabilized with a tension band wiring in four cases , in two patients with an external fixator and with plate osteosynthesis in one case . In type C injuries the external fixator was applied as the only stabilizing procedure in six patients . In four cases the anterior ring was fixed with tension band wiring or plates and the dorsal aspect of the pelvic ring with sacral bars . Three patients had their additional acetabular fracture plated through a anterior approach . All surviving 28 patients were followed up for an average of 18 months ( range 7--59 months ) after the trauma . The patients were classified using the pelvic outcome score proposed by the German Society of Trauma Surgery . 53.4% of the type B fractures showed a good clinical outcome , 47.6% a poor outcome . 15.4% with type C fractures presented with a good outcome , 84.6% with a poor outcome . 80% of the type B and 23% of the type C fractures had a good radiological outcome . 20% of type B and 77% of type C injuries had a poor radiological outcome . Five patients ( 12.8% ) sustained persistent urological symptoms . Three of these had urinary dysfunction , two used permanent cystotomies due to their severe neurolgical deficit after a head injury . Ten patients with nerve injuries at the time of trauma suffered long term neurological dysfunction of the lumbosacral plexus . The mortality rate was 28% . Seven patients died in the emergency room due to uncontrollable bleeding , four in the intensive care unit from multi-organ failure . The management of complex pelvic trauma consists of fracture treatment and interdisciplinary treatment of the associated injury . Lesions of the abdominal organs or of major vessels must be addressed first if hemodynamic instability is present . Injuries to smaller vessels can be embolized percutaneously . Urinary bladder ruptures are treated as an emergency , urethral lesions electively after four to six weeks . We recommend external fixation of the pelvis in the acute phase for control of both the osseous instability and control of haemorrhage through external compression . The treatment of choice for the anterior pelvic ring is tension band wiring or plating . If this is contraindicated due to an open fracture external fixation is the treatment of choice . Type C fractures require posterior ring stabilization which should be postponed until four days post admission ." ], "offsets": [ [ 0, 3501 ] ] } ]
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[]
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DerUnfallchirurg.01030594.eng.abstr
DerUnfallchirurg.01030594.eng.abstr
[ { "id": "DerUnfallchirurg.01030594.eng.abstr-passage-0", "type": "abstract", "text": [ "We report a granulomateus inflamatory reaction after administration of absorbable interference-fit screws for fixation of patellar-tendon-autograft in anterior-cruciate-ligament reconstruction , leading to spontaneous fracture of the tibia . Radiological evaluation demonstrated osteolytic lesions at the interference-fit screw insertion-site . Histological findings included a sterile inflamatory reaction and gigant-cell formation ." ], "offsets": [ [ 0, 434 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030597.eng.abstr
DerUnfallchirurg.01030597.eng.abstr
[ { "id": "DerUnfallchirurg.01030597.eng.abstr-passage-0", "type": "abstract", "text": [ "The case of a 48-year-old patient is presented , suffering from persisting pain in the right lower leg for more than a year following a distortion of the ankle . The patient was known to have a history of severe asthmatic disease . Conventional X-rays showed a periostitis of the lower tibia and fibula . To exclude a malignant process , an open biopsy was performed . Neither tumor nor any histological signs of chronic inflammation were found . The patient claimed to have a similar pain in the contralateral lower leg 5 months after initial biopsy . X-rays again showed signs of a periostitis of the tibia and fibula . Furthermore , an increase in isotopes in this area was found in a performed bone scan . Diagnosis of osteoarthropathia hypertrophicans was confirmed 2 years after onset of the first symptoms . Pathogenetic variables both of the primary and secondary forms of hypertrophic osteoarthropathy ( HOA ) are as yet not completely clarified . Secondary hypertrophic osteoarthropathy ( SHOA ) may be defined as a syndrome of the long bones with clubbing of the fingers and toes , and occurs in the process of chronic lung and mediastinal disease . We conclude that HAO detection may contribute to early detection of lung disease , especially bronchopulmonary cancer , before it becomes clinically and radiographically manifest ." ], "offsets": [ [ 0, 1341 ] ] } ]
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"normalized": [ { "db_name": "UMLS", "db_id": "C0023216" } ] }, { "id": "DerUnfallchirurg.01030597.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "biopsy" ], "offsets": [ [ 544, 550 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220797" }, { "db_name": "UMLS", "db_id": "C0005558" } ] }, { "id": "DerUnfallchirurg.01030597.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "X-rays" ], "offsets": [ [ 553, 559 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043309" } ] }, { "id": "DerUnfallchirurg.01030597.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 573, 578 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerUnfallchirurg.01030597.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "periostitis" ], "offsets": [ [ 584, 595 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031111" } ] }, { "id": "DerUnfallchirurg.01030597.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "tibia" ], "offsets": [ [ 603, 608 ] ], "normalized": 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[]
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DerUnfallchirurg.01030602.eng.abstr
DerUnfallchirurg.01030602.eng.abstr
[ { "id": "DerUnfallchirurg.01030602.eng.abstr-passage-0", "type": "abstract", "text": [ "Surgical treatment of calcaneal fractures is demanding due to the poor musculocutaneous coverage . Infection with osteitis is a severe complication with open fractures . The appearance of osteitis requires aggressive surgical treatmentincluding amputation in case of persistence , leading to considerable invalidism ." ], "offsets": [ [ 0, 317 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030618.eng.abstr
DerUnfallchirurg.01030618.eng.abstr
[ { "id": "DerUnfallchirurg.01030618.eng.abstr-passage-0", "type": "abstract", "text": [ "In haemodynamically unstable patients with an unstable pelvic ring injury the primary stabilisation of the pelvis and thus reduction of pelvic volume is important for the success of the treatment . The pelvic C-clamp is an approved emergency device for these unstable pelvic ring injuries . A secondary procedure though is necessary in most of the cases with a hig rate of wound problems in already traumatized soft tissue areas . The ventrally placed external fixator is a simple and quick procedure with little soft tissue damage . Though primary stability is sufficient even for C-type injuries , biomechanic stability of the posterior pelvic ring is often isufficient for mobilization . Based on biomechanic considerations , a new dorsal oblique pelvic external fixator was developed for pelvic C-type injuries . With the advantages of the supraacetabular fixator and two additional Schanz screws the ventral fixator should stabilize the posterior pelvic ring with comparable stability to the pelvic C-clamp . A primary and already definitive minimal invasive stabilization of the posterior pelvic ring was the aim . In the first series several variations of this asymmetric fixator with two different Schanz screw applications were tested biomechanically . In a second series the favorite version was tested versus the supraacetabular fixator and the pelvic C-clamp . Both of the biomechanic test series were performed with artificial pelves in the one leg stance model in the material testing machine . SI disruption and sacral fracture were the posterior instability types in 6 pelves each . There was no statistically significant difference between the dorsal oblique fixator and the pelvic C-clamp . But the new fixator was significantly more stable than the supraacetabular fixator or the new fixator without pretension ." ], "offsets": [ [ 0, 1831 ] ] } ]
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[]
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"arg2_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030618.eng.abstr-s11-r1-t4.1-t1.1", "type": "measures", "arg1_id": "DerUnfallchirurg.01030618.eng.abstr-s11-t4", "arg2_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t1", "normalized": [] }, { "id": "DerUnfallchirurg.01030618.eng.abstr-s12-r1-t2.1-t3.1", "type": "adjacent_to", "arg1_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t2", "arg2_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t3", "normalized": [] }, { "id": "DerUnfallchirurg.01030618.eng.abstr-s12-r2-t1.1-t2.1", "type": "disrupts", "arg1_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t1", "arg2_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030618.eng.abstr-s12-r3-t3.1-t2.1", "type": "adjacent_to", "arg1_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t3", "arg2_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030618.eng.abstr-s12-r4-t3.1-t1.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t3", "arg2_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t1", "normalized": [] }, { "id": "DerUnfallchirurg.01030618.eng.abstr-s12-r5-t2.1-t1.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t2", "arg2_id": "DerUnfallchirurg.01030618.eng.abstr-s12-t1", "normalized": [] } ]
DerUnfallchirurg.01030632.eng.abstr
DerUnfallchirurg.01030632.eng.abstr
[ { "id": "DerUnfallchirurg.01030632.eng.abstr-passage-0", "type": "abstract", "text": [ "Current clinical management after multiple trauma is expensive . The aim of the present study was to quantify the actual costs of in-patient treatment after multiple trauma in a German university hospital , to compare the actual costs with the reimbursement rates , and to identify important determinants of costs . Routine documentation of hospital costs at a patient level was not available . Therefore a method for calculating the costs of resource utilization during clinical treatment of patients was developed . The concept was based on financial and utilization data provided by the hospital administration and patient-specific data . The average costs per case in the study group ( mean ISS=37) were 73.613 DM , maximal costs were up to 292.490 DM . The most costly components were intensive care , accounting for 60% , followed by procedures in the operating room ( 24% ) . A comparison with the reimbursement rates resulted in an average loss of 23.211 DM per case ." ], "offsets": [ [ 0, 976 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030640.eng.abstr
DerUnfallchirurg.01030640.eng.abstr
[ { "id": "DerUnfallchirurg.01030640.eng.abstr-passage-0", "type": "abstract", "text": [ "Arthrofibrosis is a disabling complication after trauma and surgery due to massive connective tissue proliferation . The etiology and pathogenesis have never been fully understood . A strong immune response may lead to activation and proliferation of fibroblasts with excessive and disordered deposition of matrix proteins . In similar pathological conditions , like lung fibrosis or superficial fibromatoses with fibrotic transformation an increased expression of collagen type VI has been reported . We investigated fibrotic tissue samples taken from 18 patients ( average age : 32,7 years ) , who underwent arthrolysis of the knee joint because of symptomatic arthrofibrosis following ligament injury . The mean interval between trauma and arthrolysis was 13,8 months ( range 4-50 months ) . Tissue samples were taken from the infrapatellar fat pad and intercondylar connective tissue . All samples were stained with HE . The expression of type III and VI collagen was studied immunohistochemically using an immunoperoxidase method for light microscopic visualization . Histologic analysis from patients with arthrofibrosis showed a synovial hyperplasia with cell infiltration and vascular proliferation compared to synovial tissue samples from knee joints without any detectable pathology . Subsynovial an increased deposition of matrix proteins was visible . Type VI collagen was widely distributed as a network subsynovial and around capillary walls . Type III collagen showed a diffuse distribution . Arthrofibrotic tissue is , similar to pathological conditions with fibrotic transformation characterized by an increased expression of collagen type VI . Collagen type VI may play an important role in matrix homeostasis . It serves as an anchoring element between collagen fibers and as a cell binding structure ." ], "offsets": [ [ 0, 1821 ] ] } ]
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DerUnfallchirurg.01030645.eng.abstr
DerUnfallchirurg.01030645.eng.abstr
[ { "id": "DerUnfallchirurg.01030645.eng.abstr-passage-0", "type": "abstract", "text": [ "Arthrodesis of the ankle ( AA ) or the subtalar joint ( AST ) is still a necessary treatment in case of painful posttraumatic arthrosis or paresis of the muscles after compartment syndrome . Today the alloplastic ankle joint replacement does not satisfy . Many treatments of arthrodesis with minimal or extended resection of the joint surface with or without bone transplantation are described in literature . We present in detail a new developed technique of press-fit dowel arthrodesis ( KDA ) for the ankle and subtalar joint . After adjustment of the joint position and retention with Kirschner wires the surface of both sides of the joint surface and underlying bone is removed by a cannulated diamond bone cutting device . Dowels from the anterior iliac crest are impacted in the cutted joint defect . The dowels are 1/10 mm bigger in dimension than the primary defect in the joint surface . The surgery will be completed with a compression screw osteosynthesis , at the ankle joint transarticular through the lateral and medial malleolus , at the subtalar joint from plantar . Ten patients have treated by press-fit-KDA ( female 2 , male 8 ; AA 7 , 33,6 +/- 9 y ; AST 3 , 38 +/- 10,9 y ) . The indication for KDA was in nine cases a severe posttraumatic arthrosis , in one case the paretic malfunction after compartment syndrome . The arthrodesis were clinically and radiologically consolidated after 8,2 +/- 1,9 weeks . At this time the patients showed no symptoms and were fully mobilised with complete weightbearing . The advantages of KDA : preservation of the outline of joint and hindfoot , preservation of length of the leg and outline of iliac crest , no risk for the soft tissue , quick consolidation of the arthrodesis , no need of external fixation . The technique is also suitable for other indications as presented ." ], "offsets": [ [ 0, 1836 ] ] } ]
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"db_id": "C0039798" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "arthrosis" ], "offsets": [ [ 126, 135 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022408" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "paresis" ], "offsets": [ [ 139, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030552" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "muscles" ], "offsets": [ [ 154, 161 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 180, 188 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "subtalar joint" ], "offsets": [ [ 39, 53 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038593" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "compartment syndrome" ], "offsets": [ [ 168, 188 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009492" }, { "db_name": "UMLS", "db_id": "C0027743" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "ankle" ], "offsets": [ [ 213, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003086" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 219, 224 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "ankle joint" ], "offsets": [ [ 213, 224 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003087" } ] }, { "id": "DerUnfallchirurg.01030645.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "treatments" ], "offsets": [ [ 261, 271 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { 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[]
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DerUnfallchirurg.01030656.eng.abstr
DerUnfallchirurg.01030656.eng.abstr
[ { "id": "DerUnfallchirurg.01030656.eng.abstr-passage-0", "type": "abstract", "text": [ "The aetiology of atlanto-axial rotatory subluxation is obscure . Therefore , a post mortem investigation was designed in order to evaluate the C 1-2 rotation and translation mobility and to clear the borderline between mobility and instability and to clear the role of the atlanto-axial joints in atlanto-axial rotatory subluxation . C 1-2 specimen of 2 months , 9 months and 53 months old children were used . In the intact specimen and after sequential discission of the atlanto-axial joint caspule , the atlanto-axial membrane , the transverse ligament of the atlas , and eventually the alar ligaments , the atlas was rotated and anteriorly translated over the axis . The end point of the movements was recorded radiographically . Discission of the anatomic structures increased the rotation of up to 25 ° . The joint capsules are laxe and wide thus allowing rotation with almost complete subluxation . The subluxation of atlanto-axial joints probably stays within the normal range of motion and is not a factor of atlanto-axial rotatory subluxation . Interlocking of the facets could not be observed . In atlanto-axial rotatory subluxation the atlanto-dental interval becomes asymmetric . Its radiographic projection is variable and therefore ist does not present a valuable radiographic parameter ." ], "offsets": [ [ 0, 1303 ] ] } ]
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"type": "umlsterm", "text": [ "atlanto-axial joints" ], "offsets": [ [ 273, 293 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004168" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "old" ], "offsets": [ [ 386, 389 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0331059" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "children" ], "offsets": [ [ 390, 398 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008059" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 487, 492 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "membrane" ], "offsets": [ [ 521, 529 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025255" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "ligament" ], "offsets": [ [ 547, 555 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "atlas" ], "offsets": [ [ 563, 568 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004170" }, { "db_name": "UMLS", "db_id": "C0004171" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "alar" ], "offsets": [ [ 590, 594 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0702172" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "ligaments" ], "offsets": [ [ 595, 604 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "atlas" ], "offsets": [ [ 611, 616 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004170" }, { "db_name": "UMLS", "db_id": "C0004171" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "axis" ], "offsets": [ [ 664, 668 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004457" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "atlanto-axial joint" ], "offsets": [ [ 473, 492 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004168" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "movements" ], "offsets": [ [ 692, 701 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026649" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "anatomic" ], "offsets": [ [ 752, 760 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220784" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 786, 794 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035868" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 815, 820 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "capsules" ], "offsets": [ [ 821, 829 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006935" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 862, 870 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035868" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "joint capsules" ], "offsets": [ [ 815, 829 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206207" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "joints" ], "offsets": [ [ 939, 945 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "motion" ], "offsets": [ [ 988, 994 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026597" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "atlanto-axial joints" ], "offsets": [ [ 925, 945 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004168" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "normal range" ], "offsets": [ [ 972, 984 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086715" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s8-t5", "type": "umlsterm", "text": [ "a factor" ], "offsets": [ [ 1006, 1014 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0050325" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s8-t6", "type": "umlsterm", "text": [ "range of motion" ], "offsets": [ [ 979, 994 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0080078" } ] }, { "id": "DerUnfallchirurg.01030656.eng.abstr-s11-t1", "type": "umlsterm", 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[]
[]
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DerUnfallchirurg.01030662.eng.abstr
DerUnfallchirurg.01030662.eng.abstr
[ { "id": "DerUnfallchirurg.01030662.eng.abstr-passage-0", "type": "abstract", "text": [ "In a retrospective study we examined the clinical and sonographic changes after anterior cruciate ligament reconstruction with lig . patellae . 51 patients were evaluated clinically and sonografically after arthroscopically assisted ACL-reconstruction with a bone-patella tendon 3-6 years ( mean 4,3 years ) postoperatively . Certainly 18 patients ( 35% ) reported about an anterior knee pain , but only 2 patients ( 4% ) complained about pain during activities of daily living and 3 patients ( 6% ) about pain during slight sports activities . Retropatellar crepitations was found in 24 patients ( 47% ) on the operated side and at 11 patients ( 22% ) on the non operated side . Twenty nine patients ( 57% ) complained about a discomfort or pain when kneeling on the operated side . In13 patients ( 26% ) sonography showed a shortening of the patella ligament by 4 mm or more . Only few patients are strongly limited in their activity by the anterior knee pain . Neither our results nor the literature give evidence , that the tendon defect is the underlying cause of this pain syndrome . However , the number of patients with pain during kneeling on the operated side was relatively high . The semitendinosus gracilis graft should be considered for patients who have to knee during working or recreational activities ." ], "offsets": [ [ 0, 1320 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030685.eng.abstr
DerUnfallchirurg.01030685.eng.abstr
[ { "id": "DerUnfallchirurg.01030685.eng.abstr-passage-0", "type": "abstract", "text": [ "Isolated rupture of the lower jejunum after blunt abdominal trauma is rare . The pediatric population , especially school-aged children , sustains these isolated injuries due to blunt trauma more frequently than adults . The lack of severe clinical symptoms in the beginning and therefore a delay in diagnosis are the main problems of these traumatic injuries ." ], "offsets": [ [ 0, 361 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030688.eng.abstr
DerUnfallchirurg.01030688.eng.abstr
[ { "id": "DerUnfallchirurg.01030688.eng.abstr-passage-0", "type": "abstract", "text": [ "Two cases of severe spinal cord injuries to professional horse-racing jockeys are presented . There is only one comprehensive study conducted to ascertain the nature and incidence of injuries in the literature . The pathomechanism and surgical therapy of vertebral trauma in jockeys was analysed ." ], "offsets": [ [ 0, 297 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030693.eng.abstr
DerUnfallchirurg.01030693.eng.abstr
[ { "id": "DerUnfallchirurg.01030693.eng.abstr-passage-0", "type": "abstract", "text": [ "Abstract Discoligamentary injuries of the knee frequently lead to an arthroscopic inspection of the joint . We present a case in which after two traumatic events a mensal tear and an empty notch were found on arthroscopic examination . The differential diagnosis of congential aplasia of the anterior cruciate ligament ( CAACL ) versus neglected rupture of the ACL is discussed ." ], "offsets": [ [ 0, 379 ] ] } ]
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[]
[]
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"DerUnfallchirurg.01030693.eng.abstr-s3-t4", "arg2_id": "DerUnfallchirurg.01030693.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerUnfallchirurg.01030693.eng.abstr-s3-r25-t4.2-t6.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030693.eng.abstr-s3-t4", "arg2_id": "DerUnfallchirurg.01030693.eng.abstr-s3-t6", "normalized": [] }, { "id": "DerUnfallchirurg.01030693.eng.abstr-s3-r26-t4.1-t5.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030693.eng.abstr-s3-t4", "arg2_id": "DerUnfallchirurg.01030693.eng.abstr-s3-t5", "normalized": [] } ]
DerUnfallchirurg.01030722.eng.abstr
DerUnfallchirurg.01030722.eng.abstr
[ { "id": "DerUnfallchirurg.01030722.eng.abstr-passage-0", "type": "abstract", "text": [ "The historical opinion that the intima layer of a ruptured artery of muscular type could stop bleeding by \" rolling in \" should be controlled experimentally . Five segments of human femoral/popliteal artery ( 3-4 cm long ) were overstretched until complete rupture occured . Furthermore a longitudinally split and a partially oblique incised segment were ruptured . As morphological findings a sandclock deformity was observed in the region of rupture . This phenomenon was induced by adventitia layer , which closed the ends of ruptured media layer like a Chinese finger trap . In the longitudinally split segment a transverse rupture of the media layer could be observed , while the fibers of adventitia layer were pulled out when the traction was continued . Neither macroscopical nor microscopical signs could be found for \" rolling in \" of intima or media layer . The reason for spontaneous hemostasis after arterial rupture is more likely the activation of platelets by collagenous fibers of adventitia layer than \" rolling in \" of intima or media layer . If there is no finger trap mechanism of adventitia layer like in shot- or stabwounds a massive blood loss must be expected ." ], "offsets": [ [ 0, 1186 ] ] } ]
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"umlsterm", "text": [ "morphological" ], "offsets": [ [ 369, 382 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543482" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 383, 391 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "sandclock" ], "offsets": [ [ 394, 403 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037098" }, { "db_name": "UMLS", "db_id": "C0085874" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "deformity" ], "offsets": [ [ 404, 413 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220818" }, { "db_name": "UMLS", "db_id": "C0000768" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "rupture" ], "offsets": [ [ 444, 451 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035955" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "media" ], "offsets": [ [ 538, 543 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162867" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "Chinese" ], "offsets": [ [ 557, 564 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0152035" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "finger" ], "offsets": [ [ 565, 571 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016129" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "rupture" ], "offsets": [ [ 628, 635 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035955" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "media" ], "offsets": [ [ 643, 648 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162867" } ] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s6-t3", "type": 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[]
[]
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"DerUnfallchirurg.01030722.eng.abstr-s9-r5-t1.1-t3.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030722.eng.abstr-s9-t1", "arg2_id": "DerUnfallchirurg.01030722.eng.abstr-s9-t3", "normalized": [] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s9-r6-t1.1-t2.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030722.eng.abstr-s9-t1", "arg2_id": "DerUnfallchirurg.01030722.eng.abstr-s9-t2", "normalized": [] }, { "id": "DerUnfallchirurg.01030722.eng.abstr-s9-r7-t2.1-t3.1", "type": "location_of", "arg1_id": "DerUnfallchirurg.01030722.eng.abstr-s9-t2", "arg2_id": "DerUnfallchirurg.01030722.eng.abstr-s9-t3", "normalized": [] } ]
DerUnfallchirurg.01030726.eng.abstr
DerUnfallchirurg.01030726.eng.abstr
[ { "id": "DerUnfallchirurg.01030726.eng.abstr-passage-0", "type": "abstract", "text": [ "The optimal time to perform acute ACL reconstruction with respect to arthrofibrosis is discussed . Most authors prefer delayed surgery . The definition of the term \" acute \" varies between 48 hours and 4 weeks . In this study the limit was set at 60 hours . Acute ACL reconstruction was performed in 39 patients and delayed surgery in 35 after they had regained full ROM . The incidence of arthrofibrosis was not higher in the acutely operated group whereas overall inability to work was 44% lower in this population . When the indication is clear , we think that acute ACL reconstruction may be performed within 60 hours without a higher risk of postoperative development of arthrofibrosis . Nowadays , this strategy should also be considered for economic reasons ." ], "offsets": [ [ 0, 766 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030731.eng.abstr
DerUnfallchirurg.01030731.eng.abstr
[ { "id": "DerUnfallchirurg.01030731.eng.abstr-passage-0", "type": "abstract", "text": [ "Between June 1990 and December 1997 116 patients with complete dislocation of the acromio-clavicular joint were treated operatively . According to the classification of Tossy and Rockwood all patients had type Tossy III or Rockwood III , IV and V of lesion ." ], "offsets": [ [ 0, 258 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030741.eng.abstr
DerUnfallchirurg.01030741.eng.abstr
[ { "id": "DerUnfallchirurg.01030741.eng.abstr-passage-0", "type": "abstract", "text": [ "The aim of all surgical procedures in the treatment of trochanteric fractures in elderly and even geriatric patients is achievement of initial stability . We examined in a clinical trial whether primary stability was achieved in all types of trochanteric fractures following osteosynthesis with the Dynamic Hip Scres ( DHS ) . From 1994 to 1996 , 122 patients with trochanteric fractures had osteosynthesis by dynamic hip screw . Patient records were evaluated and all data got registered with a standardized protocoll ; clinical and radiological outcome was analysed after an average period of 1,9 years after injury according to the Traumatic Hip Rating Score . 22% of all patients died meantimes , 51,6% of the remaining 95 patients could get examined . The average age was 75,5 years , the patient population showed an increased preoperative morbidity ( 2,5 points ) according to ASA-Score . 81% showed progressive osteoporosis . According to the AO-classification 47% stable fractures ( type A-1) and 53% instable trochanteric fractures ( type A-2 and A-3) occured . Surgery lasted 77 minutes average in osteosynthesis of stable fractures . The duration of 108 minutes in instable fractures was significantly higher , as well as the blood loss was 43% increased in these complex fractures . Complications closely associated to the osteosynthesis appeared only in instable fractures ( 7% ) . Also common complications ( 24,6% ) predominated with 15,6% in tpy A-2 and A-3 fractures versus 9% in type A-1 fractures ; mortality was also different with 5,7% versus 1,6% . Assesment of the functional outcome according to THRS showed a significant deterioration of 20 points in 71% of all patients compared with the preoperative score . The results show that dynamic hip screw osteosynthesis in instable trochanteric fractures is associated to a higher incidence of complications . While the dynamic hip screw still represents the standard implant in stable fractures of the trochanteric regio , beeing aware of improved intramedullary implants regarding biomechanical features and surgical technique , the results justify to critical consider the use of DHS for osteosynthesis in instable fractures of the trochanteric region ." ], "offsets": [ [ 0, 2227 ] ] } ]
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DerUnfallchirurg.01030749.eng.abstr
DerUnfallchirurg.01030749.eng.abstr
[ { "id": "DerUnfallchirurg.01030749.eng.abstr-passage-0", "type": "abstract", "text": [ "45 trauma patients with fracture-related metaphyseal bone defects filled with hydroxyapatite ceramic ( Endobon ) were followed for three to four years after surgery . Osseointegration of Endobon could be confirmed histologically in all biopsates , which could be obtained during scheduled reintervention for hardware emoval . The objective of clinical and radiological follow-up was to evaluate the extent of ceramic remodeling as well as long-term implant outcome . Thirteen patients undergoing surgery in 1992 or 1993 were available for follow-up . None of these patients showed radiologic evidence of loss of bony reconstruction or HAC sintering , nor was there evidence of HAC resorption or fragmentation . Our results - with respect to the examined few patients - suggest that Endobon is useful for filling bony defects in carefully selected trauma patients if certain surgical technique prerequisites alre met . Like cancellous autograft special alloplasts appear to go some way toward solving problems of defect filling encountered in clinical practice ." ], "offsets": [ [ 0, 1061 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030754.eng.abstr
DerUnfallchirurg.01030754.eng.abstr
[ { "id": "DerUnfallchirurg.01030754.eng.abstr-passage-0", "type": "abstract", "text": [ "So far , little is known about the acoustic phenomena of high-frequency sonography for the assessment of healing processes in thermal wounds . However , ex vivo investigations have shown clear age-dependent differences in the rate of sound propagation i thermal scars compared th healthy skin ." ], "offsets": [ [ 0, 294 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030761.eng.abstr
DerUnfallchirurg.01030761.eng.abstr
[ { "id": "DerUnfallchirurg.01030761.eng.abstr-passage-0", "type": "abstract", "text": [ "Operative treatment for ruptures of the long biceps tendon still is discussed controversially . In the present literature the keyhole-technique is recommended according to favourable biomechanical conditions . In recent years refixation to the short biceps tendon was preferred . Now it is supposed that this technique may provocate subacromial impingement considering the loss of depression function of the long biceps tendon to the humeral head ." ], "offsets": [ [ 0, 448 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030787.eng.abstr
DerUnfallchirurg.01030787.eng.abstr
[ { "id": "DerUnfallchirurg.01030787.eng.abstr-passage-0", "type": "abstract", "text": [ "We report on the ventilation in prone position in a 5-year-old traumatized child with severe thoracic and abdominal injuries ( lung contusion , rib fractures , rupture of liver and spleen ) . Under continuous analgosedation , the young patient was ventilated in prone position for 6 h , since acute lung injury and atelectasis persisted despite various therapeutic measures ( artifical ventilation in the pressure controlled mode , fiberoptic bronchoscopy , reexpansion maneuver ) . After initiation of the prone position , we observed a rapid increase i narterial oxygenation , which persisted in the following period . The hemodynamic situation remained stable ." ], "offsets": [ [ 0, 664 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030791.eng.abstr
DerUnfallchirurg.01030791.eng.abstr
[ { "id": "DerUnfallchirurg.01030791.eng.abstr-passage-0", "type": "abstract", "text": [ "Undislocated odontoid fractures may lead on the basis of conventional x-rays only to a wrong conclusion with regard to biomechanical aspect of stability . In this aspect the classification based on Anderson and D ' Alonzo takes a high risk to missunderstood the fracture stability and can results in a secondary fracture dislocation . Therefore it is important to make the decision about operative versus nonoperative treatment on the base of the trauma mechanism . In this case report we elucidate this problem and the higher risk of anterior approach for correction . Furthermore a better classification of densfractures will be recommended ." ], "offsets": [ [ 0, 644 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030820.eng.abstr
DerUnfallchirurg.01030820.eng.abstr
[ { "id": "DerUnfallchirurg.01030820.eng.abstr-passage-0", "type": "abstract", "text": [ "Which consequences can be ascribed to the intraarticular position of devices in the operative treatment of a slipped capital femoral epiphysis ? Which steps are to define as a standard of a careful procedure ?" ], "offsets": [ [ 0, 209 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030826.eng.abstr
DerUnfallchirurg.01030826.eng.abstr
[ { "id": "DerUnfallchirurg.01030826.eng.abstr-passage-0", "type": "abstract", "text": [ "A randomised prospective study was carried out to compare non-bridging external fixation using a small AO external fixator with percutaneous Kirschner wire fixation and plaster in the treatment of distal radial fractures ( A2/A3 in the AO classification ) ." ], "offsets": [ [ 0, 257 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030834.eng.abstr
DerUnfallchirurg.01030834.eng.abstr
[ { "id": "DerUnfallchirurg.01030834.eng.abstr-passage-0", "type": "abstract", "text": [ "Traumatic instability of the sternoclavicular joint is a rare diagnosis . It is usually treated by different bandaging techniques without the possibility of early functional aftercare . In the period betweeen 1 January 1996 and 31 December 1998 , a total of eight patients with unstable sternoclavicular joints requiring surgical treatment were treated with Balser plates . The population comprised sevenanterior and one posterior dislocations ." ], "offsets": [ [ 0, 445 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030839.eng.abstr
DerUnfallchirurg.01030839.eng.abstr
[ { "id": "DerUnfallchirurg.01030839.eng.abstr-passage-0", "type": "abstract", "text": [ "Using a mechanical testing procedure , various fixator constructs were tested in vitro . In addition , the influence of the passive soft tissue structures on the fixation stiffness was determined . An increased number of Schanz ' screws or Kirschner wires led to a comparable increase in stiffness than that observed with an increasing screw or wire diameter . In consequence , larger diameters should be preferred over an additional screw or wire where clinically applicable . With diaphyseal telescoping rods only the axial stiffness decreased . As expected , large ring diameters as well as titanium wires reduced stiffness components . Bracing the outer rings caused a reduction of the overall stiffness . Asymmetric pre-tensioning of the K-wires resulted in a significant reduction of tension in the neighboring wire ." ], "offsets": [ [ 0, 823 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030846.eng.abstr
DerUnfallchirurg.01030846.eng.abstr
[ { "id": "DerUnfallchirurg.01030846.eng.abstr-passage-0", "type": "abstract", "text": [ "The aim of this study was to obtain mid-term results after total hip arthroplasty ( THA ) with cemented titanium stems ." ], "offsets": [ [ 0, 120 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030853.eng.abstr
DerUnfallchirurg.01030853.eng.abstr
[ { "id": "DerUnfallchirurg.01030853.eng.abstr-passage-0", "type": "abstract", "text": [ "We present a splint system for a protected mobilization program after closed reduction of articular proximal phalangeal base fractures . This therapy consists of the periarticular soft tissue and functional anatomy . The soft-tissue around the base of the proximal phalanx leads to a circular stabilization effect . This so called Zancolli Complex ( Metacarpophalangeal Retention Apparatus ) can be used with the effect of a brace treatment . Treating 31 patients with articular fractures of the proximal phalanx way we found good functional results within a mean follow up period of 2 years after the accident ." ], "offsets": [ [ 0, 612 ] ] } ]
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[]
[]
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DerUnfallchirurg.01030858.eng.abstr
DerUnfallchirurg.01030858.eng.abstr
[ { "id": "DerUnfallchirurg.01030858.eng.abstr-passage-0", "type": "abstract", "text": [ "The purpose of this retrospective study was to analyse the complications of our arthroscopic procedures at the ankle joint . In all patients we evaluated the treatment protocols and in 111 patients ( 79,3% ) we also evaluated the clinical and radiologic results . All in all we have found complications in 14 patients . In 4 cases we have seen a delayed wound healing , in 2 cases a superficial infection , in 3 cases a deep infection , in 3 cases a neural damage and in 2 cases a phlebothrombosis . Our study show , that the complication rate could be minimized by detailed knowledge of the anatomy , exact preoperative diagnostic and planing of the operation and careful preparation of the portals . The use of a laser also shows a tendency to a lower complication rate ." ], "offsets": [ [ 0, 773 ] ] } ]
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"id": "DerUnfallchirurg.01030858.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "retrospective study" ], "offsets": [ [ 20, 39 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035363" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "ankle joint" ], "offsets": [ [ 111, 122 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003087" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 132, 140 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 158, 167 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 189, 197 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "treatment protocols" ], "offsets": [ [ 158, 177 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040808" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "All" ], "offsets": [ [ 264, 267 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023449" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 289, 302 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 309, 317 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "wound" ], "offsets": [ [ 354, 359 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043250" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 395, 404 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 425, 434 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "phlebothrombosis" ], "offsets": [ [ 481, 497 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042487" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "wound healing" ], "offsets": [ [ 354, 367 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 526, 538 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": 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"UMLS", "db_id": "C0038895" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "use" ], "offsets": [ [ 706, 709 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042153" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "laser" ], "offsets": [ [ 715, 720 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023089" } ] }, { "id": "DerUnfallchirurg.01030858.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 754, 766 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] } ]
[]
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