Klinger, Hans-Michael

[["dc.bibliographiccitation.firstpage","1351"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","1358"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Sachs, Ch."],["dc.contributor.author","Kostuj, Tanja"],["dc.contributor.author","Schmidt-Horlohe, K."],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, H.-M."],["dc.date.accessioned","2018-11-07T09:57:54Z"],["dc.date.available","2018-11-07T09:57:54Z"],["dc.date.issued","2015"],["dc.description.abstract","This laboratory study aimed to evaluate the loop security, knot security, cyclic loading resistance and load-to-failure rate of three different knot types with establishing a new experimental set-up. Additionally, the mode of failure of each knot was evaluated. With the use of nonabsorbable, braided polyethylene sutures, USP size No. 2 [Hi-Fi(A (R)); ConMed Linvatec], the arthroscopic knot types Dines, SMC as well as the surgeon's knot were tested using a material testing machine. The knots were tied openly as well as arthroscopically. The set-up enables testing of knot configurations while eliminating friction between knot loop and its suspension points. Including all test procedures, a total of 216 knots were tested. All openly tied knot types and ten of each type of arthroscopically tied knots resisted against cyclic loading of 1,000 cycles. With subsequent load-to-failure testing, openly tied knot types achieved significantly higher values of tensile strength than arthroscopically tied knots. Regarding clinical failure, defined as an elongation of 3 mm, Dines knot reached highest loop as well as knot security. Knot slippage was the most common failure mechanism at an elongation of 3 mm, whereas suture breakage was evaluated most at an elongation of 6 mm. The new experimental set-up confirms the loop security of arthroscopic knot types. Using a knot pusher clinically is a key factor to attain this as compared to openly hand-tied techniques. The Dines knot presented the highest reliability. It may provide a secure tissue healing during rehabilitation and consequently can be recommended for clinical application."],["dc.identifier.doi","10.1007/s00167-013-2711-9"],["dc.identifier.isi","000353829500013"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/37261"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1433-7347"],["dc.relation.issn","0942-2056"],["dc.title","Mechanical testing of different knot types using high-performance suture material"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","106"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Clinical Biomechanics"],["dc.bibliographiccitation.lastpage","111"],["dc.bibliographiccitation.volume","22"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Buchhorn, Gottfried Hans"],["dc.contributor.author","Baums, Mike Herbert"],["dc.date.accessioned","2018-11-07T11:06:16Z"],["dc.date.available","2018-11-07T11:06:16Z"],["dc.date.issued","2007"],["dc.description.abstract","Background. In recent studies objective evaluations have demonstrated that arthroscopic rotator cuff repairs can have higher failure rates than open repairs. Thus, there is a need for a stronger tissue-holding stitch for arthroscopical repair. The purpose of this study was to compare the biomechanical properties of traditional open transosseous suture technique and modified Mason-Allen stitches versus double-loaded suture anchors and arthroscopic Mason-Allen stitches in rotator cuff repair. Methods. In 20 sheep shoulders the infraspinatus tendons were dissected from their insertion and were randomized to 2 repair groups: (1) repair with transosseous suture and modified Mason-Allen stitches, (2) repair with double loaded bioabsorbable suture anchors and arthroscopic Mason-Allen stitches: Both groups were coupled with braided, nonabsorbable polyester (Ethibond) suture sized USP No. 2. All repairs were cyclically loaded from 10 to 180 N with the use of a materials testing machine. The number of cycles to gap formation of 5 and 10 rum at the repair site and the mode of failure were recorded. Results. The number of cycles to 5-mm gap was mean 634 (SD 106) for group 1 and mean 750 (SD 107) for group 2 (P < 0.026). The corresponding values to 10-mm, gap were mean 1573 (SD 161) for group 1, and mean 1789 (SD 183 cycles) for group 2 (P < 0.012). In group 2 the mode of failure occurred by tissue pull-out, whereas in group 1 the failure occurred by a mixture of suture breakage and pull-out. Conclusions. This time-zero study demonstrates that the combination of bioabsorbable suture anchors and arthroscopic Mason-Allen stitches provides strength superior to that of the modified Mason-Allen transosseous suture technique under isometric cyclic loading conditions. However, additional evaluation is needed to examine the effects on the sustained strength of the repair throughout the healing process. (c) 2006 Elsevier Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.clinbiomech.2006.07.009"],["dc.identifier.isi","000243680700015"],["dc.identifier.pmid","16996666"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/52266"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Sci Ltd"],["dc.relation.issn","0268-0033"],["dc.title","Biomechanical comparison of double-loaded suture anchors using arthroscopic Mason-Allen Stitches versus traditional transosseous suture technique and modified Mason-Allen stitches for rotator cuff repair"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","240"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Klinische Monatsblätter für Augenheilkunde"],["dc.bibliographiccitation.lastpage","242"],["dc.bibliographiccitation.volume","225"],["dc.contributor.author","Steven, P."],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Hoerauf, Hans"],["dc.date.accessioned","2018-11-07T11:17:49Z"],["dc.date.available","2018-11-07T11:17:49Z"],["dc.date.issued","2008"],["dc.description.abstract","Purpose: The aim of this communcation is to report a case of epiretinal membrane removal with intra-operative unexpected subretinal extension of the membrane. Methods: This is an observational case report. An 83-year-old female patient with bilateral pigmented secondary macular pucker after laser coagulation for diabetic retinopathy underwent vitrectomy with membrane peeling and membrane excision. The specimen was studied by means of light and electron microscopy. Results: The pigmented membrane extended through the retina forming an epiretinal and an intraretinal portion. Electron microscopy revealed connective tissue, capillaries and two different cell types that were retinal pigment epithelium-like and fibroblast-like. Conclusion: Misinterpreted parafoveal telangiectasis and focal lasercoagulation is the likely cause for our findings."],["dc.identifier.doi","10.1055/s-2008-1027237"],["dc.identifier.isi","000255004300011"],["dc.identifier.pmid","18351540"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/54903"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.relation.issn","0023-2165"],["dc.title","Bilateral pigmented epi- and submacular membrane"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","123"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Sportverletzung · Sportschaden"],["dc.bibliographiccitation.lastpage","126"],["dc.bibliographiccitation.volume","20"],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Musahl, Volker"],["dc.contributor.author","Harner, C. D."],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.date.accessioned","2018-11-07T09:24:15Z"],["dc.date.available","2018-11-07T09:24:15Z"],["dc.date.issued","2006"],["dc.identifier.doi","10.1055/s-2006-927001"],["dc.identifier.isi","000241332200003"],["dc.identifier.pmid","16998764"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/29780"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.relation.issn","0932-0555"],["dc.title","A comparison of orthopaedic sports medicine education in Germany and the US"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","81"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Physikalische Medizin Rehabilitationsmedizin Kurortmedizin"],["dc.bibliographiccitation.lastpage","87"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Hell, Anna-Kathrin"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Langlotz, A."],["dc.contributor.author","Mueckley, Thomas"],["dc.contributor.author","Schiele, R."],["dc.date.accessioned","2018-11-07T11:03:54Z"],["dc.date.available","2018-11-07T11:03:54Z"],["dc.date.issued","2007"],["dc.description.abstract","Back Pain is a common problem for adolescents and adults. it has high social but also economic importance in medicine and public health. Material and methods: A total of 2368 adolescents (1137 male, 1231 female; age 14.5 +/- 0.65, 13-18 years) who had undergone obligatory public health examination were included into the study. In the beginning the adolescents had to answer a questionnaire. Here were asked frequency and localisation of muscolu-skeletal and back pain but also social status and consumption of tobacco and alcoholic beverages. The clinical examination was performed by 4 well experienced school-doctors. At the beginning the doctors were instructed by an orthopaedic surgeon and the criteria for clinical signs of back pathologies were standardized. Results: The overall prevalence of LBP was 45.5%. From these 38.2% adolescents had occasional back pain, 4% during physical activity, and 3.3% reported permanent pain. The prevalence of back pathologies was 28.1%. The prevalence of back pain without concomitant back pathologies was 29%. In 11.7% of the adolescents pathologies of the back were detected without any symptoms. The combination of back pain and back pathology was observed in 16.5%. Metaanalysis revealed the following significant risk factors (p < 0.05) for developing LBP: Female gender (OR = 1.6), visit of a middle school (OR=1.5) or visit of a high school (OR = 1.7), smoking (OR = 1.5), scoliosis (OR = 1.8), round back (OR=1.6), and inclined pelvic tilting pelvis (OR=1.4). Conclusions: In our adolescent population back pain is a common problem with an overall life time prevalence of 45,5%. Objective pathological changes as detected by clinical examination are only found in 28.1% of these children. Other factors such as female gender, alcohol or smoking seem to be related to a higher prevalence of LBP as well. Therefore, early preventive programs for this age group may reduce the prevalence of LBP."],["dc.identifier.doi","10.1055/s-2007-961798"],["dc.identifier.isi","000246691400002"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/51714"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0940-6689"],["dc.title","Prävalenz und assoziierte Faktoren des Rückenschmerzes bei Jugendlichen - Ergebnisse einer Querschnittsuntersuchung von 2368 Adoleszenten"],["dc.title.alternative","Prevalence and associated factors of lower back pain in 2368 adolescents"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","99"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Scandinavian Journal of Medicine and Science in Sports"],["dc.bibliographiccitation.lastpage","108"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Starman, J. S."],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Fu, Freddie H."],["dc.date.accessioned","2018-11-07T11:03:56Z"],["dc.date.available","2018-11-07T11:03:56Z"],["dc.date.issued","2007"],["dc.description.abstract","In traditional anterior cruciate ligament reconstruction, there is a subset of patients complaining of knee instability, especially rotational instability, and athletes not able to return to their preinjury level of sports activity. Currently, controversy exists over the usefulness of the double bundle technique (DBT) in addressing these problems. In order to evaluate the DBT, we completed a literature review from 1969 to February 2006 focusing on anatomy, magnetic resonance imaging, graft incorporation, biomechanics, kinematics, surgical techniques, complications and outcome. The DBT is not a standardized technique, which makes it difficult to compare results. Cadaver studies have proven biomechanical advantages with respect to ap-stability, but assessing the rotational stability remains difficult. There is a lack of available outcome studies with sufficient follow-up to demonstrate the potential advantages of DBT. The theoretical advantages of DBT require careful evaluation with outcome, biomechanical and kinematic studies. In addition, studies are needed to address issues such as graft incorporation and complications. An advantage offered by DBT is the possibility to identify rupture patterns that can lead to surgical preservation of an intact and augmentation of an injured bundle. The approach of augmentating a single bundle technique reconstruction with adequate anterior-posterior but poor rotational stability is promising."],["dc.identifier.doi","10.1111/j.1600-0838.2006.00600.x"],["dc.identifier.isi","000244886700002"],["dc.identifier.pmid","17076829"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/51723"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Blackwell Publishing"],["dc.relation.issn","0905-7188"],["dc.title","The double-bundle technique for anterior cruciate ligament reconstruction: a systematic overview"],["dc.type","review"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","JDDG Journal der Deutschen Dermatologischen Gesellschaft"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Diering, Nina"],["dc.contributor.author","Klinger, H.-M"],["dc.contributor.author","Schoen, Michael Peter"],["dc.contributor.author","Moessner, R."],["dc.date.accessioned","2018-11-07T10:25:21Z"],["dc.date.available","2018-11-07T10:25:21Z"],["dc.date.issued","2017"],["dc.format.extent","160"],["dc.identifier.isi","000400154800406"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/42843"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","PUB_WoS_Import"],["dc.publisher","Wiley"],["dc.publisher.place","Hoboken"],["dc.relation.issn","1610-0387"],["dc.relation.issn","1610-0379"],["dc.title","Calcined Bursitis prepatellar: Casereport of a Female Patient with limited systemic Scleroderma and Literature Review"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","145"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Zeitschrift für Orthopädie und Unfallchirurgie"],["dc.bibliographiccitation.lastpage","152"],["dc.bibliographiccitation.volume","149"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Schiele, R."],["dc.contributor.author","Hofmann, Gunther O."],["dc.contributor.author","Schiltenwolf, M."],["dc.contributor.author","Grifka, J."],["dc.contributor.author","Vaitl, T."],["dc.contributor.author","Schneider, S."],["dc.contributor.author","Liebers, F."],["dc.contributor.author","Klinger, Hans-Michael"],["dc.date.accessioned","2018-11-07T08:58:25Z"],["dc.date.available","2018-11-07T08:58:25Z"],["dc.date.issued","2011"],["dc.description.abstract","Aim: This metaanalysis was performed to evaluate the prevalence of the radiological assessed knee osteoarthritis in the whole community. Materials and Methods: Medical databases (Medline, EMBASE, Cochrane) were searched for the strategy: [\"Osteoarthritis\" and \"Knee\" and \"Prevalence\"]. The deadline for the search was 31.12.2009. Two investigators (first and senior author) independently made the selection from 17 studies (from a total of 1428) according to the inclusion criteria: a cross-sectional study of the whole community, radiological investigation and definition of knee ROA by an established radiological score. Only studies in English or German language were evaluated. Effect sizes (event rate, odds ratio [OR] and confidence interval [CI]) were calculated by the software \"Comprehensive Metaanalysis V2\". Study heterogeneity (I2) was determined accordingly to Higgins. Results: The kappa index for interobserver validity was k = 0.948. All studies judged the grade of osteoarthritis according to the Kellgren-Lawrence (KL) score. For calculation of knee ROA KL grades 2+ were estimated only. The total prevalence of knee ROA was 24.3% (CI 23.4-25.2%). The whole prevalence in male patients was 24.3% (CI 23.4-25.2%); I2 = 59.4 (p = 0.002) and in female patients 32.6% (CI 31.8-33.4%); I2 = 49,1 (p A 0.001). Younger male patients (age 50-) had a prevalence of 5.6 (CI 4.5-6.8). In older patients (80+) the male prevalence was 44.5% (CI 39.6-49.5%). In this age group female patients had a prevalence of 71.6% (CI 67.6-75.3%). The higher prevalence of knee ROA in female patients was significant (OR = 1.8 [1.7-1.9]; I2 = 46.0 [p < 0.001]). The prevalence of knee ROA was higher in male Asians compared with male Caucasians (OR = 1.1, CI 0.9-1.2; p = 0.080) in tendency. This difference was significant in female patients (OR = 2.2; CI 2.0-2.4; p < 0.001). Furthermore another trend was evaluated. Female patients (70-79 years) from the birth-year cohort 1920- had a prevalence of 37.8% (CI 35.9-39.7)%. In contrast female patients from the birth-year cohort 1920 had a prevalence of 62.8% (CI 60.8-64.8%) at 70-79 years. This difference was significant (OR = 2.8; CI 2.5-3.1; p < 0.001). Conclusions: This investigation confirms the high prevalence of knee ROA. The evaluated data may serve as a reference for medical or scientific investigations in the future."],["dc.identifier.doi","10.1055/s-0030-1250531"],["dc.identifier.isi","000289241600002"],["dc.identifier.pmid","21243591"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/23636"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Thieme Medical Publ Inc"],["dc.relation.issn","1864-6743"],["dc.relation.issn","1864-6697"],["dc.title","The Prevalence of Radiological Osteoarthritis in Relation to Age, Gender, Birth-Year Cohort, and Ethnic Origins"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1553"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","1561"],["dc.bibliographiccitation.volume","21"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Hofmann, Gunther O."],["dc.contributor.author","Klinger, Hans-Michael"],["dc.date.accessioned","2018-11-07T09:23:08Z"],["dc.date.available","2018-11-07T09:23:08Z"],["dc.date.issued","2013"],["dc.description.abstract","Knee osteoarthritis is one of the most common orthopaedic diseases. Therapeutic options for this disease include conservative treatments and arthroscopic debridement and partial or complete replacement. This meta-analysis aimed to collect and analyse the available information on the effects of arthroscopic joint debridement related to the clinical outcomes, the required conversion to replacement and the factors for patient selection. A search for publications was performed in the PubMed, Cochrane and EMBASE medical databases. The primary search resulted in a total of 1,512 citations. The results from 30 papers were included in this study. The extracted dates were listed in a standardised protocol. The statistical evaluation was performed using Comprehensive Meta-analysis software (V2 Biostat, Englewood, NJ, USA). No randomised study that compared conservative and arthroscopic treatments for knee osteoarthritis was found. Most studies reported middle-term results after arthroscopic operations. The results of these studies showed excellent or good outcomes in more than 60 % of all patients. These results were correlated with a significant increase in the knee scores from baseline to follow-up; the standardised difference in means was 2.3 (CI 95 % 1.5-3.0, p < 0.001). The required conversion rate to replacement increased as the follow-up interval increased. The rates were as follows: 1 year-6.1 % (CI 95 %, 2.1-16.6 %), 2 years-16.8 % (CI 95 %, 10.2-26.3 %), 3 years-21.7 % (CI 95 %, 15.5-29.1 %) and 4 years-34.1 % (CI 95 %, 22.8-47.6 %). The mean survival time was 42.7 (CI 95 %, 14.5-71.1) months. Numerous factors influenced the outcome, including the radiological stage of the osteoarthritis and individual patient factors (e.g. time of history of osteoarthritis, weight and smoking). The local knee findings, such as axial dysalignment, missing effusion and massive crepitus, were also correlated with patient outcome. Arthroscopic joint debridement is a potential and sufficient treatment for knee osteoarthritis in a middle-term time interval. This procedure results in an excellent or good outcome in approximately 60 % of patients in approximately 5 years. Systematic review of studies, Level III."],["dc.identifier.doi","10.1007/s00167-012-2169-1"],["dc.identifier.isi","000320672600014"],["dc.identifier.pmid","22893268"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/29510"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1433-7347"],["dc.relation.issn","0942-2056"],["dc.title","The effects of arthroscopic joint debridement in the knee osteoarthritis: results of a meta-analysis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","638"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","644"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Nozaki, M."],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, H.-M."],["dc.date.accessioned","2018-11-07T11:02:52Z"],["dc.date.available","2018-11-07T11:02:52Z"],["dc.date.issued","2007"],["dc.description.abstract","Frozen shoulder is said to be a self-limiting entity but full recovery often takes more than 2 years. For that, most patients are unwilling to tolerate painful restriction while awaiting resolution. We prospectively investigated 30 patients (16 women, 14 men) for the outcome of arthroscopic capsular release in idiopathic frozen shoulder. Results were determined by the assessment of subjective and objective parameters to estimate both shoulder function and general health status. Symptoms persisted without improvement for a minimum of 6 months of conservative treatment. Preoperative average American shoulder and elbow surgeons score (ASES) was 35, visual analog scale (VAS) to measure pain was 7, and simple shoulder test (SST) was 4. Mean scores of the physical component of SF-36 were considerably reduced. Mean forward elevation was 85 degrees, average abduction was 70 degrees, mean internal rotation was 15 degrees, and mean external rotation was 10 degrees. Patients were followed-up at 6 weeks, 3, 6, 12 months and by a mean of 36 months. Range of motion for all planes improved (P < 0.05). Median VAS reduced to 2, average ASES increased to 91, and SST enhanced to a mean of 10 (P < 0.05). We stated improvement of the physical components in the SF-36 questionnaire in particular bodily pain and the role-physical score. There were no significant differences between the measurements in the early postoperative phase compared to the mid-term follow-up (P > 0.05). Our results demonstrate that arthroscopic release of refractory idiopathic frozen shoulder combined with a gentle manipulation provides reliable expectations for improvement in both clinical and general health status for most patients. We recommend the use of a limb-specific and a general-health-status questionnaire to conclude the benefit of the surgical intervention and contribute the optimization of a therapy concept more effectively."],["dc.identifier.doi","10.1007/s00167-006-0203-x"],["dc.identifier.isi","000246175300026"],["dc.identifier.pmid","17031613"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/51488"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0942-2056"],["dc.title","Functional outcome and general health status in patients after arthroscopic release in adhesive capsulitis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]