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Prä-/intra- und postoperative Diagnostik

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Die proximale Humerusfraktur

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Zusammenfassung

Die primäre Diagnostik besteht nach einer ausführlichen Anamnese in der klinischen Untersuchung, welche in Abhängigkeit von der akuten Schmerzsituation des Patienten durchzuführen ist. Aufgrund der frakturbedingten Einblutung in das Gelenk und umgebende Weichteile schwillt die Schulter an, und die Schulterkontur verstreicht. Ein ausgeprägter Weichteilmantel lässt diese Veränderung meist nur erahnen. Nach 3–5 Tagen entwickelt sich daraus die typische livide Hämatomverfärbung, welche sich mit der Schwerkraft nach distal ausweitet. Zum Ausschluss offener Frakturen gehören die Beurteilung des Haut-Weichteil-Mantels und das Erkennen von Deformitäten, welche auf Begleitverletzungen hinweisen können.

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Authors and Affiliations

  1. Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift gGmbH, Humboldtstraße 5, 30196, Hannover, Deutschland

    Helmut Lill Prof. Dr. med. & Christine Voigt PD Dr. med.

  2. Diakoniekrankenhaus Friederikenstift gGmbH, Humboldtstraße 5, 30196, Hannover, Deutschland

    Alexander Ellwein Dr. med.

Authors
  1. Alexander Ellwein Dr. med.
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  2. Helmut Lill Prof. Dr. med.
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  3. Christine Voigt PD Dr. med.
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Editor information

Editors and Affiliations

  1. Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift gGmbH, Hannover, Germany

    Helmut Lill

  2. Centrum für Muskuloskeletale Chirurgie, Charité - Universitätsmedizin Berlin, Berlin, Germany

    Markus Scheibel

  3. Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift gGmbH, Hannover, Germany

    Christine Voigt

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© 2014 Springer-Verlag Berlin Heidelberg

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Ellwein, A., Lill, H., Voigt, C. (2014). Prä-/intra- und postoperative Diagnostik. In: Lill, H., Scheibel, M., Voigt, C. (eds) Die proximale Humerusfraktur. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35257-7_2

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  • DOI: https://doi.org/10.1007/978-3-642-35257-7_2

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35256-0

  • Online ISBN: 978-3-642-35257-7

  • eBook Packages: Medicine (German Language)

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