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Elektromyographische Untersuchungen operativ versorgter Kniebandrupturen

Electromyographic investigations after operative treatment of ruptured knee ligaments — a retrospective analysis of defined injuries patterns

Eine retrospektive Analyse definierter Verletzungsmuster

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Zusammenfassung

An 52 Probanden (fünf Gruppen, Durchschnittsalter 32,8 Jahre) wurden die Aktivitäten der Oberschenkelmuskulatur durchschnittlich 61,2 Wochen nach Kniebandoperationen mit kutan abgeleiteten Elektromyogrammen (EMG) bei Kniebeugen und isometrischen Kontraktionsübungen (100 N, 200 N, 300 N) untersucht. Die einzelnen Gruppen setzten sich aus Patienten mit Rekonstruktion des vorderen Kreuzbandes (n=13), Naht des medialen Seitenbandes (n=12), Rekonstruktion beider Bänder (n=21) und mit autologem oder alloplastischem Ersatz (n=6) des vorderen Kreuzbandes zusammen. Eine Kontrollgruppe bestand aus 17 gesunden Probanden. Die verstärkten und gefilterten EMG-Analogsignale der acht abgeleiteten Muskeln ließen sich digitalisiert mit einem hierfür entwickelten Auswertungsprogramm analysieren. Nach dem jeweiligen Untersuchungsgang wurden so für jeden einzelnen abgeleiteten Oberschenkelmuskel der verschiedenen Patientengruppen die vier Kenngrößen „Integral, Amplitudenhöhensumme, Peaksumme und Amplitudenmittelwert“ berechnet. Beim Vergleich der Ergebnisse sprechen gruppenrelevante Kriterien in den EMG-Aufzeichnungen für differenzierte, ligamentomuskuläre Schutzreflexe. Vice versa lassen sich Tendenzen für gruppenspezifische Verteilungsmuster operativ versorgter Kniebandverletzungen an den Muskelaktivitäten im EMG ablesen.

Abstract

In 52 patients (5 groups, average age 32.8 years) with operative treatment of knee ligament injuries cutaneous electromyograms (EMG) under dynamic and isometric conditions (100 N, 200 N, 300 N) were performed in an average of 61.2 weeks postoperatively. The subgroups consisted of 13 patients with operative reconstruction of the anterior cruciate ligament (ACL), 12 after reconstruction of the medial colateral ligament (MCL), 21 after combined ACL and MCL reconstruction and 6 patients with autologous or alloplastic ligament replacement, respectively. The control group consisted of seventeen young adults without a history of knee joint injuries. The intensified and filtered analogous signals of 8 investigated thigh muscles were digitalized and analysed with help of a specially developed computer program. In summary, group specific EMG-criteria reveal distinct ligamentomuscular inhibitory reflexes and, vice versa, EMG activities of thigh muscles may indicate tendencies for group specific criterions after operatively treated knee ligament injuries.

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Authors and Affiliations

  1. Abteilung für Unfall- und Wiederherstellungschirurgie des Allgemeinen Krankenhauses Altona, des Universitätskrankenhauses Hamburg-Eppendorf, Germany

    J. V. Wening

  2. Abteilung für Unfall- und Wiederherstellungschirurgie, des Universitätskrankenhauses Hamburg-Eppendorf, Germany

    A. Katzer, S. Brockmann, H. C. Möller & K. H. Jungbluth

  3. Neurologische Klinik und Poliklinik, des Universitätskrankenhauses Hamburg-Eppendorf, Germany

    W. Eickhoff

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  1. J. V. Wening
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  2. A. Katzer
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  4. H. C. Möller
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  5. W. Eickhoff
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Wening, J.V., Katzer, A., Brockmann, S. et al. Elektromyographische Untersuchungen operativ versorgter Kniebandrupturen. Unfallchirurgie 22, 20–29 (1996). https://doi.org/10.1007/BF02627458

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