Zusammenfassung
Der vorliegende Beitrag zur Biomechanik der Gelenke soll dem Verständnis mechanisch bedingter pathologischer Veränderungen an den Stützgeweben der Gelenke dienen. Grundlage der allgemeinen Gelenkmechanik sind bis heute die Beiträge von Weber und Weber (1836), Braune und Fischer (1895), Strasser (1908, 1913, 1917), Fick (1904, 1910, 1911) und Fischer (1899, 1907, 1919). Die Publikationen von Pauwels (1935, 1940), in denen erstmals unter exakter Berücksichtigung physikalischer Gesetzmäßigkeiten funktionelle Anpassungsvorgänge am Stütz- und Bewegungsapparat nachgewiesen wurden, stellen eine Neuorientierung der Biomechanik des Bewegungsapparates dar. Auf der Grundlage seiner Untersuchungen entwickelte Pauwels (1960) zugleich eine neue Theorie zur Differenzierung der Stützgewebe (Kausale Histogenese). Die theoretischen Erkenntnisse über die Gelenkbelastung und -beanspruchung (Pauwels 1935, 1963) führten zur Entwicklung einer kausalen Therapie mechanisch bedingter Erkrankungen des Bewegungsapparates (Endler 1964, 1980; Geller 1965; Maquet 1969, 1976, 1980; Pauwels 1961, 1965, 1973).
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Tillmann, B., Mohr, W., Fassbender, H.G., Thurner, J., Geiler, G. (1984). Gelenke. In: Pathologie der Gelenke und Weichteiltumoren. Spezielle pathologische Anatomie, vol 18. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69547-6_1
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