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Motorradtouren und Motorradausfahrt de :: Thema anzeigen - HWS Bestimmung von Maßzahlen zur Diagnose von Beschleu -
Motorradtouren und Motorradausfahrt de
Motorrad Unfall - HWS Bestimmung von Maßzahlen zur Diagnose von Beschleu -
Admin - 29.09.2003, 23:19 Uhr
Titel: HWS Bestimmung von Maßzahlen zur Diagnose von Beschleu -
Beschleunigungsverletzungen der Halswirbelsäule sind von erheblicher medizinischer wie sozioökonomischer Bedeutung. Man geht von einer jährlichen unfallbedingten Inzidenz von bis zu 190 Personen pro 100000 Einwohner in Deutschland aus. Da die heutigen diagnostischen Möglichkeiten in der Regel keine fassbaren Veränderungen an der Halswirbelsäule erkennen lassen, gibt es trotz des großen Patientenguts erhebliche Schwierigkeiten, objektive Diagnosen zu stellen. Seit kurzer Zeit versucht man anhand von sogenannten Funktions-Tomographien objektive Maßzahlen zu ermitteln, die Auskunft über die Schwere der Verletzung geben. Dazu werden mehrere Schichten im Bereich der Schädelbasis bis zum dritten Halswirbel in Neutralstellung und maximaler aktiver Rechts- und Linkdsdrehung des Patienten aufgenommen. Die Rotationswinkel der einzelnen Wirbel bilden die Grundlage für die Bewertung der Verletzung. Die Ermittlung der Winkel erfolgt bisher in einer zeitaufwendigen Prozedur manuell mit Folienstift und Winkelmesser. In enger Zusammenarbeit mit dem in Karlsruhe niedergelassenen Radiologen Dr. med. habil. H. Friedburg, der als einer der ersten Ärzte diese Auswertungsmethode verwendet, wurde am IAKS das JAVA-basierte Programmpaket "ROSE" (Rotation of Cervical Spine Evaluation) entwickelt. Es ermöglicht die automatische Winkelbestimmung aus Computertomographie-Daten. Dadurch konnte der Zeitbedarf für die Auswertung erheblich reduziert werden. Aufgrund dieser positiven Ergebnisse wird am IAKS nun auch die Auswertung für Magnetresonanztomographie-Daten entwickelt.
Nachtrag
... oder schau mal hier rein : http://de.search.yahoo.com/search/de?p=gutachter+hws
Messung von Muskelverspannungen:
Dieses Messverfahren wird von einem Dr. M. Kramer an der Uni Ulm durchgeführt. Sobald ich mit diesem Arzt gesprochen habe, melde ich mich nochmal . Alles Liebe Dorothee
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