[Clinical Trial to Test the iFuse Implant System® in Patients with Sacroiliac Joint Syndrome: One Year Results]. / Klinische Studie zur Prüfung des iFuse Implant Systems® bei Patienten mit Iliosakralgelenksyndrom: 1-Jahres-Ergebnisse.

Background: This study reports one year post-operative monitoring of the efficacy and safety of iFuse Implant System® in patients with sacroiliac joint syndrome. Material and Methods: After 6 months of inadequate conservative treatment, patients with properly proven ISG syndrome were selected for surgery. The iFuse implants had a triangular profile and coating of porous titanium plasma spray and were used in the minimally invasive procedures. The procedure was performed under general anaesthesia and fluoroscopic control. In each case, three implants were placed. Results: 24 patients (22 f; 92 %; 54.9 ± 14 years) participated in the study. The operations were performed in 11 patients (46 %) on the left and in 13 patients (54 %) on the right. The mean operative time was 42.4 minutes (95 % CI: 35.6-49.3). The reduction in pain intensity on the VAS scale was 58 ± 11 mm (68 ± 7 %). The Oswestry score showed a median decrease of 44 percentage points (57 %). After 12 months, 15 patients (63 %) reported that they were taking no more painkillers. Conclusion: The minimally invasive treatment of patients with sacroiliac joint syndrome using the iFuse Implant System leads to significant analgesic effects over the period of one year; it also contributes significantly to improving the functioning of the patient.

Six Sesamoid Bones on Both Feet: Report of a Rare Case.

There is a variation of the total number of distinct bones in the human in the literature. This difference is mainly caused by the variable existence of sesamoid bones. Sesamoid bones at the first MTP are seen regularly. In contrast additional sesamoid bones at the second to fifth MTP are rare. We report a case of additional sesamoid bones at every metatarsophalangeal joint (MTP) of both feet. A 22-year-old female Caucasian presented with weight-dependent pain of the second MTP of the left foot. In the radiographs of both feet additional sesamoid bones at every MTP could be seen. This case reports a very rare variation in human anatomy. A similar case has not been displayed to the academic society and therefore should be acknowledged.

[Percutaneous screw osteosynthesis of femoral neck fractures in the elderly. Subtrochanteric fractures as severe complications]. / Schenkelhalsverschraubung beim alten Menschen. Die subtrochantäre Femurfraktur als schwerwiegende Komplikation.

Percutaneous osteosynthesis by cannulated screws is a well established method for the treatment of non-displaced femoral neck fractures, especially in elderly patients with comorbidities due to low operative invasiveness. Optimal screw placement is still under discussion. There are only few literature references concerning the complication of subtrochanteric femoral fractures. We performed a review of the literature and a retrospective analysis of our patients treated by this form of osteosythesis from 01.04.2004 to 30.09.2009 searching for screw placement and the incidence of subtrochanteric femoral fractures. This complication was found in 2 of our 35 patients (5.7%) without adequate trauma, such as a stumble or fall having occurred.

[Whiplash injury--an update]. / HWS-Distorsionstrauma (sog. Schleudertrauma)--Ein Update.

Whiplash injuries of the cervical spine are of paramount clinical and socioeconomic importance. To date, many problems in regard to diagnosis, classification, treatment and assessment have not been sufficiently solved. Diagnosis is often made subjectively and the ideal mode of treatment is still the subject of controversy. Scientific progress has lead to the development of a prognostic classification system, objective diagnostic tests, different treatment modalities and, perhaps most importantly, the production of more secure automobiles. Current scientific evidence of the assessment and treatment of whiplash injuries is only partially integrated into clinical routine, although modern strategies of combining medicamentous therapy with early physiotherapy has shown good results. Clear dignostic criteria and treatment guidelines would conquer the cost explosion associated with whiplash injuries largely evident in the Swiss-German population.

[Diagnosis and management of patients with mild traumatic brain injury--an update with recommendations and future perspectives]. / Diagnostisches und therapeuti- sches Vorgehen bei Patienten mit leichtem Schädelhirntrauma.

Mild traumatic brain injury (TBI) is a reversible brain damage, without structural changes, which is caused by an external force. By definition, patients with mild TBI have a GCS of 13-15. It is an established risk factor for both morbidity and mortality. Prognosis is dependent on the primary damage incurred as well as secondary damage, for example, posttraumatic bleeding and oedema. Initial management should focus on the identification of patients at risk for serious intracranial pathologies. Investigations should be directed towards the severity of the injuries. Notably, the conventional X-ray is inadequate for the assessment of TBI. The following article discusses practical algorithms for the management of mild TBI and the indications for early use of CT.