Orthopaedic clinical pictures and treatment methods
An excerpt of our services at a glance
Dr Braune works passionately for his patients' joint-related mobility and quality of life. As a shoulder-knee specialist and experienced surgeon, he stands for effective treatment methods and precise results.
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Other diseases at a glance
Dr Braune works passionately for his patients' joint-related mobility and quality of life. As a shoulder-knee specialist and experienced surgeon, he stands for effective treatment methods and precise results.
Shoulder
Rotator cuff rupture
Tear of the muscle cuff covering the head of the humerusThe rotator cuff is responsible for the strength of the shoulder during overhead work. It consists of a total of four tendons. The main tendon is the supraspinatus tendon, which is most often affected in injuries.
Causes
Damage to the rotator cuff can occur as a result of accidents or wear and tear. A fall on the outstretched arm is a frequent trigger of the disease.
Symptoms
The immediate and complete loss of strength in the affected shoulder associated with the accident is typical of accidental damage. The arm can no longer be raised independently. As the injury progresses, the function and mobility of the shoulder improve, but the loss of strength and night pain remain.
Therapy options
The focus is on surgical reconstruction of the tendon function to restore strength and mobility in the shoulder joint. In addition, the rotator cuff has a centring function in the shoulder joint, which counteracts the early onset of arthrosis.
Dr. Braune reconstructs the damaged tendon attachment with titanium thread anchors and reattaches the tendon to the bone so that it can heal completely there.
Tendinosis calcarea
Calcification in the tendon plateCalcium deposits in the muscle cuff covering the head of the humerus lead to the most severe discomfort in the affected shoulder, depending on the degree of activity.
Causes
Triggers of the disease are currently not clearly identifiable. As a rule, the disease goes through a phase of formation, stagnation and dissolution of the calcific deposit.
Symptoms
A dull pressure pain of the affected shoulder is typical. When the calcific deposit breaks into the bursa, there is a painful complete loss of mobility of the shoulder.
Therapy options
Shock wave therapy or surgical calcific depot removal should be considered depending on the degree and phase of the disease.
Knee
Free joint body in the knee joint
Free joint bodies in the knee joint can be bone-cartilage fragments, bone parts due to wear and tear or of a congenital nature.
Causes
Circulatory disorders in the knee joint can lead to the release of free joint bodies (joint mouse). However, free joint bodies can also be present or develop in the knee joint as a result of the condition or wear and tear.
Symptoms
Sudden, extremely painful blockages of joint mobility with a pinching sensation are typical.
Therapy options
With each new jamming in the joint, the free joint body damages the cartilage. Therefore, free joint bodies should be removed promptly. In most cases, this is done minimally invasively using arthroscopic surgical techniques.
Femoropatellar dysplasia
Correction of a patella running outwardsFree joint bodies in the knee joint can be bone-cartilage fragments, wear-related bone parts or of a congenital nature.
Causes
Deformities of the patella or femoral condyle can lead to an altered fit of the posterior surface of the patella and the corresponding groove in the front of the femur.
Symptoms
Leading to anterior knee pain is bending, after prolonged sitting or walking down stairs. In severe cases, the kneecap can slip out (patella luxation).
Therapy options
Depending on the age of the patient and the severity of the poor fit, minimally invasive interventions, tendon relocations and even the offset of the attachment of the patellar tendon to the tibial plateau can be used.
Dr. Braune treats less severe cases arthroscopically by splitting the outer suspension of the patella (arthroscopic lateral release).
Elbow
Epicondylopathies
Tendonitis of the elbow jointCauses
The causes are overloading and incorrect loading during occupational and sporting activity.
Symptoms
Typical symptoms are load-dependent complaints on the outside and inside of the elbow.
Treatment options
Initially, shock wave therapy is a non-surgical treatment that is a promising option for breaking through the focus of inflammation and initiating the body's own regeneration.
Dr. Braune successfully treats this disease surgically using a minmalinvasive procedure with a new type of special probe, with the help of which the tendon attachment is relieved of pressure and partially denervated.
Hip
Coxarthrosis
Wear of the cartilage layer on the hip jointCauses
Causes of wear and tear of the hip joint are a birth-related poor fit of the femoral head and acetabulum (hip dysplasia), accident-related malpositions due to bone fractures (post-traumatic coxarthrosis), circulatory disorders (femoral head necrosis) and wear-related changes in the articular cartilage.
Symptoms
Early signs of coxarthrosis are the painfully restricted internal rotation of the hip joint and a resulting reduced mobility. The loss of cartilage causes the femoral head to make contact with the bony acetabulum, resulting in pain that projects mainly to the groin region. A pain when starting to walk can also be indicative, which usually improves after a few minutes.
Therapy options
Moderately pronounced changes can be treated very well with injections. Dr. Braune treats the early stages of coxarthrosis with intra-articular hyaluronic acid injections. In this procedure, cartilage-nourishing substance (hyaluronic acid) is injected directly into the hip joint under sonographic control. There, the body is not able to produce hyaluronic acid in sufficient quantities on its own due to the wear-related inflammation.
If the conservative measures have been exhausted, the only option is often endoprosthetic replacement of the hip joint. Today, the implantation of an artificial hip joint is a routine operation with manageable risks and a very high level of patient satisfaction.
Ankle joint
Meniscoid syndrome
Adhesions in the external ankle joint spaceAfter injuries to the external ligamentous apparatus of the ankle joint, adhesions can occur in the external joint space due to an accident.
Causes
Injuries to the ankle capsule in the case of ligament damage to the ankle joint, which are located in the immediate vicinity of the joint capsule, can lead to adhesions in the outer ankle joint space during the healing phase.
Symptoms
When moving laterally (supination and pronation) in the upper ankle joint, there is a stabbing pain in the outer ankle.
Treatment options
The treatment consists of removing the adhesions. This is a minimally invasive arthroscopic procedure.
Osteochondrosis dissecans
Circulatory disorder of the swing legCirculatory disorders in the ankle joint can lead to damage of the cartilage-bone interface (osteochondrosis dissecans) at the flybone. As the disease progresses, a cartilage-bone fragment can detach from the composite and slip into the joint (joint mouse).
Causes
Growth-related factors are often responsible for the occurrence of the disease. However, accident-related influences such as severe sprains can also be triggering factors.
Symptoms
Stress-related complaints are the most common symptoms of this disease.
Therapy options
The therapy consists of preventing the progression of the disease and thus the detachment of the cartilage-bone fragment. To do this, one tries to break through the swelling in the bone, which leads to a reduction in the blood supply to the affected area. This is done in a joint endoscopy and subsequent fluoroscopy-assisted drilling of the defect.
Vertebral joint
Facet joint syndrome
Intervertebral joint arthritisCauses
Reduced height of the intervertebral discs due to wear and tear or congenital deformities of the spine with lateral bending (scoliosis) lead to the development of arthrosis in the intervertebral joints.
Symptoms
Complaints very often occur during bending and twisting movements of the spine.
Therapy options
As part of a step-by-step therapy, the facet joints can be denervated using cold or heat (cryo- or thermoablation), thus paralysing the pain fibres. In the case of pronounced findings, surgical stiffening of the affected spinal segment may be necessary.
Dr. Braune successfully treats the early stages of the disease with a combination of alternative and conventional medicine, using pulsating magnetic field therapy and injections close to the spine.
Our consultation hours
Mondays to Fridays from
08:00 - 12:30 and
14:00 - 17:30.
For telephone enquiries, we can be reached at 06173-4717 during office hours.
Accidents at work, school and on the way to and from work are treated at any time within the framework of the on-call accident doctors in the time from
Monday to Friday from 8:00 a.m. to 6:00 p.m.
and after prior appointment by telephone.
Outside office hours, please contact the medical on-call service in Hesse under the national number 116 117.
