Skip to main content
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2006

01.03.2006 | Knee

Anatomy of the anterior cruciate ligament

verfasst von: V. B. Duthon, C. Barea, S. Abrassart, J. H. Fasel, D. Fritschy, J. Ménétrey

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 3/2006

Einloggen, um Zugang zu erhalten

Abstract

The anterior cruciate ligament (ACL) is a band of dense connective tissue which courses from the femur to the tibia. The ACL is a key structure in the knee joint, as it resists anterior tibial translation and rotational loads. When the knee is extended, the ACL has a mean length of 32 mm and a width of 7–12 mm. There are two components of the ACL, the anteromedial bundle (AMB) and the posterolateral bundle (PLB). They are not isometric with the main change being lengthening of the AMB and shortening of the PLB during flexion. The ACL has a microstructure of collagen bundles of multiple types (mostly type I) and a matrix made of a network of proteins, glycoproteins, elastic systems, and glycosaminoglycans with multiple functional interactions. The complex ultrastructural organization and abundant elastic system of the ACL allow it to withstand multiaxial stresses and varying tensile strains. The ACL is innervated by posterior articular branches of the tibial nerve and is vascularized by branches of the middle genicular artery.
Literatur
1.
Zurück zum Zitat Adachi N, Ochi M, Uchio Y, Iwasa J, Ryoke K, Kuriwaka M (2002) Mechanoreceptors in the anterior cruciate ligament contribute to the joint position sense. Acta Orthop Scand 73(3):330–334 Adachi N, Ochi M, Uchio Y, Iwasa J, Ryoke K, Kuriwaka M (2002) Mechanoreceptors in the anterior cruciate ligament contribute to the joint position sense. Acta Orthop Scand 73(3):330–334
2.
Zurück zum Zitat Amiel D, Frank CB, Harwood FL, Fronek J, Akeson WH (1984) Tendons and ligaments: a morphological and biochemical comparison. J Orthop Res 1(3):257 Amiel D, Frank CB, Harwood FL, Fronek J, Akeson WH (1984) Tendons and ligaments: a morphological and biochemical comparison. J Orthop Res 1(3):257
3.
Zurück zum Zitat Amiel D, Kleiner JB, Roux RD, Harwood FL, Akeson WH (1986) The phenomenon of “ligamentization”: anterior cruciate ligament reconstruction with autogenous patellar tendon. J Orthop Res 4:162–172 Amiel D, Kleiner JB, Roux RD, Harwood FL, Akeson WH (1986) The phenomenon of “ligamentization”: anterior cruciate ligament reconstruction with autogenous patellar tendon. J Orthop Res 4:162–172
4.
Zurück zum Zitat Amiel D, Billings E, Akeson WH (1989) Ligament structure, chemistry and physiology. In: Daniel D, et al (eds) Knee ligaments: structure, function, injury and repair. Raven Press, New York, NY, p 34 Amiel D, Billings E, Akeson WH (1989) Ligament structure, chemistry and physiology. In: Daniel D, et al (eds) Knee ligaments: structure, function, injury and repair. Raven Press, New York, NY, p 34
5.
Zurück zum Zitat Amis AA (1985) Biomechanics of ligaments. In: Jenkins DHR (ed) Ligament injuries and their treatment. Chapman and Hall, London, pp 3–28 Amis AA (1985) Biomechanics of ligaments. In: Jenkins DHR (ed) Ligament injuries and their treatment. Chapman and Hall, London, pp 3–28
6.
Zurück zum Zitat Amis AA, Dawkins GPC (1991) Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries. J Bone Joint Surg 73(B):260–267 Amis AA, Dawkins GPC (1991) Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries. J Bone Joint Surg 73(B):260–267
7.
Zurück zum Zitat Arnoczky SP (1983) Anatomy of the anterior cruciate ligament. Clin Orthop 172:19–25 Arnoczky SP (1983) Anatomy of the anterior cruciate ligament. Clin Orthop 172:19–25
8.
Zurück zum Zitat Arnoczky SP (1985) Blood supply to the anterior cruciate ligament and supporting structures. Orthop Clin North Am 16:15–28 Arnoczky SP (1985) Blood supply to the anterior cruciate ligament and supporting structures. Orthop Clin North Am 16:15–28
9.
Zurück zum Zitat Bach BR Jr, Levy ME, Bojchuk J, Tradonsky S, Bush-Joseph CA, Khan NH (1998) Single-incision endoscopic anterior cruciate ligament reconstruction using patellar tendon autograft. Minimum two-year follow-up evaluation. Am J Sports Med 26:30–40 Bach BR Jr, Levy ME, Bojchuk J, Tradonsky S, Bush-Joseph CA, Khan NH (1998) Single-incision endoscopic anterior cruciate ligament reconstruction using patellar tendon autograft. Minimum two-year follow-up evaluation. Am J Sports Med 26:30–40
10.
Zurück zum Zitat Benjamin M, Evans EJ (1990) Fibrocartilage. J Anat 171:1–15 Benjamin M, Evans EJ (1990) Fibrocartilage. J Anat 171:1–15
11.
Zurück zum Zitat Benjamin M, Quin S, Ralphs JR (1995) Fibrocartilage associated with human tendons and their pulleys. J Anat 187:625–633 Benjamin M, Quin S, Ralphs JR (1995) Fibrocartilage associated with human tendons and their pulleys. J Anat 187:625–633
12.
Zurück zum Zitat Bernard M, Hertel P, Hornung H, et al (1997) Femoral insertion of the anterior cruciate ligament. Radiographic quadrant method. Am J Knee Surg 10:14–22 Bernard M, Hertel P, Hornung H, et al (1997) Femoral insertion of the anterior cruciate ligament. Radiographic quadrant method. Am J Knee Surg 10:14–22
13.
Zurück zum Zitat Beynnon BD, Pope MH, Wertheimer CM, et al (1992) The effect of functional knee-braces on strain on the anterior cruciate ligament in vivo. J Bone Joint Surg 74A:1298–1312 Beynnon BD, Pope MH, Wertheimer CM, et al (1992) The effect of functional knee-braces on strain on the anterior cruciate ligament in vivo. J Bone Joint Surg 74A:1298–1312
14.
Zurück zum Zitat Beynnon BD, Johnson RJ (1994) Relevant biomechanics. In: DeLee JC, Drez D (eds) Orthopaedic sports medicine, pp 1113–1133 Beynnon BD, Johnson RJ (1994) Relevant biomechanics. In: DeLee JC, Drez D (eds) Orthopaedic sports medicine, pp 1113–1133
15.
Zurück zum Zitat Beynnon BD, Johnson RJ, Fleming BC, et al (1997) The effect of functional knee bracing on the anterior cruciate ligament in the weightbearing and non-weightbearing knee. Am J Sports Med 25:353–359 Beynnon BD, Johnson RJ, Fleming BC, et al (1997) The effect of functional knee bracing on the anterior cruciate ligament in the weightbearing and non-weightbearing knee. Am J Sports Med 25:353–359
16.
Zurück zum Zitat Beynnon BD, Fleming BC, Labovitch R, Parsons B (2002) Chronic anterior cruciate ligament deficiency is associated with increased anterior translation of the tibia during the transition from non-weightbearing to weightbearing. J Orthop Res 20:332–337 Beynnon BD, Fleming BC, Labovitch R, Parsons B (2002) Chronic anterior cruciate ligament deficiency is associated with increased anterior translation of the tibia during the transition from non-weightbearing to weightbearing. J Orthop Res 20:332–337
17.
Zurück zum Zitat Butler DL, Noyes FR, Grood ES (1980) Ligamentous restraints to anterior–posterior drawer in the human knee. J Bone Joint Surg 62A:259 Butler DL, Noyes FR, Grood ES (1980) Ligamentous restraints to anterior–posterior drawer in the human knee. J Bone Joint Surg 62A:259
18.
Zurück zum Zitat Ellison AE, Berg EE (1985) Embryology, anatomy, and function of the anterior cruciate ligament. Orthop Clin North Am 16:3–14 Ellison AE, Berg EE (1985) Embryology, anatomy, and function of the anterior cruciate ligament. Orthop Clin North Am 16:3–14
19.
Zurück zum Zitat Gabriel MT, Wong EK, Woo SL-Y, Yagi M, Debski RE (2004) Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res 22:85–89 Gabriel MT, Wong EK, Woo SL-Y, Yagi M, Debski RE (2004) Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res 22:85–89
20.
Zurück zum Zitat Giori NJ, Carter DR (1992) Tendon tissue differentiation may be mechanically mediated by hydrostatic pressure and cell shape. Trans Orthop Res Soc 17:148 Giori NJ, Carter DR (1992) Tendon tissue differentiation may be mechanically mediated by hydrostatic pressure and cell shape. Trans Orthop Res Soc 17:148
21.
Zurück zum Zitat Girgis FG, Marshall JL, Monajem ARSA (1975) The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis. Clin Orthop 106:216–231 Girgis FG, Marshall JL, Monajem ARSA (1975) The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis. Clin Orthop 106:216–231
22.
Zurück zum Zitat Gray H (1975) Anatomy of the human body, 29th edn. In: Goss CM (eds) Lea & Febiger, Philadelphia, PA Gray H (1975) Anatomy of the human body, 29th edn. In: Goss CM (eds) Lea & Febiger, Philadelphia, PA
23.
Zurück zum Zitat Harner CD, Livesay GA, Kashiwaguchi S, Fujie H, Choi NY, Woo SL-Y (1995) Comparative study of the size and shape of human anterior and posterior cruciate ligaments. J Orthop Res 13:429–434 Harner CD, Livesay GA, Kashiwaguchi S, Fujie H, Choi NY, Woo SL-Y (1995) Comparative study of the size and shape of human anterior and posterior cruciate ligaments. J Orthop Res 13:429–434
24.
Zurück zum Zitat Haus J, Halata Z (1990) Innervation of the anterior cruciate ligament. Int Orthop 14(3):293–296 Haus J, Halata Z (1990) Innervation of the anterior cruciate ligament. Int Orthop 14(3):293–296
25.
Zurück zum Zitat Hogervorst T, Brand R (1998) Mechanoreceptors in joint function. J Bone Joint Surg 80(A):1365–1377 Hogervorst T, Brand R (1998) Mechanoreceptors in joint function. J Bone Joint Surg 80(A):1365–1377
26.
Zurück zum Zitat Hollis JM, Takai S, Adams DJ, Horibe S, Woo SL-Y (1991) The effects of knee motion and external loading on the length of the anterior cruciate ligament (ACL): a kinematic study. J Biomech Eng 113:208–214 Hollis JM, Takai S, Adams DJ, Horibe S, Woo SL-Y (1991) The effects of knee motion and external loading on the length of the anterior cruciate ligament (ACL): a kinematic study. J Biomech Eng 113:208–214
27.
Zurück zum Zitat Jacobson K (1977) Osteoarthritis following insufficiency of the cruciate ligament in man: a clinical study. Acta Orthop Scand 48:520–526 Jacobson K (1977) Osteoarthritis following insufficiency of the cruciate ligament in man: a clinical study. Acta Orthop Scand 48:520–526
28.
Zurück zum Zitat Kennedy JC, Alexander IJ, Hayes KC (1982) Nerve supply of the human knee and its functional importance. Am J Sports Med 10:329–335 Kennedy JC, Alexander IJ, Hayes KC (1982) Nerve supply of the human knee and its functional importance. Am J Sports Med 10:329–335
29.
Zurück zum Zitat Kim SG, Akaike T, Sasagawa T, Atomi Y, Kurosawa H (2002) Gene expression of Type I and III collagen by mechanical stretch in anterior cruciate ligament cells. Cell Struct Funct 27:139–144 Kim SG, Akaike T, Sasagawa T, Atomi Y, Kurosawa H (2002) Gene expression of Type I and III collagen by mechanical stretch in anterior cruciate ligament cells. Cell Struct Funct 27:139–144
30.
Zurück zum Zitat Koch S, Tillman B (1995) The distal tendon of biceps brachis. Ann Anat 177:467–474 Koch S, Tillman B (1995) The distal tendon of biceps brachis. Ann Anat 177:467–474
31.
Zurück zum Zitat Konishi Y, Fukubayashi T, Takeshita D (2002) Possible mechanism of quadriceps femoris weakness in patients with ruptured anterior cruciate ligament. Med Sci Sports Exerc 34:1414–1418 Konishi Y, Fukubayashi T, Takeshita D (2002) Possible mechanism of quadriceps femoris weakness in patients with ruptured anterior cruciate ligament. Med Sci Sports Exerc 34:1414–1418
32.
Zurück zum Zitat Konishi Y, Suzuki Y, Hirose N, Fukubayashi T (2003) Effects of lidocaine into knee on QF strength and EMG in patients with ACL lesion. Med Sci Sports Exerc 35:1805–1808 Konishi Y, Suzuki Y, Hirose N, Fukubayashi T (2003) Effects of lidocaine into knee on QF strength and EMG in patients with ACL lesion. Med Sci Sports Exerc 35:1805–1808
33.
Zurück zum Zitat Krogsgaard MR, Dyhre-Poulsen P, Fischer-Rasmussen T (2002) Cruciate ligament reflexes. J Electromyogr Kinesiol 12:177–182 Krogsgaard MR, Dyhre-Poulsen P, Fischer-Rasmussen T (2002) Cruciate ligament reflexes. J Electromyogr Kinesiol 12:177–182
34.
Zurück zum Zitat Lee CY, Smith CL, Zhang X, Hsu HC, Wang DY, Luo ZP (2004) Tensile forces attenuate estrogen-stimulated collagen synthesis in the ACL. Biochem Biophys Res Commun 14:317 Lee CY, Smith CL, Zhang X, Hsu HC, Wang DY, Luo ZP (2004) Tensile forces attenuate estrogen-stimulated collagen synthesis in the ACL. Biochem Biophys Res Commun 14:317
35.
Zurück zum Zitat Losee RE (1994) Pivot shift. In: Feagin JJA (ed) The crucial ligaments. Churchill Livingstone, New York, NY, pp 407–422 Losee RE (1994) Pivot shift. In: Feagin JJA (ed) The crucial ligaments. Churchill Livingstone, New York, NY, pp 407–422
36.
Zurück zum Zitat Marshall JL, Arnoczky SP, Rubin RM, Wickiewicz TL (1979) Microvasculature of the cruciate ligaments. Phys Sports Med 7:87–91 Marshall JL, Arnoczky SP, Rubin RM, Wickiewicz TL (1979) Microvasculature of the cruciate ligaments. Phys Sports Med 7:87–91
37.
Zurück zum Zitat Matsumoto H, Suda Y, Otani T, et al (2001) Roles of the anterior cruciate ligament and the medial collateral ligament in preventing valgus instability. J Orthop Sci 6:28–32 Matsumoto H, Suda Y, Otani T, et al (2001) Roles of the anterior cruciate ligament and the medial collateral ligament in preventing valgus instability. J Orthop Sci 6:28–32
38.
Zurück zum Zitat Murray MH, Spector M (1999) Fibroblast distribution in the anteromedial bundle of the human anterior cruciate ligament: the presence of alpha-smooth muscle actin-positive cells. J Orthop Res 17:18–27 Murray MH, Spector M (1999) Fibroblast distribution in the anteromedial bundle of the human anterior cruciate ligament: the presence of alpha-smooth muscle actin-positive cells. J Orthop Res 17:18–27
39.
Zurück zum Zitat Neurath MF, Stofft E (1992) Structure and function of matrix components in the cruciate ligaments: an immunohistochemical, electron-microscopic, and immunoelectron-microstudy. Acta Anat 145:387–394 Neurath MF, Stofft E (1992) Structure and function of matrix components in the cruciate ligaments: an immunohistochemical, electron-microscopic, and immunoelectron-microstudy. Acta Anat 145:387–394
40.
Zurück zum Zitat Ogston AG (1970) The biological functions of the glycosaminoglycans. In: Balasz EA (ed) Chemistry and molecular biology of the intercellular matrix, vol 3. Academic, London, p 1231 Ogston AG (1970) The biological functions of the glycosaminoglycans. In: Balasz EA (ed) Chemistry and molecular biology of the intercellular matrix, vol 3. Academic, London, p 1231
41.
Zurück zum Zitat Pauwels F (1960) Eine neue Theorie über den Einfluss mechanischer Reize auf die Differenzierung der Strützgewebe. Zehnter Beitrag zur funktionellen Anatomie und kausalen Morphologie des Strützapparates. Z Anat Entwicklungsgesch 121:478–515 Pauwels F (1960) Eine neue Theorie über den Einfluss mechanischer Reize auf die Differenzierung der Strützgewebe. Zehnter Beitrag zur funktionellen Anatomie und kausalen Morphologie des Strützapparates. Z Anat Entwicklungsgesch 121:478–515
42.
Zurück zum Zitat Petersen W, Tillmann B (1999) Structure and vascularisation of the cruciate ligaments of the human knee joint. Anat Embryol 200:325–334 Petersen W, Tillmann B (1999) Structure and vascularisation of the cruciate ligaments of the human knee joint. Anat Embryol 200:325–334
43.
Zurück zum Zitat Pitaru S, Aubin JE, Bhargaua U, Melcher AH (1987) Immunoelectron microscopic studies on the distributions of fibronectin and actin in a cellular dense connective tissue: the periodontal ligament of the rat. J Periodontal Res 82:64–74 Pitaru S, Aubin JE, Bhargaua U, Melcher AH (1987) Immunoelectron microscopic studies on the distributions of fibronectin and actin in a cellular dense connective tissue: the periodontal ligament of the rat. J Periodontal Res 82:64–74
44.
Zurück zum Zitat Reiman PR, Jackson DW (1987) Anatomy of the anterior cruciate ligament. In: Jackson DW, Drez D (eds) The anterior cruciate deficient knee. Mosby, St. Louis, MO, pp 17–26 Reiman PR, Jackson DW (1987) Anatomy of the anterior cruciate ligament. In: Jackson DW, Drez D (eds) The anterior cruciate deficient knee. Mosby, St. Louis, MO, pp 17–26
45.
Zurück zum Zitat Ryder SH, Johnson RJ, Beynnon BD, Ettlinger CF (1997) Prevention of ACL injuries. J Sports Rehabil 6:80–96 Ryder SH, Johnson RJ, Beynnon BD, Ettlinger CF (1997) Prevention of ACL injuries. J Sports Rehabil 6:80–96
46.
Zurück zum Zitat Sakane M, Fox RJ, Woo SL-Y, Livesay GA, Li G, Fu F (1997) In situ forces in the anterior cruciate ligament and its bundles in response to anterior tibial loads. J Orthop Res 15:285–293 Sakane M, Fox RJ, Woo SL-Y, Livesay GA, Li G, Fu F (1997) In situ forces in the anterior cruciate ligament and its bundles in response to anterior tibial loads. J Orthop Res 15:285–293
47.
Zurück zum Zitat Scapinelli R (1997) Vascular anatomy of the human cruciate ligaments and surrounding structures. Clin Anat 10:151–162 Scapinelli R (1997) Vascular anatomy of the human cruciate ligaments and surrounding structures. Clin Anat 10:151–162
48.
Zurück zum Zitat Schultz RA, Miller DC, Kerr CS, Micheli L (1984) Mechanoreceptors in human cruciate ligaments. A histological study. J Bone Joint Surg 66A:1072–1076 Schultz RA, Miller DC, Kerr CS, Micheli L (1984) Mechanoreceptors in human cruciate ligaments. A histological study. J Bone Joint Surg 66A:1072–1076
49.
Zurück zum Zitat Smith BA, Livesay GA, Woo SL-Y (1993) Biology and biomechanics of the anterior cruciate ligament. Clin Sports Med 12:637–670 Smith BA, Livesay GA, Woo SL-Y (1993) Biology and biomechanics of the anterior cruciate ligament. Clin Sports Med 12:637–670
50.
Zurück zum Zitat Souryal TO, Moore HA, Evans JP (1988) Bilaterality in anterior cruciate ligament injuries: associated intercondylar notch stenosis. Am J Sports Med 16:449–454 Souryal TO, Moore HA, Evans JP (1988) Bilaterality in anterior cruciate ligament injuries: associated intercondylar notch stenosis. Am J Sports Med 16:449–454
51.
Zurück zum Zitat Strocchi R, De Pasquale V, Gubellini P, et al (1992) The human anterior cruciate ligament: histological and ultrastructural observations. J Anat 180:515–519 Strocchi R, De Pasquale V, Gubellini P, et al (1992) The human anterior cruciate ligament: histological and ultrastructural observations. J Anat 180:515–519
52.
Zurück zum Zitat Tillmann B, Schünke M, Röddecker K (1991) Struktur der Supraspinatussehne. Anat Anz 172:82–83 Tillmann B, Schünke M, Röddecker K (1991) Struktur der Supraspinatussehne. Anat Anz 172:82–83
53.
Zurück zum Zitat Viidik A (1972) Simultaneous mechanical and light microscopic studies of collagen fibres. Z Anat Entwicklungsgesch 136:204 Viidik A (1972) Simultaneous mechanical and light microscopic studies of collagen fibres. Z Anat Entwicklungsgesch 136:204
54.
Zurück zum Zitat von der Mark K (1981) Localisation of collagen types in tissues. Int Connect Tissue Res 9:265–313 von der Mark K (1981) Localisation of collagen types in tissues. Int Connect Tissue Res 9:265–313
55.
Zurück zum Zitat Woo SL-Y, Hollis M, Adams DJ, et al (1991) Tensile properties of the human femur-anterior cruciate ligament–tibia complex. The effects of specimen age and orientation. Am J Sports Med 19:217–225 Woo SL-Y, Hollis M, Adams DJ, et al (1991) Tensile properties of the human femur-anterior cruciate ligament–tibia complex. The effects of specimen age and orientation. Am J Sports Med 19:217–225
56.
Zurück zum Zitat Woo SL-Y, Hildebrand K, Watanabe N, Fenwick JA, Papageorgiou CD, Wang JH (1999) Tissue engineering of ligament and tendon healing. Clin Orthop 367:321–323 Woo SL-Y, Hildebrand K, Watanabe N, Fenwick JA, Papageorgiou CD, Wang JH (1999) Tissue engineering of ligament and tendon healing. Clin Orthop 367:321–323
57.
Zurück zum Zitat Zimny ML, Schutte M, Dabezies E (1986) Mechanoreceptors in the human anterior cruciate ligament. Anat Rec 214(2):204–209 Zimny ML, Schutte M, Dabezies E (1986) Mechanoreceptors in the human anterior cruciate ligament. Anat Rec 214(2):204–209
Metadaten
Titel
Anatomy of the anterior cruciate ligament
verfasst von
V. B. Duthon
C. Barea
S. Abrassart
J. H. Fasel
D. Fritschy
J. Ménétrey
Publikationsdatum
01.03.2006
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 3/2006
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-005-0679-9

Weitere Artikel der Ausgabe 3/2006

Knee Surgery, Sports Traumatology, Arthroscopy 3/2006 Zur Ausgabe

Editorial

Knee anatomy

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.