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  • Shoulder Center

    • Structure of the shoulder
      • Buford Complex
      • Acromial bone
      • Sternoclavicular joint (SC)
    • Shoulder Pain
    • Shoulder examination
    • The calcareous shoulder (tendinosis calcarea)
      • Shock wave therapy
      • Microinvasive limescale removal
      • Questions about needle lavage
    • Long biceps tendon
      • Pulley lesion
      • SLAP – lesion
    • Shoulder instability
      • Tests shoulder instability
      • Diagnosis of shoulder instability
      • Surgical therapy
      • Conservative therapy
      • Glenoid track
    • Shoulder stiffness
    • Shoulder arthrosis
    • Tendon rupture
      • Therapy for supraspinatus tear
    • Acromioclavicular joint
      • AC joint arthrosis
      • AC joint injury
      • SC joint arthrosis
      • SC joint instability
    • Impingement syndrome
      • Internal impingement
      • Intrinsic impingement
      • Extrinsic impingement
    • Shoulder therapy
      • Shoulder arthroscopy
      • Biofeedback therapy
      • Shoulder exercises
      • Cortisone step therapy
      • Infiltrations
      • Outpatient operations
    • Frequently Asked Questions
    • Calcified shoulder - new
  • Orthopedics

    • knee
      • Structure of the knee joint
      • Runner's knee
      • Meniscus injury
      • Cruciate ligament injuries
      • Popliteal-Cyst
      • Knee osteoarthritis
      • Patellar instability
    • shoulder
    • Ankle
    • Foot
      • Splayfoot
      • Hallux valgus
      • Flat foot
    • Pediatric Orthopedics
      • Prevention
      • Ultrasound hip
      • Hip dysplasia
      • Foot misalignments
      • Leg axis (O/X-leg)
      • Internally rotated gait
    • Osteoporosis
    • Shock wave therapy
    • Frequently Asked Questions
    • General topics
      • Achilles' tendon
      • Arthroscopy
      • Thrombosis
      • Tennis elbow – epicondylitis
      • FAQs Operations
  • Sports medicine

    • First aid for injuries
    • Runner's knee
    • Achilles' tendon
    • Performance diagnostics
    • General sports injuries
    • Ankle sprain
    • Climbing
      • Elbow injuries
      • Pulley ligament injuries in climbing
      • Shoulder injuries climbing
  • Service

    • Make an appointment
    • Lectures
    • Downloads
    • Request X-rays
    • Contact
    • Directions
    • Medical Dictionary
    • Login
    • Medical history form
    • Tips and tricks
      • Autostart Win 8
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Update of our website, unfortunately still small problems

Details
Written by: Dr. Holger Gross
Category: Generally
Published: 26 April 2017
Hits: 194

Launched on April 28, 2017, our website is now available against the new CMS Joomla 3.7. With all new systems, there are bugs that appear on the device and can be corrected. Apartment, the new plate form presents a problem with the cache of pages. Initialement, also content n'était affiché sur la page. After a reconfiguration approach, the content of the page is now published. Cependant, des problems d'affichage semblent persister. Nous travaillons activement à résoudre ce problem.

Nous espérons néanmoins que la new plateforme apportera des bénéfices.

Our operation numbers are skyrocketing

Details
Written by: Dr. Holger Gross
Category: Generally
Published: 31 March 2017
Hits: 187

In recent months, inquiries about shoulder surgeries have increased dramatically. More and more colleagues are sending us their specific shoulder cases for surgical treatment.

The shoulder is a very specialized joint. For more than 10 years, my focus has been on shoulder surgery. This specialization is necessary to have the necessary routine to correctly treat even complex cases.
True to the saying "Quality prevails," more and more medical colleagues are sending us their patients for shoulder surgery.

Unfortunately, this has forced us to cancel our Tuesday consultation hours more frequently. To reduce our waiting list, we operated every Tuesday until late afternoon in March. We will also cancel our consultation hours on some Tuesdays in April and May to ensure sufficient surgical capacity for our patients.

Christmas preparations in our practice

Details
Written by: Dr. Holger Gross
Category: Generally
Published: 05 December 2016
Hits: 155

Today, our staff decorated the Christmas tree in the foyer of our practice.

You can tell from the pictures that everyone had a great time.

Course for M-doctor of the professional association in December 2016

Details
Written by: Dr. Holger Gross
Category: Generally
Published: 03 December 2016
Hits: 197

On January 1, 2016, the Employers' Liability Insurance Association (Berufsgenossenschaft) launched the "Team Physician Procedure" model project for the care of professional athletes. As part of holistic sports medical care, the duties of the M-doctor include implementing and coordinating measures for sustainable injury prevention within the sports club. All therapeutic measures should be initiated by the M-doctor in close coordination with the VBG's rehabilitation management.

After fulfilling all the requirements for participation in this model project, I will complete one final course at the VBG in Berlin from December 14 to 15, 2016. Afterward, I will officially be an M-doctor.

Ultrasound-guided needle lavage confirmed as best therapy for calcific shoulder in Level 1 study

Details
Written by: Dr. Holger Gross
Category: Generally
Published: 28 October 2016
Hits: 243

A new, large-scale scientific study from August 2016 found that ultrasound-guided needle lavage combined with a cortisone injection is the "treatment of choice" for the conservative treatment of calcific tendonitis. No other treatment has had such good results as ultrasound-guided needle lavage.

In a comprehensive meta-analysis, 920 scientific studies on calcific tendon therapy were reviewed. The most stringent scientific criteria were applied in the selection of included studies. As a result, only seven studies ultimately met the researchers' high quality criteria.

The aim of the study was to find out which conservative therapy, i.e. non-surgical therapy, is the best for treating calcific tendonitis while at the same time entailing low risk.

 

The following therapies were available in the selected studies:

  • Shock wave therapy
  • Neddeling
  • Ultrasound-assisted needle lavage
  • Injection with cortisone

In addition, the combination of the individual therapies was examined.


Criteria for treatment success were:

  1. Improved shoulder function
  2. Reduced pain
  3. Reduction or removal of the calcification
The result is a study that meets the highest scientific criteria and corresponds to a level of evidence level 1.


The results of the study are not only clear but also very impressive.

The best therapy for treating calcific shoulder is ultrasound-guided needle lavage followed by cortisone injection!

This corresponds to the therapy we have been using routinely to treat calcific shoulder since 2008. Over the past eight years, we have successfully treated more than 3,000 patients.

The new study confirms the success of this therapy, while simultaneously minimizing risk. Why ultrasound-guided needle lavage therapy has not yet gained widespread acceptance in Germany is a mystery to me.

(Source: US National Library of Medicine - PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27554465)

  1. Website update!
  2. Practice Server is being renewed - this time with a different omen!
  3. Supply shortage - supply of pain medication at risk?
  4. Great success for medicine, worse for politics and health insurance companies

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Vielen Dank Dr. Gross ! Nach 2 vor Schmerz schlaflosen Nächten Haben Sie mich davon befreit! Beim Anruf bei Ihrer Notruf Hotline bekam ich am selben Tag einen Termin! 50 ml Kalk haben Sie aus mein...

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