Aktuelle Entwicklungen und Einsatzgebiete von Schulterorthesen

The use of shoulder braces has become more important recently. Although the effectiveness and actual need of different shoulder braces have not yet undergone an evidence-based evaluation, empirical data shows differentiated use of shoulder braces not only in postoperative care but also for non-surgical treatment. For this, not only biological factors (lengths of immobilisation and tissue healing), but also biomechanical factors (pathology-adapted immobilisation) need to be considered.Apart from simple slings, physicians can choose between two different types of braces: soft shoulder braces and rigid shoulder braces. Future studies should evaluate commercially available shoulder braces on their functionality and comfort as well as for potential problems related to different pathologies of the shoulder joint and its clinical outcome.     

Pharyngeal Presentation of Goltz Syndrome: A Case Report with Review of the Literature

Focal dermal hypoplasia (Goltz syndrome; GS) is an X-linked dominant disorder caused by a mutation in the porcupine homolog (PORCN) gene and is typically embryonically lethal for males. The presence of disease in males is usually the result of post-zygotic mutation, but may also be due to mosaicism. The presentation of this disorder is highly variable, but generally is characterized by cutaneous, skeletal, ocular, oral, dental, and aural defects. Cutaneous manifestations include foci of hypoplastic skin, abnormal pigmentation, and papillomatous growths. We present both the first case of a patient with GS related laryngeal obstruction due to papillary lymphoid hyperplasia in an adult, and the first case in a male patient. Clinical, histologic, and genetic features of the disease are discussed. Operative technique for management of the patient with pharyngeal lesions is detailed, and intraoperative photos are showcased. The challenge in airway evaluation and management is also highlighted as manifestations of GS are rarely encountered in the airway and can cause laryngeal obstruction.