[Scheuermann disease as predisposition of later spinal disease and its effect on expert assessment in occupational disease examinations].
The Scheuermanns disease is an illness of which the fluoride stage is described as a disorder in growth of the vertebral-intervertebral disk borderline. This stage of the illness ends with the finish of bone growth. Depending on the advanced alterations of the spinal column segments or of the statics of the spinal column up to that point, in later stages of life there will be a higher rate of diskopathies of the lumbar vertebrae and later on of the cervical vertebrae where it often causes arthrosis of the swivel joints. I.e. Morbus Scheuermann is a predisposition for the beginning of diskopathies and has to be added to the differential diagnostic investigation considerations for the examination of causality of the occupation diseases subparagraph 2108 to 2110. We find it justified that the Scheuermanns disease has to be included into the accompanying leaflet as a relevant pre-illness. The thorakal as well as the lumbarthorakal or lumbar manifestation has to be a competitive cause of vocational connection brought under discussion. That is the reason why all the more a preference of the expected segments is required as far as an essential partial cause with a vocational influence with the judgement is discussed. The same also applies to the judgement in a sense of deterioration.
Wischnewski
W
W
Institut für Arbeits-Sozial, Castrop-Rauxel.
Pfeiffer
A
A
D004608:Eligibility Determination / Q000331:legislation & jurisprudence; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005858:Germany; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis*; D009784:Occupational Diseases / Q000175:diagnosis*; D012307:Risk Factors; D012544:Scheuermann Disease / Q000175:diagnosis*; D014942:Workers' Compensation / Q000331:legislation & jurisprudence*
Der Morbus Scheuermann als Prädisposition einer späteren Wirbelsäulenerkrankung und sein Einfluss auf die Begutachtung in Berufskrankheitenverfahren.