MMUlr Dec 21, 2010:

@rcolin To me, it does make sense. I would maybe change -> blood perfusion (blood supply), motor and sensory functions normal. Strong (or: severe) pain on pressure.

You can see from the following sentences (about the knee joint) that there again the DS, etc. is described, so "strong pain on pressure" is really related to the MCP joint only.

Raoul COLIN (X) (asker) Dec 21, 2010:

DMS o. B., starker Druckschmerz. The sentence to translate is the above.
Translation according to entries:
circulation, motor and sensory function unremarkable, strong pressure pain.
Does that make sense?
The text coming after this sentence:
Beweglichkeit des linken Kniegelenkes frei, die Hyperextension und Flexion ist schmerzhaft, deutlicher Druckschmerz über dem medialen Kapselbandapparat und dem Innenbandansatz tibial. Deutlicher DS über dem Innenmeniskus, diskret positive Innenmeniskusstreßte

MMUlr Dec 21, 2010:

Totally with SJLD! Now the "voice" of another M.D., German native speaker: There is no such thing as Druckmuskelsyndrom (never heard/read of it!). But "Durchblutung - motorische / sensorische Funktion o.B." completely fits in this report of a physical examination. IMO the part "strong pain upon pressure" still refers to the Metakarpophalangealgelenk or: Fingergrundgelenk / metacarpophalangeal joint V. (or: 5), and it's not contradictory to the "o.B." finding: functions can still be 100% there with simultaneous strong pain upon pressure.

see also: http://tinyurl.com/2bq7lco - MCP-Gelenk or Fingergrundgelenk

SJLD Dec 20, 2010:

Yet those three minutes might be very important for the patient's future treatment and wellbeing.
I think there has been a misunderstanding between the doctor and the principal. Google hits or not, Druckmuskelsyndrom is meaningless and it doesn't make sense that it was "ohne Befund". A TN is absolutely essential here. Or just translate it as Patricia has suggested. After all, if you hadn't asked for the doctor's explanation, this is how you would have translated it. Oder?

Raoul COLIN (X) (asker) Dec 20, 2010:

DMS You're right. But I am no doctor, while he is and he should know better. Every single one of us knows that an Internet search does not turn up every word which is being used: not finding it on Internet is no proof that is does not exist, but just that it might not. This is no user's manual, just a three page report which will take perhaps two/three minutes to be read by a specialist and be discarded for ever after.

Patricia Daehler Dec 20, 2010:

in that case... I see your dilemma. On the other hand, how do you translate a word that does not exist? And what is a Druckmuskelsyndrom supposed to be? I would add a translator's note at the very least.

Raoul COLIN (X) (asker) Dec 20, 2010:

DMS = Druckmuskelsyndrom Being alerted that this might not be correct, I talked to the principal. I was assured that the above had been given by the very doctor having written the report in the first place. Since I have the doctor's letterhead with the report, I know he is a specialist in this field. For all the reasons you can imagine, I am not prepared to dispute his saying.
Thanks for your help.

SJLD Dec 20, 2010:

Absolutely not!

Patricia Daehler Dec 20, 2010:

DMS o.B. Please have a look at the links I posted below, if you still have doubts that DMS is Durchblutung, Motorik, Sensibilität.
It is certainly NOT Druckmuskelsyndrom!

Patricia Daehler Dec 20, 2010:

Druckmuskelsyndrom??? I have NEVER heard of that word before. Try googling it!

Patricia Daehler Dec 20, 2010:

DMS I totally agree with SJLD.
DMS and o.B. are both very common medical abbreviations that I see multiple times every single day while translating medical reports.
The circulation, motor and sensory function can be normal, even if the patient has a lot of pain.
I have never seen o.B. as an abbreviation for oberes Bein. I have seen OS for Oberschenkel, and US for Unterschenkel.

Raoul COLIN (X) (asker) Dec 20, 2010:

o.B. Bravo o.B. = ohne Befund.
I am not directly in touch with the client. But luckily the principal could and the client said
DMS o.B. = DRUCKMUSKELSYNDROM ohne Befund.
Thanks to you all

SJLD Dec 20, 2010:

as already explained... o.B. = ohne Befund - it is an extremely common abbreviation that every medical translator is familiar with.
The DMS o.B. bit is referring to the hand.

oberes Bein??? the leg on top?

Raoul COLIN (X) (asker) Dec 20, 2010:

DMS o.B., starker Druckschmerz. Thanks to Steffen Walter for pointing to the right sentence splitting.
So now there is the above to understand.
The patient was slightly injured to the hand and has a knee problem, as shown in the whole paragraph.
QUOTE: am 15.09 zeigte sich folgender Befund:
Reizlose Narbe über der Beugefalte palmar am 5. Strahl mit noch deutlicher narbiger Einziehung und periartikulärer Weichteilschwellung am Metacarpophalangealgelenk 5. DMS o.B., starker Druckschmerz. Beweglichkeit des linken Kniegelenkes frei, die Hyperextension und Flexion ist schmerzhaft, deutlicher Druckschmerz über dem medialen Kapselbandapparat und dem Innenbandansatz tibial. Deutlicher DS über dem Innenmeniskus, diskret positive Innenmeniskusstreßtest. UNQUOTE
DMS should refer to a leg part, but which one ? o.B. might just be oberes Bein

Patricia Daehler Dec 19, 2010:

o.B. As I already wrote in your previous Metacarpophalangealgelenk question, o.B. stands for "ohne Befund" (meaning: ohne pathologischen Befund), translated as unremarkable or normal.

Raoul COLIN (X) (asker) Dec 19, 2010:

DMS o.B. If DMS stands for Durchblutung, Motorik, Sensibilität, then the sentence is the following.

Reizlose Narbe über der Beugefalte palmar am 5. Strahl mit noch deutlicher narbiger Einziehung und periartikulärer Weichteilschwellung am Metacarpophalangealgelenk 5. Durchblutung, Motorik, Sensibilität o. B., starker Druckschmerz.

and then what is the meaning of o.B.?

Raoul COLIN (X) (asker) Dec 19, 2010:

DMS o.B. what do they stand for [in German]?