He is the best known and probably the most experienced German sports doctor and orthopaedist. The hands of Hans-Wilhelm Müller-Wohlfahrt (79), a longtime doctor for the German national football team and FC Bayern Munich, examined and treated thousands of professional footballers. From now on, its expertise must be made available to young doctors. With a digital project and artificial intelligence.
BILD explains the unique project.
When Müller-Wohlfahrt, known as “Mulle”, left his post as a club doctor at FC Bayern two years ago and has only treated patients in his practice since then, the university clinic on the right bank of the Isar in Munich approached him.
Müller-Wohlfahrt on BILD: “Prof. Rüdiger von Eisenhart-Rothe and his colleague Professor Rainer Burgkart said to me, now you finally have more time.” Their suggestion: The former Bayern doctor should use his knowledge for a scientific study on the diagnosis of muscle injuries at the help of artificial intelligence. Hans-Wilhelm Müller-Wohlfahrt immediately agreed.
” data-zoom-src=”https://bilder.bild.de/fotos/millimeter-fuer-millimeter-tastet-der-arzt-die-verletzung-bei-einem-sportler-ab-um-seine-diagnose-ste-c8835d7e08584bf18acb7255f83f9c48-79901596/Bild/5.bild.jpg”/> Doctor scans athlete’s injury millimeter by millimeter so he can make a diagnosisPhoto: Practical Dr. Wellness Müller
Doctor scans athlete’s injury millimeter by millimeter so he can make a diagnosisPhoto: Practical Dr. Wellness Müller
Müller-Wolfart explains the process in BILD: “An athlete with an injured muscle is lying on my couch in my practice and I examine and feel the injury with my fingertips. When making a diagnosis, I rely entirely on my sense of touch. The athlete was previously in MRI, but I don’t look at the pictures at first. After examining my assistant, I dictate what I felt, for example muscle tension. The computer then assigns my diagnosis to the corresponding MRI images. After a large number of these actions, thanks to artificial intelligence AI, the computer can evaluate the images produced in my opinion – suitable for clinical results and examination.
The AI project is expected to be completed in two years. Müller-Wohlfahrt: “We already achieve a diagnostic reliability of 90%, but we want to increase it still further.”
Ultimately this means that a doctor can enter the MRI image into the database and the computer will issue the Müller-Wohlfahrt diagnosis.
“The problem is that I think a high percentage of MRI diagnoses of muscle damage are wrong. Also, young doctors almost never learn what’s called palpation, which is feeling with the fingers”, explains the Munich orthopedist. The goal of the AI project is to remedy this shortcoming.
It is very important for future doctors to ignore everything around them during the palpation examination, preferably to close their eyes and then, with great concentration, plunge their fingertips into the muscles and detect the wound.”
But what does a hamstring look like?
Müller-Wohlfahrt: “In the event of a muscle fiber tear, I look for the fiber break by gently palpating the muscle millimeter by millimeter. The resulting gap of a few millimeters fills with blood relatively quickly after the injury and is then more difficult to feel.The muscle fiber in the instep is also very sensitive to pressure.
What’s it like to become an AI yourself?
Müller-Wohlfahrt: “For a long time I had to fight resistance with my method of treatment and diagnosis. Many colleagues simply did not want to believe that one could diagnose in this way. They even recommended that my license to practice medicine be revoked.
But the athletes and my patients have always supported me. It was quiet for a long time and I even received an honorable mention for my work at an orthopedic congress.
” data-zoom-src=”https://bilder.bild.de/fotos/in-seinem-neuen-buch-bewegung-erklaert-mueller-wohlfahrt-mit-tollen-einblicken-warum-sport-so-wichti-6781cbe9157b4fdba65a01b46b75bc53-79901602/Bild/5.bild.jpg”/> In his new book “Movement”, Müller-Wohlfahrt explains with insight why sport is so important (Island Verlag, 287 pages, 26 euros)Photo: island
In his new book “Movement”, Müller-Wohlfahrt explains with insight why sport is so important (Island Verlag, 287 pages, 26 euros)Photo: island