Information About Prof Dr Ralph Hertel
- Shoulder surgery
- Elbow surgery
- Endoprosthetics of the shoulder and elbow joints
- Conservative and operative care of fractures of the shoulder and the elbow
- Conservative and operative treatment of degenerative diseases of the shoulder and the elbow
- Conservative and operative treatment of instabilities of the shoulder and the elbow
Range of Diagnostic services
- Clinical examination, ultrasound, and arthroscopy of the shoulder and elbow joints
- In cooperation with our X-ray institute: X-ray, MR, and CT of the shoulder and elbow joints
Range of Therapeutic services
Operations of the shoulder joint:
- Rotator cuff ruptures
Combined arthroscopic and open seam techniques
- Shoulder joint instability
Arthroscopic and open capsulo-labral refixation (Bankart OP); glenoid build up
- Subacromial pain syndrome
- Arthroscopic subacromial decompression (ASD); arthroscopic removal of calcification
- Arthrosis of the shoulder joint
Endosprosthetics of the shoulder joint (all variants from anatomical to inverse prosthesis)
All treatment options from minimally invasive to fracture prosthesis
- Treatment of sport specific shoulder injuries
Gleno-humeral internal rotation deficit disorder (GIRD); thrower’s shoulder
Operations of the elbow joint:
- Arthroscopy of the elbow joint
Arthroscopic removal of free joint bodies; treatment of cartilage lesions
- Restricted movement of the elbow
Arthroscopic or open arthrolysis
- Ligament plastics
As part of a postero-lateral rotational instability (PLRI)
- Arthrosis and arthritis of the elbow joint
Implantation of elbow joint prostheses
- Tennis elbow/epicondylitis
Treatment of Nirschl lesion
About Prof Dr Ralph Hertel
Prof Dr Ralph Hertel specialises in shoulder and elbow surgery and is owner of the Shoulder & Elbow Centre in Bern.
Professor Hertel and his team have in-depth knowledge in the field of shoulder and elbow surgery and operate in accordance with the latest standards of care.
In addition to surgical treatment options for shoulder and elbow disorders, Dr Hertel offers his patients a full range of conservative treatment options. The decision for treatment is always individualised and depends on the medical options and the patient’s wishes. Joint conservation has priority over joint replacement.
The shoulder is a complex joint, the control of which is comparatively vulnerable. The individual elements (e.g. bones, muscles, tendons, cartilage, and ligaments) are linked by complex joints, bursae, and sliding layers. Planning therapy therefore requires great accuracy and precise knowledge of the functional effects. In contrast to the hip joint, the shoulder joint does not have a joint socket surrounding the joint head. The joint surface is relatively small and flat. The advantage: Movements in almost all directions are possible. The disadvantage: The stabilisation of the joint is critical. It is ensured by the fine interplay of the labrum, ligaments, tendons, and muscles. If a structure is impaired, the overall function of the shoulder is limited.
The rotator cuff tendons are frequently affected. A tear of the rotator cuff can be caused by both wear and accidents. In the case of a rotator cuff rupture, different treatment options are available. These must be customised to the individual patient.
Joint replacement (endoprosthetics): For arthrosis of the shoulder joint, there are innovative treatment options with anatomical and inverse prostheses. Prof. Dr Hertel has made a scientific and recognised contribution with respect to the design and clinical application of endoprosthetics.
In the treatment of instability, it is essential to recognise and treat bone damage. Prof Dr Hertel also achieves an improved long-term prognosis in this area, particularly with regard to the development of secondary osteoarthritis.
With respect to the clarification, division, and treatment, complex fractures of the proximal humerus and the glenoid are one of the specialties of Prof Dr Hertel. His classification proposal received international approval.
The elbow joint is vulnerable and exposed to high loads when practising sports and performing physical labour. Dislocations and fractures are common. Fractures close to the joint, that result in displacements, must be addressed accordingly and stabilized surgically.
In addition to the traumatic injuries of the elbow joint, diseases are often caused by malfunctions. Tennis elbow (epicondylitis) is one of the most well-known diseases. Nerve damage is also not uncommon: In the region of the elbow, the Ulnar nerve runs relatively unprotected under the skin in direct contact with elbow. Because of this, it is very susceptible to injury from pressure and traction. Constant stress or repetitive movements can thus lead to nerve damage (Ulnar’s syndrome).
Guiding principle: Professionalism and unconditional commitment for the benefit of the patient
In addition to his diagnostic and therapeutic practice, Prof. Dr Hertel is also recognised as a thinker in his field in teaching and research. With inventions and patents in the field of artificial joints and surgical suture, he is one of the leading physicians of his subject area. In recognition of these and many other medical services, Prof. Dr Hertel has received numerous awards.
|1963–1976||Primary and secondary school in Lugano, A-levels in Lugano|
|1976–1982||Medical studies in Geneva (2 semesters), Sydney (2 semesters), and Zurich (8 semesters)|
|1982||State examination at the University of Zurich|
|1984||Doctorate (University of Bern)|
|1999||Habilitation (University of Bern)|
|2004||Appointment as extraordinary professor at the University of Bern|
Further education and training
|1983||Basic research in bio-mechanics, Institute of Experimental Surgery, Davos|
|1984–1989||Training in surgery, orthopaedics, and introduction to clinical research in Bern, Geneva, and Paris|
|1988||Basic anatomical research, Laboratoire d’Anatomie des Saints Pères, Paris (SGO Scholarship)|
|1991–1996||Animal studies at the Research Institute in Davos (AO Grant)|
|1990||FMH title for orthopaedic surgery and promotion to senior physician, Department of Orthopaedic Surgery, University Hospital, Bern|
|1992||Promoted to Team Leader of Upper Extremity, Department for Orthopaedic Surgery, University Hospital, Bern|
|1992||Appointment as lecturer at the University of Bern|
|1995||Promoted to Chief Physician, Department for Orthopaedic Surgery, University Hospital, Bern|
|1999||Awarded Venia Docendi, University of Bern|
|2001||Election to the Board of the Department of Orthopaedics, Plastic, and Hand Surgery|
|2004||Private medical activity at the Lindenhof, Bern|
- Prof Dr Ralph Hertel
FMH for orthopaedic surgery and traumatology of the motion apparatus
- Dr Petra Waldherr-Marty MD
FMH for orthopaedic surgery and traumatology of the motion apparatus
The Lindenhof is a medium-sized multi-disciplinary hospital with the best infrastructure. A new €100 million surgical facility with recovery room and intensive care unit, a well-developed, state-of the-art radiology unit, and the willingness of multi-disciplinary specialists to intervene immediately if necessary guarantee optimal treatment procedures. The treatment team has the necessary experience: with 1200–1300 new patients and 500–600 procedures per year, the Shoulder Centre of Dr R. Hertel is one of the largest private shoulder surgical providers in Switzerland.
|Bern Train Station||3 km|
|Bern Airport||22 km|
|Zürich Airport||127 km|
|Geneva Airport||154 km|
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