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Revista Brasileira de Ortopedia

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https://www.readbyqxmd.com/read/29892594/mixed-type-femoroacetabular-impingement-associated-with-subspine-impingement-recognizing-the-trifocal-femoropelvic-impingement
#1
Bruno Gonçalves Schröder E Souza, Ranieri Monteiro Cardoso, Rodrigo Silva Loque, Luiz Fernando Ribeiro Monte, José Paulo Sabino, Valdeci Manoel de Oliveira
To describe the arthroscopic surgical technique for subspine impingement (SSI) of the anterior inferior iliac spine (AIIS) associated with mixed type femoroacetabular impingement (FAI), through two standard arthroscopic portals (anterolateral and distal mid-anterior) in two patients with trifocal impingement. The authors report the cases of two young male patients, aged 32 and 36 years old, with trifocal femoropelvic impingement (TFPI). The technique consists of segmental capsulectomy, arthroscopic dissection of the AIIS, partial release of the direct head of the rectus femoris, resection of the AIIS projection with a burr and with fluoroscopic aid, correction of the pincer deformity, repair of the labrum with bioabsorbable anchors, and femoral osteoplasty...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892593/primary-angiosarcoma-of-the-femur-in-a-patient-with-takayasu-arteritis
#2
Juliane Comunello, Suely Akiko Nakagawa, Felipe D'Almeida Costa, Wagner Santana Cerqueira, Wu Tu Chung, Fábio Fernando Eloi Pinto
Primary osseous angiosarcoma is a rare entity with variable biological behavior and poor prognosis. Little is known about the oncologic treatment and its etiology is still unknown. This study presents a case of lytic lesion in the right femur with dissemination to other bones, such as the vertebral column and skull, and to the lungs and central nervous system. Orthopedic surgery was performed in order to improve quality of life. Surgical specimen confirmed the diagnosis of high-grade malignant osseous angiosarcoma...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892592/double-femoral-osteotomy-fixed-with-a-puddu-plate-and-a-retrograde-intramedullary-nail-to-treat-biapical-deformity-of-the-femur
#3
Patrícia Moreno Grangeiro, Márcia Uchoa de Rezende, Camilo Partezani Helito, Alessandro Monterroso Felix, Guilherme Pereira Ocampos, Roberto Guarniero
Biapical femoral deformities are challenging to treat. In order to correct concomitant metaphyseal and diaphyseal deformities of the femur, the authors propose a double femoral controlled osteotomy with combined internal fixation, consisting of a Puddu plate and an intramedullary nail. The method was described in two patients. Results were analyzed using a visual analog scale (VAS), the Lysholm score, and SF-36. No complications were found. Complete consolidation of the osteotomies and radiographic alignment correction were achieved...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892591/a-study-on-the-prevalence-of-the-anconeus-epitrochlearis-muscle-by-magnetic-resonance-imaging
#4
Sergio Ricardo Rios Nascimento, Cristiane Regina Ruiz
Objective: To analyze magnetic resonance imaging (MRI) of the elbow area to quantify the presence of the anconeus epitrochlearis muscle. Methods: A total of 232 exams were analyzed; 218 were included, of which 141 were of men and 77, women. Results: Presence of the muscle was observed in 29 cases (13.3%), demonstrating that the presence of this muscle on images does not have a statistical correlation with the gender or age of the individual...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892590/health-related-quality-of-life-of-patients-with-rotator-cuff-injuries-cofee-triangle-colombia-2013
#5
Ángela Maria Rincón-Hurtado, Anderson Rocha-Buelvas, Alejandro López-Cardona, José William Martínez
Objective: To determine the quality of life related to health and its related factors in patients diagnosed with rotator cuff lesions in the Municipality of Pereira, Colombia, 2013. Methods: Cross-sectional study. Simple random sampling of 239 patients over 18 years of age attended at five health care institutions in the urban area of Pereira. Socio-demographic, biological, clinical and self-perception aspects of the disability were collected regarding the quality of life related to health...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892589/hill-sachs-lesion-measurement-with-tridimensional-models-in-anterior-shoulder-instability
#6
Alberto Naoki Miyazaki, Luciana Andrade Silva, Pedro Doneux Santos, Guilherme do Val Sella, Leonardo Hideto Nagaya, Sergio Luiz Checchia
Objective: To evaluate the reproducibility and repeatability of Hill-Sachs lesion measurement from computed tomography images, with computer software and tridimensional prototype. Methods: Three-dimensional models were made from computed tomography images from 14 patients with anterior shoulder instability, using InVesalius 3.0® software. Hill-Sachs lesions were measured with Rhinocerus 5.0® software with pre-determined position. Mid-lateral distance, perpendicular to humeral shaft, cranial-caudal distance, parallel to humeral shaft, and the longitudinal distance of the lesion were measured...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892588/posterior-four-part-fracture-dislocations-of-the-proximal-humerus-clinical-and-functional-evaluation-of-osteosynthesis-treatment
#7
Carla Teresa Barbosa de Oliveira, Elpídio da Graça, Vânia Aparecida Fanelli
Objective: To evaluate patients diagnosed with posterior four-part fracture-dislocations of the proximal humerus, that were surgically treated with osteosynthesis, regarding their clinical and functional outcomes. Methods: A prospective observational study of eight patients from the same hospital institution in the interior of São Paulo State (Brazil), through individual interviews using the UCLA, DASH, and Constant international scores. The active movements included in the scores plus the range of motion of the affected and non-affected limb were measured...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892587/trans-olecranon-fossa-four-cortex-purchase-lateral-pinning-in-displaced-supracondylar-fracture-of-the-humerus-a-prospective-analysis-in-48-children
#8
Saravanan Kasirajan, Rajesh Govindasamy, Bhava Ramalingam Jawaharlal Sathish, Jimmy Joseph Meleppuram
Objective: The current study aims at a functional analysis of trans-olecranon lateral pinning for displaced supracondylar fracture of the humerus (SCFH) in children. Methods: A prospective study of 48 children (30 males, 18 females; mean age: 7.4 years) with displaced SCFH was treated at this institution with modified technique from March 2011 to September 2014. Cases were selected on the basis of inclusion criteria. The functional outcome was assessed clinically by modified Flynn's criteria along with achievement of full range of motion...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892586/surgical-treatment-of-femoral-head-fractures-through-previously-controlled-hip-luxation-four-case-series-and-literature-review
#9
Guilherme Augusto Stirma, Christiano Saliba Uliana, Weverley Rubele Valenza, Marcelo Abagge
Objective: To report a series of cases of patients treated by fracture of the femoral head through the Ganz pathway with controlled dislocation of the hip. Method: All patients who were surgically treated with a Ganz access route for femoral head fractures were identified in a tertiary referral service for trauma. A review of medical records with X-rays and CT scans was carried out. The radiographic evaluation was classified according to Pipkin and the functional evaluation was performed through the application of the modified Harris Hip Score...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892585/periacetabular-hip-osteotomy-for-residual-dysplasia-treatment-preliminary-results
#10
Vinicius de Brito Rodrigues, Josiano Valério, Francisco Zaniolo, Mark Deeke, Marco Pedroni, Ademir Schuroff
Objective: To evaluate whether the change in the CE angle of Wiberg and the acetabular index after Ganz periacetabular osteotomy is statistically significant. Methods: The pre- and postoperative CE angle of Wiberg and acetabular index of 14 hips operated at a tertiary hospital in Curitiba, Paraná, Brazil were evaluated. Results: The postoperative measurements showed significant differences in relation to the preoperative period. There was a significant reduction in the CE angle of Wiberg in the postoperative period, as well as in the acetabular index...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892584/ct-guided-percutaneous-sacroiliac-stabilization-in-unstable-pelvic-fractures-a-safe-and-accurate-technique
#11
Govind Gandhi, Mayank Vijayvargiya, Vivek Shetty, Vikas Agashe, Shailendra Maheshwari, Joseph Monteiro
Objective: The use of open reduction and internal fixation (ORIF) for unstable pelvic injuries is associated with extensive blood loss, iatrogenic neurovascular injury, and infection. Moreover, the placement of sacroiliac (SI) screws is a blinded procedure, guided primarily by palpation and two-dimensional radiological screening, which demands expertise. The complex three-dimensional anatomy of SI joint and its proximity to neurovascular structure require a safe and precise technique...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892583/soft-tissue-reconstruction-of-foot-and-ankle-defects-with-reverse-sural-fasciocutaneous-flaps
#12
Kaya Turan, Mesut Tahta, Tuğrul Bulut, Ulaş Akgün, Muhittin Sener
Objective: This study presents the results of 25 consecutive patients and evaluates the success of reverse sural fasciocuteneous flap (RSFF) on coverage of the foot and ankle region. Methods: A total of 25 patients with soft tissue defects in the lower leg, foot, or ankle were treated with RSFF, from January 2010 to January 2017. In the evaluation of patients, the form prepared by the clinic was used and the following data were collected: age, follow-up, gender, etiology, defect size, complications, and patient satisfaction rates...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892582/comparative-accuracy-assessment-of-the-gustilo-and-tscherne-classification-systems-as-predictors-of-infection-in-open-fractures
#13
Rafael Valadares Oliveira, Luciano Passos Cruz, Marcos Almeida Matos
Objective: The aim of this study is to analyze the accuracy of the two classification systems for open fractures most commonly used in current medical practice, Gustilo and Tscherne, as predictors of infection. Methods: A retrospective observational study was performed, including 121 patients suffering from open fracture of the appendicular skeleton treated at an emergency hospital. The fractures were classified according to Gustilo and Tscherne systems during the initial treatment, and ratings were subsequently confirmed or rectified during hospitalization...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892581/retrospective-study-of-superior-anterior-plate-as-a-treatment-for-unstable-neer-type-2-distal-clavicle-fractures
#14
Syed Ibrahim, Jimmy Joseph Meleppuram
Objective: To analyze the sequelae of Neer type 2 distal end clavicle fractures treated with superior anterior locking plate. Methods: From June 2012 to February 2015 a study was conducted with 14 male patients; 12 with unilateral and two with bilateral distal clavicle fractures treated with superior anterior plate. They were evaluated at intervals, with mean follow up of 16 months (14-18 months). All patients were evaluated clinically by both the Oxford Shoulder Score and the QuickDASH score...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892580/relationship-between-obesity-sarcopenia-sarcopenic-obesity-and-bone-mineral-density-in-elderly-subjects-aged-80-years-and-over
#15
Vanessa Ribeiro Dos Santos, Diego Giulliano Destro Christofaro, Igor Conterato Gomes, Ismael Forte Freitas Júnior, Luís Alberto Gobbo
Objective: This study sought to analyze the relationship between the components and aggravations of body composition (obesity, sarcopenia, and sarcopenic obesity) and bone mineral density in elderly subjects aged ≥80 years. Methods: A cross-sectional study design was utilized to assess 128 subjects aged between 80 and 95 years. Body composition and bone mineral density were measured by dual energy X-ray absorptiometry. Gait speed was assessment by walking test...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892579/intra-articular-viscosupplementation-of-hyaluronic-acids-in-an-experimental-osteoarthritis-model
#16
Marcello Zaia Oliveira, Mauro Batista Albano, Guilherme Augusto Stirma, Mario Massatomo Namba, Leandro Vidigal, Luiz Antonio Munhoz da Cunha
Objective: To analyze, from the immunohistochemical perspective, the effects of hyaluronic acid of different molecular weights in an experimental model of osteoarthritis in rabbits. Methods: Forty-four male California rabbits were randomly assigned to three different groups (PR, S, and P) and submitted to the resection of the anterior cruciate ligament of the right knee. Three weeks after the surgical procedure, three intra-articular weekly injections were carried out with low-molecular-weight native hyaluronic acid (Hyalgan® ) to PR group, high molecular weight branched chain hyaluronic acid (Synvisc® ) to group S, and saline solution 0...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892578/effects-of-simvastatin-associated-with-exercise-on-the-mechanical-resistance-of-muscle-and-bone-in-rats
#17
Jéssica Suzuki Yamanaka, Kaique Eduardo Carvalho Ribeiro, Gabriela Rezende Yanagihara, Antônio Carlos Shimano, Álvaro César de Oliveira Penoni
Objective: The aim of the present study was to evaluate the influence of simvastatin on mechanical properties of muscle and bone in hypercholesterolemic rats submitted to physical exercise. Methods: Ten male Wistar rats were submitted to a high-fat diet rich in cholesterol for 90 days. The animals were then divided into two groups: animals treated with physical exercise (EG) and animals treated with physical exercise and simvastatin (ESG). Protocols for physical exercise in water and simvastatin administration were performed for eight weeks...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892577/488-hand-surgeries-with-local-anesthesia-with-epinephrine-without-a-tourniquet-without-sedation-and-without-an-anesthesiologist
#18
Trajano Sardenberg, Samuel Ribak, Ricardo Colenci, Rafael Barcellos de Campos, Denis Varanda, Andrea Christina Cortopassi
Objectives: Evaluate the incidence of digital infarction and tissue necrosis using local anesthesia with 1% lidocaine and 1:100,000 epinephrine in wrist, hand, and fingers surgeries, without a tourniquet, without sedation, and without an anesthesiologist. Methods: Patients with wrist, hand, and fingers disorders prospectively underwent surgery under local anesthesia with 1% lidocaine and 1:100,000 epinephrine. The primary outcomes evaluated were the presence of digital infarction and tissue loss due to necrosis...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892576/neurotrophin-expression-and-histomorphometric-evaluation-in-wistar-rats-subjected-to-neural-mobilization-after-compression-of-the-median-nerve
#19
Marieli Araujo Rossoni Marcioli, José Luis da Conceição Silva, Lucinéia de Fátima Chasko Ribeiro, Rose Meire Costa Brancalhão, Gladson Ricardo Flor Bertolini
Objective: To evaluate the neurotrophin mRNA expression and axon count in the median nerve of Wistar rats submitted to neural mobilization (NM) after nerve compression. Methods: Eighteen animals were randomly divided into G1 (nerve compression only), G2 (NM for 1 min), and G3 (NM for 3 min). For NM, the animals were anesthetized and the right scapula received the mobilization, adapted as indicated for humans, on alternate days, from the third to the 13th postoperative (PO) day, totaling six days of therapy...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29892575/percutaneous-treatment-for-waist-and-proximal-pole-scaphoid-fractures
#20
Antônio Lourenço Severo, Rodrigo Cattani, Filipe Nogueira Schmid, Haiana Lopes Cavalheiro, Deodato Narciso de Castro Neto, Marcelo Barreto de Lemos
Objective: Analyze the percutaneous fixation technique for scaphoid fractures in the waist of the scaphoid and the proximal pole, and demonstrate its result. Methods: A retrospective cross-cohort study conducted from January 2005 to April 2015, aiming at the consolidation time, epidemiological profile, level of function, return to work, and complications. Results: Twenty-eight patients were selected, with a mean of eight weeks of follow-up...
May 2018: Revista Brasileira de Ortopedia
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