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Revista Brasileira de Ortopedia

Leonardo Côrtes Antunes, José Marcio Gonçalves de Souza, Nelson Baisi Cerqueira, Cleiton Dahmer, Breno Almeida de Pinho Tavares, Ângelo José Nacif de Faria
OBJECTIVE: To determine the specificity, sensitivity, accuracy, likelihood, and correlation of the findings of meniscal tests and magnetic resonance imaging (MRI) to knee video arthroscopy. METHODS: A cross-sectional study, conducted between June and December 2015, which evaluated 84 patients with meniscal tears (MT) selected for video arthroscopy. Two orthopedic trainees and a resident performed a physical examination with specific tests. The results and reports from MRI were compared with arthroscopy findings...
September 2017: Revista Brasileira de Ortopedia
Adayellen Cristina Salomé Oliveira, Andrew Raimundo Fernandes da Costa, Ana Maria Magalhães Valle Cundari, Vinícius Bicalho Rodrigues
Chronic recurrent multifocal osteomyelitis (CRMO) is a rare idiopathic inflammatory disease that affects mainly children and young adults. The clinical signs and symptoms are nonspecific, hindering and delaying diagnosis. Radiological and histopathological tests are essential for its definition. A case of CRMO is reported, demonstrating the importance of clinical, laboratory, and radiological data for diagnosis.
September 2017: Revista Brasileira de Ortopedia
Edgard de Novaes França Bisneto
In this report, two tennis players with symptoms of ulnar impaction syndrome are reviewed. Both players have neutral ulnar variance. These cases represent dynamic ulnar impaction syndrome, when the impact between ulna and carpus occurs during conditions of pronated grip. The literature and the treatment of these two cases are discussed.
September 2017: Revista Brasileira de Ortopedia
Lucio Flávio Biondi Pinheiro Junior, Marcos Henrique Frauendorf Cenni, Rafael Henriques Soares Leal, Luiz Eduardo Moreira Teixeira
This paper reports a case of diffuse pigmented villonodular synovitis (DPVNS), associated with advanced gonarthrosis, submitted to total knee replacement. The patient had progressive pain and swelling. She had two previous surgeries, firstly arthroscopic synovectomy and subsequently open synovectomy associated with radiotherapy, with recurrence of the disease. Magnetic resonance imaging revealed diffuse synovitis, advanced arthrosis, and bone cysts. The patient was submitted to a total knee replacement and synovectomy...
September 2017: Revista Brasileira de Ortopedia
Gaizka Ribeiro, Marta Salgueiro, Miguel Andrade, Victor Santos Fernandes
Lipoma is a quite common type of soft-tissue tumor, but it is rarely found in the hand. Hand lipomas are generally asymptomatic; however, when they become too large or when they are present in some specific location, they can cause symptoms due to compression of the median nerve. These tumors must be correctly characterized preoperatively with imaging exams and the proper management is the complete removal of the tumor and release of the median nerve. The authors present the case of a female patient with carpal tunnel syndrome due to compression of the median nerve by a giant palmar lipoma, successfully treated with tumor excision and nerve release...
September 2017: Revista Brasileira de Ortopedia
Márcio Luís Duarte, Renan Rocha da Nóbrega, José Luiz Masson de Almeida Prado, Luiz Carlos Donoso Scoppetta
Most stress fractures occur in the lower limbs and are rarely observed in the upper limbs. The second metacarpal is the longest of all the metacarpals and has the largest base, articulating with the trapezium, trapezoid, capitate, and third metacarpal. In athletes, stress fractures in non-weight bearing joints are uncommon. Therefore, the shaft of the second metacarpal bone undergoes a higher load - the maximum tension at the base of the second metacarpal is amplified when the hand grasps a tool such as a tennis racquet...
September 2017: Revista Brasileira de Ortopedia
Mauro Emilio Conforto Gracitelli, Eduardo Angeli Malavolta, Jorge Henrique Assunção, Bruno Akio Matsumura, Kodi Edson Kojima, Arnaldo Amado Ferreira Neto
OBJECTIVE: To evaluate supraspinatus tendon integrity with ultrasound (US) in patients submitted to proximal humeral fracture (PHF) fixation with a locking intramedullary nail. METHODS: Thirty-one patients with PHF treated with curvilinear locking intramedullary nail, aged between 50 and 85 years, were assessed by US at six months postoperatively and clinically at six and 12 months postoperatively. The primary aim was supraspinatus tendon integrity, evaluated by US at six months postoperatively...
September 2017: Revista Brasileira de Ortopedia
Yussef Ali Abdouni, Gabriel Faria Checoli, Valdênia das Graças Nascimento, Antonio Carlos da Costa, Ivan Chakkour, Patricia Maria de Moraes Barros Fucs
OBJECTIVE: To evaluate the arc of forearm pronosupination of patients with sequelae of birth paralysis and correlate with these variables. METHODS: 32 children aged between 4 and 14 years with total or partial lesions of the brachial plexus were evaluated; measurements of pronation and supination, active and passive, were made, both on the injured side and the unaffected side. RESULTS: A statistically significant difference was observed between the injured side and the normal side, but there was no difference between the groups regarding age or type of injury...
September 2017: Revista Brasileira de Ortopedia
Ari Zekcer, Ricardo Del Priori, Clauber Tieppo, Ricardo Soares da Silva, Nilson Roberto Severino
OBJECTIVE: To compare topical vs. intravenous tranexamic acid (TA) in total knee arthroplasty regarding blood loss and transfusion. METHODS: Ninety patients were randomized to receive TA intravenously (20 mg/kg in 100 mL of saline; group IV), topically (1.5 g in 50 mL of saline, sprayed over the operated site, before release of the tourniquet; topical group), or intravenous saline (100 mL with anesthesia; control group). The volume of drained blood in 48 h, the amount of transfused blood, and the serum levels of hemoglobin and hematocrit before and after surgery were evaluated...
September 2017: Revista Brasileira de Ortopedia
Celso Garreta Prats Dias, Bruno Braga Roberto, Lucas Basaglia, Mario Lenza, Rodrigo Junqueira Nicolau, Mario Ferretti
OBJECTIVE: Degenerative disease of the cervical spine is a frequent source of intermittent neck pain, where the predominant symptom is axial neck pain. The indications for surgical treatment are reserved for the cases where the conservative treatment has not relieved the symptoms or the patient presents progressive neurological impairment. The objective of this study was to evaluate the prognostic factors involved in patients submitted to surgical treatment of the cervical spine. METHODS: The study analyzed data from patients submitted to cervical spine surgery between July 2011 and November 2015 (n = 58)...
September 2017: Revista Brasileira de Ortopedia
Rodrigo Amaral, Ronaldo Ferreira, Luis Marchi, Rubens Jensen, Joes Nogueira-Neto, Luiz Pimenta
OBJECTIVES: Historically, anterior lumbar interbody fusion (ALIF) was related to high rates of intraoperative complications and adverse events related to interbody devices. In recent decades, there have been technical adjustments, and cages that are more suitable have emerged. The aim of this study is to evaluate the efficacy and complication rate of the use of stand-alone mini-ALIF using a self-locking cage. METHODS: Retrospective single center study. Inclusion criteria: retroperitoneal mini-ALIF for single-level fusion (L5S1); self-locking cage; DDD/stenosis and grade I spondylolisthesis...
September 2017: Revista Brasileira de Ortopedia
Jorge Henrique Assunção, Eduardo Angeli Malavolta, Vitor Rodrigues Domingues, Mauro Emilio Conforto Gracitelli, Arnaldo Amado Ferreira Neto
This review evaluated the outcomes used in clinical studies involving rotator cuff tear published in the last decade in the two leading Brazilian orthopedic journals. A literature review was performed using the journals Revista Brasileira de Ortopedia and Acta Ortopédica Brasileira. It included all original clinical articles describing at least one outcome measured before or after any clinical or surgical intervention related to rotator cuff tear, published between 2006 and 2015. The authors evaluated range of motion, muscle strength, patient satisfaction, and tendon integrity and functional outcomes scores...
September 2017: Revista Brasileira de Ortopedia
Marcus Ceregatti Passarelli, José Roberto Tonelli Filho, Felipe Augusto Mendes Brizzi, Gustavo Constantino de Campos, Alessandro Rozim Zorzi, João Batista de Miranda
OBJECTIVES: To test the hypothesis that autologous iliac bone grafts do not enhance clinical results and do not decrease complication rates in patients undergoing medial opening-wedge high tibial osteotomy. METHODS: Forty patients allocated in a randomized, two-armed, double-blinded clinical trial were evaluated between 2007 and 2010. One group received bone graft, and the other group was left without filling the osteotomy defect. The primary outcome was the Knee Society Score...
September 2017: Revista Brasileira de Ortopedia
Rodrigo Salim, Fabricio Fogagnolo, Mauricio Martins Perina, Ugo Messas Rubio, Mauricio Kfuri Junior
OBJECTIVE: Opening-wedge osteotomy of the proximal tibia is a widely performed procedure for treating medial gonarthrosis in active patients and in the presence of varus malalignment of the lower limb. The fixation method is controversial, and the use of conventional implants has been abandoned in favor of implants with more modern locking screws. The aim of the present clinical study was to assess the maintenance of the correction achieved in cases wherein fixation was performed using conventional implants...
September 2017: Revista Brasileira de Ortopedia
Marcelo Teodoro Ezequiel Guerra, Fernando Machado Gregio, Adriane Bernardi, Cyntia Cordeiro de Castro
OBJECTIVE: To identify the infection rate in adult patients with open fractures treated at two tertiary hospitals in the city of Canoas, Rio Grande do Sul, Brazil. METHODS: This quantitative descriptive study was conducted at Hospital de Pronto Socorro de Canoas. Eligible participants were adults aged 18-60 years with open fractures who were admitted to the orthopedic trauma service from January to May 2014 and followed-up for one year. RESULTS: A total of 133 patients with open fractures were included; most were men (92...
September 2017: Revista Brasileira de Ortopedia
Bruno Gonçalves Schröder E Souza, Luiz Guilherme Vidal Assad de Carvalho, Luiz Felippe Mokdeci Martins de Oliveira, Anmy Gil Ferreira, Rita de Cássia Santana do Amaral, Valdeci Manoel de Oliveira
OBJECTIVE: To measure the prevalence of primary drug prevention of fractures due to osteoporosis in patients admitted to a tertiary teaching hospital, in a medium-sized city, admitted with osteoporotic fractures. Moreover, to identify the incidence of prescribing secondary prophylaxis after the first fracture event. At the same time, the prevalence of risk factors for such fractures as described in the literature was measured. METHODS: This longitudinal prospective study was based on a cohort of patients admitted in a tertiary teaching hospital from October 2015 to January 2016...
September 2017: Revista Brasileira de Ortopedia
Jânio José Alves Bezerra Silva, Diogo de Almeida Diana, Victor Eduardo Roman Salas, Caio Zamboni, José Soares Hungria Neto, Ralph Walter Christian
OBJECTIVE: To identify the risk factors correlated with the initial treatment performed. METHODS: This is a retrospective study involving a total of 272 patients diagnosed with femoral shaft fractures. Of the patients, 14% were kept at rest until the surgical treatment, 52% underwent external fixation, 10% received immediate definitive treatment, and 23% remained in skeletal traction (23%) until definitive treatment. RESULTS: There were six cases of fat embolism syndrome (FES), which showed that polytrauma is the main risk factor for its development and that initial therapy was not important...
September 2017: Revista Brasileira de Ortopedia
Iberê Pereira Datti, Bruno Sérgio Ferreira Massa, Leandro Ejnisman, Nei Botter Montenegro, Roberto Guarniero, Kodi Edson Kojima
OBJECTIVE: To compare proximal femur radiologic angles in patients with slipped capital femoral epiphysis and to analyze whether computerized tomography may modify the treatment. METHODS: Cross-sectional study comparing and analyzing the similarity between angles and radiologic classification of interest in slipped capital femoral epiphysis (SCFE). RESULTS: It was observed that the therapeutic management in slipped capital femoral epiphysis might be modified depending on the classification and radiologic acquisition method adopted...
September 2017: Revista Brasileira de Ortopedia
Carlos Roberto Galia, Cristiano Valter Diesel, Marcelo Reuwsaat Guimarães, Tiango Aguiar Ribeiro
It has been advocated that total hip arthroplasty (THA) is probably the most successful surgical intervention performed in Medicine. In the 1960s, Sir John Charnley not only introduced, but also modified and improved the technique of cemented arthroplasties. The concepts on biological fixation established by Pillar and Galante served as the foundation for the development of uncemented implants that are now used worldwide. Currently, THA is a worldwide widespread surgery performed on millions of people. However, keeping abreast of the large number of information available on these procedures, especially on implant fixation, designs, different tribological pairings, and the long-term results can be challenging at times...
September 2017: Revista Brasileira de Ortopedia
João Roberto Polydoro Rosa, Caio Santos Checchia, Alberto Naoki Miyazaki
The shoulder is the most unstable joint in the human body. Traumatic anterior instability of the shoulder is a common condition, which, especially in young patients, is associated with high recurrence rates. The effectiveness of non-surgical treatments when compared to surgical ones is still controversial. The purpose of this study was to review the literature for current concepts and updates regarding the treatment of this condition.
September 2017: Revista Brasileira de Ortopedia
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