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Revista Brasileira de Ortopedia

Pedro Luciano Teixeira Gomes, Luís Sá Castelo, António Lemos Lopes, Marta Maio, Adélia Miranda, António Marques Dias
Proximal femoral nails with a helical blade are a new generation of implants used for treating transtrochanteric fractures. The blade design provides rotational and angular stability for the fracture. Despite greater biomechanical resistance, they sometimes present complications. In the literature, there are some reports of cases of perforation of the femoral head caused by helical blades. Here, a clinical case of medial migration of the helical blade through the femoral head and acetabulum into the pelvic cavity is presented...
July 2016: Revista Brasileira de Ortopedia
Marlon Araujo Ramos, Niso Eduardo Balsini, Fernando Ramos, Luiz Gustavo Machado
This case concerns a male patient complaining of pain and discomfort in his right elbow, associated with decreased range of motion. Elbow radiography showed an osteolytic lesion in the metaphyseal region of the distal humerus and magnetic resonance imaging showed intra-articular tumor formation with swelling that suggested pigmented villonodular synovitis. Arthroscopic treatment was performed in order to obtain a synovial biopsy and then to carry out total synovectomy. Anatomopathological examination confirmed the diagnosis...
July 2016: Revista Brasileira de Ortopedia
Carlos Roberto Schwartsmann, Paulo Henrique Ruschel, Rodrigo Guimarães Huyer
Paralysis or nerve injury associated with fractures of forearm bones fracture is rare and is more common in exposed fractures with large soft-tissue injuries. Ulnar nerve paralysis is a rare condition associated with closed fractures of the forearm. In most cases, the cause of paralysis is nerve contusion, which evolves with neuropraxia. However, nerve lacerations and entrapment at the fracture site always need to be borne in mind. This becomes more important when neuropraxia appears or worsens after reduction of a closed fracture of the forearm has been completed...
July 2016: Revista Brasileira de Ortopedia
Frederico Barra de Moraes, Rodrigo Cunha Ferreira, Stéphanie Zago Geraldino, Renato Silva Farias, Ricardo Pereira da Silva, Mário Yoshihide Kuwae
The wrist is a region that is very vulnerable to injuries of the extremities. Among these injuries, fractures of the pyramidal bone (or triquetrum) in association with dislocation of the hamate and carpal instability are uncommon. They are generally correlated with high-energy trauma and may be associated with neurovascular deficits, muscle-tendon disorders, skin lesions or injuries to other carpal bones. Thus, in this report, one of these rare cases of transtriquetral perihamate fracture-dislocation with carpal instability is presented, diagnosed by means of radiography on the right wrist of the patient who presented pain, edema and limitation of flexion-extension of the carpus after trauma to the region...
July 2016: Revista Brasileira de Ortopedia
Marcio de Castro Ferreira, Flavio Ferreira Zidan, Francini Belluci Miduati, Caio Cesar Fortuna, Bruno Moreira Mizutani, Rene Jorge Abdalla
Recent anatomical and biomechanical studies on the anterolateral ligament (ALL) of the knee have shown that this structure has an important function in relation to joint stability, especially when associated with anterior cruciate ligament (ACL) injury. However, the criteria for its reconstruction have not yet been fully established and the surgical techniques that have been described present variations regarding anatomical points and fixation materials. This study presents a reproducible technique for ALL and ACL reconstruction using hamstring tendons, in which three interference screws are used for fixation...
July 2016: Revista Brasileira de Ortopedia
Roberto Clayton Lima Oliveira Júnior, Marcelo Glauber da Silva Pereira, Pedro Braga Linhares Garcia, Patrícia Albuquerque Dos Santos, Amanda Dos Santos Cavalcanti, Walter Meohas
OBJECTIVE: Giant cell tumors are benign bone neoplasms that are relatively rare in adults and their biological behavior is still unpredictable. The incidence of local recurrence has presented variation between 0% and 65% in studies conducted worldwide, but few data are available on this complication in the Brazilian population. METHODS: Information on 155 patients with confirmed histological diagnoses of giant cell tumor who were treated in our institution's orthopedic oncology service between January 2000 and July 2014 was gathered...
July 2016: Revista Brasileira de Ortopedia
Patricia Khashayar, Hamid Reza Aghaei Meybodi, Mohsen Rezai Hemami, Abbasali Keshtkar, Hans Peter Dimai, Bagher Larijani
OBJECTIVES: Considering the controversial results regarding the relationship between vitamin D levels and bone mineral density in different populations, the present study was designed to evaluate this correlation in a healthy Iranian population. METHODS: Using a random cluster sample of apparently healthy men and women, this multicenter cross-sectional study was carried out among 4450 individuals living in urban areas of five major cities in Iran. Bone mineral density (BMD) values at different sites were analyzed along with the serum levels of 25(OH)D and PTH...
July 2016: Revista Brasileira de Ortopedia
Miguel Pereira Costa, Sandro Baraldi Moreira, Gustavo Costalonga Drumond, Fernanda de Marchi Bosi Porto, Fabiano Rebouças Ribeiro, Antonio Carlos Tenor
OBJECTIVE: The posterosuperior shoulder access used in surgical treatment for acromioclavicular dislocation was constructed through dissection of 20 shoulders from 10 recently chilled adult cadavers, and the distances from this route to the nearby neurovascular structures were analyzed. METHODS: A Kirschner wire was introduced into the top of the base of the coracoid process through the posterosuperior shoulder access, in the area of the origin of the conoid and trapezoid ligaments, thus reproducing the path for inserting two anchors for anatomical reconstruction of the coracoclavicular ligaments...
July 2016: Revista Brasileira de Ortopedia
Danilo Sobreira, Neydson de Souza, José Inácio de Almeida, Alberto de Castro Pochini, Carlos Vicente Andreoli, Benno Ejnisman
OBJECTIVE: To describe occurrences of septic glenohumeral arthritis among patients with arthropathy of the rotator cuff, and to highlight the importance of correct diagnosis and surgical procedures. METHODOLOGY: Eight surgical drains were installed in seven patients with glenohumeral pyoarthritis. All the patients presented arthropathy of the rotator cuff (four males and three females). Six patients presented pyoarthritis in the dominant shoulder. The age range was from 53 to 93 years (mean: 74 years)...
July 2016: Revista Brasileira de Ortopedia
André Kenzo Saito, Martina Navarro, Marcelo Faria Silva, Eduardo Kenzo Arie, Maria Stella Peccin
OBJECTIVE: To assess whether there is any difference in the oscillation of the plantar pressure center in single-leg stance between athletes and non-athletes with and without ankle sprains. METHODS: 54 volunteers performed four static assessments and one dynamic assessment while standing on one foot on a baropodometer, barefoot, for 10 s in each test. The variables of area (cm(2)), distance (cm), anteroposterior oscillation (cm), mediolateral oscillation (cm) and mean velocity (cm/s) were analyzed...
July 2016: Revista Brasileira de Ortopedia
Marcio Aurélio Aita, Rafael Saleme Alves, Luis Felipe Longuino, Carlos Henrique Vieira Ferreira, Douglas Hideki Ikeuti, Luciano Muller Reis Rodrigues
OBJECTIVE: To present the clinical and functional results, including measurement of quality of life, of patients undergoing trapeziometacarpal arthroplasty. METHOD: This was a prospective evaluation on 45 patients (53 thumbs) with a diagnosis of idiopathic rhizarthrosis who underwent resection arthroplasty and interposition of an uncemented Ascension(®) implant, made of pyrocarbon. The clinical and functional results were analyzed through radiography, range of motion (ROM) in degrees (°), visual analog scale (VAS) for pain and the disability of arm, shoulder and hand (DASH) questionnaire for quality of life...
July 2016: Revista Brasileira de Ortopedia
Rogerio Carlos Sanfelice Nunes, Elenir Rose Jardim Cury Pontes, Izaias Pereira da Costa
OBJECTIVE: Sciatic pain secondary to lumbar disc herniation is a complex condition that is often highly limiting. The causes of pain in disc herniation are multifactorial. Two physiopathological mechanisms are involved in discogenic pain: mechanical deformation of nerve roots and a biochemical inflammatory component resulting from contact between the intervertebral disc and neural tissue, by way of the nucleus pulposus. The aim of this study was to evaluate the efficacy and safety of epidural blockade as therapy for bulging lumbar disc herniation...
July 2016: Revista Brasileira de Ortopedia
Weverley Rubele Valenza, Jamil Faissal Soni, Christiano Saliba Uliana, Fernando Ferraz Faria, Gisele Cristine Schelle, Daniel Sakamoto Sugisawa
OBJECTIVE: To present our experience and preliminary results from using controlled hip dislocation to treat cam-like femoroacetabular impingement, in teenagers and young adults with sequelae of slipped capital femoral epiphysis. METHODS: This was a retrospective analysis on 15 patients who were treated in a tertiary-level hospital between 2011 and 2013. The following data were collected for analysis from these patients' files: demographic data, surgical procedure reports, joint mobility evaluations, patients' perceptions regarding clinical improvement and whether they would choose to undergo the operation again, previous hip surgery and complications...
July 2016: Revista Brasileira de Ortopedia
Rodrigo Pereira Guimarães, Alexandre Maris Yonamine, Carlos Eduardo Nunes Faria, Marco Rudelli
OBJECTIVE: The aim of this study was to determine the acetabular bone lesion size (in millimeters) from which impacted bone graft failure starts to occur more frequently, through simple anteroposterior hip radiographs, and whether measurement of the defect on simple radiographs maintains the same pattern in inter and intraobserver assessments. METHODS: Thirty-eight anteroposterior pelvic-view radiographs from patients undergoing revision of an acetabular prosthesis were retrospectively analyzed and assessed...
July 2016: Revista Brasileira de Ortopedia
Fabiano Kupczik, Luiz Otávio Bombonatto Tauscheck, Marlus Eduardo Gunia Schiavon, Bruno Sbrissia, Lucio Sergio Rocha Ernlund, Ricardo Augusto Lass Alves
OBJECTIVE: To evaluate the diameter of the flexor tendons in preoperative magnetic resonance imaging (MRI) examinations and compare this with the diameter of the graft obtained intraoperatively. METHODS: This was a retrospective longitudinal epidemiological study. Forty-four patients were eligible for the study and their MRI examinations and surgical data were evaluated. The tendons were measured on MRI across their largest diameter in the axial plane, using the medial epicondyle of the femur as the slice level...
July 2016: Revista Brasileira de Ortopedia
Fabrício Bolpato Loures, Rogério Franco de Araújo Góes, Pedro José Labronici, João Maurício Barretto, Beni Olej
OBJECTIVE: To evaluate the relationship between patients' body mass index (BMI) and the degree of radiographic severity of knee osteoarthrosis. METHOD: 117 patients with gonarthrosis were evaluated prospectively. The patients' BMI was calculated and their knee arthrosis was classified in accordance with the modified Ahlbäck criteria. Kruskal-Wallis analysis of variance (ANOVA) was used to evaluate the relationship between these two variables. RESULTS: The group classified as Ahlbäck grade V had significantly higher BMI than the others...
July 2016: Revista Brasileira de Ortopedia
Priscila Rosalba Oliveira, Vladimir Cordeiro Carvalho, Cassia da Silva Felix, Adriana Pereira de Paula, Jorge Santos-Silva, Ana Lucia Lei Munhoz Lima
OBJECTIVE: To evaluate the incidence and microbiological profile of surgical site infections (SSIs) associated with internal fixation of fractures and to compare differences in the SSIs observed among patients with closed and open fractures. METHODS: Retrospective study. Analyzed data included information from all patients who underwent surgery for fixation of closed or open fractures from January 2005 to December 2012 and remained outpatients for at least one year following surgery...
July 2016: Revista Brasileira de Ortopedia
Marcus Vinicius Malheiros Luzo, Carlos Eduardo da Silveira Franciozi, Fernando Cury Rezende, Guilherme Conforto Gracitelli, Pedro Debieux, Moisés Cohen
This updating article on the anterior cruciate ligament (ACL) has the aim of addressing some of the most interesting current topics in this field. Within this stratified approach, it contains the following sections: ACL remnant; anterolateral ligament and combined intra and extra-articular reconstruction; fixation devices; and ACL femoral tunnel creation techniques.
July 2016: Revista Brasileira de Ortopedia
Gilberto Luis Camanho
No abstract text is available yet for this article.
July 2016: Revista Brasileira de Ortopedia
Antonio Carlos Tenor Junior, Alisson Martins Granja Cavalcanti, Bruno Mota Albuquerque, Fabiano Rebouças Ribeiro, Miguel Pereira da Costa, Rômulo Brasil Filho
OBJECTIVE: To correlate the functional outcomes and radiographic indices of proximal humerus fractures treated using an anatomical locking plate for the proximal humerus. METHODS: Thirty-nine patients with fractures of the proximal humerus who had been treated using an anatomical locking plate were assessed after a mean follow-up of 27 months. These patients were assessed using the University of California Los Angeles (UCLA) score and their range of motion was evaluated using the method of the American Academy of Orthopedic Surgeons on the operated shoulder and comparative radiographs on both shoulders...
May 2016: Revista Brasileira de Ortopedia
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