Simultaneous bilateral knee varus stress radiographic technique
This study aimed to describe, in detail, the authors’ preferred method to assess the lateral compartment opening in both knees simultaneously, which also avoids the need for the examiner to be present in the imaging room.ResumoAs radiografias de estresse em varo são descritas como uma técnica efetiva e econômica de diagnóstico e tomada de decisão em lesões laterais do joelho, tanto no contexto agudo como crônico. A abertura do compartimento lateral varia de acordo com o número de estruturas danificadas, ajudando a diferenciar lesões isoladas do ligamento colateral fibular das lesões do canto posterolateral de g...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Limb length discrepancy on an 11-month-old boy with osteoid osteoma
This article describes the case of an 11-month-old boy with claudication, right lower limb shortening, and painless right leg volume increase. Image studies demonstrated an osteolytic lesion with small ossifications within, involved by right tibial diaphysis cortical thickening. The diagnostic hypotheses were osteoid osteoma, chronic osteomyelitis (Brodie's abscess), Ewing sarcoma, and Langerhans cell histiocytosis. Microorganism cultures were negative and the histopathological exam demonstrated osteoid osteoma. This report expands the knowledge on osteoid osteoma as a cause of painless limping and lower limb shortening in...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Anterior fixation of odontoid fractures: results
ConclusionDelayed diagnosis is still an issue in the treatment of odontoid fractures, especially in elderly patients. Concomitant lesions, especially in younger patients, are not uncommon. The literature presents high fusion rates with ORIF (≥80%), which was also observed in the present study. However, surgical success depends on proper patient selection and strict knowledge of the technique. This pathology presents a reserved functional prognosis in the medium-term, especially in the elderly.ResumoObjetivoAvaliar os resultados clínicos e radiológicos do tratamento cirúrgico em pacientes com diagnóstico de fratura do...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Tuberculous osteomyelitis mimicking a lytic bone tumor: report of two cases and literature review
Publication date: Available online 14 December 2017Source: Revista Brasileira de Ortopedia (English Edition)Author(s): I. Gede Eka Wiratnaya, I. Wayan Restu B. Susila, Dwijo Anargha SindhughosaAbstractTuberculous osteomyelitis is an uncommon form of tuberculosis (TB); the isolated involvement of TB in wrist joint is particularly rare. The symptoms and clinical manifestation mimic other conditions; hence, careful diagnosis is required. The authors present two cases of patients presenting with soft tissue mass and a lytic bone lesion. Biopsy revealed granulomatous osteomyelitis. Lesion culture identified Mycobacterium tuberc...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
An unusual presentation of metacarpophalangeal joint instability of the thumb
Publication date: Available online 29 December 2017Source: Revista Brasileira de Ortopedia (English Edition)Author(s): Andrew Sephien, Francisco Schwartz-FernandesAbstractThumb injuries are not as common as those occurring in the fingers. The authors present the case of a patient who had an isolated avulsion of the extensor pollicis brevis that resulted in metacarpophalangeal joint instability, with intact radial and ulnar collateral ligament.ResumoLesões no polegar não são tão comuns como aquelas nos dedos. Os autores um caso em que a paciente sofreu uma avulsão isolada do extensor curto do polegar que resultou em in...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Outcome of surgical treatment for displaced acetabular fractures: a prospective study
ConclusionThese results show that internal fixation of acetabular fractures leads to a good outcome in the majority of patients.ResumoObjetivoAvaliar o resultado funcional das fraturas acetabulares tratadas cirurgicamente.MétodosUm estudo longitudinal prospectivo foi realizado neste hospital entre dezembro de 2010 e dezembro de 2014. Foram incluídos 46 pacientes com diagnóstico de fratura acetabular. A principal causa da lesão acetabular foi acidente de trânsito. Todos os pacientes foram tratados cirurgicamente com placas e parafusos. O resultado foi avaliado radiologicamente e funcionalmente pela escala de avaliaçã...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation
ConclusionPercutaneous autologous bone marrow injection is an effective and safe method for the treatment of diaphyseal non-union and delayed union. Thus, it is concluded that with an adequate amount of autologous bone marrow injection, successful union in delayed union and non-union of fractures of long bones can be achieved.ResumoObjetivosO objetivo deste estudo foi avaliar os resultados da injeção percutânea de medula óssea autóloga no tratamento de fraturas com união tardia ou não união após a fixação interna.MétodosEsse estudo prospectivo foi realizado no Departamento de Ortopedia de junho de 2005 a junho ...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Piriformis pyomyositis in a patient with Kikuchi–Fujimoto disease: a case report and literature review
Publication date: Available online 30 December 2017Source: Revista Brasileira de Ortopedia (English Edition)Author(s): Antônio Augusto Guimarães Barros, Cláudio Beling Gonçalves Soares, Eduardo Frois Temponi, Victor Atsushi Kasuya Barbosa, Luiz Eduardo Moreira Teixeira, George GrammatopoulosAbstractPrimary pyomyositis is a deep bacterial infection of the skeletal muscle. If left undiagnosed and untreated, the infection spreads, leading to sepsis, septic shock, and even death. The authors report a 23-year-old female presenting with piriformis pyomyositis during a treatment for Kikuchi–Fujimoto disease. Pyomyositis is ...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Spondylectomy for primary Ewing's lumbar sarcoma in children
Publication date: Available online 30 December 2017Source: Revista Brasileira de Ortopedia (English Edition)Author(s): Carolina Oliveira, Luísa Vital, Francisco Serdoura, André Rodrigues Pinho, Vitorino VeludoAbstractPrimary Ewing's sarcoma in the spine is very rare. The treatment of Ewing's sarcoma is multidisciplinary. There is no consensus on the optimal method of local control; however, en block resection is associated with an improvement in survival rates. The authors report a case of a 5-year-old girl who initially presented low back pain, who was diagnosed with Ewing’ sarcoma according to radiography, magnetic r...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Irreducible acute patellar dislocation due to a new anatomical variant – the notched patella
Publication date: Available online 30 December 2017Source: Revista Brasileira de Ortopedia (English Edition)Author(s): Miguel Duarte-Silva, Joaquim Rodeia, Tiago Mota Gomes, Francisco Guerra-PintoAbstractIrreducible patella dislocations are rare and are usually associated with complex mechanisms. The authors report the clinical case of an irreducible lateral patellar dislocation due to an anatomical variant. The authors assisted a 16-year-old patient who presented with a lateral patella dislocation that was impossible to reduce by closed manipulation, even under general anesthesia. During the imaging study, the CT showed a...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Intertrochanteric fracture of femur in an ankylosed hip: a case report
Publication date: Available online 3 February 2018Source: Revista Brasileira de Ortopedia (English Edition)Author(s): Pramod Devkota, Shiraz Ahmad, Ketan C. PandeAbstractIntertrochanteric fracture of femur in an ankylosed hip is extremely rare. The aims of operative management for elderly patients with intertrochanteric fractures are to prevent general complications, maintain regarding mobility, and to relieve pain. The optimal management to achieve these goals is not clear. The authors present a case 74-year-old man with intertrochanteric fracture of femur in an ankylosed hip. The fracture was managed surgically with dyna...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
“Floating knee”, an uncommon injury: analysis of 12 cases
ConclusionFloating knee injuries are severe injuries and are usually associated with multi-organ injuries. Early detection and appropriate management of associated injuries, early fixation of fractures, and postoperative rehabilitation are needed for good outcome. Complications are frequent, in the form of delayed union, knee stiffness, and infection.ResumoObjetivoAs lesões do tipo “joelho flutuante” são complexas e geralmente são causadas por trauma de alta velocidade. Essas lesões são frequentemente associadas a lesões que causam risco de morte, que devem ter precedente sobre lesões nas extremidades. Os autore...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Tarsal navicular fracture in a parkour practitioner, a rare injury – case report and literature review
Publication date: Available online 3 February 2018Source: Revista Brasileira de Ortopedia (English Edition)Author(s): Samir Karmali, Jorge Teixeira Ramos, João Almeida, André Barros, Pedro Campos, Daniel Sá da CostaAbstractTarsal navicular fractures as well as other midfoot injuries are rare, and can result in severe impairment if not treated appropriately. Parkour, as a trendy sport, is gaining popularity among young individuals in urban areas, and is prone to result in high-energy trauma, scarcely described in the literature. The following case reports a rare tarsal navicular fracture in a 17 year-old male, sustained ...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Extensive synovial chondromatosis involving all flexor tendons in the tarsal tunnel: a case report
This report describes a rare case with extensive synovial chondromatosis affecting all flexor tendons in the tarsal tunnel, its radiological features, surgical treatment, and clinical outcome. The authors present a unique case of extensive synovial chondromatosis in a 48-year-old male involving the tendon sheaths of the flexor hallucis longus, flexor digitorum longus, and posterior tibialis, at the level of the tarsal tunnel, with extention into the plantar aspect of the foot. The patient initially presented with symptoms of tarsal tunnel compression and was found to have a 4-cm mass in the posteromedial aspect of the ankl...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Effect of surgical treatment on the quality of life in patients with non-traumatic avascular necrosis (AVN) of the femoral head
ConclusionsThe results of this study demonstrated that surgery substantially contributed to relieving pain and improving hip function in patients with osteonecrosis of the hip joint in the short term.ResumoObjetivoA necrose avascular do quadril é uma doença debilitante comum durante a quarta e quinta décadas de vida. O presente estudo tentou avaliar a qualidade de vida em pacientes com necrose avascular da articulação do quadril antes e após a cirurgia.MétodosEntre 2006 e 2013, o estudo avaliou 40 pacientes com necrose avascular do quadril que foram submetidos a artroplastia total do quadril, cirurgia bipolar ou com...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
