Prospective study of ultrasound-guided peri-plexus interscalene block with continuous infusion catheter for arthroscopic rotator cuff repair and postoperative pain control
ConclusionThe quality of analgesia for arthroscopic rotator cuff repair with peri-plexus US-IBPB and continuous infusion with elastomeric pump presented superior postoperative analgesia quality to single puncture IBPB on postoperative days 2 and 3, with lower consumption of rescue opioids in this period.ResumoObjetivoEsse estudo investigou a analgesia pós-operatória em pacientes submetidos a cirurgia de reparo artroscópico do manguito rotador sob anestesia geral, associada ao bloqueio interescalênico peri-plexo guiado por ultrassom (US-IBPB), comparando injeção única com a infusão contínua de anestésicos locais c...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Cervical osteoblastoma: a case report
This report describes the case of a 19-year-old boy who presented severe right-sided neck and shoulder pain. The CT scan revealed a mass lesion on C7 compatible with osteoblastoma. Pre-operative embolization and tumor resection were performed. At the three-year follow-up, the patient had no restrictions on daily activities, and to date there has been no evidence of recurrence.ResumoOsteoblastoma é um tumor primário benigno raro. Constitui cerca de 3% dos tumores benignos e 1% de todos os tumores ósseos. O objetivo do tratamento é a ressecção completa, que limita o risco de recidiva. Por se tratar de um tumor vascular...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Accuracy of the kissing sign on lumbar spine MRI in cases of axillary disc herniation and the surgical correlation: an Indian multi-center study
ConclusionThe type of disc herniation is an important parameter for patient selection in different surgical approaches. The kissing sign on MRI can be considered as an important tool for diagnosing axillary disc herniation due to its high specificity and accuracy.ResumoObjetivosA ressonância magnética provou ser uma ferramenta valiosa na avaliação das anormalidades do disco. Dois tipos de extrusão de disco podem ser descritos de acordo com a direção do disco herniado: lateral e axial. A hérnia do disco axial é definida quando o fragmento do disco extruído encontra-se no recesso entre a borda lateral da cauda equi...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Effect of zoledronic-acid and alendronate on bone oedema and pain in spontaneous osteonecrosis of the knee: a new paradigm in medical management
ConclusionOur data shows that the combination therapy gives early pain relief and reduction of bone oedema, and is safe, effective and well-tolerated for a painful disease entity like spontaneous osteonecrosis of knee.ResumoObjetivoDeterminar o efeito do tratamento combinado de ácido zoledrônico e alendronato no oedema ósseo e na dor no joelho em casos de osteonecrose espontânea do joelho. A experiência dos autores com este tratamento é relatada.MétodosSérie de casos retrospectiva, incluindo 11 pacientes com osteonecrose espontânea do joelho confirmado por ressonância magnética. Os pacientes foram tratados com u...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Thick graft vs. double-bundle technique on posterior cruciate ligament reconstruction: experimental biomechanical study with cadavers
ConclusionsGraft enlargement improves knee stability in isolated PCL reconstructions, whereas the graft division in the two-bundle technique worsens this stability at 60° and 90° of knee flexion. The findings of this study suggest that knee stability in PCL reconstructions may be improved with the use of thicker grafts in a single-bundle technique rather than performing a double-bundle reconstruction.ResumoObjetivoAvaliar o efeito biomecânico da espessura do enxerto em comparação com a técnica do duplo feixe na reconstrução do ligamento cruzado posterior (LCP) em joelhos de cadáveres humanos.MétodosNove joelhos d...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Asian ethnicity: a risk factor for adhesive capsulitis?
ConclusionPatients of Asian ethnicity showed an independent risk factor for the development of adhesive capsulitis, with an adjusted odds ratio of 3.6. Adhesive capsulitis was more common between 55 and 64 years.ResumoObjetivoAvaliar se a etnia asiática é um fator de risco no desenvolvimento da capsulite adesiva. Os objetivos secundários foram descrever a prevalência da capsulite adesiva no ambulatório especializado em ombro e a dispersão dos casos de capsulite por faixa etária.MétodosEstudo transversal que comparou a taxa de capsulite adesiva na etnia asiática (casos) com outras etnias (controles). Excluímos pac...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Evaluation of the discal height gain and lumbar lordosis variation obtained by the techniques of transforaminal and posterior lumbar intersomatic fusion
ConclusionThere is no difference in the discal height gain and lumbar lordosis variation, as well as in the pain intensity in the post-operatory periods, in patients who underwent 1 level intersomatic arthrodesis when comparing the PLIF and TLIF techniques.ResumoObjetivoAvaliar o ganho de altura discal e lordose lombar, comparativamente, conforme as duas técnicas de artrodese lombar, fusão intervertebral lombar transforaminal (TLIF) e fusão intervertebral lombar posterior (PLIF), usadas para o tratamento de doenças degenerativas da coluna vertebral.MétodosO presente estudo, retrospectivo, foi feito com 60 pacientes su...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Correlation between the UCLA and Constant-Murley scores in rotator cuff repairs and proximal humeral fractures osteosynthesis
ConclusionThe UCLA and Constant-Murley scores presented high or very high correlation in the evaluation of surgical treatment of rotator cuff tears and PHF. The correlation in the preoperative evaluation was high.ResumoObjetivoAvaliar a correlação entre as escalas da UCLA e de Constant-Murley no tratamento cirúrgico de roturas do manguito rotador e de fraturas da extremidade proximal do úmero (FEPU).MétodosEstudo retrospectivo, que avaliou pacientes submetidos ao reparo do manguito rotador por via artroscópica e tratamento cirúrgico de FEPU com dois anos de seguimento. Os pacientes foram avaliados pelas escalas da U...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Evaluation of benefits and accuracy of a mobile application in planning total knee arthroplasties
ConclusionsThe application has proved to be useful in planning TKAs and has revealed accuracy when measuring the AMFA when it was compared to the manual form of preoperative planning. The application was able to reduce planning time by more than half and it demonstrated reliability in measuring the AMFA.ResumoObjetivoAvaliar a utilidade de aplicativo no planejamento de artroplastias totais do joelho (ATJ), além da acurácia em relação à aferição do ângulo anatômico-mecânico femoral (AAMF), e comparar o tempo dispendido no planejamento de ATJ através da forma manual e do aplicativo.MétodosUma equipe interdiscipli...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
The use of tourniquet during total knee replacement in patients with and without popliteal artery calcification
ConclusionThis study found low rates of complications in patients undergoing total knee arthroplasties with use of a tourniquet, with or without calcification of the popliteal artery.ResumoObjetivoIdentificar as complicações clínicas e cirúrgicas associadas ao uso de torniquete na artroplastia total de joelho em pacientes com ou sem calcificação da artéria poplítea.MétodosO estudo foi feito de modo retrospectivo, analisou 64 pacientes com calcificação da artéria poplítea e 57 pacientes como grupo controle.ResultadosOs pacientes do grupo de casos eram significativamente mais velhos do que os pacientes do grupo ...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Comparative analysis of quadriceps and hamstrings strength in knee osteoarthritis before and after total knee arthroplasty: a cross-sectional study
ConclusionPatients with healthy knees or early stage osteoarthritis have higher quadriceps and hamstrings strengths than those with a more advanced stage of the disease, even after knee replacement. These findings suggest that the traditional rehabilitation programs do not recover strength to levels observed in individuals without knee osteoarthritis.ResumoObjetivoComparar a força muscular isocinética máxima dos músculos extensores e flexores do joelho entre pacientes com osteoartrite do joelho e pacientes submetidos à artroplastia total do joelho.MétodosOs voluntários foram divididos em cinco grupos (n = ...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Cross-sectional study of Gartland II and III humerus supracondylar fracture treatment in childhood: Brazilian orthopedists’ opinion
ConclusionsThe opinion of orthopedic surgeons in Brazil varies for Gartland type II fractures. Type III fractures have a uniform conduct and they are treated urgently (97.7%). When osteosynthesis is necessary, it was observed that 82 (70.7%) and 225 (74.8%) of the interviewed surgeons opted for fixation with two crossed Kirschner wires.ResumoObjetivoEste trabalho teve como objetivo determinar, num estudo transversal, qual é o método terapêutico preferencial usado no Brasil quando são abordadas as fraturas supracondilianas do úmero na infância dos tipos II e III da classificação de Gartland.MétodosO projeto de pesq...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Knee arthroplasty with rotating-hinge implant: an option for complex primary cases and revisions
ConclusionThe use of a rotating-hinge implant for knee arthroplasty is a new option for complex cases with severe instability in Brazil; the initial results are satisfactory.ResumoObjetivoApresentar as indicações, os aspectos técnicos e os resultados iniciais dos primeiros casos do uso do implante constrito Endo-Model® no Brasil.MétodosFoi conduzido um estudo prospectivo que incluiu nove pacientes submetidos a artroplastia total de joelho, seis primárias e três revisões, exclusivamente com o implante Endo-Model®. Esses pacientes foram acompanhados por uma média de 12 meses e avaliados com os escores funcionais do...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Hindfoot aneurysmal bone cyst: report of two cases
Publication date: March–April 2018Source: Revista Brasileira de Ortopedia (English Edition), Volume 53, Issue 2Author(s): Alexandre Luiz Dal Bosco, Marcos Ceita Nunes, Jung Ho Kim, Luis Gustavo Calieron, Rubens Rosso NadalAbstractOsseous tumors of the hindfoot are not usual in the literature, the diagnosis in these cases is difficult and can often go unnoticed. Besides that, surgery and reconstruction are complicated due to the complexity of the local anatomy, which makes these lesions even more challenging for the orthopedic oncological professionals. On the following article two cases of aneurysmal bone cyst of the hin...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
Lipoma arborescens of the elbow: a case with features of a high-grade tumor
This study aimed to describe a case of LA in the elbow, presenting with features of a high-grade tumor. The authors report the case of a 51-years-old male who presented to this institution with pain and swelling on the left elbow. The patient had a seven-year history of investigation, with inconclusive diagnosis. Magnetic resonance imaging (MRI) showed an expansive mass with local aggressiveness. Due to these characteristics, it was not possible to discard soft tissue sarcoma at the differential diagnosis. After biopsy and a multidisciplinary team meeting, the authors opted for surgical resection. The final anatomopatholog...
Source: Revista Brasileira de Ortopedia - July 10, 2018 Category: Orthopaedics Source Type: research
