Assuntos
Artroplastia de Substituição , Articulações Carpometacarpais/cirurgia , Fraturas Intra-Articulares/cirurgia , Prótese Articular , Ossos Metacarpais/cirurgia , Trapézio/cirurgia , Idoso , Feminino , Humanos , Fraturas Intra-Articulares/diagnóstico por imagem , Ossos Metacarpais/diagnóstico por imagem , Ossos Metacarpais/lesões , Polegar/diagnóstico por imagem , Polegar/lesões , Polegar/cirurgiaAssuntos
Traumatismos dos Dedos/etiologia , Osteonecrose/complicações , Traumatismos dos Tendões/etiologia , Idoso , Feminino , Traumatismos dos Dedos/cirurgia , Humanos , Osteonecrose/cirurgia , Ruptura/etiologia , Ruptura/cirurgia , Traumatismos dos Tendões/cirurgia , Transferência Tendinosa , Tendões/transplanteRESUMO
We have analysed the functional results of the conservative treatment of displaced olecranon fractures in 12 patients with a mean age of 81.8 (73-90) years. The patients were evaluated at the time of the final follow up which was 15.2 (6-33) months. Physical examination and radiographic study were performed. None of the patients were limited in their daily activities. 67% of the patients were asymptomatic with an acceptable range of motion of their elbows. The clinical results were good in 8 cases, fair in 3 and poor in one, in spite of 9 cases of pseudoarthrosis. The grade of satisfaction was excellent in 11 patients and bad in only one. Conservative treatment of displaced olecranon fractures provides satisfactory results in old patients.
Assuntos
Fraturas da Ulna/terapia , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Fixação de Fratura , Humanos , Masculino , Modalidades de Fisioterapia , Pseudoartrose/etiologia , Radiografia , Resultado do Tratamento , Ulna/diagnóstico por imagem , Fraturas da Ulna/diagnóstico por imagem , Fraturas da Ulna/reabilitaçãoRESUMO
We transferred the trapezius with its bone insertion to the proximal humerus in 6 patients for treatment of a paralytic shoulder secondary to traumatic lesions of the brachial plexus. After 1 year, the shoulder abduction was improved from average 13 degrees (0 degrees-30 degrees) preoperatively to 76 degrees (50 degrees-100 degrees) postoperatively, and the shoulder flexion from 18 degrees (0 degrees-40 degrees) to 78 degrees (45 degrees-110 degrees) postoperatively. All the patients were satisfied with the outcome. We consider that transfer of the trapezius in a paralytic shoulder after brachial plexus injury gives a better outcome than shoulder fusion.
Assuntos
Plexo Braquial/lesões , Músculo Esquelético/transplante , Paralisia/cirurgia , Ombro/inervação , Transferência Tendinosa/métodos , Adulto , Seguimentos , Humanos , Masculino , Músculo Esquelético/inervação , Cuidados Paliativos , Amplitude de Movimento Articular , Articulação do Ombro/fisiologiaRESUMO
We report five cases of simultaneous dislocation of both interphalangeal joints of the finger. We observed that the mechanism, diagnosis and treatment of our cases were similar to the published reports of the world literature. In conclusion, we remark that this injury, of rare occurrence, should be treated with conservative treatment by manipulation, and if a good functional result is desired, adequate physiotherapy treatment is required.