Direct-to-Patient Teledermatology During COVID-19 Lockdown in a Health District in Madrid, Spain: The EVIDE-19 Pilot Study. / Estudio piloto de la teledermatología directa durante el estado de alarma por la pandemia COVID-19 en un área sanitaria de Madrid (Estudio EVIDE-19).

BACKGROUND: Dermatologic care was halted because of the coronavirus disease 2019 pandemic, prompting us to study the usefulness of direct-to-patient teledermatology via a mobile application. We aimed to evaluate the service as a tool for avoiding face-to-face consultations, describe the main conditions diagnosed, and assess levels of patient and physician satisfaction. MATERIAL AND METHOD: Prospective descriptive study of new patients who met the inclusion criteria. Descriptive statistics for all variables were analyzed with SPSS. RESULTS: Of the 1,497 patients who agreed to participate in the study, 25% (n=374) sent an image to a consultant dermatologist through the mobile application. Sixty-four patients (17%) were discharged directly and referred to primary care for follow-up. A face-to-face consultation was avoided for at least 3 months in 85% of patients (n=318); 87.1% (n=325) received a diagnosis and the dermatologist's level of confidence in this diagnosis was 7 or higher in 77.5% of cases (n=290). The quality of the images sent was considered sufficient in 52.1% of cases. Patients rated their satisfaction with a score of 4.5 out of 5. Eleven of the 16 dermatologists rated their satisfaction as good overall. The most common conditions were inflammatory and melanocytic lesions. The main diagnoses were nevi, acne, and eczema. DISCUSSION: Direct-to-patient store-and-forward teledermatology is an effective means of evaluating new patients. Both clinicians and patients expressed high levels of satisfaction with the service. Systems enabling the addition of digital images to patient records are necessary to ensure the efficiency of teledermatology.

Lesiones del ligamento cruzado anterior / Anterior cruciate ligament lesions

Se realizó una revisión bibliográfica sobre el estado actual de las ligamentoplastías del LCA, incluyendo bases anatómicas, funcionales y tratamiento quirúrgico.

A bibliographic review was conducted on the current status of ACL ligamentoplasties including their anatomical and functional bases and surgical treatment.

[Anterior cruciate ligament lesions]. / Lesiones del ligamento cruzado anterior.

A bibliographic review was conducted on the current status of ACL ligamentoplasties including their anatomical and functional bases and surgical treatment.

Complications in arthroscopic shoulder surgery.

Arthroscopic surgery of the shoulder is considered a safe technique, yet a variety of complications have been described. There are few published reports on the incidence of these complications. The aim of this study is to evaluate the complication rate of arthroscopic shoulder surgery. We retrospectively evaluated a series of 179 consecutive arthroscopic (n=141) and combined (arthroscopic plus open; n=38) procedures performed by the same surgeon. The overall complication rate was 9.49%. Combined procedures had a 5.26% complication rate and arthroscopic procedures a 10.63% complication rate.