ABSTRACT
Conforme o conhecimento médico avança, medidas terapêuticas inquestionáveis na medicina de urgências e emergências passaram a ser reconsideradas. O uso do colar cervical no paciente politraumatizado intuitivamente poderia trazer segurança ao paciente, evitando uma possível piora da sua lesão raquimedular. Evidências atuais, no entanto, provam não somente que muitas vezes este dispositivo não traz benefício como agrava lesões intracranianas. Apresentamos aqui uma pesquisa qualitativa e descritiva por meio de revisão narrativa da literatura, trazendo dados recentes quanto à correta indicação para utilização do colar cervical no politraumatizado, apontando também seus malefícios e erros técnicos em sua utilização.(AU)
With the advance of medical knowledge, emergency and urgency medical procedures, once taken for granted, have been modified. Intuitively, the use of a cervical collar in polytrauma patients could be safe for the patient, avoiding a secondary spinal injury. However, recent evidence prove that sometimes this device not only gives no benefit to the patient but also worsen intracranial injuries. This is a qualitative and descriptive research using a narrative review of the literature, and which brings recent data on the correct indication of the cervical collar in the polytrauma patient, showing the harms and technical errors of its use.(AU)
Subject(s)
Braces/statistics & numerical data , Emergency Medical Services , Wounds and Injuries , Multiple TraumaABSTRACT
Background: Patellofemoral osteoarthritis is a chronic joint disease affecting one-third of elderly people. The disease impacts upon activities of daily living (e.g. walking, stair-climbing, and housekeeping), ultimately leading to a loss of functional independence and quality of life. Purpose: The main purpose of this study was to assess the results of nondrug noninvasive treatment in the management of patellofemoral osteoarthritis. Materials and Methods: This study was conducted in the department of Orthopaedics in M. M. Medical College, Mullana, Ambala, Haryana, India from June 2005 to June 2010. Two hundred fifty-one out patients of patellofemoral arthritis with a mean age of 45 years were studied. They were managed with noninvasive treatment and were followed for 24 months. Results: At 30 to 40 years of age it was good to excellent, respectively. More than 40 years it was good. The patients global evaluation of condition were found very good up to the age of 30 years at 2 years of follow up, good to very good between 30 to 40 years, respectively, and over the age of 40 years it was good. Conclusion: Nondrug noninvasive interventions can reduce pain and improve function in patellofemoral osteoarthritis.