Reincorporación laboral en pacientes con amputación traumática de extremidad superior / Return to work in traumatic upper limb amputees

Objetivo. Evaluar el retorno a la actividad laboral de pacientes amputados de extremidad superior como resultado de un accidente de trabajo. Pacientes y método. Estudio transversal y descriptivo. Variables recogidas mediante entrevista telefónica: retorno al trabajo, tipo de trabajo antes y después del accidente, protetización, uso de la prótesis, dolor. Resultados. De 65 pacientes (60 varones), con media de edad de 44,4 años, los reincorporados al trabajo (n=38) presentaban dolor con menos frecuencia (p=0,009) y menor intensidad (p=0,004) y usaban más su prótesis, aunque de forma marginalmente significativa (p=0,07). El resto de las variables no presentaban diferencias entre reincorporados y no reincorporados. Conclusiones. Desde el punto de vista clínico, la variable con más influencia en el retorno a la actividad laboral de los pacientes amputados de extremidad superior por accidente durante el trabajo fue el dolor. En el estudio no se recoge la influencia de variables socioeconómicas(AU)

Objective. To evaluate the return to the work environment of patients with upper limb amputations due to work accidents. Patients and methods. A descriptive cross-sectional study was performed. The variables evaluated were obtained by telephone interview, this being return to work, occupation after and before the amputation, prosthesis requirement, use of prosthesis and pain. Results. Sixty-five patients (60 male) mean age 44.4 years were enrolled. The subjects who returned to work (38 cases) reported pain less frequently (P=.009) and when present, the pain was less intense (P=.004). Use of prosthesis was slightly significantly higher in this group of patients (P=.07). No significant differences were found for the rest of variables between the reinstated and non-reinstated patients. Conclusions. From a clinical point of view, pain was the most important factor conditioning return to work in subjects with traumatic upper limb amputation. However, the influence of socioeconomic variables was not studied(AU)

Lesions of the subscapular tendon regarding two cases in arthroscopic surgery.

Subscapularis tendon lesions in the shoulder are usually difficult to diagnose through clinical examination alone. Isolated subscapularis tendon lesions are infrequent, and most of these injuries are associated with biceps tendon pathology, rotator cuff tears, fractures to the tuberosities, or as a part of an instability complex of the shoulder. All of these other diagnoses over-shadow and complicate the diagnosis of the subscapularis tendon. Although magnetic resonance imaging is frequently effective in evaluating subscapularis tendon tears, arthroscopy is certainly more efficient and affords the additional benefit of allowing surgical treatment of the lesion. The authors present two clinical cases and an update of the literature concerning this unusual lesion.