Temporary work disability following trapezial resection and suspension arthroplasty for thumb carpometacarpal osteoarthritis. / Incapacidad laboral temporal tras cirugía de rizartrosis mediante trapecectomía y artroplastia de suspensión con sutura de alta resistencia.

PURPOSE: The aim of this study is to assess the time to return to work (TRW) in patients undergoing trapezial resection using the Mini TightRope® system at our center and to investigate factors that might delay return to work following this surgery. MATERIAL AND METHODS: A retrospective study was conducted on patients who underwent Trapezial resection and suspensionplasty using the Mini TightRope® system between 2015 and 2016, with a minimum one-year follow-up. Telephone interviews were conducted along with a review of medical records and radiology reports, as well as temporary work disability documents, collecting epidemiological and occupational data. Groups were compared based on age, gender, dominant hand, biomechanical occupational requirements of the patients, and whether they had experienced prior temporary work disability. RESULTS: A total of 36 patients (29 women and 7 men) with an average age of 55.7 years were included. The median time to return to work was 126 days. Self-employed workers re-entered the workforce 72 days earlier on average; workers who had experienced prior temporary work disability had a greater total temporary work disability duration and took 91 days longer to return to work compared to those who had not. CONCLUSIONS: Patients employed by others and those who had experienced prior temporary work disability before the surgery had longer temporary work disability periods. In our study, no differences were observed based on gender, dominant hand, or biomechanical work demands of the intervened patients.

Tratamiento conservador de rotura crónica de tendón de Aquiles: reporte de caso / Case report: conservative treatment of a chronic rupture of Achilles tendon

Resumen: Presentamos el caso clínico de una paciente de 64 años con rotura de tendón de Aquiles izquierdo y dos meses de evolución que ha pasado desapercibida. Con la aplicación de un tratamiento conservador se consiguió una funcionalidad completa y simétrica a cinco meses de la lesión.

Abstract: We report a case of a 64 years-old-female patient with ruptured left Achilles tendon within two months of evolution that has gone unnoticed. By the application of a conservative treatment recovered complete and symmetrical functionality in five months time after the injury.

[Conservative treatment of a chronic rupture of Achilles tendon: case report]. / Tratamiento conservador de rotura crónica de tendón de Aquiles: reporte de caso.

We report a case of a 64 years-old-female patient with ruptured left Achilles tendon within two months of evolution that has gone unnoticed. By the application of a conservative treatment recovered complete and symmetrical functionality in five months time after the injury.

Presentamos el caso clínico de una paciente de 64 años con rotura de tendón de Aquiles izquierdo y dos meses de evolución que ha pasado desapercibida. Con la aplicación de un tratamiento conservador se consiguió una funcionalidad completa y simétrica a cinco meses de la lesión.

[Angiographic correlation of ST segment depression in exercise test in precardial electrocardiography leads after inferior wall acute myocardial infarction]. / Correlación angiográfica del descenso del segmento ST con el ejercicio en derivaciones precordiales después de un infarto agudo de miocardio inferior.

OBJECTIVES: This study was aimed to establish the angiographic correlation of the exercise-induced ST segment depression in precordial leads after an uncomplicated inferior wall myocardial infarction. METHODS: We studied retrospectively 67 patients with a recent inferior wall acute myocardial infarction who took an exercise stress test following Bruce protocol and a coronary angiography within 3 months. Four groups were defined according to the ST segment response to exercise: group I, no ST segment changes; group II, ST depression in leads V1-V4; group III, ST depression in leads V5-V6; and group IV, ST depression in leads V1-V6. RESULTS: There were no significant differences among the groups for clinical and exercise variables, except for age (groups I and II were significantly younger than groups III and IV). The prevalence of multivessel coronary artery disease (two- and three-vessel disease) was 21%, 18%, 52% and 72% for group I to IV respectively (p = 0.007). The prevalence for left anterior descending coronary artery disease was 5%, 9%, 35% and 50% for group I to IV respectively (p = 0.01). By multivariate logistic regression analysis, only age > 60 years (p = 0.002) and exercise group III and IV (p = 0.02) were independent predictors for the presence of multivessel coronary disease. Whereas an ST exercise response type I or II in a patient < or = 60 years virtually excluded the presence of multivessel disease (negative predictive value, 0.90), an ST exercise response type III or IV in a patient > 60 years strongly suggested the presence of multivessel disease (positive predictive value, 0.72). CONCLUSIONS: Age and exercise-response of ST segment in precordial leads are useful variables for predicting the presence or absence of multivessel coronary artery disease after an uncomplicated inferior wall acute myocardial infarction.