RESUMO
The reverse shoulder arthroplasty indications are cuff tears arthropaty, revision of anatomic prosthesis and traumatology. The reverse shoulder arthroplasty doesn't need a rotator cuff integrity to be functional. However, complications are not rare (dislocation, descellement, infection...). The patient selection has to be rigorous. In any case, patient must be older than seventy years.
Assuntos
Prótese Articular , Articulação do Ombro/cirurgia , Humanos , Prótese Articular/efeitos adversos , Desenho de Prótese , Lesões do OmbroRESUMO
Carpal perilunate dislocations are rare and underdiagnosed because of an ignorance of the pathology and an inappropriate incidence of radiography. The carpus is composed of two rows of bones and 33 ligaments. These ligaments are fundamental for wrist stability. Typically, the injury occurs in young male adults exposed to high-energy trauma with a wrist in hyperextension. The diagnosis is easy with a physical examen and standard postero-anterior and lateral radiographs. The Witvoët and Allieu classification of the perilunate dislocations is the most used. This classification is composed of three grades. The treatment is usually surgical and has to be realised in a short delay to minimize the important complications.
Assuntos
Luxações Articulares/diagnóstico , Osso Semilunar/lesões , Osso Escafoide/lesões , Piramidal/lesões , Acidentes por Quedas , Acidentes de Trânsito , Adulto , Idoso , Traumatismos em Atletas/diagnóstico , Capitato/diagnóstico por imagem , Capitato/lesões , Criança , Feminino , Humanos , Luxações Articulares/classificação , Luxações Articulares/diagnóstico por imagem , Luxações Articulares/cirurgia , Ligamentos Articulares/diagnóstico por imagem , Ligamentos Articulares/lesões , Osso Semilunar/diagnóstico por imagem , Masculino , Procedimentos Ortopédicos , Exame Físico , Radiografia , Osso Escafoide/diagnóstico por imagem , Piramidal/diagnóstico por imagemRESUMO
The cuff tears are frequent. The cuff has a fundamental role for the shoulder stabilisation. Shoulder impingement causes pathologies from simple tendinosis to rupture with excentric arthritis. Classicaly, we describe three stades. It is fundamental to have a good knowledge of the stades and to evaluate them with clinical examination and provocating tests. The radiologic examen is very important to confirm the pathology and to evaluate the lesions. Each stade has a surgical treatment if the conservative treatment gives bad results. Choice of the surgical procedure depends of the patient age and lesion types. Most of surgical procedures are arthroscopics techniques. Open surgery is reserved to massive or arthritis lesions.
