Assuntos
Infecções por Acinetobacter/microbiologia , Acinetobacter baumannii/efeitos dos fármacos , Biofilmes/crescimento & desenvolvimento , Desinfetantes/farmacologia , Farmacorresistência Bacteriana Múltipla , Acinetobacter baumannii/classificação , Acinetobacter baumannii/genética , Acinetobacter baumannii/crescimento & desenvolvimento , Biofilmes/efeitos dos fármacos , Surtos de Doenças , Eletroforese em Gel de Poliacrilamida , Humanos , Integrons , Unidades de Terapia IntensivaRESUMO
Injury to the upper radial epiphysis is mainly a radiological diagnosis. Delayed dislocation of the radial head following such injuries, where there is no evidence of primary subluxation or dislocation, has not been recorded in the literature. We have identified three such cases that needed open reduction. As long term results of delayed treatment of dislocation of any joint is not good, we advocate the awareness of this complication and also a longer period of routine follow-up (up to a year) of all upper radial epiphysial injuries, to avoid a catastrophe in an entirely preventable situation.
Assuntos
Lesões no Cotovelo , Fraturas Fechadas/cirurgia , Luxações Articulares/patologia , Criança , Diagnóstico Diferencial , Articulação do Cotovelo/patologia , Epífises/lesões , Feminino , Fixação de Fratura/métodos , Fraturas Fechadas/diagnóstico , Humanos , Fixadores Internos , Luxações Articulares/diagnóstico , Masculino , Rádio (Anatomia)/patologia , Fatores de TempoRESUMO
A new procedure is described that uses a split peroneus longus tendon to reconstruct the anterior talofibular and calcaneofibular ligaments for chronic post-traumatic lateral ligamentous instability of the ankle for patients who wish to return to sporting activities. Subtalar inversion, which is essential for many sporting activities, is not affected. It is not a difficult procedure. In this small series of four patients followed out of six, over a period of 6 years with an average follow-up of 31.7 months, it has given good results, both subjectively and objectively, enabling them to return to active sports.
Assuntos
Articulação do Tornozelo , Instabilidade Articular/cirurgia , Adulto , Feminino , Humanos , Masculino , Movimento , Articulação Talocalcânea , Transferência Tendinosa , Resultado do TratamentoRESUMO
Scaphotrapeziotrapezoid (STT) joint fusion was carried out for pain relief in eight patients with isolated arthritis. Seven patients had satisfactory relief of symptoms. The subjective results were excellent in five, good in two and bad in one patient, who had non-union of the arthrodesis and was also the only patient to develop trapeziometacarpal arthritis. Average grip strength was 0.8 and lateral pinch strength was 0.7 of that in the other hand. There was a very small relative difference in dexterity. There was an average difference of 9 degrees of flexion-extension and 13 degrees of radio-ulnar deviation. It is concluded that for isolated idiopathic STT arthritis, fusion gives very satisfactory results with minimal complications.
