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1.
Arthroscopy ; 37(11): 3227-3228, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34740402

RESUMO

Proximal hamstring tears are common among athletes, especially in sports involving eccentric lengthening during forced hip flexion and knee extension, such as hurdles or water skiing. Tears are described by timing (acute [<1 month] or chronic) and severity (partial or complete). Complete tears are easily identified with magnetic resonance imaging; however, partial tears may be subtle and potentially missed. The spectrum of pathology associated with acute injuries ranges from minor strains to complete tears or avulsions. Acute tears commonly present as pain and bruising over the posterior thigh along with weakness with active knee flexion and often a sensation of instability of the lower extremity. Chronic injuries typically present with ischial pain associated with repetitive activities, and the spectrum includes chronic tendinopathies, ischial bursitis, partial tears, and nonoperatively treated complete tears. Nonoperative treatment is recommended in the setting of low-grade partial tears and insertional tendinosis. However, failure of nonoperative treatment of partial tears may benefit from surgical debridement and repair. Further, surgical repair of complete tears with retraction is usually recommended for active patients. Historically, surgical treatment has been limited to open surgical approaches, although endoscopic management of proximal hamstring tears and chronic ischial bursitis is an option. Our endoscopic technique employs the use of two anchors, double loaded with high-strength suture, and may support a faster recovery due to decreased surgical morbidity. It is important to note that some patients may not be candidates for this endoscopic repair as a result of several factors, including prior chronic and retracted tears, as well as those with altered regional tissue planes due to prior surgical repair.


Assuntos
Músculos Isquiossurais , Tendinopatia , Traumatismos dos Tendões , Músculos Isquiossurais/cirurgia , Humanos , Ruptura , Coxa da Perna
2.
Arthroscopy ; 37(11): 3286-3287, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34740406

RESUMO

While surgical treatment of acute proximal hamstring ruptures is well understood to be the best treatment option for many patients, treatment of chronic proximal hamstring pathology has lagged, with most management consisting of conservative options: rest, ice, physical therapy, nonsteroidal anti-inflammatory drugs, shock-wave therapy, and injections such as corticosteroids and platelet-rich plasma. However, recent research shows that endoscopic repair of chronic proximal hamstring pathology is safe and effective for treating this pathology at short-term follow-up, with high rates of return to activity and patient satisfaction. This presents an appealing treatment option for patients with refractory proximal hamstring pathology, as well as a technique for repairing acute, full-thickness tears. With attention to detail, complication rates are low for endoscopic treatment of both acute and chronic proximal hamstring pathology.


Assuntos
Músculos Isquiossurais , Tendinopatia , Traumatismos dos Tendões , Músculos Isquiossurais/cirurgia , Humanos , Dor , Ruptura , Tendinopatia/cirurgia , Traumatismos dos Tendões/cirurgia
3.
Br J Hosp Med (Lond) ; 82(10): 1-9, 2021 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-34726937

RESUMO

A penile fracture is a traumatic rupture of the tunica albuginea of the corpora cavernosa in an erect penis, usually as a result of blunt trauma during sexual activity. The aetiology varies with geographical region, with the USA and Europe having a higher incidence of sexual trauma and the Middle East having a higher rate of self-manipulation. Diagnosis is usually clinical, but numerous imaging modalities have been used to confirm the fracture site and to help plan appropriate surgical management. Clinical examination will find a detumescent penis with a diffuse penile swelling and ecchymosis: the classic eggplant sign. The penis will often deviate away from the side of the injury. A history of the patient's inability to pass urine after the injury or of blood at the urethral meatus suggests an associated urethral injury. Immediate surgical management is the mainstay of treatment, with many surgeons favouring a degloving approach. Penile fractures also carry a risk of urethral tears and urethral repair may be necessary. This article describes the aetiology, presentation and management of penile fractures to enable identification and treatment in daily clinical practice.


Assuntos
Doenças do Pênis , Doenças Uretrais , Humanos , Masculino , Doenças do Pênis/diagnóstico , Doenças do Pênis/epidemiologia , Doenças do Pênis/etiologia , Pênis/cirurgia , Ruptura , Uretra
5.
Cir Cir ; 89(S1): 82-86, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34762638

RESUMO

The traumatic diaphragmatic hernia is considered a rare clinic condition and represents a diagnostic challenge. Its presentation is mainly a surgical emergency, leading to scarce time for complementary image studies. We present a case of a 21-year-old male who suffered a penetrating wound in the left hemitorax from whom is suspected to have a traumatic visceral herniation into the thoracic cavity by chest X-ray, confirming a splenic herniation with intrathoracic hemorrhage, as well as the proposal of a management algorithm for this defiant cases.


Assuntos
Hérnia Diafragmática Traumática , Ferimentos Penetrantes , Adulto , Diafragma/diagnóstico por imagem , Diafragma/lesões , Hemotórax/diagnóstico por imagem , Hemotórax/etiologia , Hérnia Diafragmática Traumática/complicações , Hérnia Diafragmática Traumática/diagnóstico por imagem , Hérnia Diafragmática Traumática/cirurgia , Humanos , Masculino , Ruptura , Adulto Jovem
6.
Medicine (Baltimore) ; 100(41): e27526, 2021 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-34731144

RESUMO

BACKGROUND: The effect of platelet-rich plasma (PRP) on patients with acute Achilles tendon rupture is still controversial. The purpose of this systematic review is to assess the efficacy of PRP injections treating acute Achilles tendon rupture. METHODS: A comprehensive electronic literature search was performed in the PubMed, Embase, Cochrane Library, and Web of Science databases to identify relevant studies that were published prior to April 29, 2021. Randomized controlled trials evaluating the efficacy of PRP injections in treating patients with acute Achilles tendon rupture were included. Statistical analyses were conducted using RevMan software. RESULTS: Five randomized controlled trials were included in this systematic review. The results of the meta-analysis showed that PRP has positive effects on ankle dorsiflexion angle, dorsal extension strength of the ankle, and calf circumference compared with that in controls. However, the current evidence failed to show that PRP effectively improves ankle plantar flexion angle, plantar flexion strength of the ankle, and pain. CONCLUSIONS: PRP injections for the treatment of acute Achilles tendon rupture significantly improved ankle dorsiflexion angle, dorsal extension strength of the ankle, and calf circumference compared with that in controls. Additional studies with larger sample sizes, more rigorous designs and standardized protocols are needed to draw more reliable and accurate conclusions.


Assuntos
Tendão do Calcâneo/patologia , Plasma Rico em Plaquetas/fisiologia , Ruptura/diagnóstico , Ruptura/terapia , Tendão do Calcâneo/lesões , Doença Aguda , Adulto , Tornozelo/fisiologia , Estudos de Casos e Controles , Feminino , Humanos , Injeções/métodos , Masculino , Pessoa de Meia-Idade , Plasma Rico em Plaquetas/química , Ensaios Clínicos Controlados Aleatórios como Assunto , Amplitude de Movimento Articular/fisiologia , Traumatismos dos Tendões/epidemiologia , Traumatismos dos Tendões/patologia , Resultado do Tratamento
8.
BMJ Case Rep ; 14(11)2021 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-34799396

RESUMO

The pancreaticoduodenal arteries are rare sites for true aneurysm formation, but these may develop in association with occlusion of the coeliac circulation, degenerative conditions or inflammatory vascular disorders. These have a high risk of rupture regardless of size or other factors. One identified cause is polyarteritis nodosa (PAN), which is an autoimmune necrotising vascular condition that affects small-sized and medium-sized arteries. We report a case of a 40-year-old man with massive gastrointestinal tract bleeding from a ruptured pancreaticoduodenal artery aneurysm secondary to PAN. This was managed with emergent open aneurysm ligation followed by high-dose corticosteroids and cyclophosphamide pulse therapy. Only three other cases of PAN-associated pancreaticoduodenal artery aneurysms have been reported in the literature.


Assuntos
Aneurisma Roto , Poliarterite Nodosa , Adulto , Aneurisma Roto/complicações , Aneurisma Roto/diagnóstico por imagem , Hemorragia Gastrointestinal/etiologia , Artéria Hepática , Humanos , Masculino , Poliarterite Nodosa/complicações , Poliarterite Nodosa/diagnóstico , Poliarterite Nodosa/tratamento farmacológico , Ruptura
9.
Rozhl Chir ; 100(8): 376-383, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34649444

RESUMO

This review presents information on the epidemiology and current trends in the diagnosis and therapy of acute and chronic Achilles tendon ruptures in middle-aged and elderly patients. Epidemiological data show an increasing incidence of ruptures among the entire population, especially in patients over 65 years of age. Dynamic sonography has become the gold standard diagnostic assessment, facilitating even therapeutic decision- making. The well established conservative-functional therapy can in indicated cases achieve results comparable to those of surgical treatment. Minimally invasive suture techniques using aiming devices reduce the risk of surgical damage and soft tissue complications, particularly in noncompliant patients and patients with restricted perfusion. Reconstruction of chronic tendon ruptures is mostly performed using static techniques, especially the combination of V-Y plasty and fascial flaps. In addition to reruptures and infections, the currently discussed complications also include deep vein thrombosis where a more generous indication scheme of thromboprophylaxis is under consideration.


Assuntos
Tendão do Calcâneo , Traumatismos dos Tendões , Tromboembolia Venosa , Tendão do Calcâneo/cirurgia , Idoso , Anticoagulantes , Humanos , Pessoa de Meia-Idade , Ruptura , Traumatismos dos Tendões/diagnóstico , Traumatismos dos Tendões/cirurgia , Resultado do Tratamento
10.
Rozhl Chir ; 100(8): 384-389, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34649445

RESUMO

INTRODUCTION: Open surgical treatment of Achilles tendon rupture comes with high ratio of complications. We have retrospectively evaluated those complications to find patients that would benefit from the mini-invasive technique. METHODS: We analysed all patients after surgical treatment of acute Achilles tendon rupture between the years 2014 and 2020. Information about the surgery, the following complications and patients characteristics were extracted from our documentation. Statistical analysis was concluded to evaluate their significance. We have included 134 patients with the Achilles tendon rupture in our analysis. The majority of patients were men (83.6%) and left-sided injuries were more common (51.5%). The average age was 45 years. RESULTS: Our results show that the most common complications after the treatment of Achilles tendon rupture in our clinic are wound dehiscence, thrombosis and infection. On the other hand, paresthesia and rupture are rare. We have confirmed that most complications occur in smoking patients. Our data show that age is a risk factor as well. Contrary to the previous study, our data did not show the female sex to be a risk factor. CONCLUSION: Open surgical treatment of Achilles tendon rupture in our clinic is accompanied with relatively high complication rate. Mini-invasive techniques could improve the outcomes in the cohort of smoking older patients with acute Achilles tendon rupture. Please kindly refer to the corresponding author to obtain full data in English.


Assuntos
Tendão do Calcâneo , Traumatismos dos Tendões , Tendão do Calcâneo/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Ruptura/cirurgia , Traumatismos dos Tendões/etiologia , Traumatismos dos Tendões/cirurgia , Resultado do Tratamento
11.
Rozhl Chir ; 100(8): 398-402, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34649447

RESUMO

Chronic Achilles tendon ruptures arise as a result of acute ruptures unrecognized during primary examination or due to non-compliance of the patient. In the treatment, surgical revision is often used, with the possibility of static or dynamic plasties, together with augmentation techniques. This paper presents two cases where static plasty was used to bridge a tendon defect of up to 10 cm, resulting in full restoration of tendon function.


Assuntos
Tendão do Calcâneo , Traumatismos dos Tendões , Tendão do Calcâneo/cirurgia , Doença Crônica , Humanos , Ruptura/cirurgia , Traumatismos dos Tendões/cirurgia
12.
Agri ; 33(4): 265-267, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34671959

RESUMO

Only seven cases of isolated unilateral rupture of the alar ligament had been previously reported. The authors report the first adult female case of this rare injury. The patient in their case, a 36-year-old female presented after a trauma due to falling, and at that moment, she had fainted due to a sudden pain between the neck and head. The radiological examinations [magnetic resonance imaging (MRI) and X-rays] had been interpreted as normal. She had a positive Alar ligament test at the right side, and a thin section craniovertebral junction computed tomography was obtained which revealed an asymmetrically left-sided odontoid process and a new MRI revealed a right-sided alar ligament rupture. Thus she underwent a bilateral greater occipital nerve block together with pulse radiofrequency and trigger point injection at splenius capitis, levator scapula, and trapezius followed by the application of a halo orthosis to be worn for 3 months. The patient was found to be pain-free in the follow-up examinations. With pure unilateral alar ligament rupture, the atlantooccipital joint is not disrupted and the craniovertebral junction is not destabilized. To date, only eight cases of isolated unilateral alar ligament rupture have been reported one of which was a 25 years old male; all of whom presented with marked neck pain and treated by external immobilization for 4 weeks to 4 months and our case is the first adult female patient.


Assuntos
Ligamentos Articulares , Pescoço , Adulto , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Ruptura , Tomografia Computadorizada por Raios X
13.
BMC Musculoskelet Disord ; 22(1): 908, 2021 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-34711221

RESUMO

BACKGROUND: The jigless knotless internal brace surgery (JKIB), a modified minimal invasive surgery (MIS) for acute Achilles tendon injury, has advantages of preventing sural-nerve injury in MIS and superficial wound infection in open surgery, as demonstrated in previous clinical research. However, to date, biomechanical testing has not yet been validated. MATERIALS AND METHODS: Sixty fresh porcine Achilles tendons were used to compare the JKIB with other open surgery techniques, the four-stranded Krackow suture (4sK) and the triple-bundle suture (TBS) in biomechanical testing with cyclic loading set at 1 Hz. This approach simulated a progressive rehabilitation protocol where 20-100 N was applied in the first 1000 cycles, followed by 20-190 N in the second 1000 cycles, and then 20-369 N in the third 1000 cycles. The cycles leading to repair gaps of 2 mm, 5 mm, and 10 mm were recorded. The survival cycles were defined as repair gap of 10 mm. RESULTS: With respect to survival cycles, a significant difference was found among the three groups, in which the TBS was the most robust, followed by the JKIB and the 4sK, where the mean survived cycles were 2639.3 +/- 263.55, 2073.6 +/- 319.92, and 1425.25 +/- 268.96, respectively. Significant differences were verified via a post hoc analysis with the Mann-Whitney U test after the Bonferroni correction (p < 0.017). CONCLUSIONS: The TBS was the strongest suture structure in acute Achilles tendon repair. However, the JKIB could be an option in acute Achilles tendon repair with the MIS technique due to it being more robust than the 4sK, which has been typically favored for use in open repair.


Assuntos
Tendão do Calcâneo , Traumatismos dos Tendões , Tendão do Calcâneo/cirurgia , Animais , Fenômenos Biomecânicos , Ruptura/cirurgia , Técnicas de Sutura , Suturas , Suínos , Traumatismos dos Tendões/cirurgia
14.
J Cardiothorac Surg ; 16(1): 291, 2021 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-34627308

RESUMO

BACKGROUND: Esophageal perforation and rupture (EPR) is a serious, potentially life-threatening condition. However, no treatment methods have been established, and data concerning factors affecting mortality are limited. This report presents the prognostic factors of mortality in EPR based on experience in the management of such patients. METHODS: For this retrospective analysis, 79 patients diagnosed as having EPR between 2006 and 2016 and managed at Gyeongsang National University Hospital were examined. The management method was determined in accordance with the location and size of the EPR, laboratory findings, and radiological findings. Thirty-nine patients were treated with surgery; and 40, with nonsurgical management. RESULTS: The most common cause of EPR was foreign body (fish bone or meat bone), followed by vomiting, iatrogenic causes, and trauma. Thirty-nine patients underwent primary repair of EPR, of whom 4 patients died. Forty patients underwent nonsurgical management, of whom 3 patients died. The remaining patients were discharged. Mortality correlated with the size of the EPR (> 25 mm) and the segmented neutrophil count percentage (> 86.5%) in the white blood cell test and differential. CONCLUSIONS: The mortality risk was increased when the EPR size and the segmented neutrophil count percentage in the white blood cell test and differential was high. Delayed diagnosis, which was considered an important predictive factor in previous investigations, was not statistically significant in this study. TRIAL REGISTRATION: Not applicable.


Assuntos
Perfuração Esofágica , Corpos Estranhos , Perfuração Esofágica/diagnóstico , Perfuração Esofágica/etiologia , Humanos , Prognóstico , Estudos Retrospectivos , Ruptura
15.
J Am Vet Med Assoc ; 259(8): 880-884, 2021 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-34609190

RESUMO

CASE DESCRIPTION: A 7.75-year-old sexually intact male Welsh Terrier was examined because of cervical soft tissue wounds and an inability to maintain hemoglobin oxygen saturation without oxygen supplementation following a dog attack. CLINICAL FINDINGS: A 2-cm-long penetrating wound that extended into a large open pocket was identified on the left ventral aspect of the dog's neck. The dog was anesthetized and underwent advanced imaging, the findings of which suggested that the trachea was intact. However, when the cuff of the endotracheal tube was deflated during the dog's recovery from anesthesia, sudden oxygen desaturation occurred. Given no radiographic signs of deteriorating lung injury, a tracheal tear was suspected. For rapid confirmation of a tracheal tear, without the need for additional advanced imaging, the oxygen concentration at the skin wound was investigated by use of an oxygen analyzer. When the dog was breathing 100% oxygen, the analyzer identified a higher oxygen concentration at the edge of the penetrating wound, compared with the concentration of oxygen in room air; the leakage of oxygen-rich gases from the airway through the wound confirmed the presence of a tracheal tear, immediately indicating the need for surgical exploration and repair. TREATMENT AND OUTCOME: Surgical repair of the tracheal tear with a left sternothyroideus muscle flap was successfully performed. CLINICAL RELEVANCE: For this dog, an oxygen analyzer was used to confirm the presence of a tracheal tear, suggesting that application of an oxygen analyzer may be useful in the emergency management of neck trauma cases.


Assuntos
Doenças do Cão , Lacerações , Animais , Doenças do Cão/diagnóstico , Doenças do Cão/terapia , Cães , Intubação Intratraqueal/veterinária , Lacerações/veterinária , Masculino , Oxigênio , Ruptura/veterinária , Traqueia/lesões
16.
Beijing Da Xue Xue Bao Yi Xue Ban ; 53(5): 871-876, 2021 Oct 18.
Artigo em Chinês | MEDLINE | ID: mdl-34650287

RESUMO

OBJECTIVE: To measure the electroencephalography (EEG) of the patients with anterior cruciate ligament (ACL) rupture when performing joint position perception movement task, to compare the differences between the ACL rupture side and the unaffected side, to identify the EEG change in the power spectrum caused by the ACL rupture, and to provide evidence for the diagnosis, treatment and rehabi-litation for ACL injury as well as knee instability. METHODS: Sixteen male patients, selected from the Department of Sports Medicine, Peking University Third Hospital from November 2014 to April 2015, with only ACL rupture on one side used isokinetic muscle strength testing equipment were enrolled in the study to perform unilateral active knee joint positional movement and passive knee joint positional movement tasks. EEG was recorded to compare between the affected and unaffected limb of ACL rupture patients when doing single leg movement tasks, including passive knee joint position test and active knee joint position sensation test. The target position of the active knee joint position movement task and the passive knee joint position movement task was 30 degrees of knee flexion. RESULTS: During the passive knee joint position test, there was no significant difference in EEG power spectrum of Delta[F (1, 15)=0.003, P=0.957, ηP2 =0.001], Theta[F (1, 15)=0.002, P=0.962, ηP2 < 0.001], Alpha[F (1, 15)=0.002, P=0.966, ηP2 =0.001], Beta[F (1, 15)=0.008, P=0.929, ηP2 =0.001] at Fz, Cz, and Pz between the affected and unaffected limbs in the ACL patients. During the active knee joint position movement task, the EEG power spectrum of Delta, Theta, Alpha, Beta at Fz and Cz location, on the affected side was significant higher than on the unaffected side. CONCLUSION: This study compared the differences between the ACL rupture side and the unaffected side during active knee position movement task and passive knee position movement task, and identifyied the EEG changes in the power spectrum caused by the ACL rupture, It was found that the central changes caused by unilateral ACL rupture still existed during contralateral (unaffected) side movement. The EEG power spectrum of the affected side during active exercise was significantly higher than that of the unaffected side This study provides new electrophysiological evidence for the study of ACL injury.


Assuntos
Lesões do Ligamento Cruzado Anterior , Ligamento Cruzado Anterior , Eletroencefalografia , Humanos , Articulação do Joelho , Masculino , Percepção , Ruptura
17.
BMC Musculoskelet Disord ; 22(1): 876, 2021 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-34649549

RESUMO

BACKGROUND: The Achilles tendon Total Rupture Score (ATRS) is a widely used patient-reported outcome measure to assess clinical outcomes of Achilles tendon rupture, but it has not been validated in Korean yet. The purpose of this study was to translate the ATRS into Korean and evaluate its reliability and validity in a Korean population. METHODS: The ATRS was translated into Korean according to recommended guidelines for forward-backward translation. Thirty-eight patients who underwent surgical treatment for Achilles tendon rupture from 2017 to 2019 were enrolled. Reliability was evaluated by the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal detectable change (MDC). Construct validity was assessed with Spearman rank correlations with the Korean version of the Foot and Ankle Outcome Score (FAOS) and Numeric Rating Scale (NRS) for pain in daily activity. RESULTS: The Korean translation of the ATRS had excellent test-retest reliability (ICC = 0.84) and acceptable internal consistency (Cronbach's alpha = 0.84). The SEM was 6.61, and the MDC was 18.32 at the individual level and 2.97 at the group level. The Korean translation of the ATRS was strongly correlated with the FASO (r = 0.88). Correlation with the NRS in daily activity (r = - 0.66) was moderate. CONCLUSION: The Korean translation of the ATRS showed sufficient reliability and validity for use in the Korean population. LEVEL OF EVIDENCE: II.


Assuntos
Tendão do Calcâneo , Tendão do Calcâneo/cirurgia , Comparação Transcultural , Humanos , Psicometria , Reprodutibilidade dos Testes , República da Coreia/epidemiologia , Ruptura/cirurgia , Inquéritos e Questionários , Traduções
18.
Medicina (Kaunas) ; 57(10)2021 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-34684110

RESUMO

Background and Objectives: The purpose of this retrospective study was to compare the long-term clinical-functional and ultrasound outcomes of recreational athletes treated with two percutaneous techniques: Ma and Griffith (M&G) and the Tenolig technique (TT). Materials and Methods: recreational athletes, between 18 and 50 years of age, affected by acute Achilles tendon rupture (AATR), treated by M&G or Tenolig techniques were recruited. Clinical-functional outcomes were evaluated using Achilles Tendon Rupture Score (ATRS), AOFAS Ankle-Hindfoot score, VAS (for pain and satisfaction) questionnaires, and ultrasound analysis (focal thickening, hypoechoic areas, presence of calcifications, tendinitis and alteration of normal fibrillar architecture). Results: 90 patients were included: 50 treated by M&G, 40 by TT. In all, 90% of patients resumed sports activities, with pre-injury levels in 56% of cases after M&G and in 60% after TT. In the M&G group, the averages of the questionnaires were ATRS 90.70 points, AOFAS 91.03, VAS satisfaction 7.08, and VAS pain 1.58. In the TT group: ATRS 90.38 points, AOFAS 90.28, VAS satisfaction 7.76, and VAS pain 1.34. The TT group showed a significantly higher satisfaction and return to sport activities within a shorter time. In the M&G group, ultrasound check showed a significantly greater incidence of thickening and an alteration of fibrillar architecture in the treated tendon. Three infections were reported, including one deep after M&G, two superficial in the TT group, and two re-ruptures in the Tenolig group following a further trauma. Conclusions: At long-term follow-up, M&G and TT are both valid techniques for the treatment of AATRs in recreational athletes, achieving comparable clinical-functional results. However, TT seems to have a higher patient satisfaction rate, a faster return to sports and physical activities, and fewer ultrasound signs of tendinitis. Finally, the cost of the device makes this technique more expensive.


Assuntos
Tendão do Calcâneo , Traumatismos dos Tendões , Tendão do Calcâneo/diagnóstico por imagem , Atletas , Humanos , Estudos Retrospectivos , Ruptura/diagnóstico por imagem , Traumatismos dos Tendões/diagnóstico por imagem , Resultado do Tratamento
19.
J Coll Physicians Surg Pak ; 31(11): 1369-1371, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34689502

RESUMO

The aim of this study was to explore the value of magnetic resonance imaging (MRI) in the diagnosis of anterior talofibular ligament injury. Eighty-two patients, diagnosed with anterior talofibular ligament injury by pathological examination after operation, were included. MRI showed that there were 15 cases (18.29%) of complete rupture, 50 cases (60.98%) of tear and 12 cases (14.63%) of avulsion fracture. The accuracy of MRI in the diagnosis of anterior talofibular ligament injury was 93.90% (77 cases). Compared with the pathological examination after operation, the difference was statistically insignificant (p=0.059). The accuracy of MRI in the diagnosis of anterior talofibular ligament injury is high, and it has important clinical value in the early diagnosis of anterior talofibular ligament injury. Key Words: Anterior talofibular ligament, Injury, Magnetic resonance imaging (MRI), Diagnosis.


Assuntos
Traumatismos do Tornozelo , Fraturas Ósseas , Ligamentos Laterais do Tornozelo , Humanos , Ligamentos Laterais do Tornozelo/diagnóstico por imagem , Imageamento por Ressonância Magnética , Ruptura
20.
Urol Clin North Am ; 48(4): 557-563, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34602175

RESUMO

Penile fracture is a urologic injury with an etiology that varies based on the cultural milieu. Diagnosis can be made based on history and physical examination alone. Patients should be evaluated with RUG or cystoscopy when urethral injury is suspected. Ultrasound or MRI is a helpful adjunct when the diagnosis is unclear, and can assist in identifying the location of the rupture. Surgical management is favored over conservative measures to improve outcomes. Delayed surgical repair may not be inferior to immediate intervention.


Assuntos
Pênis/lesões , Humanos , Masculino , Ruptura/diagnóstico , Ruptura/terapia , Resultado do Tratamento
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