Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 100.588
Filtrar
1.
Urol Clin North Am ; 49(1): 161-173, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34776049

RESUMO

Percutaneous nephrolithotomy (PCNL) remains the treatment of choice for large and complex renal stones. The technological advances over the past several decades gave birth to different varieties of minimally invasive PCNLs, including the mini-PCNL, ultra-mini PCNL, super mini-PCNL, and micro-PCNL, with indications being extended to stones even larger than 20 mm. This article provides an update of all these available techniques of miniaturized PCNL along with its anatomic and physiologic impact. This should assist urologists in providing a personalized approach to the patient based on various patient- and stone-related factors to provide the best of all available technology for treatment.


Assuntos
Cálculos Renais/cirurgia , Nefrolitotomia Percutânea/instrumentação , Nefrolitotomia Percutânea/métodos , Animais , Cicatriz/etiologia , Humanos , Rim/lesões , Miniaturização , Nefrolitotomia Percutânea/efeitos adversos , Complicações Pós-Operatórias/etiologia , Guias de Prática Clínica como Assunto , Ferida Cirúrgica/etiologia
2.
Facial Plast Surg Clin North Am ; 30(1): 31-45, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34809885

RESUMO

The bony orbit is commonly involved in athletic injuries. Evaluation should include a comprehensive history and ocular examination. Computed tomography imaging is the gold standard for diagnostic testing. Urgent surgical intervention for orbital floor fractures should occur after "white eye" trapdoor fractures or if oculocardiac response occurs. Most orbital fractures do not require urgent intervention and repair can be completed within 2 weeks of injury. There are many approaches to repair orbital fractures, and consideration of techniques depends on the unique fracture pattern. Intraoperative computed tomography has become frequently used and can lead to increased identification of plate malpositioning intraoperatively.


Assuntos
Traumatismos em Atletas , Fraturas Orbitárias , Traumatismos em Atletas/diagnóstico por imagem , Traumatismos em Atletas/cirurgia , Ossos Faciais , Humanos , Órbita/lesões , Fraturas Orbitárias/diagnóstico por imagem , Fraturas Orbitárias/cirurgia , Tomografia Computadorizada por Raios X
3.
J Med Virol ; 94(1): 7-10, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34506635

RESUMO

Hepatitis, a significant cause of mortality worldwide, results in around 1.34 million deaths each year globally. Africa is not exempt from the plague of Hepatitis. Around 100 million estimated individuals are infected with Hepatitis B or C. Egypt has the highest prevalence of cases of Hepatitis followed by Cameroon and Burundi. The continent is severely affected by the onset of the COVID-19 pandemic, as the virus has added an additional burden on the already fragile continent. With the pandemic, it is presumable that Hepatitis like other viral diseases will pose a threat to collapsing healthcare system. Therefore, for Africa to become more resilient in the face of such menaces, including Hepatitis, further prevention policies are required to be implemented.


Assuntos
COVID-19/epidemiologia , Acesso aos Serviços de Saúde , Hepatite B Crônica/epidemiologia , Hepatite C Crônica/epidemiologia , Países em Desenvolvimento , Egito/epidemiologia , Hepacivirus/patogenicidade , Vírus da Hepatite B/patogenicidade , Hepatite B Crônica/prevenção & controle , Hepatite B Crônica/terapia , Hepatite C Crônica/prevenção & controle , Hepatite C Crônica/terapia , Humanos , Fígado/lesões , Fígado/patologia , Fígado/virologia , Prevalência , SARS-CoV-2
4.
Ortop Traumatol Rehabil ; 23(5): 341-348, 2021 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-34734565

RESUMO

BACKGROUND: Acetabular fractures are rare in children, constituting approximately 1-4.6% of all paediatric fractures. MATERIAL AND METHODS: Nine patients (4 girls and 5 boys) with a mean age of 14.5 years (range, 12-16.5 years) were treated due to acetabular fractures between 2000 and 2020. Most of the fractures were caused by road accidents. Before the patients were qualified for treatment, they underwent a CT scan (all patients) and an MRI scan (8 patients) of the hip. Surgical treatment was used in 6 patients while the other 2 were managed conservatively. RESULTS: Mean follow-up period was 6.2 years (range, 2-10 years). Bone union was achieved in all patients after 76 days on average (range, 65-90 days). The mean Merle d'Aubigne score at 12 months after treatment was 17.1 points (range, 13-18 points). CONCLUSIONS: The treatment of acetabular fractures in paediatric patients during or after puberty may be the same as in adults. An MRI scan of the hip joint is recommended for assessing the fracture, particularly the triradiate cartilage.


Assuntos
Fraturas Ósseas , Fraturas do Quadril , Fraturas da Coluna Vertebral , Acetábulo/diagnóstico por imagem , Acetábulo/lesões , Acetábulo/cirurgia , Adolescente , Adulto , Criança , Feminino , Fixação Interna de Fraturas , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/cirurgia , Articulação do Quadril , Humanos , Masculino , Resultado do Tratamento
5.
Medicine (Baltimore) ; 100(41): e27496, 2021 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-34731131

RESUMO

ABSTRACT: Using animal models and molecular biology researches, hyperuricemia has been shown to instruct renal arteriolopathy, arterial hypertension, and microvascular injury involving the renin-angiotensin system and resulting in renal function impairment. Nevertheless, the association between uric acid levels and the development of albuminuria has been under-investigated in patients with type 2 diabetes mellitus. Patients with type 2 diabetes and regular outpatient visits were recruited from the Puli Branch of the Taichung Veterans General Hospital in Taiwan since January 2014. Demographics, lifestyle features, and medical history were gathered by well-trained interviewers. All participants underwent comprehensive physical examinations, including a biochemical assay of venous blood specimens and urine samples after an 8-hour overnight fast. Participants were followed until June 2018. The primary outcome was the albuminuria incidence. Univariable and multivariable Cox regression analysis were employed to explore the relation between uric acid and incident albuminuria. Uric acid cutoffs for incident albuminuria were determined with the receiver operator characteristic curve. We included 247 qualified subjects (mean age: 64.78 years old [standard deviation = 11.29 years]; 138 [55.87%] men). During a 4.5-year follow-up duration, 20 subjects with incident albuminuria were recognized. Serum uric acid was significantly associated with an increased risk of incident albuminuria (adjusted hazard ratio = 2.39; 95% confidence interval: 1.53-3.75; P < .001) with potential confounders adjustment. The uric acid cutoff point was 6.9 mg/dL (area under the curve 0.708, sensitivity 60.0%, specificity 84.58%) for incident albuminuria. Serum uric acid was associated with incident albuminuria among patients with type 2 diabetes.


Assuntos
Albuminúria/epidemiologia , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/urina , Ácido Úrico/sangue , Idoso , Albuminúria/etiologia , Animais , Estudos de Coortes , Diabetes Mellitus Tipo 2/complicações , Nefropatias Diabéticas/complicações , Feminino , Humanos , Hipertensão/complicações , Hiperuricemia/complicações , Incidência , Masculino , Camundongos , Microvasos/lesões , Pessoa de Meia-Idade , Modelos Animais , Insuficiência Renal/etiologia , Sistema Renina-Angiotensina/fisiologia , Fatores de Risco , Taiwan/epidemiologia
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
7.
Am J Forensic Med Pathol ; 42(4): 318-323, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34793408

RESUMO

ABSTRACT: When investigating deaths due to stab wounds, a common question asked to the forensic pathologist concerns the force required to inflict a given wound.In this study, tests were performed on 6 human cadavers. A material testing machine was used to produce the stab wounds and to record the force required to penetrate skin, muscle, cartilage, and rib bone of the chest. Three different blades were used: a steak knife, a butcher knife, and a lock-blade knife. On each cadaver, chest injuries were produced at the following locations: (a) skin, intercostal soft tissues; (b) skin, muscle, and cartilage; and (c) skin, muscle, and bone. After the experiment, a chest dissection was performed to confirm the correct locations of the produced stab wounds.The force required to insert a knife into cartilage or bone was significantly greater than the force to insert it into a region only covered by skin. There was wide variation in the force required to insert a knife into different bodies, but no force for any knife at any location for all bodies was greater than 261 N.This study allowed us to obtain quantitative measures of the force required to penetrate human chest tissues, removing subjective factors.


Assuntos
Armas , Ferimentos Perfurantes , Osso e Ossos , Cadáver , Humanos , Pele/lesões
8.
J Coll Physicians Surg Pak ; 31(12): 1513-1515, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34794301

RESUMO

Subclavian and proximal axillary arterial injuries are rare and difficult to manage. Eight patients were managed from January 2008 to December 2018 at The Aga Khan University Hospital, Karachi, Pakistan with mean age of 36.13 ± 14.48 years. All patients had penetrating injuries, from gunshot in 5 (62.5%), bomb blast in 2 (25%), and stab wound in 1 (12.5%) case. Six (75%) patients presented in haemodynamically stable condition. The mean time between the injury and patient presentation was 28 ± 8.39 hours. The injuries were approached via supraclavicular incision in 3 (37.5%) patients, infraclavicular incisions in 2 (25%) patients and median sternotomy in 2 (25%) patients. Three (37.5%) patients had false aneurysm, while 5 (62.5%) had transected artery. Primary repair was performed in 2 (25%) cases, while 6 (75%) patients were treated with interposition graft with polytetrafluoroethylene (PTFE). All patients have salvaged limbs with good functional outcomes.  Key Words: Subclavian artery, Penetrating injury, Vascular trauma, Vascular repair.


Assuntos
Lesões do Sistema Vascular , Ferimentos Penetrantes , Ferimentos Perfurantes , Adulto , Artéria Axilar/lesões , Artéria Axilar/cirurgia , Humanos , Pessoa de Meia-Idade , Artéria Subclávia/lesões , Artéria Subclávia/cirurgia , Lesões do Sistema Vascular/cirurgia , Ferimentos Penetrantes/cirurgia , Ferimentos Perfurantes/cirurgia , Adulto Jovem
9.
Ann Ital Chir ; 92: 518-520, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34795113

RESUMO

We report the case of a patient who presented after a motorcycle accident a grade IV kidney lesion primarily treated with a NOM, which failed. We discuss the possibility at admission to select a subgroup of patients with a high grade (IV and V) kidney trauma in whom NOM might fail. KEY WORDS: Kidney Trauma, High grade renal trauma, Non operative management.


Assuntos
Tratamento Conservador , Ferimentos não Penetrantes , Acidentes , Humanos , Escala de Gravidade do Ferimento , Rim/lesões , Motocicletas , Estudos Retrospectivos , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/terapia
10.
Kyobu Geka ; 74(12): 1024-1027, 2021 Nov.
Artigo em Japonês | MEDLINE | ID: mdl-34795147

RESUMO

Although the efficacy of thoracic endovascular aortic repair( TEVAR) for blunt thoracic aortic injury (BTAI) has been reported, the determination of the proper endograft size for TEVAR in BTAI cases is yet to be established. The management of BTAI by TEVAR may not be effective if a wrong endograft size is selected, possibly leading to fatal outcomes. In this case report, a hemodynamically unstable patient with BTAI was saved by TEVAR, and the preoperative and postoperative changes in the aortic diameter were compared. In TEVAR for BTAI, the effects of hemodynamic instability should be considered and the appropriate device size should be determined based on blood pressure, pulse, and inferior vena cava diameter.


Assuntos
Implante de Prótese Vascular , Procedimentos Endovasculares , Traumatismos Torácicos , Lesões do Sistema Vascular , Ferimentos não Penetrantes , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/lesões , Aorta Torácica/cirurgia , Prótese Vascular , Humanos , Estudos Retrospectivos , Traumatismos Torácicos/diagnóstico por imagem , Traumatismos Torácicos/cirurgia , Resultado do Tratamento , Lesões do Sistema Vascular/cirurgia , Ferimentos não Penetrantes/diagnóstico por imagem , Ferimentos não Penetrantes/cirurgia
11.
J Trauma Nurs ; 28(6): 386-394, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34766933

RESUMO

BACKGROUND: To improve care for nonintubated blunt chest wall injury patients, our Level I trauma center developed a treatment protocol and a pulmonary evaluation tool named "PIC Protocol" and "PIC Score," emphasizing continual assessment of pain, incentive spirometry, and cough ability. OBJECTIVE: The primary objective was to reduce unplanned intensive care unit admissions for blunt chest wall injury patients using the PIC Protocol and the PIC Score. Additional outcomes included intensive care unit length of stay, ventilator days, length of hospital stay, inhospital mortality, and discharge destination. METHODS: This was a retrospective cohort study comparing outcomes of rib fracture patients treated at our facility 2 years prior to (control group) and 2 years following PIC Protocol use (PIC group). The protocol included admission screening, a power plan order set, the PIC Score patient assessment tool, in-room communication board, and patient education brochure. Outcomes were compared using independent-samples t tests for continuous variables and Pearson's χ2 for categorical variables with α set to p < .05. RESULTS: There were 1,036 patients in the study (control = 501; PIC = 535). Demographics and injury severity were similar between groups. Unanticipated escalations of care for acute pulmonary distress were reduced from 3% (15/501) in the control group to 0.37% (2/535) in the PIC group and were predicted by a preceding fall in the PIC Score of 3 points over the previous 8-hr shift, marking pulmonary decline by an acutely falling PIC Score. CONCLUSIONS: The PIC Protocol and the PIC Score are easy-to-use, cost-effective tools for guiding care of blunt chest wall injury patients.


Assuntos
Fraturas das Costelas , Traumatismos Torácicos , Parede Torácica , Ferimentos não Penetrantes , Humanos , Escala de Gravidade do Ferimento , Tempo de Internação , Estudos Retrospectivos , Fraturas das Costelas/diagnóstico , Fraturas das Costelas/terapia , Traumatismos Torácicos/diagnóstico , Traumatismos Torácicos/terapia , Parede Torácica/lesões , Ferimentos não Penetrantes/diagnóstico , Ferimentos não Penetrantes/terapia
12.
J Hand Surg Asian Pac Vol ; 26(4): 734-737, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34789112

RESUMO

Avulsions of the flexor digitorum profundus (FDP) tendon and phalanx fractures are both common injuries for rugby players, but these concurrent injuries in the same finger have not been previously described. This case describes a 20-year-old female rugby player who sustained a right ring finger comminuted, mildly displaced middle phalanx fracture. The patient was evaluated by a hand surgeon 3 weeks after the injury, and non-operative management with a splint was elected. One week later, upon further examination, the patient demonstrated persistent inability to flex the distal interphalangeal joint (DIPJ) of the ring finger. Ultrasound was inconclusive but an MRI demonstrated avulsion of the FDP tendon from the distal phalanx, consistent with a jersey finger injury. The patient subsequently underwent open repair of the FDP tendon. This case illustrates the importance of careful physical exam and index of suspicion for coexisting injuries.


Assuntos
Traumatismos dos Dedos , Falanges dos Dedos da Mão , Futebol Americano , Traumatismos dos Tendões , Adulto , Feminino , Traumatismos dos Dedos/diagnóstico por imagem , Traumatismos dos Dedos/cirurgia , Falanges dos Dedos da Mão/diagnóstico por imagem , Falanges dos Dedos da Mão/lesões , Falanges dos Dedos da Mão/cirurgia , Humanos , Traumatismos dos Tendões/diagnóstico por imagem , Traumatismos dos Tendões/cirurgia , Tendões , Adulto Jovem
13.
Jt Dis Relat Surg ; 32(3): 729-735, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34842106

RESUMO

OBJECTIVES: This study aims to evaluate the role of arthroscopy in the diagnosis of concomitant injuries, to investigate the relationship between comminution and concomitant injuries, and to analyze the effect of concomitant injuries on functional outcomes in acute and subacute scaphoid fracture. PATIENTS AND METHODS: Between January 2011 and September 2018. A total of 32 acute scaphoid fracture patients (29 males, 3 females; mean age: 30±12 years; range, 18 to 65 years) were retrospectively analyzed. None of them had an obvious ligament injury in the radiological assessment. Functional outcomes were compared between concomitant and non-concomitant injuries and between comminuted and non-comminuted injuries. The percentage of range of motion (ROM), grip, and pinch strength were recorded according to the contralateral extremity to detect the restriction rate. The Mayo Wrist Score (MWS), the Turkish version of the Quick Disability of the Arm, Shoulder, and Hand (Q-DASH) and Patient-Rated Wrist Evaluation (PRWE) questionnaires were used to evaluate the functional results. Subjective pain was assessed using the Visual Analog Scale (VAS). The relationship between concomitant injuries and comminution was investigated. RESULTS: There were 13 patients with comminuted fractures. Concomitant injuries were diagnosed in 17 patients. The presence of concomitant injuries was higher in comminuted fractures than in non-comminuted fractures. There was no significant difference between the groups in ROMs. The final follow-up Q-DASH, PRWE, MWS, and VAS scores and the pinch strength of non-comminuted fractures were found to be statistically better than those of comminuted fractures. There were statistically worse Q-DASH, PRWE, MWS, and VAS scores in patients with concomitant injuries. CONCLUSION: Arthroscopic scaphoid fracture surgery allows the diagnosis and treatment of concomitant lesions. The functional outcomes of concomitant lesions and comminuted fractures seem to be worse than those of others, while the ROM is comparable.


Assuntos
Fraturas Ósseas , Fraturas Cominutivas , Osso Escafoide , Lesões dos Tecidos Moles , Adolescente , Adulto , Artroscopia , Estudos de Casos e Controles , Feminino , Fraturas Ósseas/diagnóstico , Fraturas Ósseas/cirurgia , Fraturas Cominutivas/cirurgia , Humanos , Masculino , Estudos Retrospectivos , Osso Escafoide/lesões , Osso Escafoide/cirurgia , Adulto Jovem
14.
Jt Dis Relat Surg ; 32(3): 804-809, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34842118

RESUMO

Although coracoid fractures are rare fractures, their treatment is critical as they form the coracoacromial arch and superior shoulder suspensory complex (SSSC), which are important structures for shoulder biomechanics. In this case series, clinical, radiological, and demographic characteristics of three male patients who received treatment due to coracoid fracture presenting with traumatic injuries were discussed. The fractures were classified according to the Ogawa and Eyres classifications, and fracture fixation was achieved surgically with the cannulated screws. All patients had a right coracoid fracture. The Constant-Murley Score and the Disabilities of the Arm, Shoulder and Hand scores the patients in the final follow-up visit at 12 months were calculated. In conclusion, good clinical and functional outcomes can be achieved by anatomical reduction and fixation through surgery for displaced coracoid fractures presenting with multiple traumatic injuries located in multiple regions of the SSSC.


Assuntos
Articulação Acromioclavicular , Fraturas Ósseas , Traumatismo Múltiplo , Articulação Acromioclavicular/lesões , Fixação Interna de Fraturas , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/cirurgia , Humanos , Masculino , Ombro
15.
Sud Med Ekspert ; 64(6): 34-38, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34814643

RESUMO

THE OBJECTIVE OF THE WORK: Is to study the morphological and morphometric variations of the hyoid bone in the population of the Tver region. One hundred adult hyoid bone samples were taken from 63 males and 37 females. Morphological and morphometric variations of the hyoid bone were determined. Six types of hyoid bone were identified: U-shaped - 25 bones (25%); H-shaped - 3 bones (3%); B-shaped - 48 bones (48%); D-shaped - 14 bones (14%); V-shaped - 2 bones (2%); HK-shaped - 8 bones (8%). The width, length, and the largest transverse axis were 42.44; 36.49, and 35.6 mm, respectively. Morphological differences of the hyoid bones of the Tver region population compared to other populations were found. Anatomical variations and dimensions of the hyoid bone are important for practical forensic medicine.


Assuntos
Fraturas Ósseas , Lesões do Pescoço , Adulto , Osso e Ossos , Feminino , Medicina Legal , Humanos , Osso Hioide/lesões , Masculino
16.
BMC Musculoskelet Disord ; 22(1): 958, 2021 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-34789227

RESUMO

BACKGROUND: Despite being a common overuse entity in youth soccer, scientific data on risk factors, rehabilitation and return to play for long-standing pubic-related groin pain is still rare. The current prospective cohort study aims to evaluate potential risk-factors, propose a criteria-based conservative rehabilitation protocol and assess return-to-play outcomes among professional youth soccer players suffering from long-standing pubic-related groin pain. METHODS: Male soccer players with long-standing (> 6 weeks) pubic-related groin pain from a professional soccer club's youth academy were analyzed for possible risk factors such as age, team (U12 - U23), younger/older age group within the team, position and preinjury Functional movement score. All injured players received a conservative, standardized, supervised, criteria-based, 6-level rehabilitation program. Outcome measures included time to return to play, recurrent groin pain in the follow-up period and clinical results at final follow-up two years after their return to play. RESULTS: A total of 14 out of 189 players developed long-standing pubic-related groin pain in the 2017/2018 season (incidence 7.4%). The average age of the players at the time of the injury was 16.1 ± 1.9 years. Risk factor analysis revealed a significant influence of the age group within the team (p = .007). Only players in the younger age group were affected by long-standing pubic-related groin pain, mainly in the first part of the season. Injured players successfully returned to play after an average period of 135.3 ± 83.9 days. Only one player experienced a recurrence of nonspecific symptoms (7.1%) within the follow-up period. The outcome at the 24-month follow-up was excellent for all 14 players. CONCLUSIONS: Long-standing pubic-related groin pain is an overuse entity with a markedly high prevalence in youth soccer players, resulting in a relevant loss of time in training and match play. In particular, the youngest players in each team are at an elevated risk. Applying a criteria-based rehabilitation protocol resulted in an excellent return-to-play rate, with a very low probability of recurrence. TRIAL REGISTRATION: The trial was retrospectively registered under DRKS00016510 in the German Clinical Trials Register on 19.04.2021.


Assuntos
Traumatismos em Atletas , Futebol , Adolescente , Idoso , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/epidemiologia , Virilha/lesões , Humanos , Masculino , Dor , Estudos Prospectivos , Volta ao Esporte , Fatores de Risco
17.
Curr Sports Med Rep ; 20(11): 584-587, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34752431

RESUMO

ABSTRACT: Myositis ossificans traumatica (MOT) is a self-limiting and self-resolving pathology. In most cases, conservative treatment is chosen as the first step. Surgical treatment is reserved for cases of failure of conservative treatment with persistence of pain and mass. The case presented concerns an 18-year-old soccer player suffering from bilateral adductor longus (AL) MOT results following two different sports injuries. The patient reports the appearance of swelling and palpable mass at the proximal and medial region of the thigh, about 2 cm from the pubic symphysis, along the course of the adductor magnus. The radiological investigation showed the presence of a calcification along the course of the right and left AL muscles. Surgical treatment was considered for the right thigh injury, being symptomatic 1 year after the onset and refractory to other treatments. At 3 months of follow-up, the patient was asymptomatic and completed the rehabilitation program for the recovery of muscle strength and range of motion (ROM). In cases where MOT manifests with resistant pain, ROM restriction and daily activity reduction, surgical excision is the preferred option.


Assuntos
Traumatismos em Atletas , Miosite Ossificante , Futebol , Adolescente , Traumatismos em Atletas/diagnóstico por imagem , Traumatismos em Atletas/cirurgia , Humanos , Músculo Esquelético/lesões , Miosite Ossificante/diagnóstico por imagem , Coxa da Perna/lesões
18.
Surg Clin North Am ; 101(6): 1111-1121, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34774272

RESUMO

As care of the injured patient continues to evolve, new surgical technologies and new resuscitative therapies can change the algorithms that drive trauma care. In particular, the advent of resuscitative endovascular balloon occlusion of the aorta has changed the way trauma surgeons treat patients in extremis. The science of resuscitation continues to evolve, leading to controversy about the optimal administration of fluid and blood products. Laparoscopy has given additional tools to the trauma surgeon to potentially avoid exploratory laparotomy, and rib fracture fixation can be beneficial in the proper patient.


Assuntos
Aorta/lesões , Oclusão com Balão , Costelas/cirurgia , Choque Hemorrágico/terapia , Toracotomia/métodos , Lesões do Sistema Vascular/cirurgia , Oclusão com Balão/métodos , Tratamento de Emergência , Procedimentos Endovasculares , Humanos , Laparoscopia , Laparotomia , Costelas/lesões , Choque Hemorrágico/etiologia , Lesões do Sistema Vascular/terapia
19.
BMJ Case Rep ; 14(11)2021 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-34799386

RESUMO

Hamstring injuries are the most common muscle injuries in elite football. Injuries involving the intramuscular tendon are considered more significant, with longer return to play (RTP) times and an increased risk of reinjury. MRI is the gold standard investigation for muscle injuries, but initial findings cannot accurately determine RTP times. The role of MRI in monitoring muscle and tendon healing is not well described. We present three cases of hamstring injuries with intramuscular tendon involvement, illustrating the changes seen on MRI during progressive tendon healing and describing how we utilised this information to inform safe rehabilitation progression. We conclude that intramuscular hamstring tendon healing can be accurately seen on sequential MRI scans and that this information, when combined with traditional rehabilitation markers in and elite sport environment, can be utilised by clinicians to determine the earliest but safe RTP.


Assuntos
Traumatismos em Atletas , Músculos Isquiossurais , Traumatismos da Perna , Relesões , Traumatismos em Atletas/diagnóstico por imagem , Traumatismos em Atletas/prevenção & controle , Músculos Isquiossurais/diagnóstico por imagem , Músculos Isquiossurais/lesões , Humanos , Traumatismos da Perna/diagnóstico por imagem , Imageamento por Ressonância Magnética , Volta ao Esporte
20.
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
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...