Assuntos
Braço/cirurgia , Artrogripose , Perna (Membro)/cirurgia , Adolescente , Artrogripose/complicações , Artrogripose/congênito , Artrogripose/embriologia , Artrogripose/etiologia , Artrogripose/mortalidade , Artrogripose/patologia , Artrogripose/reabilitação , Artrogripose/cirurgia , Artrogripose/terapia , Criança , Pré-Escolar , Pé Torto Equinovaro/complicações , Pé Torto Equinovaro/cirurgia , Anormalidades Congênitas/complicações , Feminino , Humanos , Masculino , Osteotomia , Gravidez , Infecções Respiratórias/complicações , Tálus/cirurgia , Transferência TendinosaRESUMO
Rupture of the pectoralis major muscle in a healthy male weight lifter is described. Complete avulsion of its insertion was surgically repaired by suturing followed by immobilization for 6 weeks. Two years later the patient won a national championship by lifting 455 lb in bench-press, and has recovered full function of the shoulder.
Assuntos
Traumatismos em Atletas/cirurgia , Músculos Peitorais/cirurgia , Adulto , Humanos , Masculino , Músculos Peitorais/lesões , Ruptura , Levantamento de PesoRESUMO
The prime indications for tibial tubercle transfer are 2 or more complete patellar dislocations with trivial trauma or recurrent subluxation with or without pain causing "giving way." A high "Q" angle, flat lateral condyle, aplastic patella or positive apprehension test may be associated but are not always prime indications in surgery. Methods of fixation are of individual preference in this series and a single screw sufficed. An arthrotomy is not always necessary but is suggested if indicated. If the proximal tibial epiphysis is open, corrective measures are suggested that do not involve the extension of the proximal tibial epiphysis into the tibial tubercle. The tubercle should be advanced to compensate for patella alta and lined up with the femoral shaft. Transplantation of the tubercle medially 3/4'' and distally 1/2'' was generally satisfactory in a series of 377 operations with an average follow up of 3 1/2 years.