ORTOPEDIA E TRAUMATOLOGIA PDF
Request PDF on ResearchGate | On Jan 1, , C.R. Schwartsmann and others published Ortopedia e traumatologia: Princípios e prática 4. Ed. Porto Alegre. PDF | On Nov 4, , Gilberto Luis Camanho and others published The Sociedade Brasileira de Ortopedia e Traumatologia turns ortopedia e traumatologia - sizinio hebert 2a pixia-club.info - Ebook download as PDF File .pdf) or read book online.
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Complications, such as injury to the axillary nerve, vascular compromise, and iatrogenic fracture attributable to the reduction method, were also noted. Results The patients were treated in the orthopaedic room at time zero by one of us, after which diagnosis was confirmed by clinical examination and radiographic evaluation with use of antero-posterior and axillary radiographs.
The patient was informed briefly about the method of reduction while lying in the supine position. No sedative or any opiate analgesic was needed for 25 patients None of the patients encountered any complication including the patients requiring sedation. None of them had concomitant fractures and in 18 patients a Hill-Sachs lesion was recorded.
The method was unsuccessful in two patients with subglenoid dislocation.
Neither of them had previously dislocated the shoulder. The dislocations were subsequently reduced, with the patient under narcosis, with use of the traditional method.
Revista Colombiana de Ortopedia y Traumatología
Of the six patients treated with premedication, three had a successful reduction and reported mild or moderate pain. Of the 25 patients treated without premedication who had a successful reduction six patients reported severe pain. All patients with a history of recurrent dislocation of the shoulder Discussion Recently, Kuhn [ 8 ] presented the best available evidence to answer questions regarding the treatment of patients with an initial anterior shoulder dislocation, reporting that, of the many methods to reduce the dislocated shoulder, little data exist to identify the best method and that premedication with intra-articular lidocaine has fewer complications and requires a shorter time in the emergency room than intravenous sedation, with no detectable differences in reduction success rates.
In the literature numerous techniques for treating anterior shoulder dislocation have been reported, such as traction—countertraction, and the Milch [ 10 ] and modified Stimson [ 11 ] manoeuvres. More traditional techniques Hippocratic method and the Kocher manoeuvre are no longer recommended because of a high incidence of associated complications, such as axillary nerve injury, humeral shaft and neck fractures, and capsular damage [ 14 ].
Because ideal reduction methods should be quick and effective, painless reduction of acute anterior shoulder dislocations without anesthesia gained popularity. Baykal [ 16 ] and colleagues reported the experiences of using the scapular manipulation technique to reduce traumatic anterior shoulder dislocations.
They reported a success rate of All 76 shoulders were reduced on first attempt. No anesthesia was used, and no complications were reported from the reduction manoeuvre.
Our success rate is similar to that reported by Mirick [ 12 ] and Eachempati [ 18 ]. Finally, external rotation was used to neutralize the medially directed contraction force of the subscapularis and the pectoralis major muscle [ 20 ]. Various methods of anesthesia are available for reduction. However, in our series, in 25 patients who had a dislocation for the first time According to studies, the extra bones can generate cardiopulmonary complications, especially when in association with a state of flu or infection.
For this reason, all infections must be treated aggressively in these patients.
Some patients may present right ventricular overload on account of the pulmonary hypertension that they develop, the so-called Cor Pulmonale 3.
The evident radiological signs of FOP are abnormal calcifications both in fingers and in toes, generating bone malformations and trabeculae. The presence of hallux valgus and other alterations of this toe is also relevant. Moreover, there have been reports of spinal fusion and the presence of osteochondromas in these patients 4.
Such clinical manifestations were associated with the rigid spine profile, and the patient remained under outpatient supervision. After seeing several specialists at different centers, she was reassessed and a full skeleton radiography was requested. Hence the diagnosis of fibrodysplasia ossificans progressiva FOP was confirmed six years after the first diagnostic hypothesis, and 10 years after the onset of symptoms.
However, before the diagnostic conclusion, the patient underwent physiotherapy, dental and anesthetic procedures that instead of producing benefits, promoted some ossifications. As regards family history, no similar cases or cases that could be related to the abovementioned disease were observed.
The neglected clubfoot.
Revista Chilena de Ortopedia y Traumatología
Techn Orthop. J Pediatr Orthop B.
Correction of the neglected clubfoot by the Ilizarov method. Clin Orthop Relat Res.
Ilizarov technique for complex foot and ankle deformities. El-Sayed M.
Hm... Are You a Human?
Foot Ankle Surg. Differential distraction for relapsed clubfoot deformity in children. J Orthop Surg Hong Kong. Correction of 8. J Foot Ankle Surg. Arch Orthop Trauma Surg. Ahmed AA. The use of the Ilizarov method in management of relapsed club foot. Foot Ankle Int.
Assessment of percutaneous V osteotomy of the calcaneus with Ilizarov application for correction of complex foot deformities. Acta Orthop Belg. Can selective soft tissue release and cuboid osteotomy correct neglected clubfoot? Resistant clubfoot deformities managed by Ilizarov distraction histogenesis.Ahmed AA.
Emerg Med — Google Scholar Differential distraction for relapsed clubfoot deformity in children. ERM was applied to these patients by one full-time orthopaedic surgeons.
Multiplanar deformity often hinders a precise radiological evaluation of many of these deformities, requiring subsequent assessments during gradual correction. Of the 25 patients treated without premedication who had a successful reduction six patients reported severe pain. Right anterior shoulder dislocation was diagnosed in 22 Despite the small sample size, these authors observed good clinical and functional results, with a reduction of Again, it is necessary to list priorities, the severity of the deformity, and type of mounting.
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