Reconstrucción de ligamento cruzado anterior de rodilla en mujeres deportistas / Anterior cruciate ligament reconstruction in female athletes

Actualmente ha habido un aumento en la práctica deportiva de la población femenina, fundamentalmente en deportes de contacto. Si comparamos con los hombres que practican el mismo deporte, las mujeres tienen hasta 8 veces mayor riesgo de rotura del LCA. Aún hay disparidad en los estudios de incidencia y las aproximaciones en relación a la etiología de esta diferencia necesitan más nivel de evidencia. Sin embargo la consolidación de la resolución quirúrgica de esta patología en todo tipo de atletas, permitiéndole el retorno precoz a la actividad competitiva, no está en discusión.Varias técnicas reconstructivas así como la elección del injerto son sujeto actual de investigación. Consideramos que una aproximación interesante en esta población es el énfasis en la prevención, fundamentalmente en la de tipo neuro muscular propioceptiva, que ha demostrado bajar la incidencia de lesiones del LCA en atletas mujeres.

Currently has increased the practice sports of the female population, especially in contact sports. If compared with men who practice the same sport, women have up to 8 times greater risk of ACL rupture. There are still disparities in incidence studies and approaches related to the etiology of this difference needed more level of evidence. However the consolidation of the surgical resolution of this pathology in all types of athletes, allowing early return to competitive activity, isn't under discussion. Several reconstructive techniques aswell as the choice of graft are actually a research subject. We believe that an interesting approximation in this population is the emphasis on prevention, mainly in neuromuscular and proprioceptive, which has shown to lower the incidence of ACL injuries in female athletes.

Sindrome de Eagle en otorrinolaringología / Eagle syndrome in otolaryngology

Eagle syndrome is characterized by recurrent clinical symptoms like globus, dysphagia and odynophagia, which can be explain by an abnormal elongation of the Estiloid Apophysis or the calcification of the estilohioid ligament. It affects in equal proportion to men and women, being most common in people older than 50 years. Its importance is that it appears as a differential diagnosis compared with other causes of cervicofacial pain, being its election treatment, the surgical resection of the Estiloid apophysis. The following is a review of the literature and a clinical case of a 44 years old man, who consulted with a history of 6 months of odynophagia, foreign body sensation and cervicalgia. After the clinical, endoscopic and the complementary study of images evaluation, it was concluded that this was an Eagle Syndrome.