ABSTRACT
El tratamiento quirúrgico del cáncer de mama puede dejar secuelas tardías tales como escápula alada, pérdida de movilidad articular del hombro, sobrepeso, etc. Basado en lo anterior, el objetivo del presente estudio fue describir las secuelas morfofuncionales en mujeres operadas de cáncer de mama de las regiones de la Araucanía y del Bío-Bío, Chile, explorando también si el procedimiento quirúrgico conllevaría a la presencia de escápula alada. Para ello, se realizó un estudio cuantitativo, observacional y de corte transversal en treinta mujeres operadas de cáncer de mama, de edades comprendidas entre 28 y 76 años (55,67±11,60). Un profesional entrenado evaluó peso, estatura, índice de masa corporal (IMC), índice de cintura cadera (ICC), rangos articulares de hombro (ROM, Range of Movement) y fuerza prensil, aplicándose además la prueba de Hoppenfeld para identificar escápula alada. Los resultados mostraron diferencias significativas en el ROM a la abducción de hombro (p<0,05), correlación significativa positiva de leve (r=0,370) a moderada (r=0,514) entre el ROM del lado afectado tanto para la flexión como la abducción con la fuerza prensil. Destacan, un IMC de 28,91±5,31 kg/m2, un ICC de 0,86±0,06 cm y la presencia de escápula alada en el 36,7 % de las participantes. No se encontró asociación entre el abordaje quirúrgico y la presencia de escápula alada. Hubo secuelas morfo-funcionales en las mujeres en estudio, destacándose las alteraciones en el rango de movimiento del miembro superior, sobrepeso, riesgo cardiovascular y la presencia de escápula alada, sin asociarse al tipo de abordaje quirúrgico.
Surgical treatment of breast cancer can leave late sequelae such as winged scapula, loss of joint mobility of the shoulder, overweight, etc. Based on the above, the objective of the present study was to describe the morpho-functional sequelae in women operated on for breast cancer from the regions of Araucanía and Del BíoBío, Chile, also exploring whether the surgical procedure would lead to the presence of scapula winged. For this, a quantitative, observational and cross-sectional study was conducted in thirty women operated on for breast cancer, aged between 28 and 76 years (55.67 ± 11.60). A trained professional evaluated weight, height, body mass index (BMI), hip waist index (ICC), shoulder joint ranges(ROM, Range of Movement) and prehensile strength, and applied the Hoppenfeld test to identify the winged scapula. The results showed significant differences in the ROM to shoulder abduction (p <0.05), positive significant correlation of mild (r = 0.370) to moderate (r = 0.514) between the ROM of the affected side for both flexion and abduction with prehensile force. Highlights, a BMI of 28.91 ± 5.31 kg / m2, an ICC of 0.86 ± 0.06 cm and the presence of winged scapula in 36.7 % of the participants. No association was found between the surgical approach and the presence of the winged scapula. There were morphofunctional sequelae in the women under study, highlighting the alterations in the range of movement of the upper limb, overweight, cardiovascular risk and the presence of the winged scapula, without being associated with the type of surgical approach.
Subject(s)
Humans , Female , Adult , Middle Aged , Aged , Scapula/pathology , Breast Neoplasms/surgery , Mastectomy/adverse effects , Bones of Upper Extremity/physiopathology , Bones of Upper Extremity/pathology , Postoperative Complications , Scapula/physiopathology , Body Mass Index , Chile , Cross-Sectional Studies , Range of Motion, Articular , Waist-Hip Ratio , OverweightABSTRACT
The high-voltage electrical bums cause an exceedingly high rate of morbidity resulting from the massive necrosis of deeper structures often necessitating major limb amputations. The authors report two rare cases of high-voltage electrical burns occurring accidentally, with a 49 and 19-year-old men, after an indirect contact with a high-voltage line. These high-voltage electrical burus caused massive necrosis and extended necrosis in the upper limb requiring the recourse to a disarticulation the shoulder. The indications and the operative techniques used are discussed
Subject(s)
Humans , Male , Disarticulation , Shoulder/injuries , Burns, Electric/complications , Necrosis , Bones of Upper Extremity/pathologyABSTRACT
A review of all primary tumours and tumour-like lesions of bone diagnosed in patients who attended the University Hospital of the West Indies over a 10-year period revealed 136 cases comprising 69 benign and 54 malignant tumours, and 13 cases of tumour-like lesions. The prevalence and clinical characteristics of the various lesions are discussed and compared with the findings in other series. The results of this analysis provide demographic data useful in the differential diagnosis of bone lesions locally.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Bone Neoplasms/epidemiology , Osteosarcoma , Biopsy , Bone Cysts/epidemiology , Spine/pathology , Ribs/pathology , Child , Age Distribution , Sex Distribution , Retrospective Studies , Histiocytoma, Benign Fibrous/epidemiology , Jamaica/epidemiology , Multiple Myeloma/epidemiology , Bone Neoplasms/diagnosis , Bone Neoplasms/genetics , Bones of Upper Extremity/pathology , Leg Bones/pathology , Genetic Predisposition to Disease/epidemiology , PrevalenceABSTRACT
Os autores apresentam um caso de tumor de células gigantes do osso que recidivou para as partes moles sete anos após o tratamento.