Trauma torácico, prevención en el área laboral y conducta en las instituciones sanitarias / Thoracic trauma, prevention in the working area and behavior at the health institutions

El trauma constituye uno de los problemas más grandes de la sociedad moderna y especialmente el torácico ocupa un lugar importante con respecto a la mortalidad. Se realizó una revisión bibliográfica sobre el trauma torácico, la incidencia, evaluación y pronóstico de las lesiones, con el propósito de actualizar los conocimientos sobre su tratamiento en las instituciones sanitarias y promover medidas que disminuyan la incidencia de estos en los centros laborales(AU)

Trauma is one of the biggest problems in modern society and the thoracic trauma occupies an important place as regards mortality. A bibliographical revision about thoracic trauma, its update, incidence, evaluation and prognosis of the injuries was made in order to update the knowledge about its treatment at the health institutions and to improve measures that reduce its incidence at the working centers(AU)

Lesões musculoesqueléticas na temporada de 2006 em atletas da seleção brasileira feminina principal de canoagem velocidade / Musculoskeletal injuries in athletes of the 2006 season's Brazilian women's speed canoeing team

OBJETIVO: Este estudo objetivou analisar a incidência, o tipo, a etiologia e a localização anatômica das lesões musculoesqueléticas na Seleção Brasileira de Canoagem Velocidade Feminina na Temporada de 2006. METODOLOGIA: Participaram do estudo as oito atletas da seleção, com média de idade de 19,50 anos (± 3,78); massa corporal média de 58,67 kg (± 5,44) e estatura média de 162,00 cm (± 4,00). RESULTADOS: Após a análise dos dados, obteve-se o índice de 5,06 lesões por atleta a cada 1000 horas de atividade esportiva. Observou-se também que 87,50 por cento das atletas foram acometidas por lesões, com um total de 82,05 por cento de casos reincidentes. As lesões mais freqüentes foram: contratura muscular (48,72 por cento) e tendinite (23,08 por cento). O tronco (56,41 por cento), principalmente na região torácica e tóraco-lombar, e os MMSS (41,03 por cento), principalmente no ombro, foram as regiões mais acometidas. CONCLUSÃO: Por conseqüência do gesto esportivo, a etiologia das lesões foi de origem atraumática devido principalmente a sobrecarga das estruturas anatômicas. Acreditamos que com a caracterização das lesões nesta modalidade esportiva, a fisioterapia desportiva poderá realizar um trabalho preventivo focado nas lesões específicas encontradas, com o objetivo que diminuir sua incidência e reincidência.

OBJECTIVE: This study aimed to assess the incidence, kind, etiology and anatomical site of musculoskeletal injuries of athletes of the Brazilian Women's Speed Canoeing Team for the 2006 season. METHODOLOGY: All eight athletes of the main team participated on the study. Their mean age was 19.50 years (± 3.78); mean body mass of 58.67 kg (± 5.44) and mean height of 162.00 cm (± 4.00). RESULTS: After the analysis of data, a rate of 5.06 injuries/ athlete/ 1000 hours of sports practice was found. We also found that 87.50 percent of the athletes experienced injuries, totaling 82.05 percent of recurrences. -The most common injuries seen were: muscle contraction (48.72 percent) and tendonitis (23.08 percent). The trunk (56.41 percent), particularly the thoracic and thoracolumbar region, and the UULL (41.03 percent), particularly the shoulder, were the areas that were shown to be most frequently affected. CONCLUSION: As a result of the sportive gesture, the etiology of injuries was non-traumatic especially due to overload of anatomical structures. We believe that with the characterization of injuries in this sport activity, it will be possible for sportive physical therapy to develop a preventive work focused to the specific injuries found with the purpose of reducing their incidence and recurrence rates.

Patterns of adult chest injuries and suggestions for prevention at King Hussein Medical Centre in Jordan

To identify common causes of adult chest injuries among patients admitted to King Hussein Medical Center [KHMC] in Jordan and to review methods of prevention. A retrospective analysis of ninety cases of chest trauma above the age of 17 years, for a period of 30 months, from January 1999 to June 2001 admitted to KHMC. Analysis included their age, sex, associated medical illnesses, history of smoking, causes of injuries, chest injuries, associated other organs injuries, days of hospital stay, management, mortality and morbidity. The total numbers of patients were ninety, their mean age was 34.1 years ranging from [17-70] years. 77[85.6%] were adult males and 13[14.4%] were females. Road traffic accidents were the most common cause of injuries in 69 [76.6%], followed by firearm injuries in 16 [17.2%], iatrogenic due to central venous cannulation in 5[5.6]. their mean hospital stay was 11.1 days. The mortality rate was 8 [8.8%]. Road traffic accidents, firearm injuries, and iatrogenic central venous cannulation were the most common causes of chest injuries in adults in this study. Methods of prevention are reviewed

Traumatismo del tórax / Injury of the thorax

El aumento en las altas velocidades y la falla mecanica de los vehiculos, y el aumento de la violencia en los medios urbanos,son las cuasas mas importantes que incrementan progresivamente el numero de politraumatismo en nuestro medio,entre ellos ,el traumatismo de torax.Las lesiones toracicas,son la causa,de cada cuatro muertes producidas por trauma,y muchos deestos pacientes mueren despues de llegar al hospital.(au)