ABSTRACT
Introducción: la inestabilidad glenohumeral habitualmente requiere cirugía cuando existe un antecedente traumático previo. Aunque en algunos casos se aboga por un tratamiento conservador, la mayoría de los pacientes precisan de estabilización quirúrgica. Objetivos: presentar nuestra experiencia en la reparación artroscópica en pacientes con luxación recidivante de hombro con componente traumático previo, con especial valoración de factores potencialmente implicados en los casos de reluxación tras la reparación. Métodos: se evaluaron de forma retrospectiva 30 pacientes intervenidos de inestabilidad glenohumeral en los últimos 5 años mediante técnica de Bankart artroscópica, con más de 12 meses de seguimiento posterior a la cirugía. Los pacientes fueron evaluados tras la cirugía mediante escala de ROWE. Se analizaron principalmente el ISIS preoperatorio, el tipo de lesión previa, el número de recidivas, la funcionabilidad y el grado de satisfacción del paciente. Resultados: de los 30 pacientes valorados, la gran mayoría presentaba inestabilidad predominantemente unidireccional, 7 pacientes con lesión de SLAP asociada. De nuestros pacientes, 2 de ellos requirieron nueva cirugía por dolor o inestabilidad. El número de reluxaciones fue dos. Conclusiones: la cirugía artroscópica resuelve gran parte de las inestabilidades unidireccionales y de sus lesiones asociadas con buenos resultados y baja tasa de reluxaciones y satisfacción alta de los pacientes tanto por el confort postoperatorio como por la función final. Es clave la selección adecuada de los pacientes y la reparación depurada de todas las lesiones
Introduction: The glenohumeral instability usually requires surgery when there is a previous history of trauma. Although in some cases it advocates a conservative treatment, most patients require surgical stabilization. Objectives: to present our experience in arthroscopic repair in patients with recurrent shoulder dislocation prior traumatic component, with special consideration of factors potentially involved in cases of redislocation after repair. Methods: We retrospectively evaluated 30 patients undergoing glenohumeral instability over the past 5 years through arthroscopic Bankart technique, with more than 12 months of follow-up after surgery. Patients were evaluated after sur gery by ROWE scale. ISIS preoperatively, type of previous injury, the number of recurrences, the functionality and degree of patient satisfaction was mainly analyzed. Results: Of the 30 patients evaluated, the vast majority had predominantly unidirectional instability, 7 patients with associated SLAP lesion. Of our patients, 2 of them required further surgery for pain and instability. There were 2 cases of redislocations. Conclusions: Arthroscopic surgery solves many of the unidirectional instability and injuries associated with good results and low rate of reluxaciones and high patient satisfaction post operation and final function. The key is proper selection of patients and purified repair of all injuries
Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Adult , Arthroscopy/instrumentation , Arthroscopy/methods , Arthroscopy/trends , Joint Instability/diagnosis , Joint Instability/pathology , Joint Instability/surgery , Shoulder Dislocation/diagnosis , Shoulder Dislocation/prevention & control , Shoulder Dislocation/therapy , Shoulder/surgery , Shoulder/physiology , Shoulder , Radiography/instrumentation , Radiography/methods , Radiography , Rehabilitation/instrumentation , Rehabilitation/methods , Retrospective StudiesABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Seroma/diagnosis , Seroma/therapy , Hematoma/complications , Hematoma , Suction/methods , Diagnosis, Differential , Fat Necrosis/complications , Fat Necrosis , Compression Bandages , Pancreatic Pseudocyst/physiopathology , Mycobacterium tuberculosis/isolation & purificationABSTRACT
Impacts of meteoroids on the Moon should cause detectable optical flashes, but the population of objects that are big enough is very low, and hitherto no unambiguous impact flashes have been recorded. The flux of meteoroids associated with the Leonid meteor shower of 18 November 1999 was predicted to produce observable flashes on the night side of the Moon. Here we report the unambiguous detection of five such impact flashes, three of which were seen simultaneously by other observers. We also observed a possible impact flash on 16 July 1999. All of the flashes were of very brief duration (<0.02 s), as expected for high-speed impacts.
