ABSTRACT
La fibrosis glútea es un cuadro clínico de fácil diagnóstico y de origen primario caracterizado por una limitación progresiva de los movimientos de rotación interna, flexión y abducción y/o adducción de la cadera, debida a una pérdida de la capacidad elástica muscular por una infiltración fibrosa y una atrofia de las fibras tipo 1 con hipertrofia de las 2B del músculo glúteo mayor, que puede o no acompañarse de la afectación de otros músculos. Esta facilidad diagnóstica nos lleva a plantear como objetivo establecer la prevalencia de la fibrosis glútea en la comunidad del Área Sanitaria Norte de Córdoba (ASNC) y establecer un procedimiento que permita detectar la fibrosis glútea y otros procesos musculares por profesionales de la docencia no ligados a la sanidad. Se aplicó por parte de los profesores un test de ejercicios específicos a 480 jóvenes de ambos sexos y edades comprendidas entre los 14 y los 17 años. Aquellos que no los superaron fueron estudiados por el equipo médico de nuestro hospital encontrando que la prevalencia hallada de la fibrosis glútea ha sido de 1,04% en nuestra comarca. Ninguno de los pacientes afectos de fibrosis glútea había sido diagnosticado previamente lo que prueba la eficacia del protocolo diseñado para detectar patologías musculares retráctiles de pelvis y miembros inferiores.(AU)
Gluteal fibrosis is a clinical disorder easy to diagnose, of primary origin characterized by a progressive limitation of the movements of internal rotation, flexion and abduction and/or adduction of the hip, due to a loss of muscle elastic capacity by fibrous infiltration and atrophy of the type 1 fibers with hypertrophy of the 2B fibers of the gluteus maximus muscle, which may or may not be accompanied by involvement of other muscles. This diagnostic facility leads us to propose as an objective to establish the prevalence of gluteal fibrosis in the community of the Northern Health Area of Córdoba (ASNC) and to establish a procedure that allows the detection of gluteal fibrosis and other muscular processes by teaching professionals not linked to health care. A test of specific exercises was applied by teachers to 480 young people of both sexes aged between 14 and 17 years. Those who did not pass the test were studied by the medical team of our hospital and found that the prevalence of gluteal fibrosis was 1.04% in our region. None of the patients affected by gluteal fibrosis had been previously diagnosed, which proves the efficacy of the protocol designed to detect retractile muscle pathologies of the pelvis and lower limbs.(AU)
Subject(s)
Humans , Male , Female , Fibrosis , Pelvis , Hip/surgery , Hip Injuries/epidemiology , Spain , Traumatology , OrthopedicsABSTRACT
A prospective randomised study was conducted on 121 patients undergoing total knee arthroplasty, to identify factors predicting the need for postoperative transfusion. Patients were additionally distributed into two groups, one of which received local adrenaline into the surgical field before wound closure, while the other served as control. A statistically significant correlation was noted between preoperative haemoglobin level, haematocrit and erythrocyte count and the need for transfusion; haemoglobin level emerged as the main predictor. No correlation was observed with patients' age, sex, body mass index, blood pressure or number of comorbidities. Local administration of adrenaline into the surgical field did not result in any reduction in blood loss, nor did it modify transfusion requirements.
