ABSTRACT
PURPOSE: The aim of this retrospective study was to report clinical results of a selective population undergone to arthroscopic functional repair of massive, contracted, immobile rotator cuff tears. METHODS: From 2005 to 2009, 311 patients with rotator cuff tears were treated at our institution. Of them, 26 shoulders in 25 patients with a mean age of 64 years that presented a massive, contracted immobile tear repaired using an interval slide technique, were included in this study. RESULTS: The mean postoperative follow-up period was 39 months (range 19-70 months). The mean postoperative disabilities of the arm, shoulder and hand (DASH) score and simple shoulder test (SST) score were, respectively, 20.91 and 8.8 (range DASH: 0.83-59.1; range SST: 2-12). Based on single assessment numeric evaluation score, the outcome of surgery was satisfactory with a mean of 76 % (range 0-100 %). The residual level of pain was low, as reported by a final mean visual analog scale score of 1.8 (range 0-8). The mean postoperative range of motion was 157.5° in forward elevation (range 90°-180°) and 55.3° in extra rotation (range 0°-90°). Eleven patients reached mid-back, in 7, the lower back and in 8 cases, upper back. CONCLUSION: Arthroscopic functional repair could be considered an appropriate treatment option in case of massive, contracted and immobile cuff tears. This treatment can provide improvement in pain and function that positively affects patients' quality of life without precluding other, more invasive, eventually consequent solutions.
Subject(s)
Arthroscopy , Quality of Life , Rotator Cuff Injuries , Rotator Cuff/surgery , Aged , Female , Follow-Up Studies , Humans , Injury Severity Score , Male , Middle Aged , Patient Satisfaction , Recovery of Function , Retrospective Studies , Rupture , Time FactorsABSTRACT
Lateral epicondylitis requires a challenging therapeutic management even for expert surgeons. With the failure of conservative treatment, the physician should consider a surgical choice. The purpose of the surgical procedure is to excise the degenerated tissue of extensor carpi radialis brevis tendon. This article describes the arthroscopic release, performed under direct visualization with a 70° scope; the aim is to encourage the use of this type of lens, versus the traditional 30° one. The patient is positioned in a modified lateral decubitus. After joint distension, a diagnostic arthroscopy of the posterior compartment is performed as first step. Then, an anterior compartment arthroscopic evaluation, a subsequent antero-lateral capsulectomy, and extensor carpi radialis brevis tendon exposition are performed with a 30° view. At this point, the 70° lens is switched and the tendon release is performed under direct control. The 70° lens allows a safer procedure, but requires a dedicated learning curve.
Subject(s)
Arthroscopes , Arthroscopy/methods , Tendinopathy/surgery , Tennis Elbow/surgery , Equipment Design , HumansABSTRACT
We assessed the relationship between parental and socioeconomic characteristics and nutritional status of children under 5 years in Egypt. Data from the 2000 Egypt Demographic and Health Survey were used. A logistic regression technique was used to estimate the odds of being malnourished. Children whose mothers had a higher level of education and were >150 cm had a lower risk of stunting than those of mothers with no education and shorter height (<150 cm). Parental consanguinity, rural residence, high birth order and short birth interval significantly increased the odds of stunting. Children aged > 12 months had greater odds of stunting than those <12 months.
Subject(s)
Child Nutrition Disorders/epidemiology , Child Nutrition Disorders/etiology , Growth Disorders/epidemiology , Growth Disorders/etiology , Parents , Anthropometry , Birth Intervals , Birth Order , Child Nutrition Disorders/diagnosis , Child, Preschool , Consanguinity , Educational Status , Egypt/epidemiology , Employment/statistics & numerical data , Female , Growth Disorders/diagnosis , Humans , Infant , Logistic Models , Male , Multivariate Analysis , Nutrition Assessment , Nutrition Surveys , Nutritional Status , Parents/education , Parents/psychology , Population Surveillance , Residence Characteristics , Risk Factors , Socioeconomic Factors , Surveys and QuestionnairesABSTRACT
We assessed the relationship between parental and socioeconomic characteristics and nutritional status of children under 5 years in Egypt. Data from the 2000 Egypt Demographic and Health Survey were used. A logistic regression technique was used to estimate the odds of being malnourished. Children whose mothers had a higher level of education and were > 150 cm had a lower risk of stunting than those of mothers with no education and shorter height [< 150 cm]. Parental consanguinity, rural residence, high birth order and short birth interval significantly increased the odds of stunting. Children aged >/= 12 months had greater odds of stunting than those < 12 months
