Fascitis plantar. Criterios y experiencias sobre la infiltración con anestésicos locales y corticoesteroides / Plantar fasciitis Criteria and experiences on infiltration with local anesthetics and corticosteroids

Introducción: Dentro del grupo de las enfermedades del sistema osteomioarticular la fascitis plantar (FP) es una de las causas más frecuente de dolor crónico del pie. Objetivo: aportar criterios sobre el empleo de la infiltración de anestésicos locales y corticoesteroides para el tratamiento de la fascitis plantar. Desarrollo: se seleccionaron las infiltraciones de corticoesteroides y de anestésicos locales que se realizan con mayor frecuencia en la práctica clínica, se analizó su efectividad según la evidencia en la literatura internacional y a partir de ahí se contrastaron los resultados encontrados con los criterios y experiencias de los autores de este trabajo. Conclusiones: Las consideraciones realizadas en este estudio apuntan a que el uso de los corticoides mediante infiltraciones en patologías ortopédicas es un medio valioso para mejorar la inflamación de los tejidos y para el alivio de los dolores, tanto cuando se emplea en las articulaciones como en las partes blandas(AU)

Introduction: within the group of diseases of the osteomioarticular system, plantar fasciitis (FP) is one of the most frequent causes of chronic foot pain. Objective: to provide criteria on the use of infiltration of local anesthetics and corticosteroids for the treatment of plantar fasciitis. Development: the infiltrations of corticosteroids and local anesthetics that are performed more frequently in clinical practice were selected, their effectiveness was analyzed according to the evidence in the international literature and from there the results were contrasted with the criteria and experiences of the patients authors of this work. Conclusions: the considerations made in this study suggest that the use of corticosteroids through infiltrations in orthopedic pathologies is a valuable means to improve inflammation of the tissues and for the relief of pain, both when used in the joints and in the joints and soft parts(AU)

Prevalência de patologias ortopédicas em idosos atendidos em hospital público no município de Lajedo do Tabocal-BA / Prevalence of the orthopedic disorders of taken care aged in public hopsital of the city Lajedo do Tabocal-BA

Este estudo teve por objetivo identificar a prevalência de distúrbios ortopédicos em idosos atendidos em Hospital público no município de Lajedo do Tabocal-BA. Participaram do estudo 171 idosos atendidos no período de janeiro de 2004 a janeiro de 2005. Os dados foram extraídos dos prontuários, sendo utilizada uma ficha adaptada para o interesse do estudo. A maioria dos idosos era do sexo feminino, com prevalência de distúrbios ortopédicos de 84,8%. As patologias ortopédicas mais citadas foram hérnia discal, 20%; fraturas, 13,1% e bursite, 12,41%. As localizações de dor mais freqüentes foram ombro e coluna lombar, 23,45% cada, seguida de joelho, 15,86%.

This study had the objective to identify the orthopedic disorders prevalence of taken care aged in public hospital of Lajedo do Tabocal county-BA. 171 aged participated of the study, in the period of january 2004 to january 2005, The data had been extracted of handbooks, being used an adapted card for the study interest. The aged ones majority was of the females sex, with orthopedic disorders prevalence of 84,8%. The most cited orthopedic pathologies were: disc herniation 20%, fractures 13,1% and fistulous12,41%. The most frequent pain localizations were in shoulder and low back column, 23,45% each, followed by knee 15,86%.