Isolated cuboid dislocation: case report.

Isolated cuboid dislocation without fracture is a rare injury, and there is a lack of literature describing its treatment. Studies report the use of closed or open reduction, with Kirschner wire fixation in the treatment of these injuries. This case report presents the clinical condition of a 24-year-old male patient who arrived at the emergency department with an isolated dislocation of the right foot cuboid bone without the presence of a fracture, after suffering trauma during a football game. Open reduction was performed in the surgical center with stabilization and fixation using a Kirschner wires. The patient showed an excellent response to the treatment, with no loss of the foot's range of motion.

Effectiveness of shockwave therapy in the treatment of plantar fasciitis.

OBJECTIVE: To evaluate the effectiveness of single-dose focal shockwave therapy in plantar fasciitis treatment. METHODS: a primary, prospective study of a series of cases, conducted in the city of São Paulo, Brazil, by the Department of Orthopedics and Traumatology of the Universidade Federal de São Paulo, in Hospital São Paulo. All outcomes were measured at the time of inclusion of the patient in the study and at the post-intervention moments as it follows: three, six and twelve weeks. The VAS, AOFAS and SF-36 scales were applied by teams other than those who performed the SWT. RESULTS: Data from 56 patients were collected during 2017 and 2018. There was improvement of the parameter evaluated (p < 0.005 and 95%CI) in all the periods in which the patients were reevaluated (3, 6 and 12 weeks), progressive improvement were observed in the three outcomes evaluated. CONCLUSION: Shock wave therapy was effective for plantar fasciitis treatment according to the proposed protocol considering pain, function and quality of life. Level of Evidence Ic, Case-series Study.

OBJETIVO: Avaliar a eficácia da terapia de ondas de choque focais de dose única no tratamento de fasciíte plantar. MÉTODOS: Um estudo primário e prospectivo de série de casos foi realizado na cidade de São Paulo, Brasil, pelo Departamento de Ortopedia e Traumatologia da Universidade Federal de São Paulo, no Hospital São Paulo. Todos os desfechos foram medidos no momento da inclusão do paciente no estudo e nos momentos pós-intervenção da seguinte forma: 3, 6 e 12 semanas. As escalas VAS, AOFAS e SF-36 foram aplicadas por equipes diferentes daquelas que realizaram o tratamento. RESULTADOS: Dados de 56 pacientes foram coletados durante 2017 e 2018. Houve melhora do parâmetro avaliado (p < 0,005 e IC95%) em todos os períodos de reavaliação dos pacientes (3, 6 e 12 semanas), sendo observada a melhora progressiva nos três desfechos avaliados. CONCLUSÃO: A terapia por ondas de choque foi eficaz no tratamento da fasciíte plantar de acordo com o protocolo proposto, considerando dor, função e qualidade de vida. Nível de evidência Ic, Estudo de série de casos.