RESUMO
Twenty-three patients with chronic or acute to chronic slip of the capital femoral epiphysis were treated using a modified trapezoid osteotomy of the femoral neck. All slips were greater than 60 degrees. After a follow-up period of 70 (54-93) months, the results were excellent or good in 18 hips, fair in 1, and poor in 4 hips. Avascular necrosis developed in 3 hips, and chondrolysis in 2.
Assuntos
Epifise Deslocada/cirurgia , Colo do Fêmur/cirurgia , Osteotomia/métodos , Adolescente , Adulto , Epifise Deslocada/diagnóstico por imagem , Feminino , Colo do Fêmur/diagnóstico por imagem , Humanos , Masculino , RadiografiaRESUMO
A scintigraphic study of the healing process of type A and B closed tibial shaft fractures was carried out in 40 cases treated non-operatively, comprising 32 men and eight women aged 30.6 yr on average. Scintigraphic scans were obtained with technetium methylenediphosphonate (MDP-Tc99m, 25 mCi) at 6, 12 and 24 weeks after the fracture and an activity index was calculated taking the mean of three consecutive uptake counts for both fractured and normal opposite leg, used for comparison. The results showed that the activity index in general decreased progressively from the first to the third evaluation, with little difference in behaviour between the two types of fractures. However, for B type fractures the activity index remained stable from the first to the second evaluation, followed by a marked decrease at the third evaluation, with a comparable end result for both fracture types. It was concluded that a decrease of the activity index occurs in both types of closed fractures undergoing uneventful healing and that such a decrease can be taken as a parameter for further studies which include delayed union and non-union.
Assuntos
Fraturas Fechadas/diagnóstico por imagem , Fraturas da Tíbia/diagnóstico por imagem , Adulto , Análise de Variância , Feminino , Consolidação da Fratura/fisiologia , Fraturas Fechadas/classificação , Humanos , Masculino , Pessoa de Meia-Idade , Cintilografia , Medronato de Tecnécio Tc 99m , Tíbia/fisiologia , Fraturas da Tíbia/classificaçãoRESUMO
Bilateral transscapholunate dislocations were treated with immediate open reduction and internal fixation. Eighteen months after injury the patient was asymptomatic.
Assuntos
Ossos do Carpo/lesões , Luxações Articulares/diagnóstico por imagem , Osso Semilunar/lesões , Traumatismos do Punho/diagnóstico por imagem , Acidentes por Quedas , Adulto , Humanos , Luxações Articulares/etiologia , Luxações Articulares/cirurgia , Masculino , Radiografia , Traumatismos do Punho/etiologia , Traumatismos do Punho/cirurgiaRESUMO
Forty patients with intertrochanteric fractures of the femur were treated by external fixation between July 1992 and April 1994. They were selected because of their high surgical risk, and evaluated by radiographs immediately after operation, and at 30 and 90 days. The results indicate that external fixation is a useful method of treatment for this type of patient.
Assuntos
Cabeça do Fêmur/lesões , Fixação de Fratura/métodos , Fraturas do Quadril/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Fixadores Externos , Feminino , Cabeça do Fêmur/diagnóstico por imagem , Cabeça do Fêmur/cirurgia , Fixação de Fratura/instrumentação , Fraturas do Quadril/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Risco , Resultado do TratamentoRESUMO
Two cases of spiral fracture of the humerus, which occurred during arm wrestling, are reported. The possible mechanism is discussed.
Assuntos
Fraturas do Úmero/etiologia , Luta Romana/lesões , Adolescente , Adulto , Humanos , Fraturas do Úmero/diagnóstico por imagem , Fraturas do Úmero/terapia , Masculino , RadiografiaRESUMO
From 1986 to 1990, sixty patients were treated for chronic osteomyelitis with surgery and chemotherapy. The clinical and radiologic follow-ups ranged from twelve to sixty months. The surgery was associated with a six-month oral sulfamethoxazole-trimethoprim combination chemotherapy. Clinical cure was achieved when inflammatory signs and symptoms disappeared, as happened to 50 (83.33%) of the single surgery cases, and to 9 (15%) of the multiple surgery cases. For one case (1.67%) osteomyelitis was not cured.
Assuntos
Osteomielite/tratamento farmacológico , Osteomielite/cirurgia , Adolescente , Adulto , Idoso , Doença Crônica , Terapia Combinada , Quimioterapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Pós-Operatórios , Indução de RemissãoRESUMO
Os autores descrevem um caso de tumor maligno de células gigantes de bainha tendinosa do segundo dedo da mäo esquerda, com evoluçäo de aproximadamente dez anos. Realçam a pouca freqüência da neoplasia, as dificuldadesdiagnósticas e a conduta adotada