[Results of the deltoid flap for surgery of rotator cuff tears]. / Resultats du lambeau deltoidien dans la chirurgie des ruptures de la coiffe des rotateurs.

AIM: Was to evaluate the results of deltoid flap for the treatment of massive rotator cuff tears. METHODS: This retrospective study included 20 shoulders in 20 patients with a painful massive, irreparable rotator cuff tears. The average patient age was 54 years. They were all treated with acromioplasty and a deltoid flap according to Augereau technique. Follow-up averaged 6 years 3 months (range 18 months - 11 years 4 months). Clinical and radiologic evaluations were done before and after surgery. Function was evaluated according to Constant's score. RESULTS: The Constant's score increased from 24.6/100 to 54.45/100. Eighty five per cent of patients were satisfied. Results on pain were good, with an average of Constant's score of 11/15. However, improvement strength or motion was not significative, with an average of 7.1/25 and 22.8/40 respectively. CONCLUSION: This study concludes that, this technique is a simple surgical procedure and their results on pain were good. Therefore, we conceder it is an excellent indication for the treatment of massive rotator cuff tears in adults after medical treatment failure.

[Stress fracture locations in military personnel]. / Les fractures de fatigue en milieu militaire. A propos de 16 localisations.

BACKGROUND: Physical exercise has beneficial effects on a number of physiologic systems, including the skeleton. However, combined with potential risk factors, unwise training practises may harm theses systems. A stress fracture represents one from of breakdown in the skeletal system. AIM: Assess the usefulness of MRI and kinesitherapy. METHODS: 14 patients in military circles had a stress facture. Most of the fractures are located at the upper metaphysis of the tibia. RESULTS: The radiography was poor, the MRI was the investigation of choice. The images show a FREDERICSON grade 4 lesion. Treatment is mainly non or partially weight bearing until consolidation. CONCLUSION: Although stress fracture results from unbalance between the bone and the forces applied, the injury occurs as a result of summation of various extrinsic and intrinsic factors at a given point in time.