Vertebral destruction due to abdominal aortic aneurysm.

INTRODUCTION: Low back pain is a common cause of medical consultation, and usually supposes a non-malignant prognostic. PRESENTATION OF CASE: We report an atypical appearance of low back pain associated to shock and pulsatile abdominal mass that made us diagnose an abdominal aortic aneurysm as reason of vertebral lysis and pain. DISCUSION: Surgical repair of contained AAA should be directed to secondary re-rupture prevention, with an approximate survival near to 100% at selected patients for elective surgery. Consequently, orthopedic surgery for back spine stabilization has to be elective in those cases when vertebral destruction is above 30% and clinic is directly related to spine instability. CONCLUSION: We should consider AAA as other cause of low back pain and routinely examine the abdomen and seek complementary imaging proves when risk factors for AAA are present.

Resultados a largo plazo de la reparación por doble incisión de las roturas distales del bíceps braquial. Cómo evitar las complicaciones / Long term results of double-incision repair of distal brachial biceps ruptures. How to prevent complications

Objetivo: Revisar los resultados de la reinserción de la rotura distal del músculo bíceps braquial con la vía de doble incisión. Material y metodología: Con un seguimiento de cinco años valoramos once pacientes intervenidos mediante la técnica modificada de doble incisión de Morrey, utilizando arpones para su reinserción y una movilización precoz del codo. Todos eran varones, fumadores y trabajadores de esfuerzo, con una edad media de 51 años. En 8 casos la rotura fue tendinosa y en 3 se observaron desinserciones óseas. Analizamos los resultados midiendo la movilidad flexo-extensora del codo y prono-supinadora con goniómetro y la fuerza supinadora con un dinamómetro. Se analizaron radiografías de codo, se realizó el cuestionario DASH, el grado de satisfacción personal y el dolor. Resultados: No hemos visto ninguna complicación postoperatoria inmediata ni tardía. Los resultados fueron excelentes en el 94% de los casos y buenos en el 6%, no apareciendo ninguna rerrotura. Conclusión: una intervención precoz y una técnica meticulosa puede conseguir un resultado excelente en la reparación de la rotura distal del bíceps braquial (AU)

Objective: To review the results of reinsertion of distal rupture of the brachial biceps muscle with the doubleincision technique. Material and Methods: With a follow-up of five years, we assessed eleven patients operated on by the modified Morrey double-incision technique using harpoons for reinsertion and early mobilization of the elbow. All were male, smokers, and heavy exertion workers, with a mean age of 51 years. In 8 patients, rupture was of the tendon and 3 showed bone detachments. We analyzed the results measuring elbow flexion-extension and pronation-supination mobility with a goniometer and supination strength with a dynamometer. Elbow X-rays were analyzed, the DASH questionnaire was performed, and degree of personal satisfaction and pain were measured. Results: We did not observe any immediate or late postoperative complication. The results were excellent in 94% patients and good in 6%, and no rerupture occurred. Conclusion: Early intervention and meticulous technique can achieve an excellent result in repair of distal brachial biceps rupture (AU)

[Impact of Nd: YAG capsulotomy on quality of life in pseudophakic patients]. / Impacto de la capsulotomía Nd: YAG en la calidad de vida de pacientes pseudofáquicos.

OBJECTIVE: To determine whether visual acuity (VA) improvement in patients with posterior capsule opacification (PCO), accepted after the capsulotomy, is followed by positive changes in the perception of their quality of life. METHOD: A total of 130 patients with PCO were examined before and after capsulotomy. In addition to the ophthalmic examination, the EuroQol questionnaire was completed. We analyzed the influence of demographic characteristics on the outcome of the test. RESULTS: The mean binocular visual acuity (BVA) and the mean scores in the EuroQol dimensions and EQ-VAS improved significantly after capsulotomy. VA did not have the same effect on daily common tasks. After treatment, the problems in the usual activities dimension have seen the largest reduction. Mobility is still the dimension with more problems regarding patients after capsulotomy. CONCLUSIONS: Decreased VA induced by PCO is associated with difficulties performing daily living activities. Capsulotomy results in a gain in VA and functional ability of the majority of patients, improving the perception of their quality of life.

Impacto de la capsulotomía Nd: YAG en la calidad de vida de pacientes pseudofáquicos / Impact of Nd: YAG capsulotomy on quality of life in pseudophakic patients

Objetivo: Determinar si la mejoría de agudeza visual (AV) en los pacientes con opacificaciónde cápsula posterior del cristalino (OCP) que se acepta tras la capsulotomía, se traduce encambios positivos en la percepción de su calidad de vida.Método: Se evaluaron 130 pacientes con OCP antes y después de la capsulotomía. Ademásde la exploración oftalmológica se recogieron las respuestas del cuestionario EuroQol y seestudió la influencia de factores demográficos en el resultado del test.Resultados: La agudeza visual binocular (AVB) media y las puntuaciones medias de las cincodimensiones del cuestionario EuroQol y de la EVA mejoraron en el conjunto de pacientesde forma estadísticamente significativa tras la capsulotomía. No todas las tareas de la vidadiaria se afectan en el mismo grado por el estado de la AV. Las limitaciones en la dimensiónde actividades cotidianas son las que más disminuyen con el tratamiento. La dimensión enla que más dificultades continúan relatando los pacientes tras la capsulotomía es en la demovilidad.Conclusiones: La deficiencia visual ocasionada por la OCP conlleva dificultades para realizarlas actividades cotidianas. La capsulotomía supone un incremento en la AV y en lafuncionalidad de la mayoría de los pacientes, mejorando la percepción sobre su estado desalud(AU)

Objective: To determine whether visual acuity (VA) improvement in patients with posteriorcapsule opacification (PCO), accepted after the capsulotomy, is followed by positive changesin the perception of their quality of life.Method: A total of 130 patients with PCO were examined before and after capsulotomy. In addition to the ophthalmic examination, the EuroQol questionnaire was completed. We analyzed the influence of demographic characteristics on the outcome of the test. Results: The mean binocular visual acuity (BVA) and the mean scores in the EuroQol dimensionsand EQ-VAS improved significantly after capsulotomy. VA did not have the same effecton dailycommontasks. After treatment, the problems in the usual activities dimension haveseen the largest reduction. Mobility is still the dimension with more problems regardingpatients after capsulotomy.Conclusions: Decreased VA induced by PCO is associated with difficulties performing dailyliving activities. Capsulotomy results in a gain in VA and functional ability of the majorityof patients, improving the perception of their quality of life