RESUMO
Fixation of acute proximal and distal biceps tendon ruptures can be facilitated by the use of suture anchors. Originally designed for open Bankart procedures, suture anchors provide adequate fixation for soft tissue healing, limit the extent of dissection, reduce the incidence of frozen shoulder and damage to neurovascular structures and allow early postoperative rehabilitation. Four consecutive patients were successfully treated by this method with a minimum follow-up period of 1 year.
Assuntos
Traumatismos do Braço/cirurgia , Técnicas de Sutura , Traumatismos dos Tendões/cirurgia , Adulto , Ginástica/lesões , Humanos , Masculino , Pessoa de Meia-Idade , Ruptura , Traumatismos dos Tendões/etiologiaRESUMO
We report our experience with CT-arthrotomography, compared to the arthroscopic findings in a group of 54 non-selected patients with a shoulder problem. Thirty-one patients had a CAT-scan of the shoulder and subsequently underwent a videotaped arthroscopy of the shoulder. Five out of the 10 negative CAT-patients were positive on arthroscopy for impingement syndrome. Arthroscopy picked up 5 partial thickness rotator cuff tears, not seen on CAT. Arthroscopy was also very helpful in diagnosing synovitis. For biceps problems, loose bodies, labrum tears and adhesive capsulitis, the sensitivity and accuracy figures were very high, comparing CAT-scan and arthroscopy. A shoulder with a history of instability or a painful clicking shoulder seems to be the best indication for CAT-scanning.
Assuntos
Artroscopia , Articulação do Ombro/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adolescente , Adulto , Idoso , Feminino , Humanos , Artropatias/diagnóstico por imagem , Artropatias/patologia , Masculino , Pessoa de Meia-Idade , Sensibilidade e Especificidade , Lesões do Ombro , Articulação do Ombro/patologiaAssuntos
Deslocamento do Disco Intervertebral/complicações , Síndromes de Compressão Nervosa/etiologia , Raízes Nervosas Espinhais , Adulto , Dura-Máter , Feminino , Humanos , Deslocamento do Disco Intervertebral/diagnóstico por imagem , Deslocamento do Disco Intervertebral/terapia , Radiografia , Ruptura EspontâneaRESUMO
Transchondral talar dome fractures have been reported to be a cause of persisting ankle pain and a cause of delayed return to sports, due to late diagnosis and thereby often neglected treatment. Especially in athletes, these lesions--if untreated--may result in a chronic disability for sports activity. Clinical findings, the importance of new diagnostic aids, and differential treatment methods are presented, based on 39 patients with 41 osteochondral fractures seen between 1976 and 1983, with an average follow-up of 5.1 years. Twenty-two patients were treated conservatively, with good results in 12 cases and moderate results in four, six patients were lost to follow-up. Seventeen patients underwent surgery. Results were good in nine and moderate in three. Four operated patients were graded with poor results, due to limitations in their sports activity or work; one patient was lost to follow-up.
