RESUMO
The authors report a case of osteoid osteoma of the spine. The treatment, which consisted of surgical curettage of the lesion, was controlled by intra operative bone scanning. The authors present the advantages and difficulties of this technique. They also review the literature on the subject.
Assuntos
Osteoma Osteoide/cirurgia , Neoplasias da Coluna Vertebral/cirurgia , Vértebras Torácicas , Adulto , Humanos , Período Intraoperatório , Masculino , Osteoma Osteoide/diagnóstico por imagem , Cintilografia , Neoplasias da Coluna Vertebral/diagnóstico por imagem , Coluna Vertebral/diagnóstico por imagem , Vértebras Torácicas/diagnóstico por imagem , Vértebras Torácicas/cirurgiaRESUMO
Sixty-nine arthroscopic acromioplasties were evaluated with an average follow-up of 18 months (6 to 38 months), with the UCLA score. The UCLA scores evolved from an average of 9.9 preoperatively (minimum 5, maximum 18) to 30.2 (minimum 18, maximum 35) postoperatively. There were 26% excellent results (34 to 35 points on the UCLA score), 55% good results (28 to 33 points), 14.5% poor results (21 to 27 points) and 4.3% bad results (0 to 20 points), i.e. 81% good and excellent results. There was no relationship between the duration of the complaints and the results, nor was there between the age and the results. The best results were seen in patients without rupture of the rotator cuff. Calcification without rupture of the cuff had no influence on the results. Pain, the most important complaint, was diminished much more than the complaints about restricted range of motion, which is better tolerated.
Assuntos
Articulação Acromioclavicular/cirurgia , Lesões do Manguito Rotador , Articulação Acromioclavicular/lesões , Articulação Acromioclavicular/fisiopatologia , Adulto , Idoso , Artroscopia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor/cirurgia , Amplitude de Movimento Articular , Manguito Rotador/cirurgia , RupturaRESUMO
An acetabular bone graft with spongious bone chips was performed in 27 primary total hip arthroplasties in 23 patients with rheumatic disease. There were no major complications. After 5 (2-8) years, the grafts were well incorporated; after 1 year, remodeling had produced a normal cancellous bone structure. Clinical assessment showed overall good results.