RESUMO
Golf interest is on the increase, resulting in a corresponding increase in golf-related tendon injuries. Injuries are best avoided by a good strength and flexibility program, proper warm-up exercises, and good stroke mechanics. Treatment is directed toward restoring the integrity of the muscle/tendon unit at the elbow and preventing recurrences.
Assuntos
Lesões no Cotovelo , Golfe/lesões , Ferimentos e Lesões/prevenção & controle , Cotovelo/cirurgia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
This study analyzes the results of a previously unreported technique of reconstruction for the massive irreparable rotator cuff tear. The technique involves repair of the margins of the tear to restore the force couples and "suspension bridge" system of force transmission in the shoulder. Complete coverage of the defect was not considered to be essential as long as the normal mechanics of the shoulder were restored and the rotator cuff tear was converted to a "functional cuff tear." This procedure was performed on 14 patients. Improvement in function was dramatic. Active elevation (elevation denotes the plane of motion midway between the planes of shoulder abduction and shoulder flexion; elevation is reported because it is the most functional plane in which to raise the arm) improved by 90.8 degrees: from a preoperative average of 59.6 degrees to a postoperative average of 150.4 degrees. Strength improved an average of 2.3 grades on a 0-to-5-point scale. The average score on the UCLA Shoulder Rating Scale improved from a preoperative value of 9.8 to a postoperative value of 27.6. All but one patient was very satisfied with his or her result. The authors are of the opinion that this technique is preferable to other reconstructive techniques, such as tendon transposition, that emphasize coverage of the defect at the expense of destroying the normal mechanics of the shoulder. The authors suggest that partial repair of massive irreparable rotator cuff tears should supplant tendon transposition as the procedure of choice for this condition.
Assuntos
Lesões do Manguito Rotador , Manguito Rotador/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Métodos , Pessoa de Meia-Idade , Amplitude de Movimento Articular , Articulação do Ombro/fisiologia , Articulação do Ombro/cirurgia , Ferimentos e Lesões/cirurgiaRESUMO
A case of fracture of the right scapula in the superomedial portion with no history of direct trauma is presented. It is most likely due to jogging with weights in both hands. A brief review of scapular fractures is also reported.
Assuntos
Traumatismos em Atletas/etiologia , Transtornos Traumáticos Cumulativos/etiologia , Fraturas Ósseas/etiologia , Corrida Moderada , Corrida , Escápula/lesões , Adulto , Transtornos Traumáticos Cumulativos/diagnóstico por imagem , Fraturas Ósseas/diagnóstico por imagem , Humanos , Masculino , Cintilografia , Medronato de Tecnécio Tc 99m , Levantamento de PesoRESUMO
One hundred adult sports medicine patients with clinical findings suggesting chondromalacia of the patella underwent bone imaging. Of these patients, 50 eventually underwent arthroscopic surgery and the remaining 50 were treated conservatively. The intensity of abnormally increased scintigraphic activity in the patella correlated closely with the grade of chondromalacia observed by the arthroscopist. Bone imaging also was of value in directing the arthroscopist to clinically unsuspected torn menisci. In conclusion, for sports medicine patients with clinical findings suggestive of chondromalacia of the patella, bone imaging contributes to an accurate diagnosis and appropriate surgical planning.
