RESUMO
The clinical experience with silicone rubber arthroplasties has been unremarkable except for sporadic reports of reactive synovitis in the form of a foreign body giant cell inflammation. A 21-year-old man is the first known instance of a large lytic lesion in a bone articulating with a silicone implant.
Assuntos
Doenças Ósseas/etiologia , Corpos Estranhos/etiologia , Granuloma/etiologia , Prótese Articular/efeitos adversos , Adulto , Humanos , Masculino , Rádio (Anatomia) , Elastômeros de Silicone/uso terapêutico , Articulação do Punho/cirurgiaAssuntos
Parafusos Ósseos , Fixação Interna de Fraturas , Fraturas do Quadril/cirurgia , Idoso , Placas Ósseas , Falha de Equipamento , Feminino , Cabeça do Fêmur/diagnóstico por imagem , Cabeça do Fêmur/cirurgia , Fraturas do Quadril/diagnóstico por imagem , Humanos , Complicações Pós-Operatórias , RadiografiaRESUMO
A new method of reduction of shoulder dislocation has been employed in 35 elderly patients with excellent results. The surgeon stands behind the seated patient and inserts his flexed forearm into the axilla of the affected shoulder. His free hand applies traction on the flexed forearm of the patient. The surgeon's forearm pulls in a proximal and lateral direction and levers the head of the humerus into the socket. The method is relatively atraumatic, provides more direct control of the limb and applies more effective forces than the Kocher, Stimson, or hippocratic maneuvers.
Assuntos
Luxação do Ombro/terapia , Fatores Etários , Idoso , Humanos , Métodos , Pessoa de Meia-IdadeRESUMO
Cases of fibrofatty replacement of the quadriceps muscles following repeated intramuscular injections into the thighs of infants and young children are being reported with increasing frequency. In such cases, the knee shows progressive painless limitation of flexion, habitual dislocation of the patella, or both. The recommended treatment is surgical release, done early before secondary adaptive changes occur in the soft tissues, cartilage, and bones comprising the joint. Full flexion should be obtained at the time of surgery. In children, the lag in extension that follows extensive release will usually disappear spontaneously.
Assuntos
Injeções Intramusculares/efeitos adversos , Articulação do Joelho , Doenças Musculares/etiologia , Patela/lesões , Pré-Escolar , Feminino , Humanos , Lactente , Artropatias/etiologia , Artropatias/cirurgia , Luxações Articulares/etiologia , Luxações Articulares/cirurgia , Masculino , Doenças Musculares/cirurgia , Doenças Musculares/terapiaRESUMO
Osteonecrosis of the talus secondary to adrenal corticosteroids is rare. The pathophysiology of the disorder is controversial. This is a report of bilateral talar necrosis secondary to steroid medications in a 23-year-old male. Conservative methods of management of the condition are not altogether satisfactory. Bilateral ankle replacement in this case resulted in alleviation of pain and improvement of function.
