RESUMO
We performed a retrospective cohort study to increase awareness in orthopaedic community of this rare but interesting disease which is often misdiagnosed as meniscal pathology and to analyze present results of arthroscopic resection in seven patients. we retrospectively reviewed records from 2008-2012 and identified 7 patients with symptomatic Hoffa's fat pad impingement. The diagnosis was made by clinical exam, MRI imaging and verified arthroscopically. Of the 7 patients 2 were excluded due to receiving open resection. The remaining five underwent arthroscopic resection. Lysholm and American knee society scores were obtained pre and post operative and at final follow up. There was a significant improvement in their symptoms and function after the surgery at an average follow-up of 14 months. The one poor result was because of paresthesia over the distribution of the infrapatellar branch of the saphenous nerve after open resection. tumours like of the fat pad should be treated by arthroscopic resection because of less residual pain and less complication was found using arthroscopy. In case of high volume of tumours only open excision can provide complete excision.
Assuntos
Tecido Adiposo/cirurgia , Artroscopia/métodos , Articulação do Joelho/cirurgia , Dor/etiologia , Tecido Adiposo/patologia , Adulto , Estudos de Coortes , Feminino , Seguimentos , Humanos , Articulação do Joelho/patologia , Imageamento por Ressonância Magnética , Masculino , Estudos Retrospectivos , Resultado do Tratamento , Adulto JovemAssuntos
Clavícula/cirurgia , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia , Adolescente , Adulto , Pinos Ortopédicos , Placas Ósseas , Clavícula/lesões , Feminino , Seguimentos , Fixação Interna de Fraturas/instrumentação , Humanos , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Estudos Prospectivos , Adulto JovemAssuntos
Placas Ósseas , Procedimentos Ortopédicos/métodos , Luxação do Ombro/cirurgia , Adulto , Estudos de Coortes , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Radiografia , Ombro/diagnóstico por imagem , Luxação do Ombro/epidemiologia , Resultado do Tratamento , Adulto JovemAssuntos
Ligamento Patelar/lesões , Traumatismos dos Tendões , Adolescente , Adulto , Feminino , Humanos , Masculino , Procedimentos Ortopédicos/métodos , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Prognóstico , Estudos Retrospectivos , Traumatismos dos Tendões/diagnóstico , Traumatismos dos Tendões/epidemiologia , Traumatismos dos Tendões/terapia , Adulto JovemAssuntos
Tornozelo/cirurgia , Artrodese/métodos , Adulto , Traumatismos do Tornozelo/complicações , Traumatismos do Tornozelo/cirurgia , Artrite/etiologia , Artrite/cirurgia , Artrodese/efeitos adversos , Artrodese/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Fractures of the talus are uncommon, and talar body fractures in the sagittal plane are still rarer. The aim of its treatment is urgent anatomic reduction to restore congruency of the ankle and to reduce the risk of avascular necrosis by preserving any remaining blood supply. We report the case of a body talar fracture in sagittal plane associated with fracture of the medial malleolus in a young adult; the mechanism of the fracture was plantar hyperflexion, internal rotation and axial compression. We perform an open reduction and stabilization with two screws for the talus and screw the medial malleolus. At 14 months following the injury patient had good range of movement with little pain. The mechanism is discussed along with a literature review.
RESUMO
The combination of the acromion Open fracture to a section of the supraspinatus tendon is an exceptional situation. The author reports the case of a young patient with a wound of the posterolateral side of the right shoulder. Screwing was done for the fracture of the acromion after supraspinatus tendon suture with good clinical and radiological outcome after an appropriate rehabilitation.
