Single-Leg Squat Test in the Clinical Setting Does Not Discriminate Patients With Femoroacetabular Impingement Syndrome From Asymptomatic Individuals.

CONTEXT: Laboratorial 3-dimensional kinematic analyses have shown changes in the single-leg squat's (SLS) pattern of patients with femoroacetabular impingement syndrome (FAIS). However, it is unknown whether clinicians are able to detect these changes using 2-dimensional kinematics. OBJECTIVE: To compare the frontal plane 2-dimensional kinematics of patients with FAIS and asymptomatic individuals in the SLS test performed in a clinical setting. DESIGN: Case-control study. SETTING: Physical therapy clinic. PARTICIPANTS: Twenty men with bilateral FAIS and 20 asymptomatic men. MAIN OUTCOME MEASURES: Two-dimensional kinematic analysis was collected in the frontal plane during the execution of the SLS test. The outcomes were squat depth, pelvic drop (pelvis angle relative to the horizontal plane), hip adduction (femur angle relative to the pelvis), and knee valgus (femur angle relative to the tibia). RESULTS: Most and least painful limbs of patients with FAIS had squat depth (9.8% [2.9%] and 9.5% [3.1%] of height), pelvic drop (4.2° [3.9°] and 3.7° [4.2°]), hip adduction (74.9° [5.8°] and 75.9° [5.7°]), and knee valgus (4.0° [11.0°] and 5.0° [9.9°]) similar to asymptomatic individuals (9.0% [2.3%], 4.8° [2.6°], 73.7° [4.9°], and -1.7° [8.5°]; P > .05 for all). CONCLUSION: The frontal plane 2-dimensional kinematic analysis of the SLS test in the clinical setting is not able to distinguish patients with FAIS from asymptomatic individuals.

Hybrid Neurofibroma/Schwannoma of the Oral Cavity: A Rare Case Report and Literature Review.

Hybrid peripheral nerve sheath tumors show combined features of more than one type of conventional benign peripheral nerve sheath tumors. There are few cases reported of hybrid peripheral nerve sheath tumors in the head and neck region. A 68-year-old female patient was referred for evaluation of an oral swelling lasting five years. Intraoral examination revealed a small mobile nodule located in the lower vestibule. The patient underwent excisional biopsy and microscopic evaluation showed typical features of neurofibroma enclosing areas with palisading nuclei compatible with Antoni A pattern, which are seen in schwannomas. These regions showed strong and diffuse immunoreactivity for S100 protein and moderate positivity in the neurofibroma area. CD34 was positive in the neurofibroma area and entrapped axons were positive for neurofilament. The final diagnosis was oral hybrid neurofibroma-schwannoma tumor. Hybrid peripheral nerve sheath tumors, although extremely rare, may arise within the oral cavity. To the best of our knowledge, this is the first neurofibroma-schwannoma tumor reported in the oral cavity. Recognizing hybrid peripheral nerve sheath tumors as a distinct clinicopathological entity is important because they may also be associated with syndromic disorders.

Características físico-químicas e atividade antioxidante total de pitaias vermelha e branca / Physicochemical characteristis and total antioxidant activity of red and white pitaya

Neste estudo, foram avaliadas as características físico-químicas e a atividade antioxidante total (AAT) da casca e da polpa das pitaias vermelha e branca. Foram determinadas a composição centesimal, vitaminaC, fenólicos totais e AAT nas cascas e polpas das pitaias. A AAT foi determinada utilizando-se duas metodologias: sistema β-caroteno/ácido linoléico e sequestro do radial DPPH. As cascas e as polpas das pitaias analisadas apresentaram alto teor de umidade e baixo teor de proteínas e lipídios. Os teores de fibra alimentar total (FAT) e cinzas foram significativamente maiores nas cascas das pitaias, e os teores de glicídios e energia foram maiores nas polpas. O teor médio de vitamina C variou de 17,73 a 20,69 (mg.100g-1) nas polpas e de 22,21 a 24,05 (mg.100 g-1) nas cascas. A casca da pitaia vermelha demonstrou menor teor de fenólicos totais (77,22 mg EAG.100 g-1). As pitaias analisadas mostraram alta AAT pela metodologia de sistema betacaroteno/ácido linoleico e baixa AAT pela técnica de DPPH. A pitaia vermelha apresentou a maior AAT com destaque na sua polpa. O potencial antioxidante e as características químicas das pitaias vermelha e branca podem contribuir na dieta benéfica à saúde humana.