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Id: lil-779402
Autor: Gracitelli, Mauro Emilio Conforto; Assunção, Jorge Henrique; Malavolta, Eduardo Angeli; Sakane, Daniel Takashi; Rezende, Marcelo Rosa de; Ferreira Neto, Arnaldo Amado.
Título: Trapezius muscle transfer for external shoulder rotation: anatomical study
Fonte: Acta ortop. bras;22(6):304-307, Nov-Dec/2014. ilus, tab.
Idioma: en; pt.
Resumo: Comparar a viabilidade da transferência da porção inferiore transversa do trapézio para o tubérculo maior através de três diferentestécnicas. Métodos: Doze ombros de seis cadáveres foramutilizados. O desfecho primário foi a avaliação da viabilidade da suturada transferência do músculo trapézio para a tuberosidade maior,na topografia da inserção do tendão do infraespinal, com a escápularetraída e o ombro em rotação interna no abdome. Foram realizadastrês diferentes transferências em cada ombro: inserção distal daporção inferior e transversa do trapézio (Grupo 1); porção inferiordo trapézio (Grupo 2); inserção e a origem da porção inferior dotrapézio (Grupo 3). A integridade do nervo acessório antes e depoisdas transferências foi avaliada. Resultados: A transferência foi viávelem 42% (5/12) e 58% (7/12) dos pacientes dos Grupos 1 e 3, respectivamente,sem diferença estatística (Teste de Fisher, p=0,558); NoGrupo 3, encontramos um alto índice de lesão neurológica (11/12).O Grupo 2 que não obteve viabilidade em nenhum caso, sendo atécnica de pior escolha para este tipo de procedimento. Conclusão:Os Grupos 1 e 3 apresentam os melhores resultados quanto à viabilidadede sutura no tubérculo maior, sem a utilização de enxertostendíneos, entretanto, o Grupo 3 apresentou alto índice de lesões donervo espinal acessório. Nível de Evidência IV, Estudo Anatômico...

To compare the viability of transferring the lowerand transverse trapezius to the greater tuberosity using threedifferent techniques. Methods: Twelve shoulders from six cadaverswere used. The primary outcome was to assess thesuture viability of the trapezius muscle transfer to the greatertuberosity in the insertion topography of the infraspinatus, withthe arm adducted during internal rotation (hand on the abdomen)and maximum scapular retraction. Three transfers wereapplied to each shoulder: the lower and transverse trapeziusdistal insertion (Group 1); lower trapezius alone (Group 2); andlower trapezius insertion and origin (Group 3). Accessory nerveintegrity was assessed before and after transfers. Results:Sutures were viable in 42% (5/12) and 58% (7/12) on Groups1 and 3, respectively, with no statistically significant difference(Fisher's test, p=0.558); Group 3 exhibited frequent neurologicinjury (11/12). Group 2 was the least successful; the tendon didnot reach the greater tuberosity, and no sutures were viable.Conclusion: Groups 1 and 3 exhibited the best nongraftingsuture viability to the greater tuberosity; however, Group 3 wasassociated to frequent spinal accessory nerve injury. Level ofEvidence IV, Anatomical Study...
Descritores: Cadáver
Nervo Acessório
Ombro
Paralisia
Plexo Braquial/lesões
Transferência Tendinosa
Trapézio
Responsável: BR734.1 - Biblioteca Central Cesar Lattes - BCCL


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Id: biblio-1040445
Autor: Villalobos Vargas, Katherine; Madrigal Ramírez, Edgar Alonso.
Título: Biomecánica de las lesiones en hombro: Revisión bibliográfica crítica desde la perspectiva médico legal laboral / Biomechanics of shoulder injuries: Critical bibliographic review from the medical-legal-occupational perspective
Fonte: Med. leg. Costa Rica;36(2):56-67, sep.-dic. 2019.
Idioma: es.
Resumo: Resumen La base fundamental de la valoración médico legal de un individuo es establecer la relación de causalidad entre la historia narrada por el mismo y los hallazgos documentados. La biomecánica del trauma es una herramienta que permite dilucidar dicha concordancia, ya que su estudio involucra los mecanismos de trauma implicados en la génesis de las distintas lesiones. Este artículo consiste en una revisión bibliográfica y crítica de la literatura actual en materia de etiopatogenia de las lesiones en hombro por su alta incidencia laboral y capacidad de generar secuelas.

Abstract The basis of the forensic evaluation of an individual is to establish the relationship of causality between the story that has been told by the patient and the documented findings. The study of injury biomechanics is a tool that helps to clarify said concordance, since it involves the trauma mechanisms that are implied in the genesis of the different lesions. This article consists of a bibliographical revision and critique of the current literature about the etiopathogenesis of the shoulder lesions, since they are frequent in the work place and can generate sequels.
Descritores: Ombro
Riscos Ocupacionais
Bursite
Médicos Legistas
Lesões de Bankart
Lesões do Manguito Rotador
Lesões do Ombro
Medicina Legal
Medicina do Trabalho
Limites: Humanos
Tipo de Publ: Revisão
Responsável: CR1.1 - BINASSS - Biblioteca Nacional de Salud y Seguridad Social


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Id: biblio-837972
Autor: Esposito, Ana Cláudia Cavalcante; Munhoz, Tania; Abbade, Luciana Patrícia Fernandes; Miot, Hélio Amante.
Título: Do you know this syndrome? Type 2 benign symmetric lipomatosis (Launois-Bensaude)
Fonte: An. bras. dermatol;91(6):840-841, Nov.-Dec. 2016. graf.
Idioma: en.
Resumo: Abstract A 57-year-old female showed bulky, loose tumors, which progressively spread to her arms, anterior chest, and back. She reported dysphagia and dyspnea after mild exertion. She denied alcohol consumption. CT scan of her chest showed no internal lesions. Benign symmetric lipomatosis is a rare syndrome, clinically described as multiple nonencapsulated lipomas of various sizes and symmetrical distribution. This syndrome has three known phenotypes; in type 2 (Launois-Bensaude syndrome), lesions occur primarily on the shoulders, upper arms, and chest, and is unrelated to alcoholism. It causes aesthetic deformities and might block the upper airways. Mediastinal invasion might occur as well.
Descritores: Lipomatose Simétrica Múltipla/genética
Lipomatose Simétrica Múltipla/patologia
-Braço
Ombro
Tórax
Dorso
Hereditariedade
Limites: Humanos
Feminino
Pessoa de Meia-Idade
Tipo de Publ: Relatos de Casos
Responsável: BR1.1 - BIREME


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Id: biblio-1017809
Autor: Maidana F., Mirtha.
Título: Rotura del manguito de los rotadores como hallazgo en ecografías del hombro, estudio retrospectivo en el Hospital central del Instituto de Previsión Social / Breakage of the sleeve of the rotators like finding in ecographies of the shoulder, retrospective study in the Hospital central del Instituto de Previsión Social.
Fonte: Asunción; Universidad Católica Nuestra Señora de la Asunción. Facultad de Ciencias de la Salud. Post Grado de Especialidades Médicas; 2007. 70 h p. ilus.
Idioma: es.
Resumo: La articulación del hombro es probablemente la más accesible al estudio ecográfico en el adulto. La rotura del manguito de los rotadores (MR), causa común de omalgia, que en aquellos casos equívocos, la ultrasonografía, con 90 % de sensibilidad y especificidad puede ayudar a confirmar el diagnostico. El objetivo del estudio fue identificar pacientes con rotura del manguito como hallazgo ecográfico, en estudios del hombro, entre los meses de marzo a noviembre del 2007. El estudio es de tipo observacional, descriptivo, de corte transversal, retrospectivo. Un estimado de la longitud de la rotura de espesor total se realizó sobre imagen de la misma, en plano axial, con la técnica descripta por Simmoncini. Para clasificar se usa el plano en el que el desgarro es mayor: 1. Parciales 2. Pequeños (- de 1 cm de diámetro máximo) 3. Grandes (entre 1 y 3 cm) 4. Masivos (+ de 3 cm). La población enfoca a pacientes con sospecha de rotura del manguito de los rotadores, que consultaron para realización de ecografía de hombro en el IPS, entre los meses de marzo a noviembre de 2007. Criterio de inclusión: informes ecográficos de pacientes de ambos sexos, con edades entre 17 y 90 años. Se realizó una serie de 259 paciente. La edad promedio fue de 59 +- 13 años, con un rango entre 17 y 85 años. El número de pacientes con rotura del maguito encontrado fue de 84 pacientes. Correspondiendo a rotura espesor total 49 pacientes, que corresponde a un 19,5 % del total de pacientes. La rotura de espesor parcial se vió en un total de 35 pacients, 13,5 del total. La rotura del tendón supraespinoso, como único tendón implicado es el hallazgo mas frecuente. En orden decreciente de frecuencia la asociación de rotura del supra i enfraespinos, supraespinoso y subescapular. La rotura del MR predomina en el sexo femenino. Otros hallazgos relacionados con dolor de hombro son disminución de la articulación acromioclavicular, tendinitis y tendinitis cálcica.
Descritores: Articulação do Ombro
Manguito Rotador
Ombro
Ruptura
-Paraguai
Limites: Masculino
Feminino
Humanos
Responsável: PY56.1 - Biblioteca Pablo VI
Py56.1; 616.07543, MAI, Biblioteca Pablo VI


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Id: lil-761616
Autor: Rahnama, Leila; Rezasoltani, Asghar; Khalkhali-Zavieh, Minoo; Rahnama, Behnam; Noori-Kochi, Farhang.
Título: Reliability of new software in measuring cervical multifidus diameters and shoulder muscle strength in a synchronized way; an ultrasonographic study
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(4):279-285, July-Aug. 2015. tab, ilus.
Idioma: en.
Resumo: OBJECTIVES: This study was conducted with the purpose of evaluating the inter-session reliability of new software to measure the diameters of the cervical multifidus muscle (CMM), both at rest and during isometric contractions of the shoulder abductors in subjects with neck pain and in healthy individuals.METHOD: In the present study, the reliability of measuring the diameters of the CMM with the Sonosynch software was evaluated by using 24 participants, including 12 subjects with chronic neck pain and 12 healthy individuals. The anterior-posterior diameter (APD) and the lateral diameter (LD) of the CMM were measured in a resting state and then repeated during isometric contraction of the shoulder abductors. Measurements were taken on separate occasions 3 to 7 days apart in order to determine inter-session reliability. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), and smallest detectable difference (SDD) were used to evaluate the relative and absolute reliability, respectively.RESULTS: The Sonosynch software has shown to be highly reliable in measuring the diameters of the CMM both in healthy subjects and in those with neck pain. The ICCs 95% CI for APD ranged from 0.84 to 0.94 in subjects with neck pain and from 0.86 to 0.94 in healthy subjects. For LD, the ICC 95% CI ranged from 0.64 to 0.95 in subjects with neck pain and from 0.82 to 0.92 in healthy subjects.CONCLUSIONS: Ultrasonographic measurement of the diameters of the CMM using Sonosynch has proved to be reliable especially for APD in healthy subjects as well as subjects with neck pain.
Descritores: Ombro/fisiologia
Ultrassonografia/instrumentação
Cervicalgia/fisiopatologia
Força Muscular/fisiologia
Dor Crônica/fisiopatologia
Contração Isométrica/fisiologia
-Software
Responsável: BR1.1 - BIREME


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Id: biblio-975616
Autor: Battoo, Azhar Jan; Sheikh, Zahoor Ahmad; Thankappan, Krishnakumar; Mir, Abdul Wahid; Haji, Altaf Gowhar.
Título: Level V Clearance in Neck Dissection for Papillary Thyroid Carcinoma: A Need for Homogeneous Studies
Fonte: Int. arch. otorhinolaryngol. (Impr.);22(4):449-454, Oct.-Dec. 2018.
Idioma: en.
Resumo: Abstract Introduction Papillary thyroid carcinoma has a very high rate of lateral neck node metastases, and there is almost unanimity concerning the fact that some sort of formal neck dissection must be performed to address the clinical neck disease in these cases. Although there is an agreement that levels II to IV need to be cleared in these patients, the clearance of level V is debatable. Objectives We herein have tried to analyze various papers that have documented a structured approach to neck dissection in these patients. Moreover, we have also tried to consider this issue through various aspects, like spinal accessory nerve injury and the impact of neck recurrence on survival. Data Synthesis The PubMed, Medline, Google Scholar, Surveillance, Epidemiology, and End Results (SEER), and Ovid databases were searched for studies written in English that focused on lateral neck dissection (levels II-IV or II-V) for papillary thyroid carcinoma. Case reports with 10 patients or less were excluded. Conclusions The current evidence is equivocal whether to clear level V or not, and the studies published on this issue are very heterogeneous. Level II-IV versus level II-V selective neck dissections in node-positive papillary thyroid carcinoma patients is far from categorical, with pros and cons for both approaches. Hence, we feel that there is a need for more robust homogeneous data in order to provide an answer to this question.
Descritores: Esvaziamento Cervical
Neoplasias da Glândula Tireoide/patologia
/cirurgia
AMERICAN HEART ASSOCIATIONACEDAPSONE/cirurgia
-Ombro/fisiopatologia
Nervo Acessório/cirurgia
Linfonodos/diagnóstico por imagem
Metástase Neoplásica
Recidiva Local de Neoplasia
Estadiamento de Neoplasias
Limites: Humanos
Adolescente
Adulto
Pessoa de Meia-Idade
Tipo de Publ: Revisão
Revisão Sistemática
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Id: lil-792718
Autor: Morais, Nuno; Cruz, Joana; Marques, Alda.
Título: Posture and mobility of the upper body quadrant and pulmonary function in COPD: an exploratory study
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(4):345-354, July-Aug. 2016. tab.
Idioma: en.
Resumo: ABSTRACT Background There is limited evidence regarding interactions between pulmonary (dys)function, posture, and mobility of the upper body quadrant in patients with chronic obstructive pulmonary disease (COPD). Objectives This exploratory study aimed to investigate whether postural alignment and mobility of the upper quadrant are related to changes in pulmonary function and compare such variables between patients with COPD and healthy individuals. Method Fifteen patients with COPD (67.93±9.71yrs) and 15 healthy controls (66.80±7.47yrs) participated. Pulmonary function (FEV1, FVC) was assessed with spirometry. Alignment and mobility of the head, thoracic spine, and shoulder were assessed using digital photographs. Pectoralis minor muscle (PmM) length and thoracic excursion were assessed with a measuring tape. Groups were compared and linear regression analyses were used to assess potential relationships between postural and mobility variables and pulmonary function. Results Patients with COPD were more likely to have a forward head position at maximal protraction (28.81±7.30º vs. 35.91±8.56º, p=0.02) and overall mobility of the head (21.81±10.42º vs. 13.40±7.84º, p=0.02) and a smaller range of shoulder flexion (136.71±11.91º vs. 149.08±11.58º, p=0.01) than controls. Patients’ non-dominant PmM length and maximal head protraction were predictors of FEV1 (r2adjusted=0.34). These variables, together with the upper thoracic spine at maximal flexion and thoracic kyphosis at maximal extension, were predictors of FVC (r2adjusted=0.68). Conclusion Our findings suggest that impaired pulmonary function is associated with muscle length and mobility adaptations. Further studies are needed to understand the underlying mechanisms and clinical value of these relationships.
Descritores: Ombro/fisiopatologia
Amplitude de Movimento Articular/fisiologia
Doença Pulmonar Obstrutiva Crônica/fisiopatologia
Pulmão/fisiopatologia
-Postura/fisiologia
Limites: Humanos
Responsável: BR1.1 - BIREME


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Id: lil-783878
Autor: Rosa, Dayana P; Borstad, John D; Pires, Elisa D; Camargo, Paula R.
Título: Reliability of measuring pectoralis minor muscle resting length in subjects with and without signs of shoulder impingement
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(2):176-183, Mar.-Apr. 2016. tab, graf.
Idioma: en.
Projeto: Fundação de Amparo à Pesquisa do Estado de São Paulo.
Resumo: Background: Pectoralis minor adaptive shortening may change scapula resting position and scapular kinematics during arm elevation. A reliable and clinically feasible method for measuring pectoralis minor length will be useful for clinical decision making when evaluating and treating individuals with shoulder pain and dysfunction. Objectives: To evaluate intrarater, interrater, and between-day reliability of a pectoralis minor (PM) muscle length measurement in subjects with and without signs of shoulder impingement. Method: A convenience sample of 100 individuals (50 asymptomatic and 50 symptomatic) participated in this study. Intra- and interrater reliability of the measurement was estimated in 50 individuals (25 asymptomatic and 25 symptomatic), and between-day reliability of the measurement repeated over an interval of 7 days was estimated in an independent sample of 50 additional participants. Pectoralis minor length was measured using a flexible tape measure with subjects standing. Results: Intraclass correlation coefficients (ICC3,k) for intrarater and interrater reliability ranged from 0.86-0.97 and 0.95 for between-day reliability in both groups. Standard error of measurements (SEM) ranged from 0.30-0.42 cm, 0.70-0.84 cm, and 0.40-0.41 cm for intrarater, interrater, and between-day reliability, respectively, across the sample. The minimal detectable change (MDC) for between-day measurements ranged from 1.13-1.14 cm for both groups. Conclusions: In asymptomatic individuals and in those with signs of shoulder impingement, a single rater or pair of raters can measure pectoralis minor muscle length using a tape measure with very good reliability. This measurement can also be reliably used by the same rater over a seven day interval.
Descritores: Músculos Peitorais
Exame Físico/métodos
Ombro/fisiologia
Amplitude de Movimento Articular
Síndrome de Colisão do Ombro/diagnóstico
Dor de Ombro/fisiopatologia
-Fenômenos Biomecânicos
Limites: Humanos
Responsável: BR1.1 - BIREME


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Id: lil-686278
Autor: Vieta, Ricardo; Golanó Alvarez, Pau.
Título: Tendón de inserción del pectoral menor (Pectoralis Minor): una variante a tener presente / Pectoralis minor tendon insertion: a variant to keep in mind
Fonte: Artrosc. (B. Aires);20(2):35-41, jun. 2013.
Idioma: es.
Resumo: Introducción: A pesar de más de un siglo de la descripción inicial de la existencia de múltiples variaciones de la forma e inserción de los músculos pectorales; el avance tecnológico y las novedosas técnicas quirúrgicas, obligan a la comunicación y a reflotar dichas variedades con el fin de alertar sobre su existencia. Material y Métodos: Disección simple de 12 piezas formolizadas individuales, aisladas y observación de 39 especímenes óseos secos. Resultados: Fue encontrada una variación en la inserción proximal del pectoral menor a nivel de la apófisis coracoidea de la escapula, en un hombro derecho, la cual presenta una serie de particularidades que serán objeto de esta publicación. Relevancia Clínica: Tener en cuenta la presencia de estas variaciones tendinosas en la cercanía del intervalo de los rotadores, su íntima vinculación con el ligamento coracohumeral y el tendón del supraespinoso, junto con la presencia de una bolsa serosa epicoracoidea; es suficiente para alertar sobre la posible causa de síndromes dolorosos inespecíficos de la región. Comprender la anatomía regional frente a la aparición de estas variaciones durante un procedimiento quirúrgico. Por otro lado, entrenar y agudizar al ojo del especialista en imágenes para aumentar su capacidad diagnóstica y no malinterpretar los resultados de los estudios ecográficos y de resonancia magnética
Descritores: Ombro/anatomia & histologia
Músculos Peitorais/anatomia & histologia
Tendões/anatomia & histologia
-Cadáver
Dissecação
Modelos Anatômicos
Limites: Humanos
Responsável: AR337.1 - Biblioteca A.A.O.T.


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Id: biblio-893031
Autor: Lee, Mi-Sun; Kwon, Seongoh; Lee, Je-Hun.
Título: The neurovascular structures in the triangular space of the upper limb: an anatomical study / Las estructuras neurovasculares en el espacio triangular del miembro superior: un estudio anatómico
Fonte: Int. j. morphol;35(2):624-628, June 2017. ilus.
Idioma: en.
Projeto: Ministry of Education, Science and Technology. basic science research program through the national research foundation of Korea.
Resumo: The aim of this study was to investigate the neuromuscular distribution after passing through the triangular space of the shoulder. Thirty-five specimens from 18 adult Korean cadavers (12 males and 6 females, age ranging from 42-102 years) were used in the study. This study analyzed the order in which the artery entered the muscle from that point the artery passed through the triangular space. The incidence of the first branch of the circumflex scapular artery was 11.4 % for infraspinatus, 5.7 % for teres major, 25.7 % for teres minor, 20.1 % for long head of biceps brachii, 25.7 % for subscapularis, and 11.4 % for subcutaneous tissue. This study investigated the incidence of lack of blood supply from the artery in the triangular space. This incidence was 27.8 % for infraspinatus, 13.0 % for teres major, 5.6 % for teres minor, 38.8 % for long head of triceps brachii, and 14.8 % for subscapularis. Four specimens showed arterial distribution in all surrounding muscles. One specimen identified the nerve branch to innervate teres minor of triangular space of shoulder. The results of this study will be helpful in clinical practice.

El objetivo de este estudio fue investigar la distribución neuromuscular después de pasar a través del espacio triangular del hombro. Para el estudio fueron utilizados treinta y cinco especímenes de 18 cadáveres adultos coreanos (12 varones y 6 mujeres, con una edad de 42-102 años). Se analizó el orden en que la arteria penetra en el músculo y continúa a través del espacio triangular. La incidencia de la primera rama de la arteria circunfleja escapular fue: 11,4 % en el músculo infraspinoso, 5,7 % en el músculo redondo mayor, 25,7 % en el músculo redondo menor, 20,1% en la cabeza larga del músculo bíceps braquial, 25,7 % en el músculo subescapular y 11,4 % en el tejido subcutáneo. Este estudio investigó la incidencia de la falta de suministro de sangre de la arteria en el espacio triangular. Se observó incidencia de 27,8 % para el músculo infraespinoso, 13,0 % para el músculo redondo mayor, 5,6 % para el músculo redondo menor, 38,8 %, para la cabeza larga del músculo tríceps braquial y 14,8 % para el músculo subescapular. Cuatro especímenes mostraron distribución arterial en todos los músculos circundantes. En un caso se identificó la rama nerviosa para el músculo redondo menor en espacio triangular del hombro. Los resultados de este estudio serán útiles en anatomía clínica.
Descritores: Músculo Esquelético/inervação
Músculo Esquelético/irrigação sanguínea
Extremidade Superior/inervação
Extremidade Superior/irrigação sanguínea
-Ombro
Cadáver
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Responsável: CL1.1 - Biblioteca Central



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