Base de dados : MEDLINE
Pesquisa : A01.378.610.250.300.480 [Categoria DeCS]
Referências encontradas : 2137 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 214 ir para página                         

  1 / 2137 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27860072
[Au] Autor:Dyson S; Blunden A; Murray R
[Ad] Endereço:Centre for Equine Studies, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, CB8 7UU, UK.
[Ti] Título:MAGNETIC RESONANCE IMAGING, GROSS POSTMORTEM, AND HISTOLOGICAL FINDINGS FOR SOFT TISSUES OF THE PLANTAR ASPECT OF THE TARSUS AND PROXIMAL METATARSAL REGION IN NON-LAME HORSES.
[So] Source:Vet Radiol Ultrasound;58(2):216-227, 2017 Mar.
[Is] ISSN:1740-8261
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Injuries of the plantar soft tissues of the tarsus and proximal metatarsus can be a source of lameness in horses, however published information is lacking on high field MRI characteristics of these tissues. Objectives of the current anatomic study were to (1) describe high-field MRI features of the plantar tarsal and proximal metatarsal soft tissues; and (2) compare MRI findings with gross and histological appearances of selected structures for a sample of cadaver limbs from non-lame horses. Single hindlimbs for 42 horses, and right and left hindlimbs for eight horses were scanned using high-field MRI. The MRI findings were described for the 50 single limbs; and the MRI, gross postmortem and histological findings were compared for the eight pairs of hindlimbs. The superficial digital flexor tendon had uniform low signal intensity, surrounded by the flexor retinaculum of intermediate to high signal intensity on all sequences. The lateral digital flexor tendon had slightly higher signal intensity, enclosed on the plantaromedial aspects by the low signal intensity metatarsocalcaneal ligament. The accessory ligament of the deep digital flexor tendon varied in size and signal intensity. The proximal and distal plantar ligaments, accessory ligament of the suspensory ligament, and calcaneoquartal ligament had low signal intensity. The long plantar ligament comprised a number of related parts, separated by lines of high signal intensity corresponding with fibrous septae seen in gross anatomical specimens. The plantar aspect of the ligament had uniform low signal intensity in all sequences, but the dorsal half was more heterogeneous with multifocal spots or lines of higher signal intensity.
[Mh] Termos MeSH primário: Cavalos/anatomia & histologia
Imagem por Ressonância Magnética/veterinária
Metatarso/anatomia & histologia
Metatarso/diagnóstico por imagem
Tarso Animal/anatomia & histologia
Tarso Animal/diagnóstico por imagem
[Mh] Termos MeSH secundário: Animais
Cadáver
Diagnóstico
Membro Posterior/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170623
[Lr] Data última revisão:
170623
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161119
[St] Status:MEDLINE
[do] DOI:10.1111/vru.12444


  2 / 2137 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27343165
[Au] Autor:Lien SB; Shen HC; Lin LC
[Ad] Endereço:Surgeon, Department of Orthopaedic Surgery, Tri-Service General Hospital, Penghu Branch, National Defense Medical Center, Taipei, Taiwan, Republic of China.
[Ti] Título:Combined Innovative Portal Arthroscopy and Fluoroscopy-Assisted Reduction and Fixation in Subtle Injury of the Lisfranc Joint Complex: Analysis of 10 Cases.
[So] Source:J Foot Ankle Surg;56(1):142-147, 2017 Jan - Feb.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Subtle injuries of the Lisfranc joint complex are uncommon and difficult to diagnose clinically and thus are easily missed even by experienced orthopedic doctors. Misdiagnosed injuries can lead to chronic disability until eventual fusion surgery. We describe 10 cases diagnosed with subtle injury of the Lisfranc joint that were treated with combined innovative portal arthroscopy and fluoroscopy-assisted reduction and percutaneous screw fixation in an interfragmentary fashion. The distance between the first and second metatarsals (the Lisfranc distance) and that between the medial cuneiform and fifth metatarsal base (foot arch height) was measured before and after surgery. The American Orthopaedic Foot and Ankle Society function score was evaluated perioperatively. The average preoperative and postoperative Lisfranc distance was 4.38 ± 0.39 mm and 2.68 ± 0.9 mm, the foot arch height was 12.63 ± 2.75 mm and 21.80 ± 3.50 mm, and the American Orthopaedic Foot and Ankle Society score was 59.1 ± 5.69 and 86.8 ± 10.1, respectively. Of the 10 patients, 3 had excellent outcomes, 6 had good outcomes, and 1 had a fair outcome. In conclusion, we report a useful and minimally invasive surgery for acute, subacute, and even chronic subtle injury of the Lisfranc joint. The Lisfranc distance, foot arch height, and function of the foot were restored clinically, and all measurements showed statistically significant differences.
[Mh] Termos MeSH primário: Artroscopia/métodos
Fraturas Ósseas/cirurgia
Metatarso/lesões
Metatarso/cirurgia
[Mh] Termos MeSH secundário: Acidentes por Quedas
Acidentes de Trânsito
Adulto
Idoso
Parafusos Ósseos
Estudos de Coortes
Terapia Combinada
Feminino
Fluoroscopia/métodos
Traumatismos do Pé/diagnóstico por imagem
Traumatismos do Pé/cirurgia
Fixação Interna de Fraturas/instrumentação
Fixação Interna de Fraturas/métodos
Consolidação da Fratura/fisiologia
Fraturas Ósseas/diagnóstico por imagem
Seres Humanos
Escala de Gravidade do Ferimento
Masculino
Metatarso/diagnóstico por imagem
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Posicionamento do Paciente
Recuperação de Função Fisiológica
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160626
[St] Status:MEDLINE


  3 / 2137 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28010834
[Au] Autor:Sezgin Y; Becel S; Akçay F
[Ad] Endereço:Family Medicine Clinic, Sürmene State Hospital, Trabzon, Turkey. Electronic address: drysezgin@gmail.com.
[Ti] Título:Acupuncture Treatment of a Metatarsus Proximal End Fracture: A Case Report.
[So] Source:J Acupunct Meridian Stud;9(6):319-321, 2016 Dec.
[Is] ISSN:2093-8152
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:A tuberosity fracture is an avulsion fracture in an area 1.5 cm proximal to the fifth metatarsus. Six to eight weeks of immobilization may be required. A patient with a short leg plaster splint came to our clinic because of pain. The patient had a diagnosis of a fifth metatarsus fracture. Significant edema, fluctuation on the dorsolateral section of the left foot, and red color changes (0.2- to 0.3-cm diameter) on the skin of the anterolateral tibial area of the affected leg were noted. The locations of these skin changes corresponded to the GB34 (Yanglingguan) and the ST37 (Shanqiuxu) acupoints. The patient was successfully treated with acupuncture at these and several other acupoints. After 3 weeks (i.e., eight sessions), the patient returned to her routine life without any pain. This interesting case of metatarsus proximal end fracture shows that some acupoints may be visible during the progress of the disease. We used these acupoints in acupuncture treatment. Pain and edema were rapidly relieved, which may be attributable to the recovery of the lymphatic system in the affected area via acupuncture treatment.
[Mh] Termos MeSH primário: Terapia por Acupuntura
Traumatismos do Pé/terapia
Fraturas Ósseas/terapia
Metatarso/lesões
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170117
[Lr] Data última revisão:
170117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161225
[St] Status:MEDLINE


  4 / 2137 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27184323
[Au] Autor:Yick KL; Tse LT; Lo WT; Ng SP; Yip J
[Ad] Endereço:Institute of Textiles and Clothing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong. Electronic address: tcyick@polyu.edu.hk.
[Ti] Título:Effects of indoor slippers on plantar pressure and lower limb EMG activity in older women.
[So] Source:Appl Ergon;56:153-9, 2016 Sep.
[Is] ISSN:1872-9126
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Open-toe mule slippers are popular footwear worn at home especially by older women. However, their biomechanical effects are still poorly understood. The objective of this study is to therefore evaluate the physical properties of two typical types of open-toe mule slippers and the changes in plantar pressure and lower limb muscle activity of older women when wearing these slippers. Five walking trials have been carried out by ten healthy women. The results indicate that compared to barefoot, wearing slippers results in significant increases in the contact area of the mid-foot regions which lead to plantar pressure redistribution from metatarsal heads 2-3 and the lateral heel to the midfoot regions. However, there is no significant difference in the selected muscle activity across all conditions. The findings enhance our understanding of slipper features associated with changes in biomechanical measures thereby providing the basis of slipper designs for better foot protection and comfort.
[Mh] Termos MeSH primário: Metatarso/fisiologia
Músculo Esquelético/fisiologia
Sapatos
[Mh] Termos MeSH secundário: Idoso
Fenômenos Biomecânicos
Eletromiografia
Feminino
Calcanhar/fisiologia
Seres Humanos
Extremidade Inferior
Meia-Idade
Pressão
Caminhada/fisiologia
Suporte de Carga
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170207
[Lr] Data última revisão:
170207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160518
[St] Status:MEDLINE


  5 / 2137 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27031545
[Au] Autor:Lee HS; Kim YC; Choi JH; Chung JW
[Ti] Título:Weil and Dorsal Closing Wedge Osteotomy for Freiberg's Disease.
[So] Source:J Am Podiatr Med Assoc;106(2):100-8, 2016 Mar.
[Is] ISSN:1930-8264
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Weil osteotomy is a type of distal osteotomy for the treatment of lesser metatarsalgia by shortening the metatarsal length. We applied Weil and dorsal closing wedge osteotomy for the treatment of Freiberg's disease. METHODS: Between September 1, 2006, and December 31, 2011, we performed Weil and dorsal closing wedge osteotomy of the second metatarsal in 15 feet of 15 patients (12 women, three men) diagnosed as having Freiberg's disease. The mean patient age was 29 years (range, 19-51 years), and mean follow-up was 47 months (range, 36-72 months). Postoperative shortening of the metatarsal length was measured by comparing preoperative and postoperative radiographs. Visual analog scale scores, American Orthopedic Foot and Ankle Society lesser metatarsophalangeal-interphalangeal scores, and the passive range of motion of the metatarsophalangeal joint were evaluated at 24 months. RESULTS: The mean postoperative shortening of the metatarsal length was 3.2 mm. The mean visual analog scale and American Orthopedic Foot and Ankle Society scores were 7.2 and 52.4 points preoperatively and 2.1 and 78.2 points at 24 months, respectively (P < .05). The mean range of motion of the metatarsophalangeal joint increased from 29.4° preoperatively to 46.5° postoperatively (P < .05). Various degrees of remodeling were observed at the dorsum of the metatarsal head at 24 months. CONCLUSIONS: Weil and dorsal closing wedge osteotomy of the metatarsal seems to be effective for treating Freiberg's disease. It improves pain and function in terms of shortening the metatarsal length and restoring the metatarsophalangeal joint.
[Mh] Termos MeSH primário: Metatarsalgia/etiologia
Articulação Metatarsofalângica/cirurgia
Metatarso/anormalidades
Osteocondrite/congênito
Osteotomia/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Seres Humanos
Masculino
Metatarsalgia/diagnóstico
Articulação Metatarsofalângica/diagnóstico por imagem
Metatarso/cirurgia
Meia-Idade
Osteocondrite/complicações
Osteocondrite/diagnóstico
Osteocondrite/cirurgia
Medição da Dor
Radiografia
Estudos Retrospectivos
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170207
[Lr] Data última revisão:
170207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160401
[St] Status:MEDLINE
[do] DOI:10.7547/14-065


  6 / 2137 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27018684
[Au] Autor:Taylor GI; Corlett RJ; Ashton MW
[Ad] Endereço:Melbourne, Victoria, Australia From the Jack Brockhoff Reconstructive Plastic Surgery Research Unit-Taylor Laboratory, Department of Anatomy and Neuroscience, University of Melbourne.
[Ti] Título:The Evolution of Free Vascularized Bone Transfer: A 40-Year Experience.
[So] Source:Plast Reconstr Surg;137(4):1292-305, 2016 Apr.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The first successful free vascularized bone flap was performed on June 1, 1974 (and reported in 1975), using the fibula. This was followed by the iliac crest based on the superficial circumflex iliac artery in 1975 and then the deep circumflex iliac artery in 1978. METHODS: A total of 384 transfers using fibula (n = 198), iliac crest (n = 180), radius (n = 4), rib (n = 1), and metatarsal (n = 1) were used between June of 1974 and June of 2014 for reconstruction of the mandible (n = 267), maxilla (n = 20), clavicle (n = 1), humerus (n = 8), radius and ulna (n = 21), carpus (n = 3), pelvis (n = 2), femur (n = 11), tibia (n = 47), and foot bones (n = 4). Indications were tumor ablation (n = 286), trauma (n = 84), osteomyelitis (n = 2), and the congenital deformities hemifacial microsomia (n = 2) and pseudarthrosis of the tibia (n = 9) and ulna (n = 1). RESULTS: Successful transfer was achieved in 95 percent of patients. Union varied with the recipient bone, from 6 to 8 weeks in the jaw, 2 to 3 months in the upper limb, and 3 to 4 months in the femur and tibia. Union was fastest with iliac crest. The fibula provided easier dissection; it could be raised on either peroneal or anterior tibial vessels; the skin flap could be designed distally; it could be placed centrally in the medullary cavity of long bones; and hairline stress fracture in the lower limb frequently preceded rapid subperiosteal hypertrophy. The fibula lacks sufficient height for osseointegration, whereas iliac crest is ideal. Osteotomies of either bone are possible to straighten or increase curvature. CONCLUSIONS: The fibula is best for long bone or angle-to-angle jaw reconstruction, especially in edentulous patients. Iliac crest is best for hemimandible, curved bones (pelvis, carpus, and metacarpus), and as an alternative for short, straight, 6- to 8-cm-long bone defects.
[Mh] Termos MeSH primário: Transplante Ósseo/métodos
Retalhos de Tecido Biológico/transplante
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Fíbula/irrigação sanguínea
Fíbula/transplante
Seguimentos
Retalhos de Tecido Biológico/irrigação sanguínea
Seres Humanos
Ílio/irrigação sanguínea
Ílio/transplante
Masculino
Metatarso/irrigação sanguínea
Avaliação de Resultados (Cuidados de Saúde)
Rádio (Anatomia)/irrigação sanguínea
Rádio (Anatomia)/transplante
Costelas/irrigação sanguínea
Costelas/transplante
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160329
[Lr] Data última revisão:
160329
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160329
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000002040


  7 / 2137 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
PubMed Central Texto completo
Texto completo
[PMID]:26783259
[Au] Autor:Stearne SM; McDonald KA; Alderson JA; North I; Oxnard CE; Rubenson J
[Ad] Endereço:School of Sport Science, Exercise and Health, The University of Western Australia, Perth, WA, 6009, Australia.
[Ti] Título:The Foot's Arch and the Energetics of Human Locomotion.
[So] Source:Sci Rep;6:19403, 2016 Jan 19.
[Is] ISSN:2045-2322
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The energy-sparing spring theory of the foot's arch has become central to interpretations of the foot's mechanical function and evolution. Using a novel insole technique that restricted compression of the foot's longitudinal arch, this study provides the first direct evidence that arch compression/recoil during locomotion contributes to lowering energy cost. Restricting arch compression near maximally (~80%) during moderate-speed (2.7 ms(-1)) level running increased metabolic cost by + 6.0% (p < 0.001, d = 0.67; unaffected by foot strike technique). A simple model shows that the metabolic energy saved by the arch is largely explained by the passive-elastic work it supplies that would otherwise be done by active muscle. Both experimental and model data confirm that it is the end-range of arch compression that dictates the energy-saving role of the arch. Restricting arch compression had no effect on the cost of walking or incline running (3°), commensurate with the smaller role of passive-elastic mechanics in these gaits. These findings substantiate the elastic energy-saving role of the longitudinal arch during running, and suggest that arch supports used in some footwear and orthotics may increase the cost of running.
[Mh] Termos MeSH primário: Fenômenos Biomecânicos
Locomoção
Metatarso/anatomia & histologia
Metatarso/fisiologia
Modelos Biológicos
Atividade Motora
[Mh] Termos MeSH secundário: Seres Humanos
Corrida
Caminhada
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160120
[St] Status:MEDLINE
[do] DOI:10.1038/srep19403


  8 / 2137 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26276134
[Au] Autor:Pereira BS; Frada T; Freitas D; Varanda P; Vieira-Silva M; Oliva XM; Duarte RM
[Ad] Endereço:Orthopedic Surgery Department, Hospital de Braga, Braga, Portugal pereira.bac@gmail.com.
[Ti] Título:Long-term Follow-up of Dorsal Wedge Osteotomy for Pediatric Freiberg Disease.
[So] Source:Foot Ankle Int;37(1):90-5, 2016 Jan.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Treatment for Freiberg disease has been largely conservative despite availability of various operative options for severe or refractory cases. The aim of this study was to evaluate the long-term results of pediatric patients with symptomatic Freiberg disease treated with intra-articular dorsal wedge osteotomy. METHODS: Pediatric patients treated for Freiberg disease with surgery between January 1982 and 1999 were identified and selected for long-term clinical evaluation. Patients were evaluated regarding operative satisfaction and clinical outcome, performed according to the American Orthopaedic Foot & Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal scale and range of motion (ROM) of metatarsophalangeal (MTP) joint. Patients had radiographic assessment of degenerative joint status with anteroposterior and oblique foot x-ray. Twenty patients (18 female, 2 male; mean age 15.2 years; range 12-17 years) were identified. The mean follow-up period was 23.4 (range 15-32) years. RESULTS: The clinical outcomes of our patients were classified as excellent in 16 (80%) and good in 4 (20%). The AOFAS mean score was 96.8 (range 91-100) points at the last clinical appointment. A negative correlation between AOFAS score and time of follow-up (r's = -0.61, P < .001) was found. Also, a strong negative correlation was found between Smillie classification and AOFAS final score (r's = -0.88, P < .001). CONCLUSION: The patients were very satisfied with pain and quality of life at a mean follow-up time of 23.4 years. To our knowledge, this is the first long-term follow-up report supporting the procedure described by Gauthier and Elbaz as a good option for operative treatment of Freiberg disease. LEVEL OF EVIDENCE: Level IV, retrospective case series.
[Mh] Termos MeSH primário: Ossos do Metatarso/cirurgia
Metatarso/anormalidades
Osteocondrite/congênito
Osteotomia/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seguimentos
Seres Humanos
Masculino
Ossos do Metatarso/diagnóstico por imagem
Articulação Metatarsofalângica/diagnóstico por imagem
Articulação Metatarsofalângica/cirurgia
Metatarso/diagnóstico por imagem
Metatarso/cirurgia
Osteocondrite/diagnóstico por imagem
Osteocondrite/cirurgia
Satisfação do Paciente
Radiografia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170103
[Lr] Data última revisão:
170103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150816
[St] Status:MEDLINE
[do] DOI:10.1177/1071100715598602


  9 / 2137 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26246341
[Au] Autor:Song D; Yang X; Wu Z; Li L; Wang T; Zheng H; Hou C
[Ad] Endereço:Department of Head and Neck Surgery, Hunan Province Cancer Hospital of Xiangya Medical School, Central South University, Changsha, China.
[Ti] Título:Anatomic basis and clinical application of the distally based medialis pedis flaps.
[So] Source:Surg Radiol Anat;38(2):213-21, 2016 Mar.
[Is] ISSN:1279-8517
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Soft-tissue defects of the forefoot are difficult to cover adequately, particularly, although multiple options for reconstruction are available. This study especially focused on the vascularization of the medial side of the foot and the determination of the contribution of the nutrient vessels to medialis pedis flap viability. METHODS: Thirty cadavers were available for this anatomical study. Microdissection was conducted under a microscope, and details of the course and distribution and the communication of the first plantar metatarsal artery with the fascial vascular network of the medial side of the foot were recorded. Clinically, six cases of soft-tissue defects at the forefoot region were reconstructed with distally based medialis pedis flap. RESULTS: The perforator of the first plantar metatarsal artery pierces in the superficial fascia of the medial aspect of the foot 2.2 ± 0.7 cm proximal to the first metatarsophalangeal joint, vascularize the skin of the medial plantar region. The anatomical study showed that the vasculature pattern could roughly be classified into two types. In terms of clinical application, all flaps completely survived, and one patient had partial loss of skin graft. CONCLUSION: The perforators of the medialis pedis flap are presented constant. The forefoot region can be repaired by the distally based medialis pedis flap on the perforator of the medial plantar artery of the hallux or the first plantar metatarsal artery perforator with medial plantar vein, medial plantar cutaneous nerve and nutrient vessels.
[Mh] Termos MeSH primário: Antepé Humano/anatomia & histologia
Antepé Humano/cirurgia
Transplante de Pele/métodos
Lesões dos Tecidos Moles/cirurgia
Retalhos Cirúrgicos/irrigação sanguínea
[Mh] Termos MeSH secundário: Adulto
Cadáver
Fáscia/irrigação sanguínea
Hálux/irrigação sanguínea
Hálux/inervação
Seres Humanos
Masculino
Metatarso/irrigação sanguínea
Metatarso/inervação
Microdissecção
Microscopia
Artérias da Tíbia/anatomia & histologia
Nervo Tibial/anatomia & histologia
Veias/anatomia & histologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1612
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150807
[St] Status:MEDLINE
[do] DOI:10.1007/s00276-015-1532-6


  10 / 2137 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26165886
[Au] Autor:van Alphen NA; Laungani AT; Christner JA; Lachman N; Carlsen BT; Saint-Cyr M
[Ad] Endereço:Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minnesota.
[Ti] Título:The Distally Based Dorsal Metatarsal Artery Perforator Flap: Vascular Study and Clinical Implications.
[So] Source:J Reconstr Microsurg;32(4):245-50, 2016 May.
[Is] ISSN:1098-8947
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background Intrinsic flaps based on the dorsal metacarpal arteries are useful for coverage of dorsal hand, finger, and thumb defects. The purpose of this study was to explore the anatomy of the dorsal metatarsal arteries (DMtAs) in the foot to help define their clinical utility. We observed the size and numbers of distal perforators from the DMtAs and quantified the vascular perfusion pattern of the DMtA perforator across the skin. Methods Ten fresh cadaver feet were injected with latex and dissected to assess the size and number of distal perforators from the DMtAs. Five DMtA perforator flaps were injected with methylene blue to visualize and quantify the vascular territory of the skin flap to understand the clinical possibilities. In addition, a clinical case is described and shown. Results Ten fresh cadaver feet were dissected. The first DMtA was absent in two specimens and the second, third, or fourth DMtA was absent in one specimen each. The available DMtAs had between two and five cutaneous perforators supplying the skin (average, 3.7 perforators per DMtA). The largest perforators to the skin were always seen in the distal half of the DMtA and ranged from 0.4 to 0.8 mm (average, 0.5 mm). Methylene blue injections showed an average flap surface of 21.6 × 47.6 mm. Conclusion This cadaveric study demonstrates the usefulness of the DMtA perforator flap. The flap is a valuable addition to the arsenal of flaps to cover the dorsum of the toe, webspace, or defects exposing tendons on the distal dorsum of the foot.
[Mh] Termos MeSH primário: Artérias/anatomia & histologia
Dissecação/métodos
Metatarso/anatomia & histologia
Retalho Perfurante
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Cadáver
Feminino
Seres Humanos
Masculino
Metatarso/irrigação sanguínea
Metatarso/cirurgia
Retalho Perfurante/irrigação sanguínea
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150714
[St] Status:MEDLINE
[do] DOI:10.1055/s-0035-1554936



página 1 de 214 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde