Base de dados : MEDLINE
Pesquisa : A02.835.232.043.825.548 [Categoria DeCS]
Referências encontradas : 988 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 99 ir para página                         

  1 / 988 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29205969
[Au] Autor:Zhang W
[Ad] Endereço:Department of Forensic Medicine, National Police University of China, Shenyang 110035, China.
[Ti] Título:[Forensic Analysis of the Characteristics of Pelvic Fracture in 65 Road Traffic Accident Death Cases].
[So] Source:Fa Yi Xue Za Zhi;32(6):428-430, 2016 Dec.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To analyze the characteristics and mechanisms of pelvic fractures in the cases of road traffic accident deaths. METHODS: Total 65 cases of road traffic accident deaths with pelvic fracture were collected, and the sites, characteristics and injury mechanisms of pelvic fracture were statistically analyzed. RESULTS: Among the 65 cases of pelvic fracture, 38 cases of dislocation of sacroiliac joint were found, and most combined with pubis symphysis separation or fracture of pubis. In the fractures of pubis, ischium and acetabulum, linear fractures were most common, while comminuted fractures were most common in sacrum and coccyx fractures. There were 54 cases combined with pelvic soft tissue injury, and 8 cases with pelvic organ injury and 44 cases with abdominal organ injury. In the types of pelvic ring injury, 32 cases were separation, 49.32%, followed by compression, 26.15% and only one case was verticality, 1.54%. CONCLUSIONS: Detailed and comprehensive examination of the body and determination of the pelvic fracture type contribute to analyze the mechanisms of injury.
[Mh] Termos MeSH primário: Acidentes de Trânsito
Fraturas Ósseas/diagnóstico
Ossos Pélvicos/lesões
[Mh] Termos MeSH secundário: Acetábulo/lesões
Morte
Patologia Legal
Fraturas Cominutivas/diagnóstico
Seres Humanos
Ísquio/lesões
Lesões dos Tecidos Moles/diagnóstico
Fraturas da Coluna Vertebral/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2016.06.008


  2 / 988 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29201307
[Au] Autor:Hernandez A; Haddad S; Nuñez JH; Gargallo-Margarit A; Sallent A; Barro V
[Ad] Endereço:Department of Orthopedic Surgery, University Hospital of Vall d'Hebron, Barcelona, Spain.
[Ti] Título:Ischiofemoral Impingement Syndrome: Outcomes of Endoscopic Resection of the Lesser Trochanter.
[So] Source:Clin Orthop Surg;9(4):529-533, 2017 Dec.
[Is] ISSN:2005-4408
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Ischiofemoral impingement syndrome is a rare clinical entity characterized by chronic groin, buttock or hip pain associated with radiographic evidence of narrowing of the space between the lesser femoral trochanter and the ischial tuberosity. Introduction of magnetic resonance imaging to the clinical practice as well as the establishment of the radiological definition of the abnormal ischiofemoral distance has led to an increasing interest in this condition. Ischiofemoral impingement syndrome is a poorly understood disorder of chronic pain, especially regarding its treatment. The authors present two cases of primary ischiofemoral impingement syndrome successfully treated with a minimally invasive surgical technique. With this endoscopic technique, it was possible to resect the lesser trochanter and restore the ischiofemoral space. Immediate clinical and functional improvement was reported by both patients.
[Mh] Termos MeSH primário: Endoscopia/métodos
Fêmur/cirurgia
Ísquio/diagnóstico por imagem
Doenças Musculoesqueléticas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Fêmur/diagnóstico por imagem
Seres Humanos
Imagem por Ressonância Magnética
Meia-Idade
Doenças Musculoesqueléticas/diagnóstico por imagem
Síndrome
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.4055/cios.2017.9.4.529


  3 / 988 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29310397
[Au] Autor:Ma XN; Qiang S; Liu TY; Cao MY; Lv SC
[Ad] Endereço:Department of Orthopedics.
[Ti] Título:Massive rare desmoplastic fibroma of the ilium and ischium in a young adult: A case report.
[So] Source:Medicine (Baltimore);96(48):e8962, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Desmoplastic fibroma (DF) is a rare, locally invasive but benign bone tumor. It represents one of the rarest bone diseases, with an incidence of only 0.11% of all primary bone tumors. PATIENT CONCERNS: Herein, a case of massive and unusual DF, with simultaneous involvement of ilium and ischium, is described. A 29-year-old man suffered minor pain in his right hip for 2 years. It worsened after sudden movements, which prevented him from walking normally. Physical examination showed a limitation when the right hip was flexed and a percussion pain on the hip region. A medical imaging examination showed that the right ilium and ischium had a massive bone lesion. The top of acetabular had very little bone left and a fracture was likely at any time. No prominent body weight loss was noted, because there was no extensive invasion to the adjacent soft tissue. DIAGNOSES: DF of the Ilium and Ischium. INTERVENTIONS: The patient underwent a surgery involving curettage and grafting to maintain the stability of the pelvis. OUTCOMES: The definitive pathological diagnosis was DF, without evidence of malignancy. The postoperative recovery course at 3-month follow-up was uneventful. LESSONS: To the authors' knowledge, such a massive DF involving both ilium and ischium has been rarely reported. Young patients require appropriate and timely treatment modalities.
[Mh] Termos MeSH primário: Neoplasias Ósseas/cirurgia
Fibroma Desmoplásico/cirurgia
Ílio/cirurgia
Ísquio/cirurgia
[Mh] Termos MeSH secundário: Adulto
Neoplasias Ósseas/diagnóstico por imagem
Neoplasias Ósseas/patologia
Curetagem
Fibroma Desmoplásico/diagnóstico por imagem
Fibroma Desmoplásico/patologia
Seres Humanos
Ílio/diagnóstico por imagem
Ílio/patologia
Ísquio/diagnóstico por imagem
Ísquio/patologia
Masculino
Transplante de Tecidos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008962


  4 / 988 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29182108
[Au] Autor:Baki ME; Abdioglu A; Aydin H; Kerimoglu S; Bak C
[Ti] Título:Triple pelvic osteotomy for the treatment of symptomatic acetabular dysplasia in adolescents and adults : A review of 42 hips.
[So] Source:Acta Orthop Belg;82(4):699-704, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:We treated 42 hips with symptomatic acetabular dysplasia using triple pelvic osteotomy. The mean age of the patients was 20.7 years (12-47). The median follow-up was 50.3 months. The average Harris hip score improved from 74 to 92 points. Significant improvement from the preoperative to the latest follow-up evaluation was seen radiologically with reference to the center-edge angle, the anterior center-edge angle, the acetabular index and the femoral head extrusion index. Shenton's line was intact in 9 hips before the operation and it was intact in 40 hips at the latest follow-up. The cross-over sign was present in 15 hips before the operation and it was present in one hip after the operation. The results of this study demonstrated that triple pelvic osteotomy provides improved radiographic results and good symptomatic relief in acetabular dysplasia.
[Mh] Termos MeSH primário: Luxação Congênita de Quadril/cirurgia
Ílio/cirurgia
Ísquio/cirurgia
Osteotomia/métodos
Osso Púbico/cirurgia
[Mh] Termos MeSH secundário: Acetábulo/diagnóstico por imagem
Adolescente
Adulto
Criança
Feminino
Seguimentos
Luxação Congênita de Quadril/diagnóstico por imagem
Seres Humanos
Ílio/diagnóstico por imagem
Ísquio/diagnóstico por imagem
Masculino
Meia-Idade
Complicações Pós-Operatórias/epidemiologia
Osso Púbico/diagnóstico por imagem
Radiografia
Remissão Espontânea
Estudos Retrospectivos
Neuropatia Ciática/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  5 / 988 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28647958
[Au] Autor:Ren C; Song XC; Zhu L; Ai FF; Shi HH; Sun ZJ; Chen J; Lang JH
[Ad] Endereço:Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
[Ti] Título:[Prospective cohort study on the outcomes of sacrospinous ligament fixation using conventional instruments in treating stage â…¢-â…£ pelvic organ prolapse].
[So] Source:Zhonghua Fu Chan Ke Za Zhi;52(6):369-373, 2017 Jun 25.
[Is] ISSN:0529-567X
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To evaluate the medium and long term safety and efficacy of sacrospinous ligament fixation (SSLF) performed with conventional instruments in treating stage â…¢-â…£ pelvic organ prolapse (POP). A prospective cohort analysis was conducted in the Peking Union Medical College Hospital, between May 2007 and June 2015, enrolling 55 women with stage â…¢-â…£ POP who intended to receive SSLF. Primary end points were objective success rates using pelvic organ prolapse quantitation system (POP-Q) and subjective satisfaction rates with questionnaires after surgery according to vaginal examination and related questionnaires for all patients who received SSLF eventually. Exploratory outcomes included perioperative parameters and complications. Of these 55 POP patients enrolled, 52 (95%, 52/55) received SSLF using conventional surgical instruments, the other 3 cases converted to ischial spinous fascia fixation due to difficulty exposing. Medium blood loss during operation was 100 ml (20-300 ml) and operative time 60 minutes (20-165 minutes). Pelvic hematoma with diameters of 5 cm and 7 cm were observed in two patients, both recovered fully with conservative methods. All patients were able to micturate spontaneously after catheter withdrawal. One patient reported right thigh pain after operation which remained till 3-month follow-up and relieved after physiotherapy. The objective success rate was 100% (52/52) at 3 months. With a medium follow-up time of 23.7 months, the objective success rate was 98% (51/52), the recurrence rate was 2% (1/52) and the satisfactory rate was 94% (49/52). De novo urinary incontinence occurred in 6% (3/52) of patients. Most POP could be corrected with SSLF using conventional instruments which is a feasible, economic and effective procedure for Asian patients with medium compartment prolapse.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos em Ginecologia/métodos
Ligamentos/cirurgia
Prolapso de Órgão Pélvico/cirurgia
Sacro/cirurgia
[Mh] Termos MeSH secundário: Idoso
Feminino
Procedimentos Cirúrgicos em Ginecologia/efeitos adversos
Seres Humanos
Ísquio
Meia-Idade
Satisfação do Paciente
Diafragma da Pelve/cirurgia
Complicações Pós-Operatórias/epidemiologia
Estudos Prospectivos
Qualidade de Vida
Índice de Gravidade de Doença
Slings Suburetrais
Inquéritos e Questionários
Resultado do Tratamento
Incontinência Urinária por Estresse/etiologia
Incontinência Urinária por Estresse/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0529-567X.2017.06.003


  6 / 988 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28406569
[Au] Autor:Lewton KL; Scott JE
[Ad] Endereço:Department of Cell and Neurobiology, Keck School of Medicine, University of Southern California, Los Angeles, California.
[Ti] Título:Ischial Form as an Indicator of Bipedal Kinematics in Early Hominins: A Test Using Extant Anthropoids.
[So] Source:Anat Rec (Hoboken);300(5):845-858, 2017 May.
[Is] ISSN:1932-8494
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Human ischia contrast with those of great apes in being craniocaudally short and dorsally projecting. This configuration is thought to facilitate greater hip extension in humans during bipedal locomotion. This link has been used to infer kinematics in early hominins, but the consequences of variation in ischial configuration for gait remain uncertain. Kinematic data for a limited sample of extant nonhuman primates demonstrate that there is variation in hip extension in these taxa during bipedal behaviors-specifically, Hylobates and Ateles are capable of greater extension than Pan and Macaca. In this study, we tested the hypothesis that ischial length and orientation are functionally linked with hip extension during bipedalism among these taxa. As expected, humans have the shortest ischia, followed by gibbons, spider monkeys, chimpanzees, and macaques. Our predictions for ischial orientation are not supported, however: macaques, gibbons, and spider monkeys do not vary in this trait, and they have ischia that are less dorsally angled than that of the chimpanzee. The results for ischium length provide limited support for the idea that the early hominin Ardipithecus ramidus, with its long, caudally oriented ischium was not capable of humanlike extended-hip bipedalism, and that the ischial shortening observed in post-Ardipithecus hominins reflects a shift toward a more humanlike gait. In contrast, while our results do not necessarily refute a link between ischial orientation and hip extension in hominins, they do not provide comparative support, making changes in ischial orientation in this part of the fossil record more difficult to interpret. Anat Rec, 300:845-858, 2017. © 2017 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Marcha/fisiologia
Haplorrinos/anatomia & histologia
Hominidae/anatomia & histologia
Ísquio/anatomia & histologia
[Mh] Termos MeSH secundário: Animais
Fenômenos Biomecânicos/fisiologia
Haplorrinos/fisiologia
Hominidae/fisiologia
Ossos Pélvicos/anatomia & histologia
Caminhada
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1002/ar.23543


  7 / 988 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28324746
[Au] Autor:Palmerini E; Chawla NS; Ferrari S; Sudan M; Picci P; Marchesi E; Leopardi MP; Syed I; Sankhala KK; Parthasarathy P; Mendanha WE; Pierini M; Paioli A; Chawla SP
[Ad] Endereço:Istituto Ortopedico Rizzoli, Bologna, Italy. Electronic address: emanuela.palmerini@ior.it.
[Ti] Título:Denosumab in advanced/unresectable giant-cell tumour of bone (GCTB): For how long?
[So] Source:Eur J Cancer;76:118-124, 2017 May.
[Is] ISSN:1879-0852
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Giant-cell tumours of bone (GCTB) are RANK/RANK-ligand (RANKL) positive, aggressive and progressive osteolytic tumours. Denosumab, a RANKL inhibitor, was FDA-approved for adults and skeletally mature adolescents with unresectable GCTB or when surgical resection is likely to result in severe morbidity. Data on long-term toxicity and activity of denosumab monthly 'GCTB-schedule' (120 mg per 12/year, 1440 mg total dose/year) are lacking. METHODS: Patients with GCTB receiving denosumab, 120 mg on days 1, 8, 15, 29 and every 4 weeks thereafter, from 2006 to 2015 treated in two centres were included. Long-term toxicity was evaluated. RESULTS: Ninety-seven patients were identified. 43 patients underwent resection of the tumour with a median time on denosumab treatment of 12 months (range 6-45 months). Fifty-four patients had unresectable GCTB's (male/female 23/31, median age 35 years [range: 13-76 years], 26% presented with lung metastases, 31% had primary tumor located to the spine, 63% were relapsed after previous surgery) with a median time on denosumab of 54 months (9-115 months). In the unresectable GCTB group, tumour control and clinical benefits were observed in all patients undergoing denosumab, whereas 40% of patients discontinuing denosumab had tumour progression after a median of 8 months (range 7-15 months). ADVERSE EVENTS: Overall, six (6%) patients developed osteonecrosis of jaw (ONJ): 1/43 (2%) in the resectable group, 5/54 (9%) in the unresectable group, with a 5-year ONJ-free survival of 92% (95% CI 84-100). Only patients with prolonged treatment experienced mild peripheral neuropathy (6/54, 11%), skin rash (5/54, 9%), hypophosphataemia (2/54, 4%) and atypical femoral fracture (2/54, 4%). CONCLUSIONS: Prolonged treatment with denosumab has sustained activity in GCTB, with a mild toxicity profile. The dose-dependent toxicity observed recommends a careful and strict monitoring of patients who need prolonged treatment. Decreased dose-intensity schedules should be further explored in unresectable GCTB.
[Mh] Termos MeSH primário: Conservadores da Densidade Óssea/administração & dosagem
Neoplasias Ósseas/tratamento farmacológico
Denosumab/administração & dosagem
Tumor de Células Gigantes do Osso/tratamento farmacológico
Neoplasias Pulmonares/tratamento farmacológico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/epidemiologia
Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/etiologia
Neoplasias Ósseas/diagnóstico por imagem
Neoplasias Ósseas/patologia
Estudos de Coortes
Progressão da Doença
Relação Dose-Resposta a Droga
Feminino
Neoplasias Femorais/tratamento farmacológico
Neoplasias Femorais/patologia
Tumor de Células Gigantes do Osso/diagnóstico por imagem
Tumor de Células Gigantes do Osso/secundário
Seres Humanos
Ísquio
Neoplasias Pulmonares/diagnóstico por imagem
Neoplasias Pulmonares/secundário
Masculino
Meia-Idade
Rádio (Anatomia)/diagnóstico por imagem
Estudos Retrospectivos
Sacro
Neoplasias Cranianas/tratamento farmacológico
Neoplasias Cranianas/patologia
Neoplasias da Coluna Vertebral/tratamento farmacológico
Neoplasias da Coluna Vertebral/patologia
Tíbia
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Bone Density Conservation Agents); 4EQZ6YO2HI (Denosumab)
[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:170322
[St] Status:MEDLINE


  8 / 988 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28285012
[Au] Autor:Jordan SW; De la Garza M; Lewis VL
[Ad] Endereço:Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
[Ti] Título:Two-stage treatment of ischial pressure ulcers in spinal cord injury patients: Technique and outcomes over 8 years.
[So] Source:J Plast Reconstr Aesthet Surg;70(7):959-966, 2017 Jul.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Despite newly introduced techniques, reconstruction of ischial pressure ulcers remains a difficult problem with high-reported failure rates. METHODS: A retrospective chart review was performed on all spinal cord injury patients who underwent ischial pressure ulcer reconstruction by the senior author (V.L.) between 2004 and 2012. The two-stage procedure consisted of debridement and bone biopsy, followed by bursectomy, partial ischiectomy, fascial release, and gluteus maximus and hamstring advancement flaps. Postoperative care included 2-week supine bed rest on an air-fluidized bed, sitting tolerance rehabilitation, and thorough behavioral training. RESULTS: Sixty-five patients (74 flaps) were identified. A 45.9% had a previous attempt at reconstruction. The median follow-up period was 622 days. Overall, 67.6% of flaps were intact at the last follow-up. Superficial and deep dehiscence rates were 16.2 and 28.4%, respectively. Seven out of 35 flaps suffered late recurrence after being well healed for more than 1 year. History of previous reconstruction was found to be associated with increased odds of superficial (OR 6.02, 95% CI 1.55-23.3) and deep dehiscence (OR 12.3, 95% CI 1.99-76.9). CONCLUSIONS: The evolution of the senior author's decades of practice has led to the development of a simpler repair, which relies on plane-by-plane release of scarred tissues to improve the mobility of muscle and skin flaps without large tissue movements, even in the setting of apparent extensive tissue loss. This technique is a reliable option, particularly for the primary ischial pressure ulcer.
[Mh] Termos MeSH primário: Dissecação/métodos
Ísquio/patologia
Lesão por Pressão/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Adulto
Biópsia
Bolsa Sinovial/cirurgia
Nádegas
Desbridamento
Fasciotomia
Feminino
Seguimentos
Músculos Isquiotibiais/cirurgia
Seres Humanos
Ísquio/cirurgia
Masculino
Meia-Idade
Retalho Miocutâneo
Osteomielite/diagnóstico
Osteomielite/tratamento farmacológico
Lesão por Pressão/etiologia
Recidiva
Estudos Retrospectivos
Traumatismos da Medula Espinal/complicações
Deiscência da Ferida Operatória/etiologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170313
[St] Status:MEDLINE


  9 / 988 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27209308
[Au] Autor:Maldonado PA; Stuparich MA; McIntire DD; Wai CY
[Ad] Endereço:Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX, 75390-9032, USA. pedro.maldonado@utsouthwestern.edu.
[Ti] Título:Proximity of uterosacral ligament suspension sutures and S3 sacral nerve to pelvic landmarks.
[So] Source:Int Urogynecol J;28(1):77-84, 2017 Jan.
[Is] ISSN:1433-3023
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION AND HYPOTHESIS: To describe the relationships between pelvic bony landmarks to points along the third sacral nerve and to uterosacral ligament suspension sutures. METHODS: Three transvaginal uterosacral ligament suspension sutures were placed bilaterally in unembalmed female human cadavers. The third sacral nerve was marked at the foramen (S3a) and at two additional points at 1-cm intervals along its course caudally (S3b, S3c). Three bony pelvic landmarks were identified and marked, including the ischial spine, pubic symphysis, and coccyx. Distances from each landmark to each suture and nerve point were measured. The distance from each landmark to each S3 nerve point was extended radially, encompassing an arbitrary zone in which sutures may be placed and thus where nerve injury may occur. Zones of potential nerve injury included: zone A (closest to the sacral nerve root), zone B, and zone C (closest to the landmark). Descriptive statistics were used and comparisons were made using Student's t test and ANOVA. RESULTS: Ten cadaver specimens were dissected. For the ischial spine, the distances to points S3a, S3b, and S3c were 6.3, 5.4, and 4.6 cm respectively. Approximately two thirds of the sutures were noted beyond zone C, indicating a potentially increased risk of nerve injury with suture placement in zones farthest from the ischial spine given their proximity to the sacral nerve. CONCLUSIONS: Using the ischial spine as a landmark, increased sacral nerve injury could result from suture placement beyond the mean distance of 4.6 cm from the ischial spine. The use of bony landmarks in avoiding sacral nerve injury may be as important as suture depth and angle of suture placement.
[Mh] Termos MeSH primário: Pontos de Referência Anatômicos/cirurgia
Ligamentos/cirurgia
Plexo Lombossacral/cirurgia
Pelve/anatomia & histologia
Sacro/cirurgia
Suturas
Útero/cirurgia
[Mh] Termos MeSH secundário: Cadáver
Feminino
Seres Humanos
Ísquio/anatomia & histologia
Ísquio/inervação
Plexo Lombossacral/anatomia & histologia
Pelve/inervação
Pelve/cirurgia
Sacro/inervação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160523
[St] Status:MEDLINE
[do] DOI:10.1007/s00192-016-3039-z


  10 / 988 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27137904
[Au] Autor:Swann M; Sucato DJ; Romero J; Podeszwa DA
[Ad] Endereço:Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, Dallas, TX.
[Ti] Título:Fracture at the Ischio-Pubic Junction After Periacetabular Osteotomy in the Adolescent Population.
[So] Source:J Pediatr Orthop;37(2):127-132, 2017 Mar.
[Is] ISSN:1539-2570
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The Ganz periacetabular osteotomy (PAO) is a well-accepted surgical intervention for hip dysplasia. In the adolescent population it is performed in patients who are skeletally mature with symptoms related to acetabular dysplasia. Redistribution of stresses through the hemipelvis after PAO can lead to a fracture at the ischio-pubic junction (IPJ). METHODS: This is an IRB-approved, retrospective analysis of adolescent patients treated with a PAO for acetabular dysplasia from 1999 to 2012 at a single institution. Radiographic measurements were performed to include the lateral center-edge angle, Sharp acetabular index, and acetabular index of the weight-bearing zone. These were measured preoperatively and at 6-weeks and 1 year postoperatively from a standing anterior posterior pelvis radiograph. Postoperative modified Harris hip scores (mHHS) were also analyzed. Patients over the age of 21 at time of surgery and those with <2 years of follow-up were excluded. RESULTS: One hundred sixty-six patients (187 operated hips) at an average age of 15.6±2.5 were included. Twelve (6.4%) fractures at the IPJ were identified in 12 patients. Seven were identified on the initial postoperative films, whereas 5 were identified after the 6-week visit. Seven (58.3%) fractures had an associated superior posterior ramus nonunion. Six (50%) healed by 2 years after surgery; the remaining 6 (50%) went on to nonunion. Compared with those without a fracture, there was no significant difference in preoperative, 6 weeks postoperative, and final center-edge angle (P=0.94, 0.29, 0.27), Sharp acetabular index (P=0.95, 0.38, 0.16), or AIBWZ (P=0.37, 0.21, 0.54). There was no difference in postoperative mean modified Harris hip scores (P=0.63). Analysis of predisposing factors demonstrated that patients with Charcot-Marie-Tooth (CMT) disease were more likely to develop an IPJ fracture (P=0.001). Patients with an IPJ fracture were older (17.1 vs. 15.5, P=0.05). There was no difference based on patient sex (P=0.22). DISCUSSION AND CONCLUSIONS: The incidence of fracture at the IPJ after PAO in the adolescent population is 6.4% with some occurring at the time of surgery. These fractures are also associated with a nonunion at the superior posterior ramus cut and an underlying diagnosis of Charcot-Marie-Tooth. These fractures are not clinically significant and in this series did not merit further intervention when identified. LEVEL OF EVIDENCE: Level III.
[Mh] Termos MeSH primário: Fraturas de Estresse/etiologia
Luxação do Quadril/cirurgia
Ísquio/lesões
Osteotomia/efeitos adversos
Osso Púbico/lesões
[Mh] Termos MeSH secundário: Adolescente
Doença de Charcot-Marie-Tooth/complicações
Feminino
Consolidação da Fratura
Fraturas não Consolidadas/etiologia
Seres Humanos
Incidência
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160504
[St] Status:MEDLINE
[do] DOI:10.1097/BPO.0000000000000742



página 1 de 99 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