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[PMID]: 29489700 [Au] Autor: Chen Q; Liu Q; Suo Y; Xie Q [Ad] Endereço: Department of Hand Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China. [Ti] Título: A new surgical treatment for abdominal wall defects: A vascularized ribs-pleural transfer technique that can be used with or without a thoracic umbilical flap a case report. [So] Source: Medicine (Baltimore);97(9):e9993, 2018 Mar. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: Abdominal wall defects are common after tumor resection. PATIENT CONCERNS: We report an 83-year-old male patient with recurrent tumors in his abdomen, and who had an incision wound that could not be directly closed. Mesh was not suitable because the wound was infected. DIAGNOSES: Abdominal wall defect result from the resection of recurrent tumor. INTERVENTIONS: We carried out a vascularized ribs-pleural transfer operation. OUTCOMES: After the surgery, the patient gained a functional recovery. No evidence of recurrence was noted 1 year after operation, and the patient showed no symptoms of abdominal compression syndrome. LESSONS: We discuss the clinical diagnosis, treatment, and follow up and argue that the vascularized ribs-pleural transfer technique is a good method to deal with abdominal wall defects. [Mh] Termos MeSH primário: Parede Abdominal/cirurgia Pleura/transplante Complicações Pós-Operatórias/cirurgia Procedimentos Cirúrgicos Reconstrutivos/métodos Costelas/transplante [Mh] Termos MeSH secundário: Neoplasias Abdominais/cirurgia Idoso de 80 Anos ou mais Seres Humanos Masculino Recidiva Local de Neoplasia/cirurgia Retalhos Cirúrgicos Umbigo/transplante [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180307 [Lr] Data última revisão: 180307 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180301 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000009993

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[PMID]: 29381950 [Au] Autor: Bai S; Zhang H; Li Z; Li D; Li H [Ad] Endereço: Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin, China. [Ti] Título: A 53-year-old man with a sclerosing rib lesion: A case report. [So] Source: Medicine (Baltimore);96(47):e8692, 2017 Nov. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: Sclerosing osteomyelitis of Garré is a rare condition that occurs most commonly in tubular bones and the mandible. Its nontypical symptoms, low morbidity, and insidious process make its diagnosis difficult at an early stage. In this article, we reported a case of chronic sclerosing osteomyelitis which occurred in flat bone. PATIENT CONCERNS: A 53-year-old man was diagnosed with rib sclerosing osteomyelitis of Garré who had an 8-year course of intermittent local pain and swelling, which radiated toward the left side of his chest wall. Chest computed tomography (CT) showed irregular sclerosis of the diaphysis of the 10th rib, with periosteal reaction and narrowing of the medullary cavity, and magnetic resonance imaging (MRI) showed T2 heterogeneous low-signal intensity over the 10th rib. DIAGNOSES: Based on the features of the clinical signs and radiography and biopsy of the lesion, diagnosis of rib sclerosing osteomyelitis of Garré was made. INTERVENTIONS: The patient was treated with surgical excision of a 10-cm-long lesion after failed conservative treatment. OUTCOMES: Postoperatively, the patient achieved good functional recovery at the 10-year follow-up. LESSONS: Rib sclerosing osteomyelitis of Garré is an unusual condition and represents a noninfective course in the rib with a low morbidity. The surgical management was successful in relieving the patient's symptom. [Mh] Termos MeSH primário: Osteomielite/diagnóstico Osteomielite/patologia Costelas/patologia [Mh] Termos MeSH secundário: Diáfises Seres Humanos Masculino Meia-Idade Osteomielite/cirurgia Esclerose Tomografia Computadorizada por Raios X [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180220 [Lr] Data última revisão: 180220 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180201 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000008692

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[PMID]: 29328609 [Au] Autor: Markovic A; Lazic Z; Misic T; Scepanovic M; Todorovic A; Thakare K; Janjic B; Vlahovic Z; Glisic M [Ti] Título: Effect of surgical drill guide and irrigans temperature on thermal bone changes during drilling implant sites - thermographic analysis on bovine ribs. [So] Source: Vojnosanit Pregl;73(8):744-50, 2016 Aug. [Is] ISSN: 0042-8450 [Cp] País de publicação: Serbia [La] Idioma: eng [Ab] Resumo: Background/Aim: During drilling implant sites, mechanical energy is converted into thermal one resulting in transient rise in temperature of surrounding bone. The temperature of 47°C exeeding one minute impairs osseointegration, compromises mechanical properties of the local bone and could cause early implant failure. This in vitro study aimed to assess the effect of surgical drill guide and temperature of irrigans on thermal changes of the local bone during drilling implant sites, and to test the influence of irrigans temperature on the temperature of surgical drill guide. Methods: A total of 48 specimens obtained from bovine ribs were randomly allocated to four experimental conditions according to the 2 x 2 factorial design: drill guide (with or without) and saline (at 25°C or 5°C). Real-time infrared thermography was used as a method for temperature measurement. The primary outcome was bone temperature change during drilling implant sites measured at 3 osteotomy depths, whereas the second one was change in the temperature of the drill guide. Data were analyzed by Brunner and Langer nonparametric analysis and Wilcoxon test. Results: The effect of drill guide on the changes of bone temperature was significant at the entrance of osteotomy, whereas the effect of saline temperature was significant at all osteotomy levels (p < 0.001). No significant interaction was found (p > 0.05). Guided surgery and irrigation with saline at 25°C were associated with the highest bone temperature increase. Increase in drill guide temperature was significantly higher when saline at 25°C was used (p < 0.001). Conclusion: Guided implant site preparation generates higher temperature of the local bone than conventional drilling, not exceeding the threshold for thermal bone necrosis. Although saline at room temperature provides sufficient heat control during drilling, cooled saline is more effective regardless the use of surgical drill guide. [Mh] Termos MeSH primário: Temperatura Corporal Osso e Ossos/fisiologia Implantes Dentários Osteotomia/instrumentação Temperatura Ambiente Irrigação Terapêutica/métodos [Mh] Termos MeSH secundário: Animais Interface Osso-Implante Bovinos Masculino Modelos Animais Costelas/fisiologia Costelas/cirurgia Estresse Mecânico Termografia [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Dental Implants) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180213 [Lr] Data última revisão: 180213 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180113 [St] Status: MEDLINE [do] DOI: 10.2298/VSP141208041M

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[PMID]: 29201300 [Au] Autor: Heo JY; Lee JW; Kim CH; Lee SM; Choi YS [Ad] Endereço: Department of Orthopedic Surgery, Kwangju Christian Hospital, Gwangju, Korea. [Ti] Título: The Validation of Ultrasound-Guided Target Segment Identification in Thoracic Spine as Confirmed by Fluoroscopy. [So] Source: Clin Orthop Surg;9(4):472-479, 2017 Dec. [Is] ISSN: 2005-4408 [Cp] País de publicação: Korea (South) [La] Idioma: eng [Ab] Resumo: Background: The role of ultrasound in the thoracic spine has been underappreciated, partly because of the relative efficacy of the landmark-guided technique and the limitation of imaging through the narrow acoustic windows produced by the bony framework of thoracic spine. The aim of this study was to make a comparison between the 12th rib and the spinous process of C7 as a landmark for effective ultrasound-guided target segment identification in the thoracic spine. Methods: Ultrasonography of 44 thoracic spines was performed and the same procedure was carried out 1 week later again. The target segments (T3-4, T7-8, and T10-11) were identified using the 12th rib (group 1) or the spinous process of C7 (group 2) as a starting landmark. Ultrasound scanning was done proximally (group 1) or distally (group 2) toward the target transverse process and further medially and slightly superior to the target thoracic facet. Then, a metal marker was placed on the T3-4, T7-8, and T10-11 and the location of each marker was confirmed by fluoroscopy. Results: In the total 132 segments, sonographic identification was confirmed to be successful with fluoroscopy in 84.1% in group 1 and 56.8% in group 2. Group 1 had a greater success rate in ultrasound-guided target segment identification than group 2 ( = 0.001), especially in T10-11 (group 1, 93.2%; group 2, 43.2%; = 0.001) and T7-8 (group 1, 86.4%; group 2, 56.8%; = 0.002). The intrarater reliability of ultrasound-guided target segment identification was good (group 1, = 0.76; group 2, = 0.82), showing no difference between right and left sides. Ultrasound-guided target segment identification was more effective in the non-obese subjects ( = 0.001), especially in group 1. Conclusions: Ultrasound-guided detection using the 12th rib as a starting landmark for scanning could be a promising technique for successful target segment identification in the thoracic spine. [Mh] Termos MeSH primário: Pontos de Referência Anatômicos/diagnóstico por imagem Vértebras Cervicais/diagnóstico por imagem Costelas/diagnóstico por imagem Vértebras Torácicas/diagnóstico por imagem Ultrassonografia [Mh] Termos MeSH secundário: Adulto Fluoroscopia Voluntários Saudáveis Seres Humanos Adulto Jovem [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE; VALIDATION STUDIES [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.2017.9.4.472

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[PMID]: 29205223 [Au] Autor: Xiao S; Yang J; Crandall JR [Ad] Endereço: School of Mechanical Engineering, Hebei University of Technology, Tianjin, China. [Ti] Título: Investigation of chest injury mechanism caused by different seatbelt loads in frontal impact. [So] Source: Acta Bioeng Biomech;19(3):53-62, 2017. [Is] ISSN: 1509-409X [Cp] País de publicação: Poland [La] Idioma: eng [Ab] Resumo: PURPOSE: The purpose of this quantitative study is to investigate the differences of the injury mechanism caused by two different types of seatbelt loads on the occupant's chest. METHODS: The finite element analysis is employed to compare the different responses of the human body model, including comparison of kinematics, chest accelerations, seatbelt forces and chest injury outcomes regarding chest deflections and rib fractures. RESULTS: The calculated rib strain-stress response from simulations in force-limiting seatbelt are higher than that in the regular seatbelt. The forward movement and torso twist are both great in simulations with force-limiting seatbelt. Moreover, there are obvious differences in the injury outcomes of chest deflections and rib fracture risks under the different seatbelt loads. CONCLUSION: Results indicate that the chest deflections and rib fracture risks are negatively correlated under the load of the force-limiting seatbelt, However, they are positively correlated to and determined by the seatbelt peak load of the regular seatbelt. This paper can provide a reference for study of the chest injury mechanism and protection efficiency of seatbelt. [Mh] Termos MeSH primário: Aceleração/efeitos adversos Modelos Biológicos Estimulação Física/efeitos adversos Cintos de Segurança/efeitos adversos Traumatismos Torácicos/etiologia Traumatismos Torácicos/fisiopatologia [Mh] Termos MeSH secundário: Acidentes de Trânsito Simulação por Computador Seres Humanos Costelas/fisiopatologia Estresse Mecânico Tórax/fisiopatologia [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180129 [Lr] Data última revisão: 180129 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171206 [St] Status: MEDLINE

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[PMID]: 27779132 [Au] Autor: MacBean V; Hughes C; Nicol G; Reilly CC; Rafferty GF [Ad] Endereço: Division of Asthma, Allergy and Lung Biology, King's College London, London, UK. [Ti] Título: Measurement of neural respiratory drive via parasternal intercostal electromyography in healthy adult subjects. [So] Source: Physiol Meas;37(11):2050-2063, 2016 Nov. [Is] ISSN: 1361-6579 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Neural respiratory drive, quantified by the parasternal intercostal muscle electromyogram (EMGpara), provides a sensitive measure of respiratory system load-capacity balance. Reference values for EMGpara-based measures are lacking and the influence of individual anthropometric characteristics is not known. EMGpara is conventionally expressed as a percentage of that obtained during a maximal inspiratory effort (EMGpara%max), leading to difficulty in applying the technique in subjects unable to reliably perform such manoeuvres. To measure EMGpara in a large, unselected cohort of healthy adult subjects in order to evaluate relevant technical and anthropometric factors. Surface second intercostal space EMGpara was measured during resting breathing and maximal inspiratory efforts in 63 healthy adult subjects, median (IQR) age 31.0 (25.0-47.0) years, 28 males. Detailed anthropometry, spirometry and respiratory muscle strength were also recorded. Median (IQR EMGpara was 4.95 (3.35-6.93) µV, EMGpara%max 4.95 (3.39-8.65)% and neural respiratory drive index (NRDI, the product of EMGpara%max and respiratory rate) was 73.62 (46.41-143.92) %.breath/min. EMGpara increased significantly to 6.28 (4.26-9.93) µV (p < 0.001) with a mouthpiece, noseclip and pneumotachograph in situ. Median (IQR) EMGpara was higher in female subjects (5.79 (4.42-7.98) µV versus 3.56 (2.81-5.35) µV, p = 0.003); after controlling for sex neither EMGpara, EMGpara%max or NRDI were significantly related to anthropometrics, age or respiratory muscle strength. In subjects undergoing repeat measurements within the same testing session (n = 48) or on a separate occasion (n = 19) similar repeatability was observed for both EMGpara and EMGpara%max. EMGpara is higher in female subjects than males, without influence of other anthropometric characteristics. Reference values are provided for EMGpara-derived measures. Expressing EMGpara as a percentage of maximum confers no advantage with respect to measurement repeatability, expanding the potential application of the technique. Raw EMGpara is a useful marker of respiratory system load-capacity balance. [Mh] Termos MeSH primário: Tronco Encefálico/citologia Eletromiografia Voluntários Saudáveis Músculos/fisiologia Respiração Costelas [Mh] Termos MeSH secundário: Adulto Tronco Encefálico/fisiologia Feminino Seres Humanos Masculino Força Muscular [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171130 [Lr] Data última revisão: 171130 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161105 [St] Status: MEDLINE

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[PMID]: 28859035 [Au] Autor: Alias H; Doris Lau SC; Loh CK; Ishak MI; Mohammed F; Jamal R; Abdul Latif H [Ad] Endereço: Departments of *Pediatrics †Pathology, Faculty of Medicine ‡UKM Medical Molecular Biology Institute, National University of Malaysia, Kuala Lumpur, Malaysia. [Ti] Título: Giant Cell Tumor of the Ribs and Aneurysmal Bone Cyst Presenting With Hemothorax in a Child. [So] Source: J Pediatr Hematol Oncol;39(8):e463-e465, 2017 Nov. [Is] ISSN: 1536-3678 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Giant cell tumor (GCT) is one of the most common tumors of bone and is the most common precursor of aneurysmal bone cysts (ABC). The clinical behavior of concurrent GCT and ABC can be very aggressive in children. GCT of the ribs, with or without ABC, is rarely seen in children. We report a case of an 8-year-old girl with GCT and associated ABC of the ribs who presented with sudden onset of chest pain and breathlessness due to a hemothorax. The patient was successfully treated by surgical resections and arterial embolization. She has remained well for 4 years after the initial surgery. [Mh] Termos MeSH primário: Cistos Ósseos Aneurismáticos/diagnóstico Neoplasias Ósseas/diagnóstico Tumor de Células Gigantes do Osso/diagnóstico Hemotórax/diagnóstico [Mh] Termos MeSH secundário: Angiografia Dor no Peito/diagnóstico Dor no Peito/etiologia Criança Diagnóstico Diferencial Feminino Seres Humanos Imagem por Ressonância Magnética Costelas/patologia Tomografia Computadorizada por Raios X [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171103 [Lr] Data última revisão: 171103 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170901 [St] Status: MEDLINE [do] DOI: 10.1097/MPH.0000000000000960

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[PMID]: 28692370 [Au] Autor: Ahmadipour S; Mohsenzadeh A; Sabzevari ZM [Ad] Endereço: Associate Professor, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran. [Ti] Título: An intrathoracic rib in a 3-year-old boy. [So] Source: Br J Hosp Med (Lond);78(7):414, 2017 Jul 02. [Is] ISSN: 1750-8460 [Cp] País de publicação: England [La] Idioma: eng [Mh] Termos MeSH primário: Anormalidades Musculoesqueléticas/diagnóstico por imagem Costelas/diagnóstico por imagem [Mh] Termos MeSH secundário: Pré-Escolar Seres Humanos Masculino Radiografia Torácica Costelas/anormalidades Tomografia Computadorizada por Raios X [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170926 [Lr] Data última revisão: 170926 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170711 [St] Status: MEDLINE [do] DOI: 10.12968/hmed.2017.78.7.414a

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[PMID]: 28692360 [Au] Autor: Paul SP; Pettet G; Vickerstaff H [Ad] Endereço: Consultant Paediatrician, Department of Paediatrics, Torbay Hospital, Torquay TQ2 7AA. [Ti] Título: A non-traumatic lump on the chest wall: isolated bifid rib. [So] Source: Br J Hosp Med (Lond);78(7):414, 2017 Jul 02. [Is] ISSN: 1750-8460 [Cp] País de publicação: England [La] Idioma: eng [Mh] Termos MeSH primário: Anormalidades Musculoesqueléticas/diagnóstico por imagem Costelas/diagnóstico por imagem [Mh] Termos MeSH secundário: Criança Feminino Seres Humanos Radiografia Torácica Costelas/anormalidades Parede Torácica [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170926 [Lr] Data última revisão: 170926 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170711 [St] Status: MEDLINE [do] DOI: 10.12968/hmed.2017.78.7.414

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[PMID]: 28617404 [Au] Autor: Chkadua TZ; Asirova GV; Mustafina FK; Chernenkiy MM; Frolov SS; Vejze DL [Ad] Endereço: Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia. [Ti] Título: [Reconstructive otoplasty: differentiated approach to rib cartilage processing and ear framework formation using carving technique]. [Ti] Título: Rekonstruktivnaia otoplastika: differentsirovannyi podkhod k vyboru metoda obrabotki autorebernogo khriashcha i formirovaniia karkasa ushnoi rakoviny pri pomoshchi karving-tekhniki.. [So] Source: Stomatologiia (Mosk);96(3):30-35, 2017. [Is] ISSN: 0039-1735 [Cp] País de publicação: Russia (Federation) [La] Idioma: rus [Ab] Resumo: The aim of the research was to optimize surgical rehabilitation of patients with auricle defects and deformities by the developing of differentiated approach to the choice of reconstructive otoplasty method. The study involved 30 patients with auricle defects and deformities of congenital (20 patients) and acquired (10 patients) etiology. The defects were total in 25 patients and partial in 5 patients. All patients underwent ear reconstruction with rib cartilage using carving technique. Preoperative planning was based in Doppler ultrasound of temporal region vessels, laser Doppler flowmetry, temporal skin ultrasound and 3D ribcage CT. The surgical tactic was selected according to the possibility of mastoid region skin usage or necessity of the temporoparietal fascial flap. The approach proved to be highly efficient as otoplasty outcomes were good in 80% of cases, satisfactory in 10% and unsatisfactory in 10%. [Mh] Termos MeSH primário: Cartilagem/cirurgia Deformidades Adquiridas da Orelha/cirurgia Orelha Externa/anormalidades Orelha Externa/cirurgia Costelas/cirurgia Retalhos Cirúrgicos [Mh] Termos MeSH secundário: Feminino Seres Humanos Procedimentos Cirúrgicos Reconstrutivos/reabilitação [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170810 [Lr] Data última revisão: 170810 [Sb] Subgrupo de revista: D; IM [Da] Data de entrada para processamento: 170616 [St] Status: MEDLINE [do] DOI: 10.17116/stomat201796330-35

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