Base de dados : MEDLINE
Pesquisa : C05.116.821 [Categoria DeCS]
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[PMID]:29309422
[Au] Autor:Itoh G; Ishii H; Kato H; Nagano Y; Hayashi H; Funasaki H
[Ad] Endereço:Graduate School of Community and Human Services, Rikkyo University, Saitama, Japan.
[Ti] Título:Risk assessment of the onset of Osgood-Schlatter disease using kinetic analysis of various motions in sports.
[So] Source:PLoS One;13(1):e0190503, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Some studies have listed motions that may cause Osgood-Schlatter disease, but none have quantitatively assessed the load on the tibial tubercle by such motions. PURPOSES: To quantitatively identify the load on the tibial tubercle through a biomechanical approach using various motions that may cause Osgood-Schlatter disease, and to compare the load between different motions. METHODS: Eight healthy male subjects were included. They conducted 4 types of kicks with a soccer ball, 2 types of runs, 2 types of squats, 2 types of jump landings, 2 types of stops, 1 type of turn, and 1 type of cutting motion. The angular impulse was calculated for knee extension moments ≥1.0 Nm/kg, ≥1.5 Nm/kg, ≥2.0 Nm/kg, and ≥2.5 Nm/kg. After analysis of variance, the post-hoc test was used to perform pairwise comparisons between all groups. RESULTS/CONCLUSIONS: The motion with the highest mean angular impulse of knee extension moment ≥1.0 Nm/kg was the single-leg landing after a jump, and that with the second highest mean was the cutting motion. At ≥1.5 Nm/kg, ≥2.0 Nm/kg, and ≥2.5 Nm/kg, the cutting motion was the highest, followed by the jump with a single-leg landing. They have a large load, and are associated with a higher risk of developing Osgood-Schlatter disease. The mean angular impulse of the 2 types of runs was small at all the indicators. CLINICAL RELEVANCE: Motions with a high risk of developing Osgood-Schlatter disease and low-risk motions can be assessed in further detail if future studies can quantify the load and number of repetitions that may cause Osgood-Schlatter disease while considering age and the development stage. Scheduled training regimens that balance load on the tibial tubercle with low-load motions after a training day of many load-intensive motions may prevent athletes from developing Osgood-Schlatter disease and increase their participation in sports.
[Mh] Termos MeSH primário: Movimento (Física)
Osteocondrose/fisiopatologia
Esportes
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Articulação do Joelho/fisiopatologia
Masculino
Medição de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180109
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190503


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[PMID]:29373573
[Au] Autor:Robles M; Nouveau E; Gautier C; Mendoza L; Dubois C; Dahirel M; Lagofun B; Aubrière MC; Lejeune JP; Caudron I; Guenon I; Viguié C; Wimel L; Bouraima-Lelong H; Serteyn D; Couturier-Tarrade A; Chavatte-Palmer P
[Ad] Endereço:UMR BDR, INRA, ENVA, Université Paris Saclay, Jouy en Josas, France.
[Ti] Título:Maternal obesity increases insulin resistance, low-grade inflammation and osteochondrosis lesions in foals and yearlings until 18 months of age.
[So] Source:PLoS One;13(1):e0190309, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Obesity is a growing concern in horses. The effects of maternal obesity on maternal metabolism and low-grade inflammation during pregnancy, as well as offspring growth, metabolism, low-grade inflammation, testicular maturation and osteochondrotic lesions until 18 months of age were investigated. MATERIAL AND METHODS: Twenty-four mares were used and separated into two groups at insemination according to body condition score (BCS): Normal (N, n = 10, BCS ≤4) and Obese (O, n = 14, BCS ≥4.25). BCS and plasma glucose, insulin, triglyceride, urea, non-esterified fatty acid, serum amyloid A (SAA), leptin and adiponectin concentrations were monitored throughout gestation. At 300 days of gestation, a Frequently Sampled Intravenous Glucose Tolerance Test (FSIGT) was performed. After parturition, foals' weight and size were monitored until 18 months of age with plasma SAA, leptin, adiponectin, triiodothyronine (T3), thyroxine (T4) and cortisol concentrations measured at regular intervals. At 6, 12 and 18 months of age, FSIGT and osteoarticular examinations were performed. Males were gelded at one year and expression of genes involved in testicular maturation analysed by RT-qPCR. RESULTS: Throughout the experiment, maternal BCS was higher in O versus N mares. During gestation, plasma urea and adiponectin were decreased and SAA and leptin increased in O versus N mares. O mares were also more insulin resistant than N mares with a higher glucose effectiveness. Postnatally, there was no difference in offspring growth between groups. Nevertheless, plasma SAA concentrations were increased in O versus N foals until 6 months, with O foals being consistently more insulin resistant with a higher glucose effectiveness. At 12 months of age, O foals were significantly more affected by osteochondrosis than N foals. All other parameters were not different between groups. CONCLUSION: In conclusion, maternal obesity altered metabolism and increased low-grade inflammation in both dams and foals. The risk of developing osteochondrosis at 12 months of age was also higher in foals born to obese dams.
[Mh] Termos MeSH primário: Doenças dos Cavalos/patologia
Doenças dos Cavalos/fisiopatologia
Inflamação/veterinária
Resistência à Insulina/fisiologia
Obesidade/veterinária
Osteocondrose/veterinária
Complicações na Gravidez/veterinária
[Mh] Termos MeSH secundário: Adiponectina/sangue
Animais
Animais Recém-Nascidos
Glicemia/metabolismo
Feminino
Teste de Tolerância a Glucose
Cavalos
Inflamação/etiologia
Insulina/sangue
Leptina/sangue
Masculino
Troca Materno-Fetal
Obesidade/complicações
Obesidade/fisiopatologia
Osteocondrose/etiologia
Gravidez
Complicações na Gravidez/patologia
Complicações na Gravidez/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Adiponectin); 0 (Blood Glucose); 0 (Insulin); 0 (Leptin)
[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:180127
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190309


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[PMID]:29182115
[Au] Autor:Meselhy MA
[Ti] Título:Management of adolescent tibia vara using Taylor spatial frame.
[So] Source:Acta Orthop Belg;82(4):745-753, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Adolescent tibia vara is a multiplanar deformity that can lead to progressive deformity, altered gait, unequal leg lengths, and premature knee arthritis if uncorrected. The purpose of the current study is to report our experience in management of adolescent tibia vara using Taylor Spatial Frame (TSF). MATERIALS AND METHODS: A prospective study of eleven adolescent tibia vara patients managed by proximal tibial osteotomy gradual deformity correction using TSF. RESULTS: The average time in the frame was 123.5 (±25.5) days. At final follow up (average 15 (±2) months), the mean post-operative mPTA was 87 (±4) degrees (range 81 to 93 degrees), where the mean preoperative mean mPTA was 68 (±9) degrees (range 49 to 77 degrees) (p value 0.003). The mean postoperative MAD was 12.2(±11.4) mm, range (-1 to 26 mm), where preoperative mean MAD was 75.7(±14.7 mm), range (60 to 107mm) (p value 0.003). The mean postoperative PPTA was 80(±2) degrees, range (77 to 83 degrees), while the preoperative mean PPTA was 72 (±12) degrees, range (42 to 82 degrees) (p value 0.028). CONCLUSION: Although we have not directly compared the TSF with the Ilizarov fixator, this series serves to highlight the versatility and effectiveness of the TSF in the treatment of complex and often obstinate adolescent tibia vara.
[Mh] Termos MeSH primário: Doenças do Desenvolvimento Ósseo/cirurgia
Fixadores Externos
Osteocondrose/congênito
Osteotomia/métodos
Tíbia/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Doenças do Desenvolvimento Ósseo/diagnóstico por imagem
Feminino
Seres Humanos
Masculino
Osteocondrose/diagnóstico por imagem
Osteocondrose/cirurgia
Estudos Prospectivos
Tíbia/diagnóstico por imagem
Fatores de Tempo
Tomografia Computadorizada por Raios X
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


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[PMID]:28470772
[Au] Autor:Martel G; Forget C; Gilbert G; Richard H; Moser T; Olive J; Laverty S
[Ad] Endereço:Département des Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, St-Hyacinthe, Quebec, Canada.
[Ti] Título:Validation of the ultrasonographic assessment of the femoral trochlea epiphyseal cartilage in foals at osteochondrosis predilected sites with magnetic resonance imaging and histology.
[So] Source:Equine Vet J;49(6):821-828, 2017 Nov.
[Is] ISSN:2042-3306
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Noninvasive imaging tools are needed to screen foal femoropatellar joints to detect subclinical osteochondrosis lesions due to focal failure of endochondral ossification to enhance early management to optimise intrinsic healing events. Recently investigations employing 3T susceptibility-weighted magnetic resonance imaging (3T SWI MRI) and CT have demonstrated their capacity for early osteochondrosis diagnosis, but these technologies are not practical for field screening. We postulate that ultrasonography is a valuable field tool for the detection of subclinical osteochondrosis lesions. OBJECTIVES: The goals were to 1) describe the ultrasonographic features of the femoral trochlea of healthy and osteochondrosis-predisposed neonatal foals, 2) validate the capacity of ultrasound to assess cartilage canal vascular archictecture and the ossification front and 3) evaluate field feasibility in a pilot study. STUDY DESIGN: Experimental study. METHODS: Ultrasonographic evaluation of osteochondrosis predisposed (n = 10) and control (n = 6) femoral trochleas was performed ex vivo and compared with site-matched histological sections and 3T SWI MRI. The articular and epiphyseal cartilage thickness, ossification front indentation and cartilage canal vascular archictecture were assessed at each ROI. Femoral trochleae of foals (n = 3) aged ≈ 1, 3 and 6 months were also evaluated with ultrasonography in field. RESULTS: Ultrasonographic measurements strongly correlated with the histological measurements. There was no difference in the cartilage thickness or ossification front indentation between control and osteochondrosis-predisposed specimens. The cartilage canal vascular archictecture on ultrasonograms corresponded with the vessel pattern observed on site matched histology and 3T SWI MRI. MAIN LIMITATIONS: The number of specimens for study was limited and no early osteochondrosis lesions were present within the predilected group, but a field study is now underway. CONCLUSION: Ultrasonographic examination of the femoral trochlea permitted accurate evaluation of cartilage thickness, cartilage canal vascular archictecture and ossification front indentation in young foals and is a promising, practical tool for screening subclinical osteochondrosis and monitoring and managing lesions at important clinical sites.
[Mh] Termos MeSH primário: Fêmur/diagnóstico por imagem
Lâmina de Crescimento/diagnóstico por imagem
Doenças dos Cavalos/diagnóstico por imagem
Osteocondrose/veterinária
[Mh] Termos MeSH secundário: Animais
Animais Recém-Nascidos
Feminino
Cavalos
Imagem por Ressonância Magnética/veterinária
Masculino
Osteocondrose/diagnóstico por imagem
Ultrassonografia/normas
Ultrassonografia/veterinária
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1111/evj.12698


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[PMID]:28801039
[Au] Autor:Alhamdani M; Kelly C
[Ad] Endereço:Department of Emergency Medicine, NewYork-Presbyterian Brooklyn Methodist Hospital, 506 6th Street, Brooklyn, NY 11215, United States. Electronic address: Dr.mazin_alhamdani@hotmail.com.
[Ti] Título:Kohler's disease presenting as acute foot injury.
[So] Source:Am J Emerg Med;35(11):1787.e5-1787.e6, 2017 Nov.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Kohler's disease is rare cause of foot pain and limping in the pediatric population. The exact etiology of Kohler's disease is unknown. It usually presents as sudden and unexplained foot pain and limping. We report a case of a 5-year-old male who presented to the Pediatric Emergency Department with foot pain and inability to bear weight for two days after overactivity and acute foot injury. The patient was eventually diagnosed with Kohler's disease (avascular necrosis of the navicular bone). Although Kohler's disease is not very common, it should be considered in the differential diagnosis of foot pain in the pediatric population, as it may prevent unnecessary tests and treatments.
[Mh] Termos MeSH primário: Osteocondrose/diagnóstico por imagem
Osteonecrose/diagnóstico por imagem
Ossos do Tarso/diagnóstico por imagem
[Mh] Termos MeSH secundário: Pré-Escolar
Diagnóstico Diferencial
Traumatismos do Pé/diagnóstico
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170813
[St] Status:MEDLINE


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[PMID]:28401159
[Au] Autor:Gu W; Li T; Shi Z; Mei G; Xue J; Zou J; Wang X; Zhang H; Xu H
[Ad] Endereço:Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai 200233, China.
[Ti] Título:Management of Hepple Stage V Osteochondral Lesion of the Talus with a Platelet-Rich Plasma Scaffold.
[So] Source:Biomed Res Int;2017:6525373, 2017.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There has been no consensus on the treatment or prognosis of Hepple stage V osteochondral lesions of the talus (OLTs), especially for lesions greater than 1.5 cm in size. The objective of this study was to investigate the clinical outcomes achieved upon application of a platelet-rich plasma (PRP) scaffold with a cancellous bone autograft for Hepple stage V OLTs. Fourteen patients (mean age, 39 years) were treated with a cancellous bone graft and a PRP scaffold between 2013 and 2015. The mean time to surgical treatment was 23.5 months. Ankle X-ray and magnetic resonance imaging were performed at the final follow-up. Functional outcomes were evaluated according to the Visual Analog Scale (VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS) score, and Short Form 36 (SF-36) score. The range of motion (ROM) of the ankle joint and complications also were recorded. Thirteen patients completed the full follow-up, with a mean follow-up duration of 18 months. MRI demonstrated the complete regeneration of subchondral bone and cartilage in all patients. The postoperative VAS, AOFAS ankle and hindfoot, and SF-36 scores were improved significantly (all < 0.001) without obvious complications. We suggest that, for the Hepple stage V OLTs, management with cancellous bone graft and PRP scaffold may be a safe and effective treatment.
[Mh] Termos MeSH primário: Regeneração Óssea
Transplante Ósseo
Osteocondrose/cirurgia
Tálus/cirurgia
Tecidos Suporte
[Mh] Termos MeSH secundário: Adulto
Artroscopia/métodos
Cartilagem Articular/crescimento & desenvolvimento
Cartilagem Articular/patologia
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Osteocondrose/diagnóstico por imagem
Osteocondrose/tratamento farmacológico
Osteocondrose/fisiopatologia
Plasma Rico em Plaquetas
Prognóstico
Tálus/diagnóstico por imagem
Tálus/efeitos dos fármacos
Tálus/fisiopatologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1155/2017/6525373


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[PMID]:28398504
[Au] Autor:Armbrecht G; Felsenberg D; Ganswindt M; Lunt M; Kaptoge SK; Abendroth K; Aroso Dias A; Bhalla AK; Cannata Andia J; Dequeker J; Eastell R; Hoszowski K; Lyritis G; Masaryk P; van Meurs J; Miazgowski T; Nuti R; Poór G; Redlund-Johnell I; Reid DM; Schatz H; Todd CJ; Woolf AD; Rivadeneira F; Javaid MK; Cooper C; Silman AJ; O'Neill TW; Reeve J; European Vertebral Osteoporosis Study and European Prospective Osteoporosis Study Groups
[Ad] Endereço:Department of Radiology and Nuclear Medicine, Free University, Berlin, Germany.
[Ti] Título:Degenerative inter-vertebral disc disease osteochondrosis intervertebralis in Europe: prevalence, geographic variation and radiological correlates in men and women aged 50 and over.
[So] Source:Rheumatology (Oxford);56(7):1189-1199, 2017 Jul 01.
[Is] ISSN:1462-0332
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objectives: To assess the prevalences across Europe of radiological indices of degenerative inter-vertebral disc disease (DDD); and to quantify their associations with, age, sex, physical anthropometry, areal BMD (aBMD) and change in aBMD with time. Methods: In the population-based European Prospective Osteoporosis Study, 27 age-stratified samples of men and women from across the continent aged 50+ years had standardized lateral radiographs of the lumbar and thoracic spine to evaluate the severity of DDD, using the Kellgren-Lawrence (KL) scale. Measurements of anterior, mid-body and posterior vertebral heights on all assessed vertebrae from T4 to L4 were used to generate indices of end-plate curvature. Results: Images from 10 132 participants (56% female, mean age 63.9 years) passed quality checks. Overall, 47% of men and women had DDD grade 3 or more in the lumbar spine and 36% in both thoracic and lumbar spine. Risk ratios for DDD grades 3 and 4, adjusted for age and anthropometric determinants, varied across a three-fold range between centres, yet prevalences were highly correlated in men and women. DDD was associated with flattened, non-ovoid inter-vertebral disc spaces. KL grade 4 and loss of inter-vertebral disc space were associated with higher spine aBMD. Conclusion: KL grades 3 and 4 are often used clinically to categorize radiological DDD. Highly variable European prevalences of radiologically defined DDD grades 3+ along with the large effects of age may have growing and geographically unequal health and economic impacts as the population ages. These data encourage further studies of potential genetic and environmental causes.
[Mh] Termos MeSH primário: Degeneração do Disco Intervertebral/diagnóstico por imagem
Degeneração do Disco Intervertebral/epidemiologia
Osteocondrose/diagnóstico por imagem
Osteocondrose/epidemiologia
Osteoporose/diagnóstico por imagem
[Mh] Termos MeSH secundário: Distribuição por Idade
Idoso
Densidade Óssea
Estudos de Coortes
Europa (Continente)
Feminino
Seres Humanos
Masculino
Meia-Idade
Prevalência
Estudos Prospectivos
Radiografia/métodos
Reprodutibilidade dos Testes
Índice de Gravidade de Doença
Distribuição por Sexo
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170412
[St] Status:MEDLINE
[do] DOI:10.1093/rheumatology/kex040


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[PMID]:28329528
[Au] Autor:Wise K; Warren D; Diaz L
[Ad] Endereço:University of Texas Medical Branch at Galveston, Texas,. klwise@utmb.edu.
[Ti] Título:Unilateral striae distensae of the knee after a steroid injection for the treatment of Osgood-Schlatter disease.
[So] Source:Dermatol Online J;23(3), 2017 Mar 15.
[Is] ISSN:1087-2108
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We report a 12-year-old girl with new diagnosisof right knee Osgood-Schlatter who developedhorizontal purple striae below the right tibial tubercletwo months after a right knee intra-articular steroidinjection. She is the second reported case of unilaterallocalized striae after an intra-articular steroid injectionand the first with triamcinalone as the corticosteroid.
[Mh] Termos MeSH primário: Glucocorticoides/efeitos adversos
Articulação do Joelho
Osteocondrose/tratamento farmacológico
Estrias de Distensão/induzido quimicamente
Triancinolona/efeitos adversos
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Injeções Intra-Articulares
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Nm] Nome de substância:
0 (Glucocorticoids); 1ZK20VI6TY (Triamcinolone)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE


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[PMID]:28320425
[Au] Autor:Polat G; Karademir G; Akalan E; Asik M; Erdil M
[Ad] Endereço:Department of Orthopaedics and Traumatology, Istanbul University, Istanbul Medical Faculty, Çapa-Fatih, Istanbul, 34093, Turkey. gokhanpolat7@gmail.com.
[Ti] Título:Patient compliance with touchdown weight bearing after microfracture treatment of talar osteochondral lesions.
[So] Source:J Orthop Surg Res;12(1):46, 2017 Mar 20.
[Is] ISSN:1749-799X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this study was to prospectively evaluate the compliance of our patients with a touchdown weight bearing (without supporting any weight on the affected side by only touching the plantar aspect of the foot to the ground to maintain balance to protect the affected side from mechanical loading) postoperative rehabilitation protocol after treatment of talar osteochondral lesion (TOL). METHODS: Fourteen patients, who had been treated with arthroscopic debridement and microfracture, were followed prospectively. The patients were evaluated for weight bearing compliance with using a stationary gait analysis and feedback system at the postoperative first day, first week, third week, and sixth week. RESULTS: The mean visual analog scale (VAS) scores of the patients at the preoperative, postoperative first day, first week, third week, and sixth weeks were 5.5, 5.9, 3.6, 0.9, and 0.4, respectively. The decrease in VAS scores were statistically significant (p < 0.0001). First postoperative day revealed a mean value of transmitted weight of 4.08% ±0.8 (one non-compliant patient). The mean value was 4.34% ±0.8 at the first postoperative week (two non-compliant patients), 6.95% ±2.3 at the third postoperative week (eight non-compliant patients), and 10.8% ±4.8 at the sixth postoperative week (11 non-compliant patients). In the analysis of data, we found a negative correlation between VAS scores and transmitted weight (Kendall's tau b = -0.445 and p = 0.0228). CONCLUSIONS: Although patients were able to learn and adjust to the touchdown weight bearing gait protocol during the early postoperative period, most patients became non-compliant when their pain was relieved. To prevent this situation of non-compliance, patients should be warned to obey the weight bearing restrictions, and patients should be called for a follow-up at the third postoperative week.
[Mh] Termos MeSH primário: Artroplastia Subcondral/reabilitação
Osteocondrose/cirurgia
Cooperação do Paciente
Tálus/cirurgia
Suporte de Carga/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Artroplastia Subcondral/métodos
Artroscopia/métodos
Desbridamento/métodos
Feminino
Marcha
Seres Humanos
Masculino
Osteocondrose/reabilitação
Medição da Dor
Dor Pós-Operatória
Cuidados Pós-Operatórios/métodos
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170522
[Lr] Data última revisão:
170522
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1186/s13018-017-0548-5


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[PMID]:28281772
[Au] Autor:Van der Veen G; Fosgate GT; Botha FK; Meissner HH; Jacobs L; Prozesky L
[Ad] Endereço:Department of Paraclinical Sciences, University of Pretoria. gerjan@deltamune.co.za.
[Ti] Título:Response of cattle with clinical osteochondrosis to mineral supplementation.
[So] Source:Onderstepoort J Vet Res;84(1):e1-e6, 2017 Feb 24.
[Is] ISSN:2219-0635
[Cp] País de publicação:South Africa
[La] Idioma:eng
[Ab] Resumo:Since 1982, farmers in the North West province and other parts of South Africa have noticed an increase in the incidence of lameness in cattle. Macro- and microscopical lesions of joints resembled osteochondrosis. Pre-trial data indicated that cattle with osteochondrotic lesions recovered almost completely when fed a supplement containing bio-available micro- and macrominerals of high quality. In the present trial, 43 clinically affected cattle of varying ages (1-5 years) and sexes were randomly divided into three groups. Each group was fed the same commercial supplement base with differing micro- and macromineral concentrations to determine the effect of mineral concentrations on the recovery from osteochondrosis. Both supplements 1 and 2 contained 25% of the recommended National Research Council (NRC) mineral values. Additional phosphate was added to supplement 2. Supplement 3, containing 80% of the NRC mineral values, was used as the control. Results from all three groups indicated no recovery from osteochondrosis. Urine pH of a small sample of the test cattle showed aciduria (pH < 6). Supplement analysis revealed addition of ammonium sulphate that contributed sulphate and nitrogen to the supplement. Supplementary dietary cation anion difference (DCAD) values were negative at -411 mEq/kg, -466 mEq/kg and -467 mEq/kg for supplements 1, 2 and 3, respectively, whereas the pre-trial supplement was calculated at +19.87 mEq/kg. It was hypothesised that feeding a low (negative) DCAD diet will predispose growing cattle to the development of osteochondrosis or exacerbate subclinical or clinical osteochondrosis in cattle.
[Mh] Termos MeSH primário: Doenças dos Bovinos/dietoterapia
Suplementos Nutricionais
Minerais/administração & dosagem
Osteocondrose/veterinária
[Mh] Termos MeSH secundário: Ração Animal/análise
Criação de Animais Domésticos
Fenômenos Fisiológicos da Nutrição Animal
Animais
Bovinos
Doenças dos Bovinos/urina
Feminino
Coxeadura Animal/etiologia
Masculino
Osteocondrose/complicações
Osteocondrose/dietoterapia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Minerals)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170317
[Lr] Data última revisão:
170317
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.4102/ojvr.v84i1.1365



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