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Pesquisa : C05.330.488.050 [Categoria DeCS]
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  1 / 6 MEDLINE  
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[PMID]:28214338
[Au] Autor:Aubuchon A; Arnold WD; Bracewell A; Hoyle JC
[Ad] Endereço:Department of Neurology, Division of Neuromuscular Medicine, The Ohio State University Wexner Medical Center, 395 West 12th Avenue, Columbus, Ohio, 43210, USA.
[Ti] Título:Sciatic neuropathy due to popliteal fossa nerve block.
[So] Source:Muscle Nerve;56(4):822-824, 2017 Oct.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Sciatic neuropathy after popliteal nerve block (PNB) for regional anesthesia is considered uncommon but has been increasingly recognized in the literature. We identified a case of sciatic neuropathy that occurred after bunionectomy during which a PNB had been performed. METHODS: To understand the frequency of PNB-related sciatic neuropathy, we performed a retrospective review of sciatic neuropathies at our center over a 5-year period. RESULTS: Forty-five cases of sciatic neuropathy were reviewed. Similar to earlier reports, common etiologies of sciatic neuropathy, including compression, trauma, fractures, and hip arthroplasty, were noted in the majority of our cases (60%, n = 27). Unexpectedly, PNB was the third most common etiology (16%, n = 7). CONCLUSIONS: Our results suggest PNB is a relatively common etiology of sciatic neuropathy and is an important consideration in the differential diagnosis. These findings should urge electromyographers to assess history of PNB in sciatic neuropathies, particularly with onset after surgery. Muscle Nerve 56: 822-824, 2017.
[Mh] Termos MeSH primário: Bloqueio Nervoso Autônomo/efeitos adversos
Nervo Fibular/fisiologia
Neuropatia Ciática/diagnóstico
Neuropatia Ciática/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Joanete/diagnóstico
Joanete/cirurgia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170219
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25622


  2 / 6 MEDLINE  
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[PMID]:27941531
[Au] Autor:Bayhan IA; Kadhim M; Sees JP; Nishnianidze T; Rogers KJ; Er MS; Miller F
[Ad] Endereço:Department of Orthopaedics, Nemours Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA.
[Ti] Título:Hallux valgus deformity correction without fusion in children with cerebral palsy.
[So] Source:J Pediatr Orthop B;26(2):164-171, 2017 Mar.
[Is] ISSN:1473-5865
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aimed to evaluate the outcomes of nonarthrodesis surgical treatment of hallux valgus (HV) deformity in children with cerebral palsy using radiographic and gait analysis parameters. There were 25 patients who had hallux valgus correction in 39 feet. The mean age at surgery was 15±2.8 years and the mean follow-up duration was 14.6 months. The first metatarsal osteotomy was performed in nine feet, bunionectomy in 25 feet, and Aiken osteotomy in 32 feet. None had metatarsophalangeal joint fusion. We observed a significant correlation between HV correction and other foot and ankle gait parameters. Our study showed correction of HV deformity at short-term follow-up without fusion of the metatarsophalangeal joint. LEVEL OF EVIDENCE: Level IV Therapeutic Studies.
[Mh] Termos MeSH primário: Joanete/cirurgia
Paralisia Cerebral/cirurgia
Hallux Valgus/cirurgia
Ossos do Metatarso/cirurgia
Articulação Metatarsofalângica/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Feminino
Marcha
Seres Humanos
Masculino
Osteotomia
Período Pós-Operatório
Amplitude de Movimento Articular
Estudos Retrospectivos
Procedimentos Cirúrgicos Operatórios
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE
[do] DOI:10.1097/BPB.0000000000000419


  3 / 6 MEDLINE  
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[PMID]:27621266
[Au] Autor:Gribbin CK; Ellis SJ; Nguyen J; Williamson E; Cody EA
[Ad] Endereço:1 Weill-Cornell Medicine, New York, NY, USA.
[Ti] Título:Relationship of Radiographic and Clinical Parameters With Hallux Valgus and Second Ray Pathology.
[So] Source:Foot Ankle Int;38(1):14-19, 2017 Jan.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Hallux valgus is frequently associated with additional forefoot pathologies, including hammertoes and midfoot osteoarthritis (OA). However, the pathogenesis of these concurrent pathologies remains to be elucidated. We sought to determine whether there is a relationship between demographic and radiographic parameters and the incidence of secondary pathologies in the setting of a bunion, with an emphasis on second tarsometatarsal (TMT) OA and hammertoes. METHODS: A total of 153 patients (172 feet) who underwent reconstruction for hallux valgus were divided into 3 groups: (1) bunion only (61 patients), (2) bunion with hammertoe without second TMT joint OA (78 patients), and (3) bunion with second TMT joint OA (14 patients). Preoperative age, sex, and body mass index (BMI) as well as hallux valgus angle (HVA), intermetatarsal angle (IMA), metatarsus adductus angle (MAA), ratio of second to first metatarsal length, and Meary's angle were recorded. One-way analysis of variance (normality demonstrated) and Kruskal-Wallis (normality not demonstrated) tests were used to assess differences in continuous variables. Post hoc tests were conducted with the Bonferroni technique. Associations between discrete variables and the study groups were analyzed using χ tests. Following the univariate analysis, multinomial logistic regression models were built to determine potential risk factors for hammertoe or TMT OA group placement. RESULTS: Patients in the hammertoe and TMT OA groups were significantly older than patients in the bunion only group ( P < .001 for both pairwise comparisons) and had significantly higher BMIs ( P = .024 and P < .001, respectively). Patients in the TMT OA group had a significantly higher mean HVA than patients in the bunion-only group ( P = .004) and a significantly higher mean MAA relative to both other study groups ( P ≤ .001 for both comparisons). IMA, Meary's angle, and the ratio of second to first metatarsal length did not differ significantly between groups. In the multivariate analysis, hammertoe group assignment was predicted only by age and HVA, while midfoot OA group assignment was predicted by age, HVA, BMI, and MAA. CONCLUSION: Our data show that older age and increased HVA were predictors of both second ray pathologies studied. Higher BMI and MAA were predictive only of TMT joint OA. These data may help identify patients with hallux valgus who are at greater risk for developing secondary pathologies. LEVEL OF EVIDENCE: Level III, retrospective comparative series.
[Mh] Termos MeSH primário: Hallux Valgus/complicações
Síndrome do Dedo do Pé em Martelo/complicações
Osteoartrite/complicações
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Análise de Variância
Joanete/complicações
Feminino
Hallux Valgus/diagnóstico por imagem
Hallux Valgus/patologia
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Radiografia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160914
[St] Status:MEDLINE
[do] DOI:10.1177/1071100716666562


  4 / 6 MEDLINE  
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[PMID]:27363573
[Ti] Título:Bunion: Strengthening Foot Muscles to Reduce Pain and Improve Mobility.
[So] Source:J Orthop Sports Phys Ther;46(7):606, 2016 Jul.
[Is] ISSN:1938-1344
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Foot pain discourages physical activity, and less activity harms overall health. Bunion, extra bone and tissue at the base of the big toe, is a frequent cause of foot pain. More than 64 million Americans have bunions that can lead to painful walking. Bunions affect some 35% of women over the age of 65. Bunions can be removed by surgery, which can reduce pain and improve your ability to walk and exercise, but up to 15% of bunions return. Weak muscles may play a role in bunion-related pain and movement problems. In a review of prior research and commentary on this topic published in the July 2016 issue of JOSPT, the author identifies muscle-strengthening exercises that may help people with bunions. J Orthop Sports Phys Ther 2016;46(7):606. doi:10.2519/jospt.2016.0504.
[Mh] Termos MeSH primário: Joanete/terapia
Terapia por Exercício/métodos
/fisiologia
Força Muscular/fisiologia
Músculo Esquelético/fisiologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Manejo da Dor
[Pt] Tipo de publicação:JOURNAL ARTICLE; PATIENT EDUCATION HANDOUT
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160702
[St] Status:MEDLINE
[do] DOI:10.2519/jospt.2016.0504


  5 / 6 MEDLINE  
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[PMID]:27261802
[Au] Autor:Harrison WD; Walker CR
[Ad] Endereço:Foot and Ankle Unit, Royal Liverpool and Broadgreen University Hospitals, Prescot Street, Liverpool L7 8XP, UK.
[Ti] Título:Controversies and Trends in United Kingdom Bunion Surgery.
[So] Source:Foot Ankle Clin;21(2):207-17, 2016 Jun.
[Is] ISSN:1558-1934
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Current practice and controversies in UK bunion surgery are discussed. Patients tend to be offered a distally based metatarsal osteotomy, such as a chevron or scarf osteotomy, for mild to moderate symptomatic bunions. Greater deformities are managed with a more extreme scarf, supplemented with a proximal phalangeal osteotomy. A proximal fusion in the form of the Lapidus-type procedure is still reserved for the most severe, hypermobile, or arthritic cases. Minimally invasive techniques for bunions have failed to disseminate into common UK practice. The trends in the United Kingdom regarding litigation, venous thromboembolism, and osteodesis for bunion surgery are also discussed.
[Mh] Termos MeSH primário: Joanete/cirurgia
Hallux Valgus/cirurgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Joanete/diagnóstico por imagem
Hallux Valgus/diagnóstico por imagem
Seres Humanos
Procedimentos Cirúrgicos Minimamente Invasivos
Osteotomia/efeitos adversos
Osteotomia/tendências
Reino Unido
Tromboembolia Venosa/etiologia
Tromboembolia Venosa/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[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:160605
[St] Status:MEDLINE


  6 / 6 MEDLINE  
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[PMID]:26972755
[Au] Autor:Scharer BM; DeVries JG
[Ad] Endereço:Surgeon, Orthopedics and Sports Medicine, BayCare Clinic, Green Bay, WI.
[Ti] Título:Comparison of Chevron and Distal Oblique Osteotomy for Bunion Correction.
[So] Source:J Foot Ankle Surg;55(4):738-42, 2016 Jul-Aug.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The chevron osteotomy is a standard procedure by which bunions are corrected. One of us routinely performs a distal oblique osteotomy, which, to the best of our knowledge, has not been described for the correction of bunion deformities. The purpose of the present study was to compare the short- and medium-term results of the distal oblique and chevron osteotomies for bunion correction. We performed a retrospective clinical and radiographic comparison of patients who had undergone a distal oblique or chevron osteotomy for the correction of bunion deformity. In addition, a prospective patient satisfaction survey was undertaken. A total of 55 patients were included in the present study and were treated from January 2012 to November 2014. Of the 55 patients, 27 (49.2%) were in the chevron group and 28 (50.8%) in the distal oblique group. Radiographically, no statistically significant difference was found between the 2 groups with respect to postoperative first intermetatarsal angle (p < .0001) and hallux valgus angle (p < .0001), but a greater change was found in the intermetatarsal angle in the distal oblique group (p = .467). Prospective patient satisfaction scores were available for 33 patients (60%), 16 (29%) in the chevron group and 17 (31%) in the distal oblique group. When converting the satisfaction score to a numerical score, the chevron group scored 3.3 ± 1.1 and the distal oblique group scored 3.2 ± 0.8 (p = .812). We found that the distal oblique osteotomy used in the present study is simple and reliable and showed radiographic correction and patient satisfaction equivalent to those in the chevron osteotomy.
[Mh] Termos MeSH primário: Joanete/cirurgia
Ossos do Metatarso/cirurgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Joanete/diagnóstico por imagem
Feminino
Seres Humanos
Masculino
Ossos do Metatarso/diagnóstico por imagem
Meia-Idade
Satisfação do Paciente
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160315
[St] Status:MEDLINE



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