Base de dados : MEDLINE
Pesquisa : C05.550.251 [Categoria DeCS]
Referências encontradas : 2638 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 264 ir para página                         

  1 / 2638 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29182105
[Au] Autor:Zhang YT; Jin D; Niu J; Li ZJ; Fu S; Zou ZL
[Ti] Título:A meta-analysis of external fixation and flexible intramedullary nails for femoral fractures in children.
[So] Source:Acta Orthop Belg;82(4):673-680, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:Background : The purpose of this meta-analysis was to compare the outcomes of external fixation and flexible intramedullary nails for femoral fractures in children between 5 and 15 years of age based on the current evidence. Materials and methods: We searched relevent studies in the following database: Cochrane library, PubMed and EMABASE up to May 2014. All randomized controlled trials, Clinical controlled trials and retrospective controlled studies comparing external fixation and flexible intramedullary nails in femoral fractures of children were included. Data was extracted independently for meta-analysis. Results: Seven trials altogether involving 338 cases of femoral fractures of children treated by external fixation (128 cases) and flexible intramedullary nails (210 cases) were included in the meta-analysis. Results showed that flexible intramedullary nails was superior to external fixation in less time to union , lower postoperative infection rate and refracture rate . It may not increase delayed union, Limb-length discrepancy , pain and bursitis . Both fixations obtained a similar patient satisfaction. conclusion: Flexible intramedullary nail had greater advantages for the treatment of femoral fractures in children aged 5-15 years, compared to external fixation based on current meta-analysis. This conclusion will ultimately require rigorous and adequately powered randomized controlled trials to be proved.
[Mh] Termos MeSH primário: Pinos Ortopédicos
Fraturas do Fêmur/cirurgia
Fixação Intramedular de Fraturas/métodos
Consolidação da Fratura
Dor Pós-Operatória/epidemiologia
Infecção da Ferida Cirúrgica/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Bursite/epidemiologia
Criança
Pré-Escolar
Fixação de Fratura/métodos
Seres Humanos
Desigualdade de Membros Inferiores/epidemiologia
Satisfação do Paciente
Complicações Pós-Operatórias/epidemiologia
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[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


  2 / 2638 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29069005
[Au] Autor:Mun JU; Cho HR; Bae SM; Park SK; Choi SL; Seo MS; Lim YS; Rn SHW; Kim YU
[Ad] Endereço:aDepartment of Orthopedic Surgery, Changwon Gyeongsang National University Hospital, Incheon bDepartment of Anesthesiology and Pain Medicine, Myongji Hospital, College of Medicine, Seonam University, Goyang cDepartment of Anesthesiology and Pain Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Incheon dDepartment of Anesthesiology and Pain Medicine, Catholic Kwandong University of Korea College of Medicine, International ST. Mary's Hospital, Incheon eDepartment of Nursing, Kyung-In Women's University, Incheon, Republic of Korea.
[Ti] Título:Effect of polydeoxyribonucleotide injection on pes anserine bursitis: A case report.
[So] Source:Medicine (Baltimore);96(43):e8330, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Pes anserine (PA) bursitis is an inflammatory condition of the medial knee. The PA bursa becomes more painful when infected, damaged, or irritated. Although various treatment options have been attempted to treat PA bursitis, optimal treatments are still debated. This study aims to investigate the effect of polydeoxyribonucleotide (PDRN) injection on reducing pain and inflammation in a patient presenting with PA bursitis. PATIENT CONCERNS: A 50-year-old female patient was admitted to our pain clinic with symptoms of tenderness and pain over the medial knee. Physical examination revealed the pain to be located over the proximal medial tibia at the insertion of the conjoined tendons of the PA. The knee had lost its range of movement and strength, and resisted knee flexion. DIAGNOSES: She was diagnosed as having PA bursitis. INTERVENTIONS: Ultrasound guided PA bursa injection was carried out. OUTCOMES: Follow-up for the patient was more than eight months. She showed good improvement in PA bursitis without any complications. LESSONS: This is the first successful report of successful PDRN injection for PA bursa.
[Mh] Termos MeSH primário: Artralgia
Bursite
Articulação do Joelho
Polidesoxirribonucleotídeos/administração & dosagem
[Mh] Termos MeSH secundário: Analgésicos/administração & dosagem
Anti-Inflamatórios/administração & dosagem
Artralgia/tratamento farmacológico
Artralgia/etiologia
Bolsa Sinovial/efeitos dos fármacos
Bursite/diagnóstico
Bursite/tratamento farmacológico
Bursite/etiologia
Bursite/fisiopatologia
Feminino
Seres Humanos
Injeções/métodos
Articulação do Joelho/diagnóstico por imagem
Articulação do Joelho/patologia
Meia-Idade
Resultado do Tratamento
Ultrassonografia/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics); 0 (Anti-Inflammatory Agents); 0 (Polydeoxyribonucleotides)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008330


  3 / 2638 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28768784
[Au] Autor:Booker SJ; Boyd M; Gallacher S; Evans JP; Auckland C; Kitson J; Thomas W; Smith CD
[Ad] Endereço:Shoulder & Elbow Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW, UK.
[Ti] Título:The colonisation of the glenohumeral joint by is not associated with frozen shoulder but is more likely to occur after an injection into the joint.
[So] Source:Bone Joint J;99-B(8):1067-1072, 2017 Aug.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: Our aim was to investigate the prevalence of in the subcutaneous fat and capsule of patients undergoing shoulder surgery for frozen shoulder or instability. PATIENTS AND METHODS: A total of 46 patients undergoing either an arthroscopic capsular release or stabilisation had biopsies taken from the subcutaneous fat and capsule of the shoulder at the time of surgery. These samples were sent for culture in enrichment, and also for Nucleic Acid Amplification testing. The prevalence of and other microbes was recorded. Fisher's exact test of binary variables was used to calculate the association with significance set at p < 0.05. Assessment of influence of independent variables including a pre-operative glenohumeral injection, fat colonisation and gender, was undertaken using binary linear regression. RESULTS: A total of 25 patients (53%) had in one or more tissue samples and 35 (74%) had other bacterial species. The same microbe was found in the subcutaneous fat and the capsule in 13 patients (28%). There was no statistically significant association between the surgical pathology and capsular colonisation with (p = 0.18) or mixed identified bacterial species (p = 0.77). Male gender was significantly associated with an increased capsular colonisation of (odds ratio (OR) 12.38, 95% confidence interval (CI) 1.43 to 106.77, p = 0.02). A pre-operative glenohumeral injection was significantly associated with capsular colonisation (OR 5.63, 95% CI 1.07 to 29.61, p = 0.04. Positive fat colonisation with was significantly associated with capsular (OR 363, 95% CI 20.90 to 6304.19, p < 0.01). Regression models pseudo R found fat colonisation with to explain 70% of the variance of the model. Patients who had a pre-operative glenohumeral injection who were found intra-operatively to have fat colonisation with had a statistically significant association with colonisation of their capsule with (OR 165, 95% CI 13.51 to 2015.24, p < 0.01). CONCLUSION: These results show a statistically significant association between subcutaneous skin culture and capsular culture, especially when the patient has undergone a previous injection. The results refute the hypothesis that causes frozen shoulder. Cite this article: 2017;99-B:1067-72.
[Mh] Termos MeSH primário: Bursite/cirurgia
Infecções por Bactérias Gram-Positivas/microbiologia
Propionibacterium acnes/crescimento & desenvolvimento
Articulação do Ombro/microbiologia
Infecção da Ferida Cirúrgica/microbiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Contagem de Colônia Microbiana
Feminino
Infecções por Bactérias Gram-Positivas/epidemiologia
Seres Humanos
Período Intraoperatório
Masculino
Meia-Idade
Prevalência
Propionibacterium acnes/isolamento & purificação
Estudos Retrospectivos
Articulação do Ombro/cirurgia
Pele/microbiologia
Infecção da Ferida Cirúrgica/epidemiologia
Reino Unido/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B8.BJJ-2016-1168.R2


  4 / 2638 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28700506
[Au] Autor:Wang W; Shi M; Zhou C; Shi Z; Cai X; Lin T; Yan S
[Ad] Endereço:Department of Orthopedic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
[Ti] Título:Effectiveness of corticosteroid injections in adhesive capsulitis of shoulder: A meta-analysis.
[So] Source:Medicine (Baltimore);96(28):e7529, 2017 Jul.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Primary adhesive capsulitis is mainly characterized by spontaneous chronic shoulder pain and the gradual loss of shoulder motion. The main treatment for adhesive capsulitis is a trial of conservative therapies, including analgesia, exercise, physiotherapy, oral nonsteroidal anti-inflammation drugs, and intra-articular corticosteroid injections. Previously, it was reported that intra-articular corticosteroid lead to fast pain relief and improvement of range of motion (ROM). The objective of this study was to determine whether corticosteroid injections would lead to better pain relief and greater improvement in ROM. METHODS: We searched PubMed, Medline, and the Cochrane library. We included 5 articles of the 1166 articles identified. Totally injection group included 115 patients and placebo group included 110 patients. We calculated the weighted mean differences to evaluate the pain relief as the primary outcome. We determined the ROM as the secondary outcome. Study quality was evaluated using the 12-item scale. We also used the criteria of the Grading of Recommendations Assessment, Development and Evaluation to evaluate the quality of evidence. RESULTS: In total, 5 studies were included, 4 of which were randomized clinical trials, with a sample size of 225 patients with adhesive capsulitis of the shoulders. The overall pooled data demonstrated that, compared with placebo as control treatment, intra-articular corticosteroid injections were more effective in reducing the pain score at 0 to 8 weeks, but there was no difference between the injection group and the control group at 9 to 24 weeks. Improvement of ROM in the injection group was greater than that of the control group both at 0 to 8 and 9 to 24 weeks. CONCLUSIONS: Intra-articular corticosteroid injections were more effective in pain relief in the short term, but this pain relief did not sustain in the long term. Intra-articular corticosteroid injection resulted in greater improvement in passive ROM both in the short and the long terms.
[Mh] Termos MeSH primário: Corticosteroides/administração & dosagem
Analgésicos/administração & dosagem
Bursite/tratamento farmacológico
Articulação do Ombro/efeitos dos fármacos
Dor de Ombro/tratamento farmacológico
[Mh] Termos MeSH secundário: Bursite/complicações
Seres Humanos
Injeções Intra-Articulares
Dor de Ombro/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones); 0 (Analgesics)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170730
[Lr] Data última revisão:
170730
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170713
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007529


  5 / 2638 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28687319
[Au] Autor:Park GY; Park JH; Kwon DR; Kwon DG; Park J
[Ad] Endereço:Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
[Ti] Título:Do the Findings of Magnetic Resonance Imaging, Arthrography, and Ultrasonography Reflect Clinical Impairment in Patients With Idiopathic Adhesive Capsulitis of the Shoulder?
[So] Source:Arch Phys Med Rehabil;98(10):1995-2001, 2017 Oct.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the correlation between arthrography, magnetic resonance imaging (MRI), and ultrasonography (US) findings in patients with idiopathic adhesive capsulitis (IAC) of the shoulder and their clinical presentation as well as functional impairment. DESIGN: Cross-sectional observational study. SETTING: Institutional practice. PARTICIPANTS: Patients (N=75) with a clinical diagnosis of unilateral IAC. INTERVENTIONS: Contrast-enhanced MRI, single-contrast arthrography, and US were performed in all patients. MAIN OUTCOME MEASURES: The thickness of the axillary recess, coracohumeral ligament (CHL), and enhanced portion in the rotator cuff interval was measured using MRI. Arthrography was used to calculate the total score of shoulder arthrographic criteria. US was used to measure the thickness of the inferior glenohumeral ligament (IGHL) and CHL, and the IGHL ratio and CHL ratio were calculated by comparing those of the unaffected side. RESULTS: None of the MRI parameters was correlated with clinical assessment scores. The total score of shoulder arthrographic criteria was negatively correlated with passive range of motion of the total shoulder motion (P<.05), shoulder forward flexion (P<.05), and abduction (P<.05). The total Constant-Murley score was well correlated with the total score of shoulder arthrographic criteria (P<.05). The total shoulder joint space capacity was positively correlated with passive range of motion of the total shoulder motion (P<.05) and shoulder forward flexion (P<.05). The IGHL thickness, IGHL ratio, CHL thickness, and CHL ratio were negatively correlated with shoulder external rotation (P<.05). CONCLUSIONS: The findings of arthrography and US in patients with IAC of the shoulder were correlated with clinical assessment scores, whereas all measuring parameters on MRI were not. US is recommended as the preferred option for diagnosing IAC of the shoulder because it is noninvasive, reflects the clinical features of IAC, and provides anatomical accuracy.
[Mh] Termos MeSH primário: Bursite/diagnóstico por imagem
Avaliação da Deficiência
Força Muscular/fisiologia
Amplitude de Movimento Articular/fisiologia
Articulação do Ombro/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Artrografia
Bursite/fisiopatologia
Meios de Contraste
Estudos Transversais
Feminino
Fluoroscopia
Seres Humanos
Ligamentos Articulares/diagnóstico por imagem
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Rotação
Manguito Rotador/diagnóstico por imagem
Articulação do Ombro/fisiopatologia
Ultrassonografia
Escala Visual Analógica
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170709
[St] Status:MEDLINE


  6 / 2638 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo SciELO Brasil
[PMID]:28614538
[Au] Autor:Fernandes MR
[Ad] Endereço:MD, PhD in Health Science, Department of Orthopedics/Traumatology, Faculty of Medicine, Universidade Federal de Goiás, Goiânia, GO, Brazil.
[Ti] Título:Patient-reported measures of quality of life and functional capacity in adhesive capsulitis.
[So] Source:Rev Assoc Med Bras (1992);63(4):347-354, 2017 Apr.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Objective:: To evaluate patient-reported measures of quality of life and functional capacity in adhesive capsulitis before and after suprascapular nerve block treatment; to analyze the influence of clinical and sociodemographic variables on both the outcome and correlation between the respective instruments. Method:: A prospective clinical study was performed with adhesive capsulitis patients. Inclusion criteria were clinical diagnosis of adhesive capsulitis and a shoulder imaging test. The WHOQOL-BREF and DASH instruments were administered before and after treatment. A Constant test score of 55 points was used as a cutoff point for discontinuation of treatment. Mean values were compared using paired t-test and Wilcoxon. The Pearson or Spearman coefficients were used for correlation analysis. Multiple linear regression analysis was carried out using variables with p<0.20 as predictors in univariate analysis and WHOQOL domains and DASH as outcomes. The significance level was 5%. Results:: Forty-three patients were evaluated. The comparison between WHOQOL-BREF and DASH mean values before and after the blocks, p<0.05. DASH correlated negatively with the physical, psychological and environmental WHOQOL-BREF domains. Older patients and those with higher levels of education influenced the improvement in patients' quality of life and functional capacity. Conclusion:: The improvement of adhesive capsulitis with treatment involves an improvement in quality of life and functional capacity. The greater functional capacity of the shoulder matches a better quality of life for patients. Age and education level are the variables that most influence improvement in quality of life and functional capacity.
[Mh] Termos MeSH primário: Bursite/fisiopatologia
Bursite/terapia
Atividade Motora/fisiologia
Bloqueio Nervoso/métodos
Medidas de Resultados Relatados pelo Paciente
Qualidade de Vida
Autorrelato
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Análise de Variância
Feminino
Seres Humanos
Masculino
Meia-Idade
Medição da Dor
Estudos Prospectivos
Amplitude de Movimento Articular
Valores de Referência
Índice de Gravidade de Doença
Dor de Ombro/fisiopatologia
Dor de Ombro/terapia
Perfil de Impacto da Doença
Fatores Socioeconômicos
Estatísticas não Paramétricas
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE


  7 / 2638 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28602435
[Au] Autor:Uçkay I; von Dach E; Perez C; Agostinho A; Garnerin P; Lipsky BA; Hoffmeyer P; Pittet D
[Ad] Endereço:Orthopaedic Surgery Service, Medico-Economic Control, University of Geneva Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland; Service of Infectious Diseases, Medico-Economic Control, University of Geneva Hospitals and Faculty of Medicine, University of Geneva, Geneva, Swit
[Ti] Título:One- vs 2-Stage Bursectomy for Septic Olecranon and Prepatellar Bursitis: A Prospective Randomized Trial.
[So] Source:Mayo Clin Proc;92(7):1061-1069, 2017 Jul.
[Is] ISSN:1942-5546
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the optimal surgical approach and costs for patients hospitalized with septic bursitis. PATIENTS AND METHODS: From May 1, 2011, through December 24, 2014, hospitalized patients with septic bursitis at University of Geneva Hospitals were randomized (1:1) to receive 1- vs 2-stage bursectomy. All the patients received postsurgical oral antibiotic drug therapy for 7 days. RESULTS: Of 164 enrolled patients, 130 had bursitis of the elbow and 34 of the patella. The surgical approach used was 1-stage in 79 patients and 2-stage in 85. Overall, there were 22 treatment failures: 8 of 79 patients (10%) in the 1-stage arm and 14 of 85 (16%) in the 2-stage arm (Pearson χ test; P=.23). Recurrent infection was caused by the same pathogen in 7 patients (4%) and by a different pathogen in 5 (3%). Outcomes were better in the 1- vs 2-stage arm for wound dehiscence for elbow bursitis (1 of 66 vs 9 of 64; Fisher exact test P=.03), median length of hospital stay (4.5 vs 6.0 days), nurses' workload (605 vs 1055 points), and total costs (Swâ‚£6881 vs Swâ‚£11,178; all P<.01). CONCLUSION: For adults with moderate to severe septic bursitis requiring hospital admission, bursectomy with primary closure, together with antibiotic drug therapy for 7 days, was safe, effective, and resource saving. Using a 2-stage approach may be associated with a higher rate of wound dehiscence for olecranon bursitis than the 1-stage approach. TRIAL REGISTRATION: Clinicaltrials.gov Identifier: NCT01406652.
[Mh] Termos MeSH primário: Antibacterianos/administração & dosagem
Bursite/tratamento farmacológico
Olécrano/cirurgia
Patela/cirurgia
[Mh] Termos MeSH secundário: Bursite/economia
Bursite/patologia
Bursite/cirurgia
Articulação do Cotovelo/cirurgia
Feminino
Hospitalização
Seres Humanos
Masculino
Meia-Idade
Olécrano/patologia
Patela/patologia
Estudos Prospectivos
Infecções Estafilocócicas/tratamento farmacológico
Infecções Estafilocócicas/microbiologia
Staphylococcus aureus/isolamento & purificação
Suíça
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE


  8 / 2638 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28566402
[Au] Autor:Woods DA; Loganathan K
[Ad] Endereço:Great Western Hospital, Swindon SN3 6BB, UK.
[Ti] Título:Recurrence of frozen shoulder after manipulation under anaesthetic (MUA): the results of repeating the MUA.
[So] Source:Bone Joint J;99-B(6):812-817, 2017 Jun.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: Manipulation under anaesthetic (MUA) is a recognised form of treatment for patients with a frozen shoulder. However, not all patients benefit. Some have persistent or recurrent symptoms. There are no clear recommendations in the literature on the optimal management of recurrent frozen shoulder after a MUA. We aimed to address this issue in this study. PATIENTS AND METHODS: We analysed a prospectively collected, single-surgeon, consecutive series of patients who underwent MUA for frozen shoulder between January 1999 and December 2015. The Oxford Shoulder Scores (OSS) and range of movement were the outcome measures. RESULTS: A total of 730 patients (792 shoulders) underwent MUA during the study period. A further MUA was undertaken in 141 shoulders (17.8%), for which we had complete data for 126. The mean improvement in OSS for all patients undergoing MUA was 16 (26 to 42), and the mean post-operative OSS in those requiring a further MUA was 14 (28 to 42; -test, no difference between mean improvements, p = 0.57). Improvement was seen after a further MUA, regardless both of the outcome of the initial MUA, and of the time of recurrence. Patients with type-1 diabetes mellitus were at a 38% increased risk of requiring a further MUA, compared with the 18% increased risk of the group as a whole (p < 0.0001). CONCLUSION: Patients with a poor outcome or recurrent symptoms of a frozen shoulder after a MUA should be offered a further MUA with the expectation of a good outcome and a low complication rate. Cite this article: 2017;99-B:812-17.
[Mh] Termos MeSH primário: Anestesia Geral/métodos
Bursite/terapia
Manipulação Ortopédica/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Bursite/etiologia
Bursite/fisiopatologia
Diabetes Mellitus Tipo 1/complicações
Diabetes Mellitus Tipo 2/complicações
Feminino
Seres Humanos
Masculino
Manipulação Ortopédica/efeitos adversos
Meia-Idade
Prognóstico
Amplitude de Movimento Articular
Recidiva
Retratamento
Articulação do Ombro/fisiopatologia
Falha de Tratamento
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B6.BJJ-2016-1133.R1


  9 / 2638 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28524156
[Au] Autor:Pedersen AB; Horváth-Puhó E; Ehrenstein V; Rørth M; Sørensen HT
[Ad] Endereço:Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Olof Palmes Alle 43-45, Aarhus N 8200, Denmark.
[Ti] Título:Frozen shoulder and risk of cancer: a population-based cohort study.
[So] Source:Br J Cancer;117(1):144-147, 2017 Jun 27.
[Is] ISSN:1532-1827
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Frozen shoulder might be a complication or a presenting symptom of cancer. We examined the risk of a cancer diagnosis after an incident diagnosis of frozen shoulder. METHODS: We used prospectively collected data from Danish registries to identify patients with frozen shoulder during 1995-2013 and followed them for the development of cancer. RESULTS: We observed 2572 incident cancers among 29 098 frozen shoulder patients. The expected number of incident cancers in the general population was 2434. The 6-month cumulative incidence of any cancer was 0.70%, corresponding to a standardised incidence ratio (SIR) of 1.38 (95% confidence interval (CI): 1.19-1.58). Risk increases were highest for lung cancer (SIR=2.19, 95% CI: 1.48-3.13), breast cancer (SIR=1.51, 95% CI: 1.02-2.15), and non-Hodgkin's lymphoma (SIR=2.28, 95% CI: 1.09-4.20). The cumulative incidence of any cancer during the remainder of follow-up (>6 months to a maximum 18.9 years) was 24.8% with an SIR of 1.04 (95% CI: 1.00-1.08). CONCLUSIONS: Frozen shoulder might be an early predictor for a subsequent cancer diagnosis.
[Mh] Termos MeSH primário: Bursite/epidemiologia
Neoplasias/epidemiologia
Sistema de Registros
[Mh] Termos MeSH secundário: Adulto
Neoplasias da Mama/epidemiologia
Estudos de Coortes
Dinamarca/epidemiologia
Feminino
Seres Humanos
Incidência
Neoplasias Pulmonares/epidemiologia
Linfoma não Hodgkin/epidemiologia
Masculino
Meia-Idade
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE
[do] DOI:10.1038/bjc.2017.146


  10 / 2638 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28488536
[Au] Autor:Marx C; Tamborrini G
[Ad] Endereço:1 Ultraschall Zentrum Rheumatolgoie Basel.
[Ti] Título:CME-Rheumatologie 12/Auflösung: Osteonekrose des Humeruskopfes..
[So] Source:Praxis (Bern 1994);106(10):551-552, 2017.
[Is] ISSN:1661-8157
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Bursite/diagnóstico por imagem
Cabeça do Úmero/diagnóstico por imagem
Cabeça do Úmero/lesões
Traumatismos Ocupacionais/diagnóstico por imagem
Osteonecrose/diagnóstico por imagem
Periartrite/diagnóstico por imagem
Síndrome de Colisão do Ombro/diagnóstico por imagem
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Seres Humanos
Cápsula Articular/diagnóstico por imagem
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Pasteurização
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170511
[St] Status:MEDLINE
[do] DOI:10.1024/1661-8157/a002665



página 1 de 264 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