Base de dados : MEDLINE
Pesquisa : C05.651.869.435 [Categoria DeCS]
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  1 / 8 MEDLINE  
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[PMID]:28276991
[Au] Autor:Laratta J; Caldwell JM; Lombardi J; Levine W; Ahmad C
[Ad] Endereço:a Department of Orthopedic Surgery , New York Presbyterian/Columbia University Medical Center , New York , USA.
[Ti] Título:Evaluation of common elbow pathologies: a focus on physical examination.
[So] Source:Phys Sportsmed;45(2):184-190, 2017 May.
[Is] ISSN:2326-3660
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Elbow tendinopathy accounts for the majority of elbow pathology in patients presenting to upper extremity and sports medicine surgeons. With increased participation in overhead sports in an aging population, the incidence of elbow injuries has risen. A comprehensive knowledge of elbow anatomy and biomechanical function of the elbow complex is prerequisite in the assessment of patients with elbow injuries; however, a thorough understanding of alternative and confounding pathologies is essential for accurate diagnosis. Because tendinopathy, tendonitis, and tendon tears have an anatomic basis for their pathology, a targeted history and meticulous physical examination often yields an accurate clinical diagnosis. The importance of physical examination and provocative examination maneuvers must be stressed in a technologically advanced era where clinical diagnosis is too commonly attained solely by advanced imaging modalities. A revived dedication to the physical examination may enhance our ability to correctly diagnose various pathologies about the elbow. Early and accurate clinical diagnosis is the first step in the proper initiation of treatment modalities and improvement in overall patient outcome.
[Mh] Termos MeSH primário: Articulação do Cotovelo/lesões
Cotovelo/lesões
Exame Físico/métodos
Traumatismos dos Tendões/diagnóstico
[Mh] Termos MeSH secundário: Tendinopatia do Cotovelo/diagnóstico
Seres Humanos
Masculino
Ortopedia/métodos
Esportes
Medicina Esportiva/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE
[do] DOI:10.1080/00913847.2017.1292831


  2 / 8 MEDLINE  
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[PMID]:28246658
[Au] Autor:Waryasz GR; Tambone R; Borenstein TR; Gil JA; DaSilva M
[Ad] Endereço:Department of Orthopaedic Surgery, Brown University/Rhode Island Hospital, Providence, RI.
[Ti] Título:A Review of Anatomical Placement of Corticosteroid Injections for Uncommon Hand, Wrist, and Elbow Pathologies.
[So] Source:R I Med J (2013);100(2):31-34, 2017 Mar 01.
[Is] ISSN:2327-2228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Corticosteroid injections are a common nonsurgical treatment of intersection syndrome, flexor carpi radialis tendonitis, flexor carpi ulnaris tendonitis, and medial epicondylitis. The benefits of corticosteroid injections for these conditions have been well studied and documented in the medical literature. Patients with less common upper extremity complaints usually first present to their primary care provider. A correct anatomical diagnosis will help with early definitive treatment, as the injection must be in the proper location for maximal benefit to the patient. The following review on uncommon upper extremity complaints provides information for a correct diagnosis and treatment plan, followed by a possible injection. This review will hopefully provide high quality care while also cutting health care costs by making the correct diagnosis at the initial presentation. [Full article available at http://rimed.org/rimedicaljournal-2017-03.asp].
[Mh] Termos MeSH primário: Corticosteroides/administração & dosagem
Tendinopatia do Cotovelo/terapia
Injeções/métodos
Tendinopatia/terapia
Extremidade Superior/anatomia & histologia
[Mh] Termos MeSH secundário: Seres Humanos
Qualidade da Assistência à Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170602
[Lr] Data última revisão:
170602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE


  3 / 8 MEDLINE  
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[PMID]:28233017
[Au] Autor:Hawi N; Liodakis E; Petri M; Krettek C; Meller R
[Ad] Endereço:Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland. hawi.nael@mh-hannover.de.
[Ti] Título:[Tendinopathies of the shoulder and elbow].
[Ti] Título:Tendinopathien an Schulter und Ellenbogen..
[So] Source:Unfallchirurg;120(3):184-191, 2017 Mar.
[Is] ISSN:1433-044X
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:BACKGROUND: Tendinopathies of the shoulder and elbow joint are a common problem. According to the current state of knowledge tendinopathies can be separated into acute and chronic tendinitis as well as degenerative tendinosis. ORIGIN: The causes of tendinopathy can be intrinsic, extrinsic or a combination of both. A false straining or overuse with repetitive microtrauma is often the cause. Particularly affected are tendons of the rotator cuff, the long biceps tendons and lower arm extensors. TREATMENT: Priority is given to conservative appproaches for these disease processes. Following appropriate diagnostics the pain can be reduced and function can be improved by specific training. When conservative treatment is unsuccessful and in the presence of certain indications, a surgical approach should be considered. In these cases a structural damage of the tendon often already exists, which could have resulted from the tendinopathy. The structural damage must be considered as a separate entity and differentiated from the tendinopathy.
[Mh] Termos MeSH primário: Tendinopatia do Cotovelo/diagnóstico por imagem
Imobilização/métodos
Modalidades de Fisioterapia
Articulação do Ombro/diagnóstico por imagem
[Mh] Termos MeSH secundário: Artrografia/métodos
Artroscopia/métodos
Terapia Combinada/métodos
Tendinopatia do Cotovelo/patologia
Medicina Baseada em Evidências
Seres Humanos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Articulação do Ombro/lesões
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170225
[St] Status:MEDLINE
[do] DOI:10.1007/s00113-017-0328-z


  4 / 8 MEDLINE  
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[PMID]:27930090
[Au] Autor:Klauser AS; Pamminger MJ; Halpern EJ; Abd Ellah MMH; Moriggl B; Taljanovic MS; Deml C; Sztankay J; Klima G; Gruber L; Jaschke WR
[Ad] Endereço:From the Departments of Radiology (A.S.K., M.J.P., M.M.H.A.E., L.G., W.R.J.), Anatomy (B.M.), Trauma Surgery (C.D.), Radiotherapy (J.S.), and Histology and Embryology (G.K.), Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria; Department of Radiology and Urology, Jefferson Pro
[Ti] Título:Sonoelastography of the Common Flexor Tendon of the Elbow with Histologic Agreement: A Cadaveric Study.
[So] Source:Radiology;283(2):486-491, 2017 May.
[Is] ISSN:1527-1315
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose To determine the correlation of the results of conventional B-mode ultrasonography (US) and compression sonoelastography with histologic results in common flexor tendons of the elbow in human cadavers. Materials and Methods Twenty-five common flexor tendons were evaluated in 16 fresh, unembalmed cadavers of 11 women with a median age of 85 years (range, 71-101 years) and five men with a median age of 78 years (range, 70-88 years). Informed consent was provided according to the last will of the donors. B-mode US results were classified as grade 1, normal tendon with homogeneous fibrillar pattern; grade 2, tendon thickening or hypoechoic areas and/or calcifications in less than 30% of the tendon; or grade 3, hypoechoic areas and/or calcifications greater than 30% of the tendon. Sonoelastographic results were grade 1, blue (hardest) to green (hard); grade 2, yellow (soft); and grade 3, red (softest). The intraclass correlation coefficient was calculated to determine agreement with histologic findings for each B-mode US, sonoelastographic, and combined B-mode US and sonoelastographic examination. Histologic results were grade 1, normal, with parallel fibrillar pattern; grade 2, mild tendinopathy, with cellular infiltration, angiogenesis, or fatty vacuoles; or grade 3, severe tendinopathy, with loss of parallel collagen structure and necrosis. Results Histologic alterations were detected in 44% (11 of 25) of biopsy specimens. Intraclass correlation with histologic results was 0.57 for B-mode US, 0.68 for sonoelastography, and 0.84 for the combination of the two approaches. Conclusion The addition of sonoelastography to B-mode US provided statistically significant improvement in correlation with histologic results compared with the use of B-mode US alone (P < .02). RSNA, 2016 Online supplemental material is available for this article.
[Mh] Termos MeSH primário: Técnicas de Imagem por Elasticidade/métodos
Articulação do Cotovelo/diagnóstico por imagem
Tendinopatia do Cotovelo/diagnóstico por imagem
Tendinopatia do Cotovelo/patologia
Tendões/diagnóstico por imagem
Tendões/patologia
[Mh] Termos MeSH secundário: Idoso
Cadáver
Articulação do Cotovelo/patologia
Feminino
Seres Humanos
Masculino
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
[Pt] Tipo de publicação:COMPARATIVE STUDY; EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170421
[Lr] Data última revisão:
170421
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161209
[St] Status:MEDLINE
[do] DOI:10.1148/radiol.2016160139


  5 / 8 MEDLINE  
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[PMID]:27754695
[Au] Autor:Gadau M; Zhang SP; Yip HY; Yeung WF; Bian ZX; Lu AP; Zaslawski C
[Ad] Endereço:1 School of Chinese Medicine, Hong Kong Baptist University , Hong Kong SAR, China .
[Ti] Título:Pattern Differentiation of Lateral Elbow Pain in Traditional Chinese Medicine: A Systematic Review.
[So] Source:J Altern Complement Med;22(11):921-935, 2016 Nov.
[Is] ISSN:1557-7708
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Traditional Chinese Medicine (TCM) uses a sophisticated diagnostic system called pattern differentiation, which allows for the tailor-made treatment of individuals. OBJECTIVE: This study aimed to identify the commonly used TCM patterns for lateral elbow pain (LEP), as well as the clinical features associated with these patterns. METHOD: Journal literature in 15 major Chinese and English databases and textbooks from five medical libraries as well as Chinamaxx were reviewed. RESULTS: Five hundred and fifty-five full-text journal articles, as well as 465 textbooks, were retrieved for further assessment, but only eight studies and seven books that mentioned LEP patterns could be identified and included in this study. The top four patterns that were identified were the wind-cold-dampness pattern, the qi stagnation and blood stasis pattern, the dual deficiency of qi and blood pattern, and the retained dampness-heat pattern, each of which was associated with unique features that were made up of distinct signs and symptoms. CONCLUSIONS: The unique features identified for each of the major patterns might be the key to understanding TCM individualized treatment based on pattern differentiation. Furthermore, the approach taken in studying TCM pattern of LEP may also be useful for studying the TCM patterns of other musculoskeletal conditions.
[Mh] Termos MeSH primário: Artralgia/diagnóstico
Cotovelo/fisiopatologia
Medicina Tradicional Chinesa
Cotovelo de Tenista/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Tendinopatia do Cotovelo/diagnóstico
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170322
[Lr] Data última revisão:
170322
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161019
[St] Status:MEDLINE


  6 / 8 MEDLINE  
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[PMID]:27709699
[Au] Autor:Özkaya E
[Ad] Endereço:Department of Dermatology and Venereology, Istanbul Medical Faculty, Istanbul University, 34093, Çapa-Istanbul, Turkey. profeo@istanbul.edu.tr.
[Ti] Título:Patch testing with used and unused personal products: a practical way to show contamination with contact allergens.
[So] Source:Contact Dermatitis;75(5):328-330, 2016 Nov.
[Is] ISSN:1600-0536
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Alérgenos/efeitos adversos
Anti-Inflamatórios não Esteroides/efeitos adversos
Antifúngicos/efeitos adversos
Dermatite Alérgica de Contato/etiologia
Contaminação de Equipamentos
Dermatoses do Pé/etiologia
Testes do Emplastro/métodos
[Mh] Termos MeSH secundário: Administração Tópica
Adulto
Idoso
Colchicina/efeitos adversos
Colchicina/análogos & derivados
Dermatite Alérgica de Contato/diagnóstico
Tendinopatia do Cotovelo/terapia
Feminino
Ácido Flufenâmico/efeitos adversos
Ácido Flufenâmico/análogos & derivados
Dermatoses do Pé/diagnóstico
Seres Humanos
Masculino
Aparelhos Ortopédicos/efeitos adversos
Sapatos/efeitos adversos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Allergens); 0 (Anti-Inflammatory Agents, Non-Steroidal); 0 (Antifungal Agents); 60GCX7Y6BH (Flufenamic Acid); KZF0XM66JC (etofenamate); SML2Y3J35T (Colchicine); T1X8S697GT (thiocolchicoside)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170418
[Lr] Data última revisão:
170418
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161007
[St] Status:MEDLINE
[do] DOI:10.1111/cod.12626


  7 / 8 MEDLINE  
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[PMID]:27468667
[Au] Autor:Sussman WI; Williams CJ; Mautner K
[Ad] Endereço:Department of Physical Medicine and Rehabilitation, Emory University, 1441 Clifton Road, NE Atlanta, GA 30322, USA; Department of Orthopaedic Surgery, Emory University, Atlanta, GA, USA.
[Ti] Título:Ultrasound-Guided Elbow Procedures.
[So] Source:Phys Med Rehabil Clin N Am;27(3):573-87, 2016 08.
[Is] ISSN:1558-1381
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:High-resolution ultrasonography can help clinicians visualize key anatomic structures of the elbow and guide periarticular and intra-articular injections. Historically, most procedures done around the elbow have been done using landmark guidance, and few studies have reported the accuracy of ultrasonography-guided injections in the elbow region. This article reviews common musculoskeletal disorders about the elbow that can be evaluated with ultrasonography, reviews the literature on ultrasonography-guided injections of the elbow region, and describes the senior author's preferred approach for the most commonly performed elbow region injections.
[Mh] Termos MeSH primário: Articulação do Cotovelo/diagnóstico por imagem
Cotovelo de Tenista/tratamento farmacológico
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Bursite/diagnóstico por imagem
Bursite/tratamento farmacológico
Ligamento Colateral Ulnar/diagnóstico por imagem
Tendinopatia do Cotovelo/diagnóstico por imagem
Tendinopatia do Cotovelo/tratamento farmacológico
Seres Humanos
Injeções/métodos
Cotovelo de Tenista/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170323
[Lr] Data última revisão:
170323
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE


  8 / 8 MEDLINE  
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[PMID]:26381484
[Au] Autor:Coombes BK; Bisset L; Vicenzino B
[Ti] Título:Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All.
[So] Source:J Orthop Sports Phys Ther;45(11):938-49, 2015 Nov.
[Is] ISSN:1938-1344
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Synopsis Clear guidelines for the clinical management of individuals with lateral elbow tendinopathy (LET) are hampered by many proposed interventions and the condition's prognosis, ranging from immediate resolution of symptoms following simple advice in some patients to long-lasting problems, regardless of treatment, in others. This is compounded by our lack of understanding of the complexity of the underlying pathophysiology of LET. In this article, we collate evidence and expert opinion on the pathophysiology, clinical presentation, and differential diagnosis of LET. Factors that might provide prognostic value or direction for physical rehabilitation, such as the presence of neck pain, tendon tears, or central sensitization, are canvassed. Clinical recommendations for physical rehabilitation are provided, including the prescription of exercise and adjunctive physical therapy and pharmacotherapy. A preliminary algorithm, including targeted interventions, for the management of subgroups of patients with LET based on identified prognostic factors is proposed. Further research is needed to evaluate whether such an approach may lead to improved outcomes and more efficient resource allocation. J Orthop Sports Phys Ther 2015;45(11):938-949. Epub 17 Sep 2015. doi:10.2519/jospt.2015.5841.
[Mh] Termos MeSH primário: Tratamento Farmacológico
Tendinopatia do Cotovelo/diagnóstico
Tendinopatia do Cotovelo/reabilitação
Terapia por Exercício
Modalidades de Fisioterapia
[Mh] Termos MeSH secundário: Algoritmos
Diagnóstico Diferencial
Tendinopatia do Cotovelo/fisiopatologia
Seres Humanos
Prognóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170307
[Lr] Data última revisão:
170307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150919
[St] Status:MEDLINE
[do] DOI:10.2519/jospt.2015.5841



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