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Referências encontradas : 89 [refinar]
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[PMID]:27894528
[Au] Autor:Jerrold L
[Ad] Endereço:Chair, Division of Orthodontics; Program director, Orthodontics and Dentofacial Orthopedics, Department of Dental Medicine, NYU-Lutheran Medical Center, Brooklyn, NY.
[Ti] Título:Stepstools and ladders.
[So] Source:Am J Orthod Dentofacial Orthop;150(6):1063-1065, 2016 Dec.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Consentimento Livre e Esclarecido/legislação & jurisprudência
Imperícia/legislação & jurisprudência
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Contenções/efeitos adversos
Entorses e Distensões/terapia
Encarceramento do Tendão/terapia
Estados Unidos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:161130
[St] Status:MEDLINE


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[PMID]:27437611
[Au] Autor:Fokin A; Huntley SR; Summers SH; Lawrie CM; Miranda AD; Caban-Martinez AJ; Steinlauf SD
[Ad] Endereço:*Department of Orthopaedics, Leonard M. Miller School of Medicine, University of Miami, Miami, FL; and †Division of Environment and Public Health, Department of Public Health Sciences, Leonard M. Miller School of Medicine, University of Miami, Miami, FL.
[Ti] Título:Computed Tomography Assessment of Peroneal Tendon Displacement and Posteromedial Structure Entrapment in Pilon Fractures.
[So] Source:J Orthop Trauma;30(11):627-633, 2016 Nov.
[Is] ISSN:1531-2291
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To determine the proportion of (1) peroneal tendon displacement (PTD) and posteromedial structure entrapment (PMSE) cases in a sample of pilon fractures, (2) missed diagnoses of PTD and PMSE on computed tomography (CT) by radiologists and attending orthopaedic trauma surgeons, and PTD and PMSE cases by (3) OTA/AO classification, and (4) fibular fracture. DESIGN: Retrospective cohort review. SETTING: Regional level 1 Trauma Center. PATIENTS/PARTICIPANTS: Two hundred patients treated between July 2008 and November 2014. INTERVENTION: Axial and reconstructed CT images were used in bone and soft tissue windows to identify PTD and PMSE. MAIN OUTCOME MEASUREMENTS: Medical charts were reviewed to identify OTA/AO fracture classification, the presence of concomitant fibular fracture, whether radiologist CT interpretation noted PTD or PMSE, and whether attending orthopaedic trauma surgeons' operative notes mentioned recognition of and management of PTD or PMSE. RESULTS: From the retrospective review of CT, PTD was identified in 11.0% and PMSE in 19.0% of all pilon fractures. Of the 22 patients with PTD, 59.1% sustained a concomitant fibular fracture and 90.9% sustained a 43-C fracture. Patients with PTD sustained more 43-C fractures (90.9% vs. 62.9%) but significantly fewer fibular fractures (59.1% vs. 80.3%; P = 0.023) than patients without PTD. Of the 38 patients with PMSE, 81.6% sustained a fibular fracture and 86.8% sustained a 43-C fracture. PMSE was more common in patients with 43-C fractures (86.8% vs. 61.1%). The final preoperative radiologist CT interpretation commented on PTD and PMSE in 50.0% of cases. CONCLUSIONS: Higher energy pilon fractures (43-C) are associated with higher incidence of PMSE and PTD. Concomitant fibula fracture may play a protective role in PTD in the setting of pilon fractures. Both attending radiologists and attending orthopaedic trauma surgeons frequently fail to recognize the diagnoses of PTD and PMSE. LEVEL OF EVIDENCE: Prognostic level III. See Instructions for Authors for a complete description of levels of evidence.
[Mh] Termos MeSH primário: Encarceramento do Tendão/diagnóstico por imagem
Encarceramento do Tendão/epidemiologia
Traumatismos dos Tendões/diagnóstico por imagem
Traumatismos dos Tendões/epidemiologia
Fraturas da Tíbia/diagnóstico por imagem
Fraturas da Tíbia/epidemiologia
Tomografia Computadorizada por Raios X/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Fraturas do Tornozelo/diagnóstico por imagem
Fraturas do Tornozelo/epidemiologia
Comorbidade
Feminino
Fíbula/diagnóstico por imagem
Fíbula/cirurgia
Florida/epidemiologia
Seres Humanos
Incidência
Masculino
Meia-Idade
Traumatismo Múltiplo/epidemiologia
Reprodutibilidade dos Testes
Estudos Retrospectivos
Fatores de Risco
Sensibilidade e Especificidade
Encarceramento do Tendão/patologia
Traumatismos dos Tendões/patologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160721
[St] Status:MEDLINE


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[PMID]:27234977
[Au] Autor:Ballard DH; Campbell KJ; Blanton LE; Williams JT; Sangster G; Hollister AM; Simoncini AA
[Ad] Endereço:Department of Surgery, Louisiana State University Health-Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA. davidballardmd@gmail.com.
[Ti] Título:Tendon entrapments and dislocations in ankle and hindfoot fractures: evaluation with multidetector computed tomography.
[So] Source:Emerg Radiol;23(4):357-63, 2016 Aug.
[Is] ISSN:1438-1435
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to assess the incidence of tendon entrapments and tendon dislocations associated with ankle and hindfoot fractures in patients studied by multidetector computed tomography (MDCT). Additionally, we describe particular tendon injuries associated with specific fractures. This was a retrospective review of all individuals with a trauma-protocol CT for suspected ankle and/or hindfoot fractures during a consecutive 41-month time period at a single Level I Trauma Center. Each patient's images were evaluated by two radiologists and an orthopedic surgeon for tendon entrapment, tendon dislocation, and bone(s) fractured or dislocated. There were 398 patients with ankle and/or hindfoot fractures that showed tendon entrapment or dislocation in 64 (16.1 %) patients. There were 30 (46.9 %) patients with 40 tendon entrapments, 31 (48.4 %) patients with 59 tendon dislocations, and three (4.7 %) patients with both tendon entrapment and dislocation. All patients with tendon entrapments were seen with either pilon fractures and/or a combination of posterior, medial, or lateral malleolar fractures. The most frequently entrapped tendon was the posterior tibialis tendon (PTT) in 27 patients (27/30, 90.0 %). The peroneal tendons were the most frequently dislocated, representing 27 (87.1 %) of patients with tendon dislocation; all resulted from a talar or calcaneal fracture or subluxation. This study demonstrates that tendon entrapments and tendon dislocations are commonly seen in complex fractures of the ankle and hindfoot. Pilon fractures were associated with the majority of tendon entrapments, whereas calcaneus fractures were associated with the majority of tendon dislocations.
[Mh] Termos MeSH primário: Traumatismos do Tornozelo/diagnóstico por imagem
Traumatismos do Pé/diagnóstico por imagem
Fraturas Ósseas/diagnóstico por imagem
Luxações Articulares/diagnóstico por imagem
Tomografia Computadorizada Multidetectores/métodos
Encarceramento do Tendão/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Centros de Traumatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160529
[St] Status:MEDLINE
[do] DOI:10.1007/s10140-016-1411-4


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[PMID]:27079609
[Au] Autor:Chang MY; Yulek F; Pineles SL; Velez FG
[Ad] Endereço:The Stein Eye Institute, University of California, Los Angeles, California.
[Ti] Título:Surgery for superior oblique tendon anteriorization and entrapment following scleral buckle.
[So] Source:J AAPOS;20(2):165.e1-2, 2016 Apr.
[Is] ISSN:1528-3933
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos
Recurvamento da Esclera/efeitos adversos
Estrabismo/cirurgia
Encarceramento do Tendão/cirurgia
Anormalidade Torcional/cirurgia
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Masculino
Descolamento Retiniano/cirurgia
Estrabismo/etiologia
Encarceramento do Tendão/etiologia
Tenotomia
Anormalidade Torcional/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170403
[Lr] Data última revisão:
170403
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160416
[St] Status:MEDLINE


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[PMID]:26991573
[Au] Autor:Fantry A; Lareau C; Vopat B; Blankenhorn B
[Ad] Endereço:Department of Orthopedic Surgery, Rhode Island Hospital, Providence, RI. amanda.fantry@gmail.com.
[Ti] Título:Tibialis Posterior Tendon Entrapment Within Posterior Malleolar Fracture Fragment.
[So] Source:Am J Orthop (Belle Mead NJ);45(3):E103-7, 2016 Mar-Apr.
[Is] ISSN:1934-3418
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Management of posterior malleolus fractures continues to be controversial, with respect to both need for fixation and fixation methods. Fixation methods include an open posterior approach to the ankle as well as percutaneous reduction and fixation with or without arthroscopy for visualization of the articular surface. Plain radiographs are unreliable in identifying fracture pattern and intraoperative reduction, making arthroscopy a valuable adjunct to posterior malleolus fracture management. In this article, we report a case of tibialis posterior tendon entrapment within a posterior malleolus fracture, as identified by arthroscopy and managed with open reduction. Tibialis posterior tendon entrapment within a posterior malleolus has not been previously reported. Ankle arthroscopy for posterior malleolus fractures provides an opportunity to identify soft-tissue or tendinous entrapment, articular surface reduction, and articular cartilage injuries unlikely to be identified with fluoroscopy alone and should be considered in reduction and fixation of posterior malleolus fractures.
[Mh] Termos MeSH primário: Fraturas do Tornozelo/complicações
Articulação do Tornozelo/cirurgia
Encarceramento do Tendão/cirurgia
[Mh] Termos MeSH secundário: Idoso
Fraturas do Tornozelo/cirurgia
Traumatismos do Tornozelo/complicações
Traumatismos do Tornozelo/diagnóstico
Traumatismos do Tornozelo/cirurgia
Artroscopia
Fraturas Cominutivas/complicações
Seres Humanos
Luxações Articulares/diagnóstico
Luxações Articulares/etiologia
Luxações Articulares/cirurgia
Masculino
Encarceramento do Tendão/diagnóstico
Encarceramento do Tendão/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1608
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160319
[St] Status:MEDLINE


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[PMID]:26855428
[Au] Autor:Keith T; Robinson AH
[Ad] Endereço:Addenbrookes Hospital, Cambridge University Hospitals NHS Trust, Hills Road, Cambridge CB2 2QQ, United Kingdom. Electronic address: tkeithdr@gmail.com.
[Ti] Título:Entrapment of the flexor hallucis longus tendon following ankle arthrodesis.
[So] Source:Foot (Edinb);26:45-7, 2016 Mar.
[Is] ISSN:1532-2963
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:Impingement following arthroscopic ankle arthrodesis has not been reported in the literature previously. We present a case report of a 68-year-old male 9 months following an uncomplicated arthroscopic ankle fusion presenting with persistent posteromedial ankle pain. Flexor hallucis longus (FHL) tendon impingement resulting from a prominent os trigonum was identified. This was successfully treated utilising hindfoot endoscopy with excision of the os trigonum and FHL release.
[Mh] Termos MeSH primário: Traumatismos do Tornozelo/cirurgia
Artrodese/efeitos adversos
Artroscopia/métodos
Complicações Pós-Operatórias
Encarceramento do Tendão/etiologia
[Mh] Termos MeSH secundário: Idoso
Articulação do Tornozelo/diagnóstico por imagem
Articulação do Tornozelo/cirurgia
Seguimentos
Seres Humanos
Masculino
Reoperação
Encarceramento do Tendão/diagnóstico
Encarceramento do Tendão/cirurgia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170110
[Lr] Data última revisão:
170110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160209
[St] Status:MEDLINE


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[PMID]:26852168
[Au] Autor:Wang Z; Li D; Jin J; Wang Q; Zhao S; Bai Y
[Ad] Endereço:Department of Gastroenterology, The First Affiliated Hospital of He'nan University of Science and Technology, Luoyang 471000, China. Electronic address: janeywzz@163.com.
[Ti] Título:Association between microRNA polymorphisms and chronic pancreatitis.
[So] Source:Pancreatology;16(2):244-8, 2016 Mar-Apr.
[Is] ISSN:1424-3911
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUD: MicroRNAs play important roles in the development and progression of many human diseases. mir-146a could significantly suppress the induction of proinflammatory cytokines IL-1ß, IL-6, TNF-α, NF-κB and chemokine MCP-1, which might play important roles in chronic pancreatitis. This study was conducted to evaluate the association between mir-146a rs2910164, a functional polymorphism in the pre-mir-146a, and chronic pancreatitis risk. METHODS: The rs2910164 genotypes were determined in 165 patients with chronic pancreatitis and 200 healthy controls who were frequency matched for age and gender. One single nucleotide polymorphism (rs2910164) was genotyped by polymerase chain reaction-restriction fragment length polymorphism (PCR-RLFP). RESULTS: The frequency of individuals who carried [G] allele was significantly higher in cases (62.7%) than in controls (53.7%, p = 0.015), which resulted in a statistically significant pathogenic effect associated with this variant allele (OR: 1.448, CI: 1.076-1.950; p = 0.015). The GC and GG genotypes showed strong and significant increased risk for complication of chronic pancreatitis (OR = 3.668, 95%CI = 1.233-10.916, p = 0.019; OR = 5.667, 95%CI = 1.852-17.336, p = 0.002). The individuals carrying G allele confer a lower expression level of mature mir-146a. CONCLUSION: These findings suggest that the mir-146a rs2910164 may contribute to genetic susceptibility to chronic pancreatitis, and that mir-146a might be involved in chronic pancreatitis development.
[Mh] Termos MeSH primário: Citocinas/metabolismo
Regulação da Expressão Gênica/fisiologia
MicroRNAs/genética
Pancreatite Crônica/genética
Polimorfismo de Nucleotídeo Único
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Citocinas/genética
Feminino
Predisposição Genética para Doença
Seres Humanos
Masculino
Meia-Idade
Encarceramento do Tendão
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Cytokines); 0 (MIRN146 microRNA, human); 0 (MicroRNAs)
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160208
[St] Status:MEDLINE


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[PMID]:26847193
[Au] Autor:Tanwar YS; Singh S; Arya RK; Aujla N; Mathur A; Kharbanda Y
[Ad] Endereço:Department of Orthopedic Surgery, Apollo Hospital, New Delhi, India (YST, YK)Department of Orthopedics, PGIMER & Dr R.M.L Hospital, New Delhi, India (SS, RKA, NA, AM) tanwar_yashwant@yahoo.co.in.
[Ti] Título:A Closed Lateral Subtalar Dislocation With Checkrein Deformity of Great Toe due to Entrapment of Flexor Hallucis Longus: A Case Report.
[So] Source:Foot Ankle Spec;9(5):461-4, 2016 Oct.
[Is] ISSN:1938-7636
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: Closed lateral subtalar dislocation is a very rare injury. We report a case of closed lateral subtalar dislocation with entrapment of flexor hallucis longus tendon producing a checkrein deformity. The patient was managed immediately with closed reduction under regional anesthesia and fixated with percutaneous Kirschner wires. Early mobilization and weightbearing was started and there were no complications till the last follow-up visit. LEVELS OF EVIDENCE: Therapeutic, Level IV: Case study.
[Mh] Termos MeSH primário: Deformidades Adquiridas do Pé/etiologia
Hálux/anormalidades
Luxações Articulares/complicações
Articulação Talocalcânea/lesões
Encarceramento do Tendão/etiologia
[Mh] Termos MeSH secundário: Adulto
Deformidades Adquiridas do Pé/cirurgia
Seres Humanos
Luxações Articulares/cirurgia
Masculino
Articulação Talocalcânea/cirurgia
Encarceramento do Tendão/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160206
[St] Status:MEDLINE
[do] DOI:10.1177/1938640016630060


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[PMID]:26818290
[Au] Autor:Golas AR; Marcus LR; Reiffel RS
[Ad] Endereço:New York and White Plains, N.Y. From New York University Langone Medical Center; and White Plains Hospital.
[Ti] Título:Management of Stenosing Flexor Tenosynovitis: Maximizing Nonoperative Success without Increasing Morbidity.
[So] Source:Plast Reconstr Surg;137(2):557-62, 2016 Feb.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Traditional nonoperative management of stenosing tenosynovitis is limited to one corticosteroid injection, followed by surgery in the case of failure. Recently, nonoperative strategies have been extended to include two or three injections despite the absence of large prospective studies supporting this practice. METHODS: A prospective study was performed of all patients presenting with stenosing tenosynovitis to a single surgeon (R.S.R.) over a 22-year period. Patients with potentially confounding comorbidities were excluded. All digits received one to three injections of triamcinolone acetonide plus local anesthetic into the tendon sheath. Data were analyzed by digit. RESULTS: Five hundred seventy-one digits (401 patients) were included. Digits that were symptomatic for 3 months or less were more likely to resolve after one injection than those that were symptomatic for more than 3 months (OR, 2.6; 95 percent CI, 1.67 to 4.0; p < 0.01). For the digits that failed to resolve after the first injection, those that were symptomatic for 5 months or less before one injection were more likely to respond to a second injection than those that were symptomatic for more than 5 months (OR, 9.4; 95 percent CI, 3.0 to 29.7; p < 0.01). Eight digits received three injections, after which six (75 percent) achieved remission. There were no instances of tendon/pulley rupture, infection, or soft-tissue atrophy. CONCLUSIONS: Stenosing tenosynovitis is more likely to respond to nonoperative therapy when treated before 3 months. It is safe and effective to administer more than one corticosteroid injection, as second and third doses increase the overall remission rate without increasing morbidity. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
[Mh] Termos MeSH primário: Previsões
Lidocaína/administração & dosagem
Complicações Pós-Operatórias/epidemiologia
Encarceramento do Tendão/tratamento farmacológico
Triancinolona Acetonida/administração & dosagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Anestésicos Locais/administração & dosagem
Quimioterapia Combinada
Feminino
Seguimentos
Glucocorticoides/administração & dosagem
Seres Humanos
Injeções
Masculino
Meia-Idade
Morbidade/tendências
Estudos Prospectivos
Recidiva
Encarceramento do Tendão/epidemiologia
Resultado do Tratamento
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anesthetics, Local); 0 (Glucocorticoids); 98PI200987 (Lidocaine); F446C597KA (Triamcinolone Acetonide)
[Em] Mês de entrada:1605
[Cu] Atualização por classe:160128
[Lr] Data última revisão:
160128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160129
[St] Status:MEDLINE
[do] DOI:10.1097/01.prs.0000475789.46608.39


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[PMID]:26802813
[Au] Autor:Wong-Chung J; O'Longain D; Lynch-Wong M; Julian H
[Ad] Endereço:Department of Trauma & Orthopaedics Altnagelvin Hospital, Glenshane Road, Londonderry BT47 6SB, Northern Ireland, UK. Electronic address: johnwong@doctors.org.uk.
[Ti] Título:Irreducible tongue-type calcaneal fracture due to interposition of flexor hallucis longus.
[So] Source:Foot (Edinb);27:1-3, 2016 Jun.
[Is] ISSN:1532-2963
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:We present a rare case of interposition of the flexor hallucis longus (FHL) tendon blocking percutaneous closed reduction of a displaced tongue-type calcaneal fracture, and necessitating open repositioning of the tendon and internal fixation through a single extensile lateral approach. Although not recognized until during surgery, with a high index of suspicion, preoperative diagnosis of this injury combination should be possible on high resolution CT, thus enabling better planning of the procedure. The presence of a small sustentacular fragment, especially if markedly displaced or rotated, should further alert the physician as to increased likelihood of such tendon entrapment within the fracture. In the literature, fracture fixation and extrication of the FHL tendon have been performed via either or both lateral and medial approaches. A medial approach may prove necessary when there is severe displacement or rotation of the sustentacular fragment. Arthroscopically assisted surgery may aid in disengaging the tendon from within the fracture site.
[Mh] Termos MeSH primário: Calcâneo/lesões
Redução Fechada/efeitos adversos
Fraturas Ósseas/complicações
Encarceramento do Tendão/etiologia
[Mh] Termos MeSH secundário: Adulto
Calcâneo/cirurgia
Fixação Interna de Fraturas
Fraturas Ósseas/cirurgia
Seres Humanos
Masculino
Encarceramento do Tendão/diagnóstico por imagem
Encarceramento do Tendão/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160124
[St] Status:MEDLINE



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