Base de dados : MEDLINE
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[PMID]:27772681
[Au] Autor:Cozzi G; Guastalla V; Barbi E
[Ad] Endereço:Emergency Department, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
[Ti] Título:Adolescent Athlete With Sudden Groin Pain.
[So] Source:Ann Emerg Med;68(5):639-648, 2016 Nov.
[Is] ISSN:1097-6760
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Dor Aguda/etiologia
Traumatismos em Atletas/diagnóstico por imagem
Fratura Avulsão/diagnóstico por imagem
Virilha/lesões
Ílio/lesões
[Mh] Termos MeSH secundário: Dor Aguda/diagnóstico por imagem
Adolescente
Traumatismos em Atletas/complicações
Traumatismos em Atletas/terapia
Fratura Avulsão/etiologia
Fratura Avulsão/terapia
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28822786
[Au] Autor:Chang KT; Lin YL; Lin CT; Hong CJ; Tsai MJ; Huang WC; Shih YH; Lee YY; Cheng H; Huang MC
[Ad] Endereço:Institute of Pharmacology, School of Medicine, National Yang-Ming University, Taipei, Taiwan; Neural Regeneration Laboratory, Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
[Ti] Título:Leptin is essential for microglial activation and neuropathic pain after preganglionic cervical root avulsion.
[So] Source:Life Sci;187:31-41, 2017 Oct 15.
[Is] ISSN:1879-0631
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:AIMS: Preganglionic cervical root avulsion (PCRA) affects both the peripheral and central nervous systems and is often associated with neuropathic pain. Unlike peripheral nerve injuries (PNI), central lesions caused by disruption of cervical roots from the spinal cord following PCRA contribute to the generation of neuropathic pain. Leptin is involved in the development of neuropathic pain after PNI by affecting neurons. However, whether leptin is involved in microglial activation leading to neuropathic pain after PCRA is unknown. MAIN METHODS: Preganglionic avulsion of the left 6 -8 cervical roots was performed in C57B/6J mice and leptin-deficient mice. A leptin antagonist or leptin was administered to C57B/6J mice and leptin-deficient mice after injury, respectively. The expression pattern of spinal and supraspinal microglia was examined by immunofluorescent staining. Von Frey filaments were used to test pain sensitivity. KEY FINDINGS: Leptin is essential for the development of neuropathic pain after PCRA. Allodynia was absent in the leptin-deficient mice and the mice administered the leptin antagonist. We also found that leptin deficiency or the administration of its antagonist inhibited the development of microgliosis in the dorsal horn and brainstem. Furthermore, increase in the expression of CD86 and iNOS, and Wallerian degeneration were noted in the spinal cord. The administration of exogenous leptin to leptin-deficient mice reversed these effects. SIGNIFICANCE: We concluded that leptin is involved in the proliferation and activation of microglia, which in turn enhances the development of neuropathic pain. Blocking the effects of leptin might be a target for the treatment of neuropathic pain after PCRA.
[Mh] Termos MeSH primário: Fratura Avulsão/fisiopatologia
Leptina/fisiologia
Microglia/fisiologia
Neuralgia/prevenção & controle
[Mh] Termos MeSH secundário: Animais
Antígeno B7-2/biossíntese
Tronco Encefálico/efeitos dos fármacos
Tronco Encefálico/patologia
Proliferação Celular/fisiologia
Medula Cervical/lesões
Feminino
Fratura Avulsão/complicações
Fratura Avulsão/patologia
Gliose/prevenção & controle
Leptina/antagonistas & inibidores
Leptina/genética
Leptina/farmacologia
Masculino
Camundongos
Camundongos Transgênicos
Microglia/efeitos dos fármacos
Neuralgia/complicações
Óxido Nítrico Sintase Tipo II/biossíntese
Medição da Dor/efeitos dos fármacos
Medula Espinal/efeitos dos fármacos
Medula Espinal/metabolismo
Medula Espinal/patologia
Corno Dorsal da Medula Espinal/efeitos dos fármacos
Corno Dorsal da Medula Espinal/patologia
Degeneração Walleriana/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (B7-2 Antigen); 0 (Leptin); EC 1.14.13.39 (Nitric Oxide Synthase Type II); EC 1.14.13.39 (Nos2 protein, mouse)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170821
[St] Status:MEDLINE


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[PMID]:28420360
[Au] Autor:Eberbach H; Hohloch L; Feucht MJ; Konstantinidis L; Südkamp NP; Zwingmann J
[Ad] Endereço:Department of Orthopaedic and Trauma Surgery, University of Freiburg Medical Center, Hugstetter Straße 55, Freiburg, 79106, Germany. helge.eberbach@uniklinik-freiburg.de.
[Ti] Título:Operative versus conservative treatment of apophyseal avulsion fractures of the pelvis in the adolescents: a systematical review with meta-analysis of clinical outcome and return to sports.
[So] Source:BMC Musculoskelet Disord;18(1):162, 2017 Apr 19.
[Is] ISSN:1471-2474
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Avulsion fractures of the pelvic apophyses typically occur in adolescent athletes due to a sudden strong muscle contraction while growth plates are still open. The main goals of this systematic review with meta-analysis were to summarize the evidence on clinical outcome and determine the rate of return to sports after conservative versus operative treatment of avulsion fractures of the pelvis. METHODS: A systematic search of the Ovid database was performed in December 2016 to identify all published articles reporting outcome and return to preinjury sport-level after conservative or operative treatment of avulsion fractures of the pelvis in adolescent patients. Included studies were abstracted regarding study characteristics, patient demographics and outcome measures. The methodological quality of the studies was assessed with the Coleman Methodology Score (CMS). RESULTS: Fourteen studies with a total of 596 patients met the inclusion criteria. The mean patient age was 14.3 ± 0.6 years and 75.5% of patients were male. Affected were the anterior inferior iliac spine (33.2%), ischial tuberosity (29.7%), anterior superior iliac spine (27.9%), iliac crest (6.7%) lesser trochanter (1.8%) and superior corner of the pubic symphysis (1.2%). Mean follow-up was 12.4 ± 11.7 months and most of the patients underwent a conservative treatment (89.6%). The overall success rate was higher in the patients receiving surgery (88%) compared to the patients receiving conservative treatment (79%) (p = 0,09). The rate of return to sports was 80% in conservative and 92% in operative treated patients (p = 0,03). Overall, the methodological quality of the included studies was low, with a mean CMS of 41.2. CONCLUSION: On the basis of the present meta-analysis, the overall success and return to sports rate was higher in the patients receiving surgery. Especially in patients with fragment displacement greater 15 mm and high functional demands, surgical treatment should be considered.
[Mh] Termos MeSH primário: Traumatismos em Atletas/terapia
Tratamento Conservador/estatística & dados numéricos
Fratura Avulsão/terapia
Procedimentos Ortopédicos/estatística & dados numéricos
Ossos Pélvicos/lesões
Volta ao Esporte/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Tomada de Decisão Clínica
Feminino
Fratura Avulsão/cirurgia
Seres Humanos
Masculino
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1186/s12891-017-1527-z


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[PMID]:28374066
[Au] Autor:Klos B; Scholtes M; Konijnenberg S
[Ad] Endereço:ICONE Orthopedics and Sports Traumatology, PO Box 41, 5480 AA, Schijndel, The Netherlands. bklos@icone.nl.
[Ti] Título:High prevalence of all complex Segond avulsion using ultrasound imaging.
[So] Source:Knee Surg Sports Traumatol Arthrosc;25(4):1331-1338, 2017 Apr.
[Is] ISSN:1433-7347
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The aim of this study was to determine the prevalence of a Segond avulsion fractures in acute ACL tears with ultrasound and to investigate whether other injuries can predict the avulsion. MATERIALS AND METHODS: One hundred thirty-eight ultrasound analyses of acute knee trauma were collected and scored for diagnosed injuries. The reports of patients with an ACL tear (N = 87) were evaluated to determine possible increased prevalence of Segond avulsion fracture with ultrasound. The associations between the diagnosed injuries and presence of a Segond avulsion were scored. The sports carried out at the time of injury were evaluated as possible prognostic factor. RESULTS: In 25/87 (29%) of the patients with an ACL tear, a Segond avulsion was observed in ultrasound. Lateral femoral condyle (LFC) impaction showed the strongest individual association with a Segond avulsion and was the best predicting variable. LFC impaction, sustained during low-risk pivoting sport, shows a stronger association with a Segond avulsion, as compared to LFC impaction sustained during high-risk pivoting sports. CONCLUSION: Ultrasound shows a higher prevalence of Segond avulsions as literature shows with MRI or radiography. LFC impaction is the best variable in predicting this type of avulsion. Ultrasound examination should be considered, if this fracture was not diagnosed with MRI or radiographic analysis. LEVEL OF EVIDENCE: IV.
[Mh] Termos MeSH primário: Traumatismos em Atletas/diagnóstico por imagem
Traumatismos em Atletas/epidemiologia
Fratura Avulsão/diagnóstico por imagem
Fratura Avulsão/epidemiologia
Fraturas da Tíbia/diagnóstico por imagem
Fraturas da Tíbia/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Lesões do Ligamento Cruzado Anterior/diagnóstico por imagem
Lesões do Ligamento Cruzado Anterior/epidemiologia
Epífises/diagnóstico por imagem
Feminino
Fêmur/diagnóstico por imagem
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Prevalência
Ultrassonografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.1007/s00167-017-4532-8


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[PMID]:28291142
[Au] Autor:Schiller J; DeFroda S; Blood T
[Ad] Endereço:From the Department of Orthopaedics, The Warren Alpert Medical School of Brown University, Providence, RI.
[Ti] Título:Lower Extremity Avulsion Fractures in the Pediatric and Adolescent Athlete.
[So] Source:J Am Acad Orthop Surg;25(4):251-259, 2017 Apr.
[Is] ISSN:1940-5480
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lower extremity avulsion fractures are uncommon in the pediatric population and can be misdiagnosed without proper imaging and/or clinical suspicion for these injuries. The most common locations of avulsion injuries are the ischial tuberosity, anterior superior iliac spine, and anterior inferior iliac spine. Less often, avulsion fractures occur in the tibial tubercle, calcaneus, and greater and lesser trochanters. When treated properly with rest and altered weight bearing, most of these injuries heal without complication. Although surgical intervention is rarely necessary, it has a high degree of success when it is used. However, avulsion injuries are often misdiagnosed as muscle strains or apophysitis and are mistakenly treated with early range of motion. An error in diagnosis and/or management can cause nonunion or further displacement, which may require surgery. Improper identification of these injuries can also lead to nerve irritation, chronic pain, and gait dysfunction. Awareness of these injuries and their natural history is important because healed avulsion fractures may resemble neoplastic bone on radiographs.
[Mh] Termos MeSH primário: Traumatismos em Atletas/diagnóstico
Erros de Diagnóstico/efeitos adversos
Fratura Avulsão/diagnóstico
Extremidade Inferior/lesões
[Mh] Termos MeSH secundário: Adolescente
Traumatismos em Atletas/terapia
Criança
Diagnóstico Diferencial
Feminino
Fratura Avulsão/terapia
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE
[do] DOI:10.5435/JAAOS-D-15-00328


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[PMID]:28252475
[Au] Autor:Scolaro JA; Schwarzkopf R
[Ad] Endereço:From the Department of Orthopaedic Surgery, UC Irvine Health, Orange, CA (Dr. Scolaro), and the Department of Orthopaedic Surgery, NYU Langone Medical Center, New York, NY (Dr. Schwarzkopf).
[Ti] Título:Management of Interprosthetic Femur Fractures.
[So] Source:J Am Acad Orthop Surg;25(4):e63-e69, 2017 Apr.
[Is] ISSN:1940-5480
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Femoral fractures between a total hip arthroplasty prosthesis and total knee arthroplasty prosthesis, also called interprosthetic fractures, are challenging clinical problems. The number of patients who have undergone ipsilateral primary or revision joint arthroplasty procedures in both the hip and the knee continues to rise, and the number of interprosthetic fractures is increasing, as well. The growing body of biomechanical and clinical literature on interprosthetic fractures reflects the increased frequency of and interest in these injuries. Similar to the management of periprosthetic fractures, the management of interprosthetic fractures depends on the location of the fracture, the stability of the implant, and the ability to achieve stable fracture fixation. These factors are the basis of recently described classification systems and treatment strategies. In patients with stable implants, fracture fixation alone is performed. When the implant is loose, both revision arthroplasty and fracture fixation may be required to provide stability of the limb.
[Mh] Termos MeSH primário: Fraturas do Fêmur/cirurgia
Prótese de Quadril/efeitos adversos
Prótese do Joelho/efeitos adversos
Fraturas Periprotéticas/cirurgia
Complicações Pós-Operatórias/cirurgia
[Mh] Termos MeSH secundário: Artroplastia de Quadril/efeitos adversos
Artroplastia de Quadril/métodos
Artroplastia do Joelho/efeitos adversos
Artroplastia do Joelho/métodos
Terapia Combinada/efeitos adversos
Fraturas do Fêmur/etiologia
Fixação Interna de Fraturas/métodos
Fratura Avulsão
Seres Humanos
Fraturas Periprotéticas/etiologia
Complicações Pós-Operatórias/etiologia
Reoperação/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE
[do] DOI:10.5435/JAAOS-D-15-00664


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[PMID]:28072472
[Au] Autor:Maeda M; Maeda N; Takaoka T; Tanaka Y
[Ad] Endereço:Maeda Orthopedic Clinic, Nara, Japan.
[Ti] Título:Sonographic Findings of Chondral Avulsion Fractures of the Lateral Ankle Ligaments in Children.
[So] Source:J Ultrasound Med;36(2):421-432, 2017 Feb.
[Is] ISSN:1550-9613
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In this series, we aimed to describe the sonographic findings of chondral avulsion fractures that develop concomitant with lateral ankle ligament injury in children. We performed stress sonography during a manual anterior drawer stress procedure of the ankle in 9 skeletally immature patients who had recently had a lateral ankle sprain. Echo videos were obtained through the course of treatment, and all videos were reviewed. We elucidated the common features of chondral avulsion fractures of the lateral ankle ligaments in the children. The features of avulsion fractures on conventional sonography included absence of a fracture with hyperechoic spots (sonographic occult fracture type), cortical discontinuity with hyperechoic spots (cortical disruption fracture type), fracture line in the cortical bone (double-line fracture type), and a step-off deformity of the cortical bone with cartilage (displaced fracture type). In contrast, the features of chondral fractures on stress sonography included abnormal motion of the chondral lesions and mobility/fluidity of hyperechoic spots along the chondral fracture site. The presence of hyperechoic spots around the chondral lesion is an important sonographic sign for diagnosing chondral fractures concomitant with ankle lateral ligament injury. Hence, we believe that stress sonography should be considered for the detection of chondral fractures concomitant with radiographically negative ankle lateral ligament injuries in skeletally immature patients with lateral ankle pain and ankle sprains, if hyperechoic spots are present in the cartilage of the distal fibula.
[Mh] Termos MeSH primário: Traumatismos do Tornozelo/diagnóstico por imagem
Articulação do Tornozelo/diagnóstico por imagem
Fratura Avulsão/diagnóstico por imagem
Ligamentos Laterais do Tornozelo/diagnóstico por imagem
Ligamentos Laterais do Tornozelo/lesões
Ultrassonografia/métodos
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE
[do] DOI:10.7863/ultra.15.09008


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[PMID]:27984448
[Au] Autor:Vojdani S; Fernandez L; Jiao J; Enders T; Ortiz S; Lin L; Qin YX; Komatsu DE; Penna J; Ruotolo CJ
[Ad] Endereço:*Department of Orthopaedic Surgery, Stony Brook University Hospital, Stony Brook, NY; †School of Medicine, Stony Brook University Hospital, Stony Brook, NY; ‡Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY; and §Department of Orthopedics, Nassau University Medical Center, East Meadow, NY.
[Ti] Título:Novel Spiked-Washer Repair Is Biomechanically Superior to Suture and Bone Tunnels for Arcuate Fracture Repair.
[So] Source:J Orthop Trauma;31(3):e81-e85, 2017 Mar.
[Is] ISSN:1531-2291
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Injuries to the posterolateral corner of the knee can lead to chronic degenerative changes, external rotation instability, and varus instability if not repaired adequately. A proximal fibula avulsion fracture, referred to as an arcuate fracture, has been described in the literature, but a definitive repair technique has yet to be described. The objective of this study was to present a novel arcuate fracture repair technique, using a spiked-washer with an intramedullary screw, and to compare its biomechanical integrity to a previously described suture and bone tunnel method. METHODS: Ten fresh-frozen cadaveric knees underwent a proximal fibula osteotomy to simulate a proximal fibula avulsion fracture. The lateral knee capsule and posterior cruciate ligament were also sectioned to create maximal varus instability. Five fibulas were repaired using a novel spiked-washer technique and the other 5 were repaired using the suture and bone tunnel method. The repaired knees were subjected to a monotonic varus load using a mechanical testing system instrument until failure of the repair or associated posterolateral corner structures. RESULTS: Compared with the suture repair group, the spiked-washer repair group demonstrated a 100% increase in stiffness, 100% increase in yield, 110% increase in failure force, and 108% increase in energy to failure. CONCLUSIONS: The spiked-washer technique offers superior quasi-static biomechanical performance compared with suture repair with bone tunnels for arcuate fractures of the proximal fibula. Further clinical investigation of this technique is warranted and the results of this testing may lead to improved outcomes and patient satisfaction for proximal fibula avulsion fractures.
[Mh] Termos MeSH primário: Parafusos Ósseos
Fíbula/lesões
Fíbula/cirurgia
Fixação Interna de Fraturas/instrumentação
Fratura Avulsão/cirurgia
Suporte de Carga
[Mh] Termos MeSH secundário: Idoso
Cadáver
Força Compressiva
Fíbula/diagnóstico por imagem
Fixação Interna de Fraturas/métodos
Consolidação da Fratura
Fratura Avulsão/diagnóstico por imagem
Seres Humanos
Traumatismos do Joelho/diagnóstico por imagem
Traumatismos do Joelho/cirurgia
Masculino
Osteotomia/instrumentação
Osteotomia/métodos
Estresse Mecânico
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE
[do] DOI:10.1097/BOT.0000000000000752


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[PMID]:27866232
[Au] Autor:Willinger L; Schanda JE; Lorenz S; Imhoff AB; Buchmann S
[Ad] Endereço:Department of Orthopaedic Sports Medicine, Klinikum Rechts der Isar, Technical University Munich, Ismaningerstr. 22, 81675, Munich, Germany.
[Ti] Título:Surgical treatment of two adolescent athletes with dislocated avulsion fracture of the anterior superior iliac spine (ASIS).
[So] Source:Arch Orthop Trauma Surg;137(2):173-177, 2017 Feb.
[Is] ISSN:1434-3916
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Avulsion fractures of the anterior superior iliac spine are rare. Therefore, evidence-based treatment guidelines do not exist. The therapeutic options are either conservative treatment or surgical intervention. The decision depends on grade of dislocation, age of the patient, and his sportive demands and competitive requirements. MATERIALS AND METHODS: We present the cases of two young athletes suffering from traumatic avulsion fractures of the anterior superior iliac spine. In both cases, the musculotendinous unit (sartorius muscle and tensor of the fascia lata) remained attached to the loose dislocated fragment. Both patients were treated by means of open reduction with a new surgical technique using suture anchors. RESULTS: Both patients were pain-free 4 weeks after surgery and had full range of motion. They were able to return to their preoperative sportive activity levels 10 weeks after surgery. No complications were reported at final follow-up 18 months postoperatively. CONCLUSION: Operative treatment of avulsion fracture of the ASIS using suture anchors shows excellent clinical outcome and a short convalescence period. The patients achieve their preinjury sportive levels within 3 months.
[Mh] Termos MeSH primário: Traumatismos em Atletas/cirurgia
Fixação Interna de Fraturas/métodos
Fratura Avulsão/cirurgia
Fraturas Ósseas/cirurgia
Ílio/lesões
Luxações Articulares/cirurgia
Âncoras de Sutura
[Mh] Termos MeSH secundário: Adolescente
Traumatismos em Atletas/diagnóstico
Fratura Avulsão/diagnóstico
Fraturas Ósseas/diagnóstico
Seres Humanos
Ílio/diagnóstico por imagem
Ílio/cirurgia
Luxações Articulares/diagnóstico
Masculino
Ossos Pélvicos/diagnóstico por imagem
Ossos Pélvicos/lesões
Amplitude de Movimento Articular
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161121
[St] Status:MEDLINE
[do] DOI:10.1007/s00402-016-2596-4


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[PMID]:27837221
[Au] Autor:Zabierek S; Nowak K; Domzalski M
[Ad] Endereço:Orthopedic and Trauma Department, Veteran's Memorial Teaching Hospital in Lodz, Medical University of Lodz, Zeromskiego 113, 90-549, Lodz, Poland.
[Ti] Título:Femoral avulsion fracture of ACL proximal attachment in male scuba diver: case report and review of the literature.
[So] Source:Knee Surg Sports Traumatol Arthrosc;25(4):1328-1330, 2017 Apr.
[Is] ISSN:1433-7347
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Femoral ACL avulsion fractures were not well described in the literature, and there were only several reports describing mostly immature patients. A case of 50-year-old man with ACL femoral attachment avulsion fracture after pivoting knee injury during skiing was presented. The bony attachment was reduced and fixed arthroscopically with screws. Four months after surgery, patient was allowed to return to full sport activity with full range of motion. He was able to perform a one-leg-hop test without limitation, and the strength of quadriceps muscle was comparable to contralateral side. Lachman and pivot shift tests were normal. Level of evidence IV.
[Mh] Termos MeSH primário: Reconstrução do Ligamento Cruzado Anterior
Mergulho
Fraturas do Fêmur/etiologia
Fraturas do Fêmur/cirurgia
Fratura Avulsão/etiologia
Fratura Avulsão/cirurgia
Esqui/lesões
[Mh] Termos MeSH secundário: Lesões do Ligamento Cruzado Anterior/cirurgia
Artroscopia
Fixação Interna de Fraturas/métodos
Seres Humanos
Joelho/fisiologia
Masculino
Meia-Idade
Período Pós-Operatório
Amplitude de Movimento Articular
Volta ao Esporte
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161113
[St] Status:MEDLINE
[do] DOI:10.1007/s00167-016-4373-x



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