Base de dados : MEDLINE
Pesquisa : E01.370.388.250.070 [Categoria DeCS]
Referências encontradas : 20131 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 2014 ir para página                         

  1 / 20131 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28449701
[Au] Autor:Kuyucu E; Mutlu H; Mutlu S; Gülenç B; Erdil M
[Ad] Endereço:Orthopedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey. ersinkuyucu@yahoo.com.tr.
[Ti] Título:Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint.
[So] Source:J Orthop Surg Res;12(1):68, 2017 Apr 27.
[Is] ISSN:1749-799X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although arthroscopic surgical treatment of the first metatarsophalangeal (MTP) joint involves painful sesamoid excision, synovectomy, debridement, and partial cheilectomy, no gold standard treatment technique has been defined in the literature for hallux rigidus and focal osteochondral lesions. This study aimed to assess the arthroscopic treatment for early grade focal osteochondral lesions of the first MTP joint and to determine the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in a group of patients who failed conservative treatment. METHODS: This prospective study included 14 patients with hallux rigidus and focal osteochondral lesions of the first MTP joint who underwent surgery in 2014 and were followed on a regular basis thereafter. RESULTS: The patients had mean preoperative VPS (visual pain score) and AOFAS (American Orthopedic Foot and ankle Society)-Hallux scores of 8.14 ± 0.86 SD and 48.64 ± 4.27, respectively; the corresponding postoperative values of both scores were 1.86 ± 0.66 SD and 87.00 ± 3.70. Both VPS and AOFAS-Hallux scores changed significantly. DISCUSSION: In this prospective study, we explored the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in patients with focal osteochondral lesions of the first MTP joint. Our results showed significant improvements in VPS and AOFAS scores with this treatment. CONCLUSIONS: An arthroscopic microhole drill technique can be used with impressive functional scores and without any complications in patients who failed conservative therapy for hallux rigidus with focal chondral injury.
[Mh] Termos MeSH primário: Artroscopia/métodos
Hallux Rigidus/diagnóstico por imagem
Hallux Rigidus/cirurgia
Articulação Metatarsofalângica/diagnóstico por imagem
Articulação Metatarsofalângica/cirurgia
[Mh] Termos MeSH secundário: Adulto
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1186/s13018-017-0562-7


  2 / 20131 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29480870
[Au] Autor:Li S; Sun H; Luo X; Wang K; Wu G; Zhou J; Wang P; Sun X
[Ad] Endereço:Articular Orthopaedics, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu Province, China.
[Ti] Título:The clinical effect of rehabilitation following arthroscopic rotator cuff repair: A meta-analysis of early versus delayed passive motion.
[So] Source:Medicine (Baltimore);97(2):e9625, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The argument on the recommended rehabilitation protocol following arthroscopic rotator cuff repair remains to be resolved. So this meta-analysis was presented to evaluate the differences of clinical effects between the 2 distinct rehabilitation protocols after arthroscopic rotator cuff repair. METHODS: The PubMed, Cochrane Library, Web of Science, and EMBASE were systematically searched. Only randomized controlled trials (RCTs) published up to July 25, 2017, comparing early passive motion (EPM) versus delayed passive motion (DPM) rehabilitation protocols following arthroscopic rotator cuff repair were identified. The primary outcomes included range of motion and healing rate, while the secondary outcomes were Constant score, American Shoulder and Elbow Society (ASES) score, and Simple Shoulder Test (SST) score. The exclusion criteria contained biochemical trials, reviews, case reports, retrospective studies, without mention about passive motion exercise, no assessment of outcomes mentioned above, and no comparison of EPM and DPM rehabilitation protocols. RESULTS: Eight RCTs with 671 patients were enrolled in this study. The EPM resulted in improved shoulder forward flexion at short term, mid-term, and long-term follow-ups. The EPM group was superior to the DPM group in terms of external rotation (ER) at short-term and mid-term follow-ups. However, the DPM performed better long-term ASES score. These 2 protocols were equivalent in terms of ER at long term, ASES score at mid-term, SST score, Constant score, and healing rate. After excluding 2 RCTs that examined only small- and medium-sized tears, the pooled results of healing rate decreased from 82.4% to 76.6% in the EPM and 86.9% to 85.9% in the DPM. CONCLUSION: The meta-analysis suggests that the EPM protocol results in superior ROM recovery after arthroscopic rotator cuff repair but may adversely affect the shoulder function, which should be supported by further research. The healing rate at long-term follow-up is not clearly affected by the type of rehabilitation, but the EPM protocol might result in lower rates of tendon healing in the shoulder with large-sized tendon tears.
[Mh] Termos MeSH primário: Artroscopia
Manipulações Musculoesqueléticas/métodos
Lesões do Manguito Rotador/reabilitação
Lesões do Manguito Rotador/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Ensaios Clínicos Controlados Aleatórios como Assunto
Tempo para o Tratamento
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009625


  3 / 20131 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29252755
[Au] Autor:Wiske CP; Itoga NK; Ullery BW; Hunt KJ; Chandra V
[Ad] Endereço:Warren Alpert Medical School, Brown University, Providence, Rhode Island.
[Ti] Título:Ruptured Pseudoaneurysm of the Dorsalis Pedis Artery Following Ankle Arthroscopy: A Case Report.
[So] Source:JBJS Case Connect;6(4):e102, 2016 Oct-Dec.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: We describe the case of a pseudoaneurysm of the dorsalis pedis artery that developed following a repeat ankle arthroscopy for persistent osseous impingement. The patient underwent attempted fluid aspiration for a presumed effusion, and ultimately experienced rupture of the pseudoaneurysm with substantial blood loss, which required emergency vascular repair. CONCLUSION: Anterior tibial artery and dorsalis pedis artery pseudoaneurysms are relatively rare, but they are well-documented complications of ankle arthroscopy; however, their clinical importance is poorly understood. To our knowledge, this is the first reported case of a ruptured pseudoaneurysm of the dorsalis pedis artery following ankle surgery, and it highlights the need for timely diagnosis.
[Mh] Termos MeSH primário: Falso Aneurisma/etiologia
Aneurisma Roto/etiologia
Articulação do Tornozelo/cirurgia
Artroscopia/efeitos adversos
Complicações Pós-Operatórias/etiologia
[Mh] Termos MeSH secundário: Falso Aneurisma/cirurgia
Aneurisma Roto/cirurgia
Articulação do Tornozelo/irrigação sanguínea
Articulação do Tornozelo/diagnóstico por imagem
Hematoma/etiologia
Hematoma/cirurgia
Seres Humanos
Masculino
Meia-Idade
Complicações Pós-Operatórias/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.16.00069


  4 / 20131 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28456358
[Au] Autor:Weinheimer KT; Smuin DM; Dhawan A
[Ad] Endereço:Department of Orthopaedic Surgery, Penn State Hershey Medical Center, Hershey, Pennsylvania, U.S.A.. Electronic address: kentwein2007@gmail.com.
[Ti] Título:Patient Outcomes as a Function of Shoulder Surgeon Volume: A Systematic Review.
[So] Source:Arthroscopy;33(7):1273-1281, 2017 Jul.
[Is] ISSN:1526-3231
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To examine surgical complications, length of stay, surgical time, cost, revision rates, clinical outcomes, current surgical trends. and minimum number of cases in relationship to surgeon volume for shoulder arthroplasty and rotator cuff repair. METHODS: We performed a systematic review of studies using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All studies that met inclusion criteria from January 1990 to January 2016 were included. Inclusion criteria included Level IV evidence or greater, contained specific surgeon volume, and were written in or translated into English. Exclusion criteria included non-English manuscripts, abstracts, and review papers. A written protocol was used to extract relevant data and evaluate study results. Data extracted included volume-specific data pertaining to length of stay, operating time, complications, and cost. RESULTS: A total of 10 studies were included. Seven studies evaluated arthroplasty with 88,740 shoulders, and 3 studies evaluated rotator cuff repair with 63,535 shoulders. Variation was seen in how studies defined low- versus high-volume surgeon. For arthroplasty, <5 cases per year met the criteria for a low-volume surgeon and were associated with increased length of stay, longer operating room time, increased in-hospital complications, and increased cost. Mortality was not significantly increased. In rotator cuff surgery, <12 surgeries per year met the criteria for low volume and were associated with increased length of stay, increased operating room time, and increase in reoperation rate. CONCLUSIONS: Our systematic review demonstrates increased surgical complications, length of stay, surgical time, and surgical cost in shoulder arthroplasty and rotator cuff repair when performed by a low-volume shoulder surgeon, which is defined by those performing <5 arthroplasties and/or <12 rotator cuff repairs per year. LEVEL OF EVIDENCE: Level III, systematic review of Level II and III studies.
[Mh] Termos MeSH primário: Artroplastia/normas
Artroscopia/normas
Padrões de Prática Médica/estatística & dados numéricos
Lesões do Manguito Rotador/cirurgia
[Mh] Termos MeSH secundário: Artroplastia/estatística & dados numéricos
Artroscopia/estatística & dados numéricos
Seres Humanos
Cirurgiões
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


  5 / 20131 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29324877
[Au] Autor:Kaya M
[Ad] Endereço:Hitsujigaoka Hospital, Sapporo, Hokkaido, Japan.
[Ti] Título:Impact of extra-articular pathologies on groin pain: An arthroscopic evaluation.
[So] Source:PLoS One;13(1):e0191091, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: For patients who have anterior hip pain evaluated by Patrick's test and tenderness at Scarpa's triangle, we perform periarticular debridement based on the hypothesis that extra-articular pathologies are responsible for the hip pain. The purpose of this study was to categorize the endoscopic extra-articular findings and to evaluate the clinical significance of periarticular pathologies in anterior hip pain. METHODS: Arthroscopic findings of 77 patients who underwent periarthritic debridement were evaluated. As extra-articular pathologies, injuries of the direct head and reflective head of the rectus femoris muscle were evaluated. A thin layer of fat tissue normally exists on the anterior inferior iliac spine (AIIS), the attachment site of the direct head of the rectus femoris muscle. The macroscopic appearance of the fat pad on the AIIS was categorized as normal, blood vessel-rich adipose tissue or adipose tissue with fibrosis or scar formation and histologically confirmed. Adhesion of gluteal muscles to the joint capsule was also evaluated. RESULTS: Of the 77 patients, 75 had rupture of the direct head of the rectus femoris. In contrast, rupture of the reflective head was extremely rare. Seven patients had a normal fat pad on the AIIS, 11 had blood vessel-rich adipose tissue and 55 had adipose tissue with fibrosis. Fat tissue was completely replaced by fibrous scar tissue in another 4 patients. In 64 patients, adhesion between the anterior joint capsule and gluteus muscles was marked. Groin pain disappeared soon after the operation even when labral tears were not repaired and all patients returned to daily life and sports activities within 2 weeks after operation. CONCLUSION: Rectus femoris tendinosis, fibrosis of the AIIS fat pad, and adhesion of gluteal and rectus femoris muscles are common extra-articular pathologies in patients with anterior hip pain. Management of only these lesions induces rapid relief of anterior hip pain even in the absence of labral tear repair. My observations suggest that it is desirable to be aware of the presence of periarticular pathologies as a cause of groin pain.
[Mh] Termos MeSH primário: Artroscopia
Virilha/patologia
Dor/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Quadril/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Dor/diagnóstico
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191091


  6 / 20131 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29443758
[Au] Autor:Atsumi S; Hara K; Arai Y; Yamada M; Mizoshiri N; Kamitani A; Kubo T
[Ad] Endereço:Department of Orthopedics, JCHO Kyoto Kuramaguchi Medical Center.
[Ti] Título:A novel arthroscopic all-inside suture technique using the Fast-Fix 360 system for repairing horizontal meniscal tears in young athletes: 3 case reports.
[So] Source:Medicine (Baltimore);97(7):e9888, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Considering the risk of osteoarthritis following resection of a horizontally torn meniscus of the knee, repairing and preserving the meniscus as much as possible is preferred. We report 3 cases of restoration of horizontally torn menisci using a novel arthroscopic method we have called "all-inside interleaf vertical suture" that afforded preservation. PATIENT CONCERNS: The 3 patients (aged 14, 17, and 21 years) had knee pain through sports activity. DIAGNOSES: All patients had horizontal tears in the posteromedial part of the meniscus. INTERVENTIONS: The method uses Fast-Fix, whereby a first anchor is inserted from the tibial surface of the tear's superior leaflet and a second anchor is inserted from the femoral surface of the tear's inferior leaflet, and the 2 leaflets are closed using vertical suture. In all cases, the suture knots were embedded between the superior leaflet and inferior leaflet, avoiding contact with the articular cartilage, and superior leaflet and inferior leaflet crimping was good. OUTCOMES: All 3 were able to resume competing in sport and ≥ 1 year after surgery they had no pain and their postoperative mean Lysholm scores were 99.7. There were no complications or recurrence. On magnetic resonance imaging, the signal intensity of all the horizontal tears was high before surgery but low after surgery, suggesting that the repaired tear was healing. LESSONS: The all-inside interleaf vertical suture procedure is a new surgical technique that can repair posteromedial horizontal meniscal tears of the knee of young people by easy crimping of the superior and inferior leaflets without the suture knots causing complications.
[Mh] Termos MeSH primário: Artroscopia
Traumatismos em Atletas/cirurgia
Traumatismos do Joelho/cirurgia
Complicações Pós-Operatórias/prevenção & controle
Técnicas de Sutura
Lesões do Menisco Tibial
[Mh] Termos MeSH secundário: Adolescente
Artroscopia/efeitos adversos
Artroscopia/métodos
Atletas
Traumatismos em Atletas/diagnóstico
Seres Humanos
Traumatismos do Joelho/diagnóstico
Imagem por Ressonância Magnética/métodos
Masculino
Meniscos Tibiais/diagnóstico por imagem
Complicações Pós-Operatórias/etiologia
Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Lesões do Menisco Tibial/diagnóstico
Lesões do Menisco Tibial/cirurgia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009888


  7 / 20131 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29279562
[Au] Autor:Oshima Y; Iizawa N; Takai S
[Ad] Endereço:Department of Orthopaedic Surgery, Nippon Medical School.
[Ti] Título:Midterm Result of Arthroscopic Bicruciate Ligament Sutures for Multiligament Knee Injury in an Adolescent Patient.
[So] Source:J Nippon Med Sch;84(6):301-303, 2017.
[Is] ISSN:1347-3409
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Treatment of multiligament knee injuries, especially in adolescent patients, is challenging for orthopedic surgeons. Repair of collateral ligaments and reconstruction of cruciate ligaments are usually performed, however, ligament reconstruction with transphyseal or physeal-sparing techniques may lead to physeal damage and growth disturbances in skeletally immature patients. We present a case report on performing bicruciate ligament sutures arthroscopically in an adolescent patient. PATIENT AND METHODS: The patient was a 14-year-old boy, who was diagnosed with injuries to the anterior cruciate ligament, posterior cruciate ligament, and medial collateral ligament. Single-stage arthroscopic primary suturing of the anterior and posterior cruciate ligaments and open medial collateral ligament suturing were performed 7 days after the injury. RESULTS AND DISCUSSION: The patient returned to routine activities, including high-level competitive sports, at 8 months post-surgery, and currently, 8.5 years after surgery, remains without complications. Suture repair was able to minimize the size of the bone tunnels and to re-establish knee stability with native tissues. Therefore, the application of sutures may be a useful option for repairing multiligament knee injuries, particularly in adolescent patients.
[Mh] Termos MeSH primário: Lesões do Ligamento Cruzado Anterior/cirurgia
Ligamento Cruzado Anterior/cirurgia
Artroscopia/métodos
Ligamentos Colaterais/lesões
Ligamentos Colaterais/cirurgia
Traumatismos do Joelho/cirurgia
Ligamento Colateral Médio do Joelho/lesões
Ligamento Colateral Médio do Joelho/cirurgia
Procedimentos Ortopédicos/métodos
Ligamento Cruzado Posterior/lesões
Ligamento Cruzado Posterior/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Técnicas de Sutura
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
Masculino
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1272/jnms.84.301


  8 / 20131 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29279558
[Au] Autor:Chinzei N; Hashimoto S; Hayashi S; Kanzaki N; Araki D; Kuroda R; Kurosaka M
[Ad] Endereço:Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine.
[Ti] Título:Consecutive Bilateral Hip Arthroscopy for Symptomatic Bilateral Femoroacetabular Impingement in an Elite Rugby player: A Case Report.
[So] Source:J Nippon Med Sch;84(6):280-285, 2017.
[Is] ISSN:1347-3409
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:We report a case of concurrent bilateral hip arthroscopy for symptomatic bilateral femoroacetabular impingement (FAI) performed under the single anesthesia on an elite rugby player. A 27-year-old rugby player who played for a top league had bilateral hip joint pain. Physical examination revealed bilateral tenderness in the anterior area of the hips, with positive impingement signs. Based on the findings of hip radiography and magnetic resonance imaging, the patient's symptoms were diagnosed as bilateral FAI with hip labral tears. Bilateral hip arthroscopy under the single anesthesia was performed due to refractory symptoms. He returned to regular rugby games without any symptoms in either hip. Bilateral hip arthroscopic surgery under the single anesthesia should be an effective treatment for typical and symptomatic FAI, even in elite athletes.
[Mh] Termos MeSH primário: Anestesia
Artroscopia/métodos
Atletas
Traumatismos em Atletas/cirurgia
Impacto Femoroacetabular/cirurgia
Futebol Americano
[Mh] Termos MeSH secundário: Adulto
Traumatismos em Atletas/diagnóstico por imagem
Traumatismos em Atletas/reabilitação
Impacto Femoroacetabular/diagnóstico por imagem
Impacto Femoroacetabular/reabilitação
Articulação do Quadril/diagnóstico por imagem
Articulação do Quadril/cirurgia
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Radiografia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1272/jnms.84.280


  9 / 20131 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29384947
[Au] Autor:Park EH; Lee KB
[Ad] Endereço:Department of Radiology.
[Ti] Título:Usefulness of black boundary artifact on opposed-phase imaging from turbo spin-echo two-point mDixon MRI for delineation of an arthroscopically confirmed small fracture of the lateral talar dome: A case report.
[So] Source:Medicine (Baltimore);96(52):e9497, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: A nondisplaced chip fracture can be missed on MRI. Opposed-phase imaging from mDixon MRI produces an interesting artifact called black boundary artifact. This artifact can provide better contrast at the fracture line resulting in better depiction of a small chip fracture on MRI. PATIENT CONCERNS: We present a case of small nondisplaced chip fracture at the lateral talar dome that was well delineated only with the aid of a black boundary artifact after using T2-weighted opposed-phase imaging from turbo spin-echo two-point modified Dixon ankle MRI. In other sequences, the lesion demonstrated a focal full thickness cartilage defect, subtle cortical irregularity, or subcortical bone marrow edema but the full delineation of the fracture line was not possible. DIAGNOSES: Opposed-phase imaging from mDixon MRI aided in the diagnosis of lateral talar dome osteochondral fracture (osteochondral lesion), which was confirmed arthroscopically. INTERVENTIONS: The osteochondral fragment was removed by arthroscopy. OUTCOMES: The patient did well with recovery of full range of motion after 2 months. LESSONS: We have identified a black boundary artifact using opposed-phase imaging from mDixon MRI that can aid in detection of small fracture, which can be missed by conventional MRI, by providing a dark linear signal at the fracture line.
[Mh] Termos MeSH primário: Fraturas Ósseas/diagnóstico por imagem
Interpretação de Imagem Assistida por Computador/métodos
Imagem por Ressonância Magnética/métodos
Tálus/diagnóstico por imagem
Tálus/lesões
[Mh] Termos MeSH secundário: Artroscopia/métodos
Fraturas Ósseas/cirurgia
Seres Humanos
Masculino
Meia-Idade
Amplitude de Movimento Articular
Tálus/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009497


  10 / 20131 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29252754
[Au] Autor:Kim CH; Kekatpure AL; Kashikar A; Chang JS; Jeong MY; Yoon PW
[Ad] Endereço:Departments of Orthopedic Surgery (C.-H.K., A.L.K., J.S.C., M.Y.J., and P.W.Y.) and Pathology (A.K.), Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
[Ti] Título:Arthroscopic Excision of a Solitary Acetabular Osteochondroma in an Adult: A Case Report.
[So] Source:JBJS Case Connect;6(4):e101, 2016 Oct-Dec.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: A 43-year-old woman presented with localized pain of the right hip 2 months after a trivial trauma. Physical examination revealed a positive Patrick (FABER [Flexion, Abduction, and External Rotation]) test. Radiographs showed a radiopaque lesion at the acetabular fossa, and magnetic resonance imaging revealed a mass with adjacent bone marrow edema. Arthroscopic excision of the lesion was performed; histopathologic examination demonstrated that it was an osteochondroma. CONCLUSION: A solitary intra-articular osteochondroma is a possible cause of localized hip pain. Hip arthroscopy can be a good diagnostic and therapeutic option.
[Mh] Termos MeSH primário: Acetábulo/cirurgia
Artroscopia/métodos
Neoplasias Ósseas/cirurgia
Osteocondroma/cirurgia
[Mh] Termos MeSH secundário: Acetábulo/diagnóstico por imagem
Adulto
Neoplasias Ósseas/diagnóstico por imagem
Feminino
Seres Humanos
Osteocondroma/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.16.00101



página 1 de 2014 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