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[PMID]: 29182130 [Au] Autor: Anshuman R; Singh M; Jain BK; Verma N; Arora R [Ti] Título: Correlation of Pirani score and Foot bimalleolar angle in the treatment of idiopathic congenital talipes equino varus by Ponseti method in infants. [So] Source: Acta Orthop Belg;82(4):861-865, 2016 Dec. [Is] ISSN: 0001-6462 [Cp] País de publicação: Belgium [La] Idioma: eng [Ab] Resumo: AIM: Correlation of Pirani score and Foot bimalleolar (FBM) angle in the treatment of idiopathic congenital talipes equino varus (CTEV) by Ponseti method in infants. MATERIAL AND METHODS: 35 feet with idiopathic CTEV deformity <1 year were prospectively treated by Ponseti method. Deformity evaluated each successive week of treatment by Pirani score and FBM angle. Feet were divided according to Pirani score in groups : one(0-2.0), two(2.5-4) and three(4.5-6). Correlation between mean Pirani score and mean FBM angle was evaluated every week and at follow up, firstly by using Pearson's and Spearman's correlation and then, after dividing data in groups by using ANOVA. RESULTS: Correlation between Pirani score and FBM angle was statistically significant(p value <0.05). CONCLUSION: Pirani score decreases and FBM angle increases with correction. Pirani score and FBM angle correlated in severity of deformity and correction achieved, thus FBM angle provides objective evidence of clubfoot deformity/improvement/deterioration. [Mh] Termos MeSH primário: Moldes Cirúrgicos Pé Torto Equinovaro/cirurgia Tenotomia [Mh] Termos MeSH secundário: Pé Torto Equinovaro/patologia Feminino Seres Humanos Lactente Masculino Procedimentos Ortopédicos Estudos Prospectivos Índice de Gravidade de Doença Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171228 [Lr] Data última revisão: 171228 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171129 [St] Status: MEDLINE

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[PMID]: 29182109 [Au] Autor: Dar RA; Rashid M; Bhat MR; Yaseen M; Ashraf A; Kawoosa AA [Ti] Título: Factors affecting outcome after the use of the Ponseti method for the management of idiopathic clubfoot, a retrospective study in an orthopaedic referral institute. [So] Source: Acta Orthop Belg;82(4):705-709, 2016 Dev. [Is] ISSN: 0001-6462 [Cp] País de publicação: Belgium [La] Idioma: eng [Ab] Resumo: TIn the last few decades Ponseti method has replaced soft tissue releases as the gold standard in the management of idiopathic clubfoot. However, the recurrence of the deformity is common without post tenotomy bracing. The purpose of this study was to retrospectively see various attributes of the patients associated with poor outcome after use of Ponseti method in idiopathic clubfoot management. Seventy nine consecutive patients with one hundred and twenty three idiopathic clubfeet treated with Ponseti method by single orthopaedic surgeon were followed for a period of two years and recurrence of the deformity was studied in relation to age of patient at presentation (< 3 months or more), sex of the patient, severity of the deformity ( moderate to severe verses (Vs.) very severe), compliance to post tenotomy bracing (compliant Vs. non compliant), educational level of parents (high school or less) and access of parents to internet (Yes or No) and odds ratio for recurrence and level of significance determined for each using Fisher's exact t-test. Non compliance in seventeen patients (17.7%) with post tenotomy bracing was the most important factor related to the recurrence, with an odds ratio of 6.22 (P =0.0059). Educational level (less than high school) of parents (36.7%) was the second most important factor with odds ratio of 5.5 (P=0.0073). Fifteen patients with severe Demiglio scoring feet had an odds ratio of 5.3 (P= 0.0097) for the recurrence of the deformity. Inaccess of the parents to the internet had an odds ratio of 6.33 (P =0.011) for the recurrence of the deformity. Age and sex of the patients was not found to have a significant effect on the recurrence of the deformity. In conclusion, the risk factors associated with recurrence of the idiopathic clubfoot deformity except severity of the deformity are modifiable and extra minutes can be spent with risk group parents during follow up visits to prevent a recurrence by making them understand natural history of the corrected foot without post tenotomy bracing, encouraging them for regular follow up visits, arranging interactive sessions with other patients who are regular in their follow up and compliant with bracing, and encouraging the literate parents to update their information about clubfoot from internet. [Mh] Termos MeSH primário: Braquetes Pé Torto Equinovaro/cirurgia Cuidados Pós-Operatórios/métodos Tenotomia/métodos [Mh] Termos MeSH secundário: Proteínas de Drosophila Escolaridade Feminino Seguimentos Seres Humanos Imobilização Lactente Internet Masculino Proteínas de Membrana Razão de Chances Cooperação do Paciente Recidiva Estudos Retrospectivos Fatores de Risco Índice de Gravidade de Doença Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Drosophila Proteins); 0 (Membrane Proteins); 0 (expanded protein, Drosophila) [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171228 [Lr] Data última revisão: 171228 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171129 [St] Status: MEDLINE

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[PMID]: 29016616 [Au] Autor: Shang X; Chen J; Chen S [Ad] Endereço: Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China. [Ti] Título: A meta-analysis comparing tenotomy and tenodesis for treating rotator cuff tears combined with long head of the biceps tendon lesions. [So] Source: PLoS One;12(10):e0185788, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: The purpose of this meta-analysis was to assess whether there were differences in the outcomes between tenotomy and tenodesis in treating LHBT lesions combined with rotator cuff repairs. METHODS: Using Medline, Embase, and Cochrane, we searched for articles comparing tenotomy and tenodesis combined with rotator cuff repair which were published before April 2016 with the terms "biceps", "tenotomy", "tenodesis", and "rotator cuff". The controlled clinical studies that met the inclusion and exclusion criteria were assessed for quality of methodology by utilizing the Coleman score. RESULTS: On the basis of the inclusion and exclusion criteria, ten articles (903 patients) were included in this meta-analysis. The Coleman score ranged between 40 and 89 in the included studies. The results showed that the incidence of the popeye sign (OR, 2.777, P = 0.000) were higher in tenotomy group compared with tenodesis group when concomitant rotator cuff repair. Statistically significant difference in favor of tenodesis was observed for Constant score (SMD, -0.230, P = 0.025). As for the arm cramping pain, patient satisfaction, VAS score, ASES score and UCLA increased score, the strength and the range of motion, there were no significant differences between tenodesis and tenotomy of the LHBT, corresponding to the currently available results in the literature. CONCLUSIONS: Based on this meta-analysis, both tenotomy and tenodesis are effective in pain relief and function improvement in patients with repairable rotator cuff tears. No significant differences in post-operative functional outcome between tenotomy and tenodesis for the treatment of LHBT lesions were observed except for a lower Constant score and higher risk of Popeye deformity in tenotomy. [Mh] Termos MeSH primário: Tendões dos Isquiotibiais/fisiopatologia Traumatismos dos Tendões/cirurgia Tenodese/métodos Tenotomia/métodos [Mh] Termos MeSH secundário: Artroscopia Tendões dos Isquiotibiais/cirurgia Seres Humanos Músculo Esquelético/fisiopatologia Músculo Esquelético/cirurgia Amplitude de Movimento Articular/fisiologia Procedimentos Cirúrgicos Reconstrutivos Lesões do Manguito Rotador/epidemiologia Lesões do Manguito Rotador/fisiopatologia Lesões do Manguito Rotador/cirurgia Articulação do Ombro/fisiopatologia Articulação do Ombro/cirurgia Traumatismos dos Tendões/fisiopatologia [Pt] Tipo de publicação: JOURNAL ARTICLE; META-ANALYSIS [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171031 [Lr] Data última revisão: 171031 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171011 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0185788

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[PMID]: 28592414 [Au] Autor: Fajardo VA; Rietze BA; Chambers PJ; Bellissimo C; Bombardier E; Quadrilatero J; Tupling AR [Ad] Endereço: Department of Kinesiology, University of Waterloo, Waterloo Ontario, Canada. [Ti] Título: Effects of sarcolipin deletion on skeletal muscle adaptive responses to functional overload and unload. [So] Source: Am J Physiol Cell Physiol;313(2):C154-C161, 2017 Aug 01. [Is] ISSN: 1522-1563 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Overexpression of sarcolipin (SLN), a regulator of sarco(endo)plasmic reticulum Ca -ATPases (SERCAs), stimulates calcineurin signaling to enhance skeletal muscle oxidative capacity. Some studies have shown that calcineurin may also control skeletal muscle mass and remodeling in response to functional overload and unload stimuli by increasing myofiber size and the proportion of slow fibers. To examine whether SLN might mediate these adaptive responses, we performed soleus and gastrocnemius tenotomy in wild-type (WT) and -null ( ) mice and examined the overloaded plantaris and unloaded/tenotomized soleus muscles. In the WT overloaded plantaris, we observed ectopic expression of SLN, myofiber hypertrophy, increased fiber number, and a fast-to-slow fiber type shift, which were associated with increased calcineurin signaling (NFAT dephosphorylation and increased stabilin-2 protein content) and reduced SERCA activity. In the WT tenotomized soleus, we observed a 14-fold increase in SLN protein, myofiber atrophy, decreased fiber number, and a slow-to-fast fiber type shift, which were also associated with increased calcineurin signaling and reduced SERCA activity. Genetic deletion of altered these physiological outcomes, with the overloaded plantaris myofibers failing to grow in size and number, and transition towards the slow fiber type, while the unloaded soleus muscles exhibited greater reductions in fiber size and number, and an accelerated slow-to-fast fiber type shift. In both the overloaded and unloaded muscles, these findings were associated with elevated SERCA activity and blunted calcineurin signaling. Thus, SLN plays an important role in adaptive muscle remodeling potentially through calcineurin stimulation, which could have important implications for other muscle diseases and conditions. [Mh] Termos MeSH primário: Calcineurina/metabolismo Proteínas Musculares/genética Músculo Esquelético/metabolismo Proteolipídeos/genética [Mh] Termos MeSH secundário: Animais Regulação da Expressão Gênica Seres Humanos Camundongos Camundongos Knockout Fibras Musculares de Contração Rápida/metabolismo Fibras Musculares de Contração Lenta/metabolismo Proteínas Musculares/metabolismo Músculo Esquelético/fisiologia Músculo Esquelético/cirurgia Proteolipídeos/metabolismo ATPases Transportadoras de Cálcio do Retículo Sarcoplasmático/genética ATPases Transportadoras de Cálcio do Retículo Sarcoplasmático/metabolismo Tenotomia [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Muscle Proteins); 0 (Proteolipids); 145018-73-1 (sarcolipin); EC 3.1.3.16 (Calcineurin); EC 3.6.3.8 (Sarcoplasmic Reticulum Calcium-Transporting ATPases) [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170814 [Lr] Data última revisão: 170814 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170609 [St] Status: MEDLINE [do] DOI: 10.1152/ajpcell.00291.2016

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[PMID]: 28375888 [Au] Autor: Chalmers BP; Sculco PK; Sierra RJ; Trousdale RT; Berry DJ [Ad] Endereço: 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota. [Ti] Título: Iliopsoas Impingement After Primary Total Hip Arthroplasty: Operative and Nonoperative Treatment Outcomes. [So] Source: J Bone Joint Surg Am;99(7):557-564, 2017 Apr 05. [Is] ISSN: 1535-1386 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: A potential cause of persistent groin pain after total hip arthroplasty is impingement of the iliopsoas tendon. Treatment options include conservative management, tenotomy, and acetabular revision, but the literature, to our knowledge, has been limited to small case series on each technique. We present a series of patients with iliopsoas impingement after total hip arthroplasty and evaluate efficacy and risk factors for success or failure of each treatment strategy. METHODS: Forty-nine patients treated at one institution for a diagnosis of iliopsoas impingement after primary total hip arthroplasty with hemispherical acetabular component and polyethylene bearing were retrospectively reviewed. Twenty-one patients underwent acetabular revision, 8 patients underwent tenotomy, and 20 patients had nonoperative management. The mean follow-up was 4 years. Anterior acetabular component prominence was measured on true lateral hip radiographs. RESULTS: At the most recent follow-up, 10 patients (50%) in the nonoperative group had groin pain resolution compared with 22 patients (76%) in the operative group (p = 0.06). In patients with <8 mm of component prominence, tenotomy provided resolution of groin pain in 5 (100%) of 5 patients and a mean Harris hip score of 89 points. In patients with ≥8 mm of prominence, acetabular revision led to groin pain resolution in 12 (92%) of 13 patients compared with 1 (33%) of 3 patients treated with tenotomy (p = 0.07). CONCLUSIONS: Nonoperative management of iliopsoas impingement led to groin pain resolution in 50% of patients. In patients with minimal acetabular component prominence, iliopsoas release provided a high rate of success. Acetabular revision was more predictable for groin pain resolution in patients with ≥8 mm of anterior component prominence. LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. [Mh] Termos MeSH primário: Artroplastia de Quadril/efeitos adversos Impacto Femoroacetabular/etiologia [Mh] Termos MeSH secundário: Dor Abdominal/etiologia Dor Abdominal/cirurgia Idoso Algoritmos Feminino Impacto Femoroacetabular/cirurgia Seres Humanos Masculino Dor Pós-Operatória/etiologia Dor Pós-Operatória/cirurgia Complicações Pós-Operatórias/etiologia Complicações Pós-Operatórias/terapia Músculos Psoas/cirurgia Reoperação/estatística & dados numéricos Estudos Retrospectivos Tenotomia/métodos Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1704 [Cu] Atualização por classe: 170424 [Lr] Data última revisão: 170424 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170405 [St] Status: MEDLINE [do] DOI: 10.2106/JBJS.16.00244

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[PMID]: 28278134 [Au] Autor: Youssef AO [Ad] Endereço: Department of Orthopedic Surgery, Faculty of Medicine, Minia University, Minia, Egypt. [Ti] Título: Limited Open Quadriceps Release for Treatment of Congenital Dislocation of the Knee. [So] Source: J Pediatr Orthop;37(3):192-198, 2017 Apr/May. [Is] ISSN: 1539-2570 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Congenital dislocation of the knee (CDK) is a rare condition for which the treatment is difficult and remains controversial. The aim of this case series is to evaluate the results of limited open quadriceps release for treatment of CDK. METHODS: Sixteen patients with CDK were managed at our institute from May 2006 to May 2014, and included 10 boys and 6 girls, with a mean age at presentation of 5 weeks (range, 1 to16 wk). Three patients who had an underlying neuromuscular syndrome were excluded. The remaining 13 patients had no identifiable syndrome. There were 9 bilateral cases and 4 unilateral, with a total of 22 dislocated knees. Treatment began with gentle manipulation and serial weekly long-leg plaster casting in the outpatient clinic. Limited open quadriceps release was performed after failure of conservative treatment or in cases that presented late (>12 wk). The mean follow-up was 26.8 months (range, 12 to 48 mo). RESULTS: Manipulation and serial casting were successful in 6 knees. The mean postmanipulation passive arc of range of motion of the affected knees was 118 degrees (range: 100 to 140 degrees). At final follow-up, the knee outcome was excellent in 2 knees and good in 4 knees. Sixteen knees were managed by limited open quadriceps release. The age of the patients at the time of surgery ranged between 8 and 16 weeks with a mean of 10 weeks. The mean postoperative passive arc of range of motion of the affected knees was 110 degrees (range: 95 to 145 degrees). Minor degrees of flexion deformity at the knee were encountered frequently (mean 8.5 degrees). Slight instability was observed in 6 cases. At final follow-up, the knee outcome was excellent in 6 knees and good in 10 knees. CONCLUSIONS: Management of CDK preferably should be started early with gentle manipulation and serial casting. Failure of conservative treatment or delayed presentation will need surgical intervention. Limited open quadriceps release has satisfactory results. LEVEL OF EVIDENCE: Level IV-case series. [Mh] Termos MeSH primário: Luxação do Joelho/congênito Luxação do Joelho/cirurgia Procedimentos Ortopédicos/métodos Músculo Quadríceps/cirurgia [Mh] Termos MeSH secundário: Moldes Cirúrgicos Feminino Seguimentos Seres Humanos Lactente Recém-Nascido Articulação do Joelho/cirurgia Deformidades Congênitas das Extremidades Inferiores/cirurgia Masculino Manipulação Ortopédica/métodos Período Pós-Operatório Amplitude de Movimento Articular Tenotomia/métodos Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170620 [Lr] Data última revisão: 170620 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170310 [St] Status: MEDLINE [do] DOI: 10.1097/BPO.0000000000000612

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[PMID]: 28272927 [Au] Autor: Gerber C; Meyer DC; Flück M; Valdivieso P; von Rechenberg B; Benn MC; Wieser K [Ad] Endereço: Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland. [Ti] Título: Muscle Degeneration Associated With Rotator Cuff Tendon Release and/or Denervation in Sheep. [So] Source: Am J Sports Med;45(3):651-658, 2017 Mar. [Is] ISSN: 1552-3365 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: The effect of an additional neurological injury (suprascapular nerve traction injury) to a chronically retracted rotator cuff muscle is incompletely understood and warrants clarification. PURPOSE: To investigate the microscopic and macroscopic muscle degeneration patterns caused by tendon release and/or muscle denervation in a sheep rotator cuff model. STUDY DESIGN: Controlled laboratory study. METHODS: Infraspinatus muscle biopsy specimens (for histological analysis) were obtained from 18 Swiss alpine sheep before and 16 weeks after release of the infraspinatus tendon (tenotomy [T] group; n = 6), transection of the suprascapular nerve (neurectomy [N] group; n = 6), or tendon release plus nerve transection (tenotomy + neurectomy [T&N] group; n = 6). Magnetic resonance imaging (MRI) and computed tomography (CT) were used to assess retraction (CT), muscle density (CT), volume (MRI T2), and fat fraction (MRI Dixon). Stiffness of the infraspinatus was measured with a spring scale. RESULTS: At 16 weeks postoperatively, the mean infraspinatus muscle volume had decreased significantly more after neurectomy (to 47% ± 7% of the original volume; P = .001) and tenotomy plus neurectomy (48% ± 13%; P = .005) than after tenotomy alone (78% ± 11%). Conversely, the mean amount of intramuscular fat (CT/MRI Dixon) was not significantly different in the 3 groups (T group: 50% ± 9%; N group: 40% ± 11%; T&N group: 46% ± 10%) after 16 weeks. The mean myotendinous retraction (CT) was not significantly different in the T and T&N groups (5.8 ± 1.0 cm and 6.4 ± 0.4 cm, respectively; P = .26). Stiffness was, however, most increased after additional neurectomy. In contrast to muscle changes after tendon release, denervation of the muscle led to a decrease in the pennation angle of lengthened muscle fibers, with a reduced mean cross-sectional area of pooled muscle fibers, a slow- to fast-type transformation, and an increase in the area percentage of hybrid fibers, leading to overall significantly greater atrophy of the corresponding muscle. CONCLUSION: Although it is unclear which experimental group (T or T&N) most accurately reflects the clinical scenario in a given case, these findings provide baseline information for clinical differentiation between muscle changes caused by denervation or rotator cuff tendon lesions. CLINICAL RELEVANCE: The findings of this study help to understand how and to which extent a neurological lesion of the supplying suprascapular nerve could influence the pattern of anatomic-physiological muscular changes after rotator cuff tendon tears. [Mh] Termos MeSH primário: Atrofia Muscular/etiologia Traumatismos dos Nervos Periféricos/complicações Lesões do Manguito Rotador/complicações [Mh] Termos MeSH secundário: Animais Denervação Modelos Animais de Doenças Imagem por Ressonância Magnética Masculino Atrofia Muscular/diagnóstico por imagem Traumatismos dos Nervos Periféricos/diagnóstico por imagem Lesões do Manguito Rotador/diagnóstico por imagem Ovinos Tenotomia Tomografia Computadorizada por Raios X Tração [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170803 [Lr] Data última revisão: 170803 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170309 [St] Status: MEDLINE [do] DOI: 10.1177/0363546516677254

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[PMID]: 28257680 [Au] Autor: Ramanujam CL; Zgonis T [Ad] Endereço: Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA. [Ti] Título: Surgical Correction of the Achilles Tendon for Diabetic Foot Ulcerations and Charcot Neuroarthropathy. [So] Source: Clin Podiatr Med Surg;34(2):275-280, 2017 Apr. [Is] ISSN: 1558-2302 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Achilles tendon pathologic conditions are implicated in contributing to the development of many diabetic foot complications including diabetic foot ulceration and Charcot neuroarthropathy. Surgical correction of the diabetic equinus deformity has been studied as an isolated or adjunctive treatment when dealing with difficult-to-close diabetic foot ulcerations or when surgically addressing the diabetic Charcot neuroarthropathy foot or ankle. This article reviews the most common indications, complications, and surgical procedures for equinus correction by either a tendo-Achilles lengthening or gastrocnemius recession for the management of diabetic foot conditions. [Mh] Termos MeSH primário: Tendão do Calcâneo/cirurgia Artropatia Neurogênica/cirurgia Pé Diabético/cirurgia Pé Equino/cirurgia Procedimentos Ortopédicos/métodos Tenotomia/métodos [Mh] Termos MeSH secundário: Tendão do Calcâneo/fisiopatologia Idoso Artrodese/métodos Artropatia Neurogênica/diagnóstico por imagem Comorbidade Pé Diabético/diagnóstico por imagem Pé Diabético/epidemiologia Pé Equino/diagnóstico por imagem Pé Equino/epidemiologia Fixadores Externos Feminino Seres Humanos Masculino Meia-Idade Prognóstico Recuperação de Função Fisiológica Medição de Risco Resultado do Tratamento Cicatrização/fisiologia [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171109 [Lr] Data última revisão: 171109 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170305 [St] Status: MEDLINE

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[PMID]: 28257675 [Au] Autor: DeHeer PA [Ad] Endereço: Surgery Department, Indiana University Health North Hospital, Carmel, IN, USA; Surgery Department, Johnson Memorial Hospital, Franklin, IN, USA; Department of Podiatric Medicine and Radiology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA. Electronic address: padeheer@sbcglobal.net. [Ti] Título: Equinus and Lengthening Techniques. [So] Source: Clin Podiatr Med Surg;34(2):207-227, 2017 Apr. [Is] ISSN: 1558-2302 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Equinus is linked to most lower extremity biomechanically related disorders. Defining equinus as ankle joint dorsiflexion less than 5° of dorsiflexion with the knee extended is the basis for evaluation and management of the deformity. Consistent evaluation methodology using a goniometer with the subtalar joint in neutral position and midtarsal joint supinated while dorsiflexing the ankle with knee extended provides a consistent clinical examination. For equinus deformity with an associated disorder, comprehensive treatment mandates treatment of the equinus deformity. Surgical treatment of equinus offers multiple procedures but the Baumann gastrocnemius recession is preferred based on deformity correction without weakness. [Mh] Termos MeSH primário: Tendão do Calcâneo/cirurgia Pé Equino/cirurgia Exame Físico/métodos Recuperação de Função Fisiológica Tenotomia/métodos [Mh] Termos MeSH secundário: Tendão do Calcâneo/fisiopatologia Articulação do Tornozelo/fisiopatologia Articulação do Tornozelo/cirurgia Pé Equino/diagnóstico Feminino Seres Humanos Masculino Procedimentos Ortopédicos/métodos Medição da Dor Cuidados Pré-Operatórios/métodos Amplitude de Movimento Articular/fisiologia Índice de Gravidade de Doença [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171109 [Lr] Data última revisão: 171109 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170305 [St] Status: MEDLINE

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[PMID]: 28250250 [Au] Autor: Xu JC; Wu GH; Zhou LL; Yang XJ; Liu JT [Ad] Endereço: Department of Orthopedics, Xiangyang Hospital, Hubei university of Medicine, Xiangyang, Hubei Province, 441001 China. [Ti] Título: Establishment of heterotopic ossification via sharp instrument injury in rats. [So] Source: J Musculoskelet Neuronal Interact;17(1):456-460, 2017 Mar 01. [Is] ISSN: 1108-7161 [Cp] País de publicação: Greece [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To establish an animal model for heterotopic ossification (HO) induced by sharp instrument injury in Sprague-Dawley (SD) rat and to investigate its possible mechanism. MATERIALS AND METHODS: A total of 48 male SD rats were divided into 3 groups (n=16). In sham group, incision and suture were performed only in the left leg. Partial tenotomy was performed in the left Achilles tendons in the PAT group. In Achilles' tenotomy (AT) group, tenotomy was performed in the left Achilles tendons to establish animal model of EO. X-ray and histological examinations were made at 6 and 10 weeks after operation. RESULTS: No HO occurred in the sham and PAT groups. In AT group, X-ray results on 4 rats showed cartilage and bone formation while the remaining 4 rats showed chondrification in histological examination at 6 weeks after operation. At 10 weeks all rats showed bone formation with trabecular bone. This kind of HO usually develops through a process of endochondral ossification. CONCLUSION: Tenotomy is a simple, effective and feasible method to induce HO. [Mh] Termos MeSH primário: Tendão do Calcâneo/diagnóstico por imagem Tendão do Calcâneo/lesões Ossificação Heterotópica/diagnóstico por imagem Instrumentos Cirúrgicos/efeitos adversos Tenotomia/efeitos adversos [Mh] Termos MeSH secundário: Tendão do Calcâneo/cirurgia Animais Masculino Ossificação Heterotópica/etiologia Distribuição Aleatória Ratos Ratos Sprague-Dawley [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170906 [Lr] Data última revisão: 170906 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170303 [St] Status: MEDLINE

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1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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