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[PMID]:28259346
[Au] Autor:Moezzi D
[Ti] Título:Editorial Commentary: The Ever-Revealing Role of the Arthroscope-Arthroscopic Latarjet Procedure.
[So] Source:Arthroscopy;33(3):543-544, 2017 Mar.
[Is] ISSN:1526-3231
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The treatment of instability continues to evolve, and the Latarjet procedure performed arthroscopically epitomizes the complexity of shoulder procedures that can be accomplished in such a manner. Clinical and surgical observations will continue to spur further research.
[Mh] Termos MeSH primário: Artroscópios
Articulação do Ombro/cirurgia
[Mh] Termos MeSH secundário: Artroscopia
Seres Humanos
Instabilidade Articular/cirurgia
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170306
[St] Status:MEDLINE


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[PMID]:27594326
[Au] Autor:Taylor SA
[Ad] Endereço:New York, New York.
[Ti] Título:Editorial Commentary: Using a 70° Arthroscope to Evaluate the Biceps Tendon and Rule Out Bicipital Tunnel Disease Is Better Than Using a 30° Arthroscope… but Still Inadequate.
[So] Source:Arthroscopy;32(9):1750-1, 2016 Sep.
[Is] ISSN:1526-3231
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In a well-constructed study using both cadaveric and in vivo models, Sheean et al. found that use of a 70° arthroscope significantly improves visualization of the long head of the biceps tendon and zone 1 of the bicipital tunnel compared with a standard 30° arthroscope during shoulder arthroscopy. Enthusiasm for the added visualization afforded by the 70° arthroscope, however, should be tempered by the fact that zone 2 of the bicipital tunnel and the biceps tendon within remain hidden from view along with any pathology it harbors. Clinicians should not over-rely on diagnostic shoulder arthroscopy when assessing for bicipital tunnel disease.
[Mh] Termos MeSH primário: Artroscópios
Ombro
[Mh] Termos MeSH secundário: Artroscopia
Seres Humanos
Articulação do Ombro
Tendões
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160906
[St] Status:MEDLINE


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[PMID]:27502232
[Au] Autor:Xavier G; Oliva XM; Rotinen M; Monzo M
[Ad] Endereço:Department of Orthopaedics, Hospital Espírito Santo de Évora EPE, Largo Senhor da Pobreza, 7000-811 ÉVORA, Portugal. Electronic address: gfxavier@hotmail.com.
[Ti] Título:Talonavicular joint arthroscopic portals: A cadaveric study of feasibility and safety.
[So] Source:Foot Ankle Surg;22(3):205-9, 2016 Sep.
[Is] ISSN:1460-9584
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The objectives of the study were to evaluate the safety of hypothetical arthroscopic portals from talonavicular joint and to evaluate their reproducibility and enforceability. METHODS: 19 cadaveric feet were marked and four arthroscopic portals were made (medial, dorsomedial, dorsolateral and lateral). The specimens were dissected in layers and the distances between neurovascular structures and the trocars were measured. RESULTS: Medial and dorsomedial portals were in average 8.3 and 8.7, respectively, to the saphenous vein and nerve. Dorsolateral portal was in average 8.1mm to the deep peroneal nerve and dorsalis pedis artery, and 9.1mm to the medial dorsal cutaneous branch of the superficial peroneal nerve. Lateral portal was in average 12.3mm to the intermediate dorsal cutaneous branch of the superficial peroneal nerve. CONCLUSION: Tested portals shown to have a good safety margin for the foot neurovascular deep dorsal structures and an acceptable safety margin for the superficial neurovascular structures.
[Mh] Termos MeSH primário: Pontos de Referência Anatômicos
Artroscópios
Artroscopia/métodos
Articulações Tarsianas/cirurgia
[Mh] Termos MeSH secundário: Cadáver
Dissecação
Estudos de Viabilidade
/anatomia & histologia
/cirurgia
Seres Humanos
Gestão da Segurança
Articulações Tarsianas/anatomia & histologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160810
[St] Status:MEDLINE


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[PMID]:27459141
[Au] Autor:Ahn JH; Lee YS; Ko TS; Shin JY
[Ti] Título:Accuracy and Reproducibility of the Femoral Tunnel With Different Viewing Techniques in the ACL Reconstruction.
[So] Source:Orthopedics;39(6):e1085-e1091, 2016 Nov 01.
[Is] ISSN:1938-2367
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to compare the accuracy and reproducibility of the femoral tunnel location among 3 different viewing techniques used during outside-in anterior cruciate ligament (ACL) reconstruction with 3- dimensional (3-D) computed tomography (CT): (1) an anterolateral (AL) or anteromedial (AM) portal with a 30° arthroscope (A group) vs (2) a posterolateral (PL) portal with a 70° arthroscope (PL group) vs (3) a trans-septal (TS) portal with a 30° arthroscope (TS group). A total of 106 patients undergoing outside-in ACL reconstruction were recruited. Patients were divided into 3 groups according to viewing technique (A group=36 patients; PL group=35 patients; TS group=35 patients). Femoral tunnel locations were evaluated with the quadrant method and the anatomic coordinate axes measurement (ACAM) method in the medial wall of the lateral femoral condyle using 3-D reconstructed CT. The accuracy and reproducibility of the femoral tunnel locations were compared among the 3 techniques. The accuracy of the tunnel location was higher in the TS group by the quadrant method as well as the ACAM method. The reproducibility of the femoral tunnel position in the TS group was the highest, and the femoral tunnel locations of the TS group were more compactly distributed compared with those of the A and PL groups. The accuracy and reproducibility of the femoral tunnel location could be improved with a TS portal viewed using a 30° arthroscope. Anteromedial/anterolateral and PL portals viewed using a 70° arthroscope showed no difference. [Orthopedics. 2016; 39(6):e1085-e1091.].
[Mh] Termos MeSH primário: Reconstrução do Ligamento Cruzado Anterior/métodos
Artroscópios
Fêmur/diagnóstico por imagem
Articulação do Joelho/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Mh] Termos MeSH secundário: Estudos Transversais
Feminino
Fêmur/cirurgia
Seres Humanos
Articulação do Joelho/cirurgia
Masculino
Reprodutibilidade dos Testes
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[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:160727
[St] Status:MEDLINE
[do] DOI:10.3928/01477447-20160719-08


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[PMID]:27276807
[Au] Autor:Du J; Yang R; Sui L; Yang Bo; Yang M
[Ti] Título:[EFFECTIVENESS OF DISTRACTION THERAPY ASSISTED BY ARTHROSCOPE IN TREATMENT OF ANKLE TRAUMATIC OSTEOARTHRITIS].
[So] Source:Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi;30(2):161-4, 2016 Feb.
[Is] ISSN:1002-1892
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To investigate the effectiveness of distraction therapy assisted by arthroscope in the treatment of ankle traumatic osteoarthritis. METHODS: Between October 2013 and October 2014, 13 patients with anlde traumatic osteoarthritis were treated, including 8 males and 5 females with an age range of 44-63 years (mean, 55.2 years). The left ankle and the right ankle were involved in 4 and 9 cases respectively. The disease duration was 1.5-10.0 years (median, 5 years). The American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hind foot scale score was 51.00 +/- 7.09; the short-form 36 health survey scale (SF-36) score was 40.82 +/- 4.62. According to Scranton grade system, 9 cases were rated as grade II and 4 cases as grade III. First, ande hyperplasia osteophytes was removed under arthroscope, then Ilizarov apparatus was used to maintain distraction of 5-10 mm ande space for 3 months. RESULTS: One case had postoperative pin tract infection after removing the external fixation, and infection was controlled by dressing treatment; no related complications occurred in the other patients. All patients got follow-up of 12-18 months (mean, 14.7 months). Patients achieved disappearance of ankle swelling, pain relief, and were able to walk after rehabilitation. The ankle activity was obviously improved. At last follow-up, AOFAS ankel-hind foot scale score and SF-36 score were significantly increased to 85.23 +/- 6.41 and 56.29 +/- 6.20 respectively (t=20.756, P=0.025; t=11.647, P=0.018). According to AOFAS scores, the results were excellent in 4 cases, good in 8 cases, and fair in 1 case; the excellent and good rate was 92.3%. Postoperative X-ray film showed normal ankle position and alignment, osteophytes at the edges of the tibia and talus, articular surface sclerosis, normal joint space, and no joint swelling. CONCLUSION: Distraction therapy assisted by arthroscope is an effective method for treating ankle traumatic osteoarthritis.
[Mh] Termos MeSH primário: Traumatismos do Tornozelo/cirurgia
Articulação do Tornozelo/cirurgia
Artroscópios
Artroscopia/métodos
[Mh] Termos MeSH secundário: Adulto
Tornozelo
Artrodese
Feminino

Fixação Interna de Fraturas
Seres Humanos
Masculino
Meia-Idade
Osteoartrite
Tálus
Resultado do Tratamento
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160609
[Lr] Data última revisão:
160609
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160610
[St] Status:MEDLINE


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[PMID]:27154578
[Au] Autor:Minzlaff P; Ackermann J; Seppel G; Haller B; Plath JE; Wiedemann E; Imhoff AB
[Ad] Endereço:Department for Orthopaedic Sportsmedicine, Technische Universitaet Muenchen, Munich, Germany.
[Ti] Título:A multicenter study to evaluate subscapularis muscle function using 5:30 o'clock portal for antero-inferior shoulder stabilization.
[So] Source:Arch Orthop Trauma Surg;136(8):1143-52, 2016 Aug.
[Is] ISSN:1434-3916
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The purpose of this study was to compare the outcome after arthroscopic antero-inferior shoulder stabilization with and without using a 5:30 o'clock portal. MATERIALS AND METHODS: Sixty-two patients [age (mean ± SD), 28.05 ± 8.25 years] with a mean follow-up of 15.23 ± 5.02 months were included in this study. Thirty-one patients underwent arthroscopic antero-inferior shoulder stabilization using the 5:30 o'clock portal in center A (group I) and were compared to 31 matched patients managed with the 3 o'clock portal in center B (group II). Physical examination, standard shoulder scores, ultrasound assessment and subscapularis strength measurement were used to evaluate postoperative shoulder function. RESULTS: Good to excellent results were seen in both groups. No significant differences were seen when comparing ASES, Constant and Rowe Score of both groups. Patients of group II achieved a significant higher score in the SST than patients of group I. (p < 0.05) Patients of group I had a significantly lesser loss of passive external rotation in 0° and 90° of abduction. (p = 0.04; p = 0.056) Ultrasound evaluation and strength measurement showed no significant differences in subscapularis muscle integrity or function neither between the involved and uninvolved shoulder nor between both groups. CONCLUSION: Arthroscopic anterior-inferior shoulder stabilization results in excellent clinical results. When considering portal placement, the deep trans-subscapularis portal allows a more precise suture anchor placement at the inferior glenoid rim and capsular shift with a significant improved external rotation but does not negatively affect the subscapularis function in terms of internal rotation strength or structural integrity. LEVEL OF EVIDENCE: III.
[Mh] Termos MeSH primário: Artroscopia/métodos
Instabilidade Articular/cirurgia
Força Muscular
Manguito Rotador/fisiologia
Articulação do Ombro/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Artroscópios
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Manguito Rotador/cirurgia
Âncoras de Sutura
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170113
[Lr] Data última revisão:
170113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160508
[St] Status:MEDLINE
[do] DOI:10.1007/s00402-016-2467-z


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[PMID]:27067060
[Au] Autor:Sheean AJ; Hartzler RU; Denard PJ; Lädermann A; Hanypsiak BT; Burkhart SS
[Ad] Endereço:San Antonio Military Medical Center, San Antonio, Texas, U.S.A.
[Ti] Título:A 70° Arthroscope Significantly Improves Visualization of the Bicipital Groove in the Lateral Decubitus Position.
[So] Source:Arthroscopy;32(9):1745-9, 2016 Sep.
[Is] ISSN:1526-3231
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to quantify the length of the bicipital groove viewable with a 70° arthroscope and to compare this distance visualized with use of a 30° arthroscope in both cadavers and living subjects. METHODS: Diagnostic glenohumeral arthroscopy in the lateral decubitus position was performed on 10 fresh-frozen cadaveric shoulders from a posterior portal. Using 70° and 30° arthroscopes, the distalmost viewable portion of the bicipital groove was percutaneously marked. Dissection of each specimen was then performed, and the distances between the articular margins of the humeral head to each marked portion of bicipital groove were recorded. Subsequently, a similar technique was used to measure the visible length of the bicipital groove in a series of 11 patients at the time of diagnostic glenohumeral arthroscopy performed in the lateral decubitus position using 70° and 30° arthroscopes. Descriptive statistics were used for continuous data. Means were compared with a Mann-Whitney test. Statistical significance was set at P ≤ .05. RESULTS: The cadaveric analysis revealed a significant increase in the amount of bicipital groove visualized with the 70° arthroscope versus that visualized with the 30° arthroscope (18.0 ± 6.9 mm v 11 ± 4.7 mm, P = .01). In similar fashion, the results of the in vivo analysis showed that the 70° arthroscope allowed for significantly more visualization of the bicipital groove than the 30° arthroscope (26.3 ± 6.2 mm v 14 ± 4.7 mm, P = .025). CONCLUSIONS: The use of a 70° arthroscope significantly increases the length of bicipital groove visualized during glenohumeral arthroscopy in the lateral decubitus position compared with that of the 30° arthroscope in both cadavers and living subjects. CLINICAL RELEVANCE: Routine use of a 70° arthroscope significantly improves visualization of the bicipital groove and all relevant intra-articular structures compared with that of a 30° arthroscope during diagnostic glenohumeral arthroscopy performed in the lateral decubitus position.
[Mh] Termos MeSH primário: Artroscópios
Articulação do Ombro/anatomia & histologia
Articulação do Ombro/cirurgia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Artroscopia
Lesões de Bankart/patologia
Lesões de Bankart/cirurgia
Cadáver
Feminino
Seres Humanos
Masculino
Meia-Idade
Lesões do Manguito Rotador/patologia
Lesões do Manguito Rotador/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160413
[St] Status:MEDLINE


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[PMID]:27062840
[Au] Autor:Zhao L; Wang Y; Cai D; Zeng C; Jin D
[Ti] Título:[EFFECTIVENESS OF ARTHROSCOPE FOR FEMOROACETABULAR IMPINGEMENT].
[So] Source:Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi;30(1):21-4, 2016 Jan.
[Is] ISSN:1002-1892
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To investigate the early effectiveness of arthroscope for femoroacetabular impingement (FAI). METHODS: Between February 2012 and June 2014, 17 patients (17 hips) with FAI were treated under arthroscope. Of 17 patients, 12 were male and 5 were female, aged 18-60 years (mean, 37.2 years); 9 left hips and 8 right hips were involved. All patients had pain in groin for 12-24 months (mean, 15 months), no limited activity of the hip and obvious provocative pain in full flexion and internal rotation. The results of impingement test and the Faber test were all positive. According to X-ray examination, 8 cases were at early stage, 8 cases at middle stage, and 1 case at late stage; according to anatomical morphology, 6 cases were rated as cam-type impingement, 3 cases as pincer-type impingement, and 8 cases as mixed type. Based on impingement type, arthroscopic femoroplasty, arthroscopic acetabuloplasty, and a combination of arthroscopic femoroplasty and acetabuloplasty were performed on 6, 3, and 8 patients respectively. RESULTS: Primary healing of incision was obtained. One patient had numbness in the lateral thigh, and symptom disappeared after 2 weeks. All cases were followed up 1-2 years (mean, 1.3 years). All patients obtained obvious hip pain relief. The postoperative Harris scores were significantly increased to 91.44 ± 1.98 at 6 weeks, 95.83 ± 0.53 at 3 months, and 95.33 ± 2.43 at 1 year from preoperative 79.01 ± 3.20 (P < 0.05), and the scores at 3 months and at 1 year were significantly higher than that at 6 weeks (P < 0.05), but there was no significant difference between at 3 months and at 1 year (P > 0.05). CONCLUSION: Arthroscope treatment of FAI can obviously relief hip pain. The key points for acquiring satisfactory early effectiveness are definite diagnosis, early detection, and minimally invasive treatment.
[Mh] Termos MeSH primário: Artroscópios
Artroscopia/métodos
Impacto Femoroacetabular/diagnóstico
Impacto Femoroacetabular/cirurgia
Articulação do Quadril/cirurgia
[Mh] Termos MeSH secundário: Acetabuloplastia
Acetábulo/diagnóstico por imagem
Acetábulo/cirurgia
Adolescente
Adulto
Feminino
Impacto Femoroacetabular/diagnóstico por imagem
Fêmur/diagnóstico por imagem
Fêmur/cirurgia
Quadril
Seres Humanos
Masculino
Meia-Idade
Dor
Período Pós-Operatório
Radiografia
Amplitude de Movimento Articular
Rotação
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160412
[St] Status:MEDLINE


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[PMID]:26947000
[Au] Autor:Needleman RL
[Ad] Endereço:Assistant Professor, Department of Orthopaedic Surgery, Wayne State University, Dearborn, MI. Electronic address: rlneedleman@yahoo.com.
[Ti] Título:Use of Cannulated Instruments to Localize the Portals in Anterior Ankle Arthroscopy: A Technique Tip.
[So] Source:J Foot Ankle Surg;55(3):659-63, 2016 May-Jun.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The use of cannulated instruments under fluoroscopy can improve the localization of the anteromedial and posterolateral portals for use in ankle arthroscopy. This technique is valuable for the less-experienced ankle arthroscopist, in resident education, and for the experienced arthroscopist when surface anatomy palpation and visualization is less than ideal due to soft tissue edema and obesity.
[Mh] Termos MeSH primário: Articulação do Tornozelo/diagnóstico por imagem
Articulação do Tornozelo/cirurgia
Artroscopia/métodos
[Mh] Termos MeSH secundário: Artroscópios
Fluoroscopia
Seres Humanos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160308
[St] Status:MEDLINE


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[PMID]:26752777
[Au] Autor:Lui TH; Chang JJ; Maffulli N
[Ad] Endereço:*Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong SAR, China †Queen Mary University of London, Barts and The London School of Medicine and Dentistry Institute of Health Sciences Education, Centre for Sports and Exercise Medicine Mile End Hospital, London, UK.
[Ti] Título:Endoscopic-assisted Repair of Neglected Rupture or Rerupture After Primary Repair of Extensor Hallucis Longus Tendon.
[So] Source:Sports Med Arthrosc;24(1):34-7, 2016 Mar.
[Is] ISSN:1538-1951
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Rerupture of the extensor hallucis longus tendon after primary repair and neglected rupture of the tendon poses surgical challenges to orthopedic surgeons. Open exploration and repair of the tendon ends usually requires large incision and extensive dissection. This may induce scarring and adhesion around the repaired tendon. Endoscopic-assisted repair has the advantage of minimally invasive surgery including less soft tissue trauma and scar formation and better cosmetic result. The use of Krackow locking suture and preservation of the extensor retinacula allow early mobilization of the great toe.
[Mh] Termos MeSH primário: Endoscopia/métodos
Traumatismos dos Tendões/cirurgia
Dedos do Pé/cirurgia
[Mh] Termos MeSH secundário: Artroscópios
Seres Humanos
Ruptura/cirurgia
Dedos do Pé/lesões
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160112
[St] Status:MEDLINE
[do] DOI:10.1097/JSA.0000000000000087



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