Revisiones_bibliográficas TyO

Mostrando entradas con la etiqueta ultrasonido. Mostrar todas las entradas

lunes, 7 de mayo de 2018

Evaluación ecográfica del subescapular después de la artroplastia reversa de hombro: impacto de la integridad del tendón en la función del hombro.

www.lesionesdeportivas.com.mx/academia/evaluacion-ecografica-del-subescapular-despues-de-la-artroplastia-reversa-de-hombro-impacto-de-la-integridad-del-tendon-en-la-funcion-del-hombro/

Sonographic assessment of the subscapularis after reverse shoulder arthroplasty: impact of tendon integrity on shoulder function.

Fuente

Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/29396098

https://www.jshoulderelbow.org/article/S1058-2746(17)30827-3/fulltext

De:

Dedy NJ1, Gouk CJ2, Taylor FJ2, Thomas M2, Tan SLE2.

J Shoulder Elbow Surg. 2018 Jan 29. pii: S1058-2746(17)30827-3. doi: 10.1016/j.jse.2017.12.008. [Epub ahead of print]

Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.

Abstract

BACKGROUND:

The deltopectoral approach for reverse shoulder arthroplasty (RSA) requires subscapularis tenotomy or lesser tuberosity osteotomy. Whether the subscapularis should be repaired at the conclusion of the procedure remains controversial. The present study sonographically assessed the subscapularis after RSA and evaluated the effect of tendon integrity on functional outcome.

CONCLUSIONS:

The present work is the first long-term outcome study of RSA using sonography to assess the subscapularis. Subscapularis integrity did not appear to have a measurable effect on patient outcome as measured by standard scores but was important for internal rotation ability after RSA.

KEYWORDS:

Shoulder; arthroplasty; internal rotation; reverse; sonography; subscapularis

Resumen

ANTECEDENTES:

El abordaje deltopectoral para la artroplastia de hombro invertida (RSA) requiere una tenotomía subescapular o una osteotomía de tuberosidad menor. Si el subscapular debe ser reparado al final del procedimiento sigue siendo controvertido. El presente estudio evaluó ecográficamente el subescapular después de RSA y evaluó el efecto de la integridad del tendón en el resultado funcional.

CONCLUSIONES:

El presente trabajo es el primer estudio de resultado a largo plazo de RSA que utiliza la ecografía para evaluar el subescapular. La integridad del subescapular no parecía tener un efecto mensurable en el resultado del paciente, medido por las puntuaciones estándar, pero era importante para la capacidad de rotación interna después de RSA.

PALABRAS CLAVE:

Hombro; artroplastia; Rotación interna; reversa; sonografía; subescapular

PMID: 29396098 DOI: 10.1016/j.jse.2017.12.008

jueves, 26 de octubre de 2017

Un estudio de fiabilidad y validez para diferentes ángulos coronales que utilizan ultrasonido en la escoliosis idiopática del adolescente

http://www.columnavertebralpediatricaygeriatrica.com.mx/columna-del-adolescente/un-estudio-de-fiabilidad-y-validez-para-diferentes-angulos-coronales-que-utilizan-ultrasonido-en-la-escoliosis-idiopatica-del-adolescente/

A reliability and validity study for different coronal angles using ultrasound imaging in adolescent idiopathic scoliosis.

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/29056566
http://www.thespinejournalonline.com/article/S1529-9430(17)31063-X/fulltext

De:

Brink RC1,Wijdicks SPJ2,Tromp IN2,Schlösser TPC2,Kruyt MC2,Beek FJA3,

Castelein RM4.

Author information

1Department of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: r.c.brink@umcutrecht.nl.2Department of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.3Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.4Department of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: r.m.castelein@umcutrecht.nl.

Spine J. 2017 Oct 19. pii: S1529-9430(17)31063-X. doi: 10.1016/j.spinee.2017.10.012. [Epub ahead of print]

Todos los derechos reservados para:

Copyright © 2017 Elsevier Inc. All rights reserved.

Abstract

BACKGROUND CONTEXT:

Radiation exposure remains a big concern in adolescent idiopathic scoliosis (AIS). Ultrasound imaging of the spine could significantly reduce or possibly even eliminate this radiation hazard. The spinous processes (SP) and transverse processes (TP), were used to measure the coronal deformity. Both landmarks provided reliable information on the severity of the curve as related to the traditional Cobb angle. However, it remained unclear which coronal ultrasound angle is the most appropriate method to measure the curve severity.

PURPOSE:

To test the reliability and validity of several ultrasound angle measurements in the coronal plane as compared to the radiographic coronal Cobb angle in AIS patients.

CONCLUSIONS:

Coronal ultrasound angles are based on different landmarks than the traditional Cobb angle measurement and cannot represent the same angle values. In this study, we found excellent correlations between the ultrasound and Cobb measurements, without differences in reliability and validity between the ultrasound angles based on the spinous processes and transverse processes. Therefore, the severity of the deformity in AIS patients can be assessed by ultrasound imaging, avoiding hazardous ionizing radiation and enabling more individualized patient care. It also opens possibilities for screening.

KEYWORDS:

Adolescent idiopathic scoliosis; Coronal angle; Spinous processes; The Scolioscan; Transverse processes; Ultrasound

Resumen

CONTEXTO ANTECEDENTES:

La exposición a la radiación sigue siendo una gran preocupación en la escoliosis idiopática del adolescente (AIS). Las imágenes de ultrasonido de la columna vertebral podrían reducir significativamente o incluso eliminar este riesgo de radiación. Los procesos espinosos (SP) y los procesos transversales (TP) se usaron para medir la deformidad coronal. Ambos puntos de referencia proporcionaron información confiable sobre la gravedad de la curva en relación con el ángulo de Cobb tradicional. Sin embargo, no quedó claro qué ángulo de ultrasonido coronal es el método más apropiado para medir la gravedad de la curva.

PROPÓSITO:

Para probar la fiabilidad y la validez de varias medidas de ángulo de ultrasonido en el plano coronal en comparación con el ángulo de Cobb coronal radiográfico en pacientes AIS.

CONCLUSIONES:

Los ángulos de ultrasonido coronal se basan en diferentes puntos de referencia distintos de la medición tradicional del ángulo de Cobb y no pueden representar los mismos valores de ángulo. En este estudio, encontramos excelentes correlaciones entre las mediciones de ultrasonido y Cobb, sin diferencias en confiabilidad y validez entre los ángulos de ultrasonido basados en procesos espinosos y procesos transversales. Por lo tanto, la severidad de la deformidad en pacientes AIS puede evaluarse mediante imágenes de ultrasonido, evitando la radiación ionizante peligrosa y permitiendo una atención más individualizada del paciente. También abre posibilidades para la detección.

PALABRAS CLAVE:

Escoliosis idiopática adolescente; Ángulo coronal; Procesos espinosos; El escoliosco; Procesos transversales; Ultrasonido

Copyright © 2017 Elsevier Inc. All rights reserved.

PMID: 29056566 DOI:

10.1016/j.spinee.2017.10.012

#Escoliosis idiopática adolescente#Ángulo coronal#ultrasonido

lunes, 2 de octubre de 2017

La introducción del ultrasonido universal para la displasia del desarrollo de la cadera duplicó la tasa de tratamiento.

http://www.ortopediapediatricaisunza.com.mx/academia/la-introduccion-del-ultrasonido-universal-para-la-displasia-del-desarrollo-de-la-cadera-duplico-la-tasa-de-tratamiento/

Introducing universal ultrasound screening for developmental dysplasia of the hip doubled the treatment rate.

Fuente

Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28871598

http://onlinelibrary.wiley.com/doi/10.1111/apa.14057/abstract?systemMessage=Wiley+Online+Library+will+be+unavailable+on+Saturday+7th+Oct+from+03.00+EDT+%2F+08%3A00+BST+%2F+12%3A30+IST+%2F+15.00+SGT+to+08.00+EDT+%2F+13.00+BST+%2F+17%3A30+IST+%2F+20.00+SGT+and+Sunday+8th+Oct+from+03.00+EDT+%2F+08%3A00+BST+%2F+12%3A30+IST+%2F+15.00+SGT+to+06.00+EDT+%2F+11.00+BST+%2F+15%3A30+IST+%2F+18.00+SGT+for+essential+maintenance.+Apologies+for+the+inconvenience+caused+.

De:

Olsen SF1,Blom HC2,Rosendahl K3,4.

Acta Paediatr.

2017 Sep 4. doi: 10.1111/apa.14057. [Epub ahead of print]

Abstract

AIM:

There is no evidence on the effect of universal ultrasound screening on developmental dysplasia of the hip. We examined the impact of adding an ultrasound examination to a one examiner clinical screening strategy on treatment, follow-up rates and the number of cases detected late in a low-prevalence population.

CONCLUSION:

Adding universal ultrasound to clinical screening performed by the same, experienced paediatrician doubled the treatment rate, without influencing the already low numbers of late cases. This article is protected by copyright. All rights reserved.

KEYWORDS:

Developmental dysplasia of the hip; Frejka pillow; late cases; neonatal screening; ultrasound screening

Resumen

OBJETIVO:
No hay evidencia sobre el efecto de la ecografía universal en la displasia del desarrollo de la cadera. Se examinó el impacto de la adición de un examen de ultrasonido a una estrategia de cribado clínico de un examinador sobre el tratamiento, las tasas de seguimiento y el número de casos detectados tarde en una población de baja prevalencia.

CONCLUSIÓN:
La adición de ultrasonido universal a la exploración clínica realizada por el mismo pediatra experimentado duplicó la tasa de tratamiento, sin influir en el ya bajo número de casos tardíos. Este artículo está protegido por derechos de autor.

PALABRAS CLAVE:
Displasia del desarrollo de la cadera; Frejka almohada; casos tardíos; rastreo neonatal; ultrasonido

PMID: 28871598 DOI:

10.1111/apa.14057

#displasia del desarrollo de la cadera #casos tardíos #rastreo neonatal #ultrasonido

martes, 23 de mayo de 2017

Ultrasonido pulmonar / Lung ultrasound

Mayo 23, 2017. No. 2697

Ultrasonido pulmonar para anestesia regional y el especialista en dolor agudo.

Lung Ultrasound for the Regional Anesthesiologist and Acute Pain Specialist.

Haskins SC1, Tsui BC, Nejim JA, Wu CL, Boublik J.

Reg Anesth Pain Med. 2017 May/Jun;42(3):289-298. doi: 10.1097/AAP.0000000000000583.

Abstract

In this article, we discuss the emerging role of lung point-of-care ultrasonography for regional anesthesiologists and pain management specialists. Lung ultrasonography is a well-established clinical tool that is used on a routine basis in emergency rooms and critical care units internationally to evaluate patients with respiratory distress; however, its benefits to the regional anesthesiologist and painspecialist are not as well known and are practiced less frequently. This review article covers the clinical evidence in support of lung point-of-care ultrasonography as a rapid and superior tool to traditional imaging modalities such as chest radiography and fluoroscopy. As anesthesiologists routinely perform nerve blocks that put patients at potential risk of complications such as pneumothorax or diaphragmatic paresis, it is important to understand how to use lung ultrasonography to evaluate for these conditions, as well as to differentiate between other potential causes of respiratory distress, such as interstitial syndrome and pleural effusions. This article describes the normal and pathological findings that can be used to quickly and confidently evaluate a patient for these conditions.

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¿Puede la educación limitada del ultrasonido pulmonar ser realizada a estudiantes de medicina correctamente? Un estudio piloto

Can Limited Education of Lung Ultrasound Be Conducted to Medical Students Properly? A Pilot Study.

Lim JS1, Lee S1, Do HH1, Oh KH1.

Biomed Res Int. 2017;2017:8147075. doi: 10.1155/2017/8147075. Epub 2017 Mar 28.

Abstract

Objectives. Lung ultrasonography (LUS) is a useful examination to identify lung problems. Unfortunately, there are currently no LUS educational programs for medical students. We designed a brief LUS training course for medical students during the ED rotation. The purpose of training was improving cognitive and psychomotor learning domains, knowledge of ultrasound, knowledge of LUS, image acquisition, and image interpretation. Methods. Forty students in their fourth year of medical school were enrolled in this study. Student achievement was evaluated through examinations of cognitive and psychomotor skills. A survey was administered following the training. Results. The average test result was 42.1 ± 13.7 before training and 82.6 ± 10.7 after training. With respect to the assessment of LUS performance, the acceptable rates for right and left anterior chest wall scanning and right and left posterolateral scanning were 95%, 97.5%, 92.5%, and 100%, respectively. The students felt a high level of confidence in their ability to administer LUS to patients after training and they agreed that inclusion of LUS training in the medical school curriculum is necessary. Conclusion. This study showed that, among the medical students without ultrasound experience, limited LUS education to improve their knowledge, image acquisition, and interpretation ability was successful.

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