martes, 28 de marzo de 2017

Examen clínico del tobillo



Clinical Examination of Ankle

Fuente
Este artículo es originalmente publicado en:
De Y todos los derechos reservados para:
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Dr. Ebraheim’s educational animated video describing fractures of the ankle, Clinical examination, Educational video describing fractures of the ankle X-rays.
It describes ankle fracture classification, ankle fracture dislocation.
It also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery.
You look for the circulation, diabetes, peripheral neuropathy.
Make sure that the patient doesn’t have Charcot- fracture or Charcot- joint, as this is very important.
Look also for the soft tissue condition; you may want to delay the surgery until soft tissue condition improves.
You want to do elevation.
Try to identify if there is any open fracture.
Try to reduce the dislocation, try to improve the position of the fractures and splint the patient.
There are 2 points related to clinical exam that is worth mentioning:
1- Clinical exam is unreliable in predicting the medial injury; so if you have swelling, tenderness, or ecchymosis, it’s not reliable in predicting medial injury, you probably need to get stress views, to see if the deltoid ligament is injured or not.
2- If the patient has tenderness over the medial malleolus and unable to bear weight, and the patient is older, get an x-ray, this is not an ankle sprain, this may be a fracture.
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Revistas / Journals



Marzo 28, 2017. No. 2642







Brit J of Pain
Volume 11, Issue 1, February 2017

International Journal of Critical Illness and Injury Science
January-March 2017
Revista / Journal

Pediatr Respirol Crit Care Med 2017;1:1
January-March 2017
Revista / Journal 

Res Opin Anesth Intensive Care
January-March 2017

Perspect Clin Res
2017;8:55-7
Saudi Journal of Anaesthesia (Saudi J Anaesth)
2017, April-June
Journal of  
Anesthesia and Critical Care Open Access
Volume 7 Issue 4 - 2017

Curso sobre Anestesia en Trasplantes, Cirugía abdominal, Plástica, Oftalmología y Otorrinolaringología.
Committee for European Education in Anaesthesiology (CEEA) 
y el Colegio de Anestesiólogos de León A.C.
Abril 7-9, 2017, León Guanajuato, México

Informes  (477) 716 06 16, kikinhedz@gmail.com
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Anestesiología y Medicina del Dolor

52 664 6848905

Copyright © 2015

Clasificación de los desgarres del manguito rotador


Rotator Cuff Tear Classification

Fuente
Este artículo es originalmente publicado en:
De Y todos los derechos reservados para:
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund:
https://www.utfoundation.org/foundati…
  • Categoría
  • Licencia
  • Licencia estándar de YouTube

lunes, 27 de marzo de 2017

Asociaciones entre sarcopenia y escoliosis lumbar degenerativa en mujeres mayores

http://www.cirugiavertebral.com.mx/academia/asociaciones-entre-sarcopenia-y-escoliosis-lumbar-degenerativa-en-mujeres-mayores/

Associations between sarcopenia and degenerative lumbar scoliosis in older women

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28331906
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356321/

De:

Eguchi Y1, Suzuki M1, Yamanaka H1, Tamai H1, Kobayashi T1, Orita S2, Yamauchi K2, Suzuki M2, Inage K2, Fujimoto K2, Kanamoto H2, Abe K2, Aoki Y3, Toyone T4, Ozawa T4, Takahashi K2, Ohtori S2.

Scoliosis Spinal Disord. 2017 Mar 16;12:9. doi: 10.1186/s13013-017-0116-0. eCollection 2017.


Todos los derechos reservados para:

Copyright and License information ▼
Copyright © The Author(s). 2017
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Abstract
BACKGROUND:
Age-related sarcopenia can cause various forms of physical disabilities. We investigated how sarcopenia affects degenerative lumbar scoliosis (DLS) and lumbar spinal canal stenosis (LSCS).
CONCLUSIONS:
Sarcopenia complications were noted in 16% of LSCS patients and a much higher percentage, or 46.6%, of DLS patients. Appendicular and trunk SMIs were both lower in DLS, suggesting that sarcopenia may be involved in scoliosis. The appendicular skeletal muscle was related to posterior pelvic tilt, while the trunk muscle affected stooped posture, posterior pelvic tilt, lumbar scoliosis, and vertebral rotation. Decreases in trunk muscle mass were also associated with osteoporosis. Moreover, RDQ had a negative correlation with appendicular skeletal muscle mass and a positive correlation with PT, suggesting that sarcopenia may be associated with low back pain as a result of posterior pelvic tilt. Our research reveals for the first time how sarcopenia is involved in spinal deformations, suggesting decreases in pelvic/lumbar support structures such as trunk and appendicular muscle mass may be involved in the progression of spinal deformities and increased low back pain.
KEYWORDS:
Adult spinal deformity; Low back pain; Sagittal alignment; Sarcopenia; Skeletal muscle

Resumen
ANTECEDENTES:
La sarcopenia relacionada con la edad puede causar diversas formas de discapacidad física. Se investigó cómo la sarcopenia afecta la escoliosis lumbar degenerativa (DLS) y la estenosis del canal espinal lumbar (LSCS).


CONCLUSIONES:
Se observaron complicaciones de sarcopenia en el 16% de los pacientes con LSCS y un porcentaje mucho mayor, o 46,6%, de los pacientes con DLS. Los SMIs apendiculares y de tronco fueron ambos más bajos en DLS, lo que sugiere que la sarcopenia puede estar involucrada en la escoliosis. El músculo esquelético apendicular se relacionó con la inclinación pélvica posterior, mientras que el músculo del tronco afectó la postura encorvada, la inclinación pélvica posterior, la escoliosis lumbar y la rotación vertebral. Las disminuciones en la masa muscular del tronco también se asociaron con la osteoporosis. Por otra parte, RDQ tuvo una correlación negativa con la masa del músculo esquelético apendicular y una correlación positiva con PT, lo que sugiere que la sarcopenia puede estar asociada con dolor lumbar como resultado de la inclinación pélvica posterior. Nuestra investigación revela por primera vez cómo la sarcopenia está involucrada en las deformaciones espinales, lo que sugiere disminuciones en las estructuras de apoyo pélvico / lumbar como el tronco y la masa muscular apendicular puede estar involucrado en la progresión de las deformidades espinales y el aumento del dolor lumbar.
PALABRAS CLAVE:
Deformidad espinal adulta; Dolor lumbar; Alineación sagital; Sarcopenia; Músculo esquelético


PMID:  28331906   PMCID:  PMC5356321   DOI:   10.1186/s13013-017-0116-0
Free PMC Article