30 de març 2012

Acromion tipo 1,2,3 y 5 .....

Journal of Shoulder and Elbow Surgery
Article in Press
Relationship of radiographic acromial characteristics and rotator cuff disease: a prospective investigation of clinical, radiographic, and sonographic findings
Nady Hamid, MD, Reza Omid, MD, Ken Yamaguchi, MD
Conclusions 

1.-The presence of an acromial spur at the acromial insertion of the coracoacromial ligament is highly associated with the presence of a full-thickness rotator cuff tear in both symptomatic and asymptomatic subjects, even after controlling for confounding variables such as age and sex. 
2.-Spurs measuring greater than 5 mm are associated with larger rotator cuff tears. 
3.-Acromial morphology is an unreliable classification system with poor interobserver reliability. (***)
4.-The acromial index is associated with the development of pain in previously asymptomatic shoulders, but shows no association with the presence of rotator cuff disease.

(***) Reflexionem d'una vegada  la class de Bigliani no es útil en el maneig de les lesions del manegot.

28 de març 2012

Rotator Cuff Tear Arthropathy: Evaluation, Diagnosis, and Treatment:

Rotator Cuff Tear Arthropathy: Evaluation, Diagnosis, and Treatment
AAOS Exhibit Selection
J Bone Joint Surg Am.  2012;94(6):E34 1-11  doi:10.2106/jbjs.k.00746Denis Nam, MD; Travis G. Maak, MD; Bradley S. Raphael, MD; Christopher K. Kepler, MD; Michael B. Cross, MD; Russell F. Warren, MD


Un resum molt ben fet sobre la ARTROSI PER RUPTURA DEL MANEGOT. Serán les proximes pròtesi i cal estar al dia de lo que insistirá la industria en que posem als pacients...