En un altre raco de la mateixa revista Moltes vegades hem vist controversia sobre la millor localització per la pràctica de infiltracions del espai subacromial. L'article , ben construït i desenvolupat conclou que la infiltracio per via lateral ( la que fem servir!!) o anterior es mes fiable que la posterior :
Injection of the Subacromial Bursa in Patients with Rotator Cuff Syndrome: A Prospective, Randomized Study Comparing the Effectiveness of Different Routes
J Bone Joint Surg Am, 2012 Aug 15;94(16):1442-1447. doi: 10.2106/JBJS.K.00534
Richard A. Marder, MD; Sunny H. Kim, PhD; Jerry D. Labson, MD; John C. Hunter, MD
28 d’ag. 2012
6 d’ag. 2012
Journal de l'Agost 12
Use of Platelet-Leukocyte Membrane in Arthroscopic Repair of Large Rotator Cuff Tears: A Prospective Randomized Study .J Bone Joint Surg Am, 2012 Aug 01;94(15):1345-1352. doi: 10.2106/JBJS.K.00394
Stefano Gumina, MD, Franco Postacchini, MD
In conclusion, the use of platelet-leukocyte membrane led to a slight improvement, as assessed by MRI, in the repair integrity of large tears involving the supraspinatus tendon, although this improvement was not associated with a better objective functional outcome.
Nevertheless, many aspects of the use of this membrane still have to be elucidated; further research is necessary to determine
(1) whether the membrane is absorbed, and how much time this requires,
(2) whether the membrane prevents or only slows down the development of rotator cuff retears, and
(3) whether passing the post suture through the membrane and covering it with the rotator cuff is sufficient to maintain the membrane in situ.
The primary limitation of this study is the relatively short duration of follow-up
O sigui que lo dels factorets per facturar pot ser una realitat que siguin mes per facturar que per altre cosa?
The Cost-Effectiveness of Single-Row Compared with Double-Row Arthroscopic Rotator Cuff Repair
James W. Genuario, MD, J Bone Joint Surg Am, 2012 Aug 01;94(15):1369-1377. doi: 10.2106/JBJS.J.01876
With use of current data for the average patient presenting with a rotator cuff tear, irrespective of tear size, double-row repair is not a cost-effective method of rotator cuff repair. The incremental cost associated with a second row of implants and associated operating-room time is not offset by the reduction in retear
En temps d'estalvi una bona notícia.
Stefano Gumina, MD, Franco Postacchini, MD
In conclusion, the use of platelet-leukocyte membrane led to a slight improvement, as assessed by MRI, in the repair integrity of large tears involving the supraspinatus tendon, although this improvement was not associated with a better objective functional outcome.
Nevertheless, many aspects of the use of this membrane still have to be elucidated; further research is necessary to determine
(1) whether the membrane is absorbed, and how much time this requires,
(2) whether the membrane prevents or only slows down the development of rotator cuff retears, and
(3) whether passing the post suture through the membrane and covering it with the rotator cuff is sufficient to maintain the membrane in situ.
The primary limitation of this study is the relatively short duration of follow-up
O sigui que lo dels factorets per facturar pot ser una realitat que siguin mes per facturar que per altre cosa?
The Cost-Effectiveness of Single-Row Compared with Double-Row Arthroscopic Rotator Cuff Repair
James W. Genuario, MD, J Bone Joint Surg Am, 2012 Aug 01;94(15):1369-1377. doi: 10.2106/JBJS.J.01876
With use of current data for the average patient presenting with a rotator cuff tear, irrespective of tear size, double-row repair is not a cost-effective method of rotator cuff repair. The incremental cost associated with a second row of implants and associated operating-room time is not offset by the reduction in retear
En temps d'estalvi una bona notícia.
25 de jul. 2012
Ream and Run
The Prognosis for Improvement in Comfort and Function After the Ream-and-Run Arthroplasty for Glenohumeral Arthritis: An Analysis of 176 Consecutive Cases
Brian B. Gilmer, MD1; Bryan A. Comstock, MS2; Jocelyn L. Jette, BS1; Winston J. Warme, MD1; Sarah E. Jackins, PT3; Frederick A. Matsen, MDSempre he pensat que la hemiartroplàstia d'espatlla es una bona intervenció per millorar dolor i funció sense hipotecar glena ni diàfisis humeral . El treball del grup de Matsen mostra que la millora de la funció i comoditat obtinguts amb la tècnica de "ream and run" s'estabilitza als 20 mesos . A partir de aquesta data no hi ha una millora significativa. Això podria indicar que les avaluacions dels resultats de aquesta tècnica de hemiartroplàstia d'espatlla s'han de fer com a mínim als 20 mesos.Tambe per extensio la avaluacio de les hemis poden cercar aquest item "estabilitat" funcional.
15 de jul. 2012
Single Versus Double-Incision Technique for the Repair of Acute Distal Biceps Tendon Rupture
Conclusions:
There were no significant differences in outcomes between the single and double-incision distal biceps repair techniques other than a 10% advantage in final flexion strength with the latter. Most complications were minor, with a significantly greater prevalence in the single-incision group.
The Journal of Bone & Joint Surgery, Volume 94, Issue 13
Un tema sempre controvertit vet aqui que al final lo millor sera fer lo que millor un sap fer ...
19 de juny 2012
Pop Art
27 de maig 2012
EFORT
Seguim pensant que la EFORT es un bon lloc on presentar els treballs de recerca i fer algun curs. Tot i que cada any es van fent mes serioses les sessions en tema de espatlla-colze son fluixes. He vist algun xines amb presentacions infumables.
17 d’abr. 2012
Glenoid Track
Contact between the glenoid and humeral headin abducton , external totation, and horizontal extension: Glenoid track. Nobuyuki Yamamoto. JSES , Vol 15, Nº 5, 2007
Defineix la zona del cap huemral on articula amb la glena en flexio rotacio externa com el glenoid Track i equival al 84% de l'amplada de la glena. en aquesta zona es on hi ha la lesio de Hill-Sachs ó de Malgaine per els Fracofons. Si la lesio de Hill - Sachs s'exten medialment al glenoid track hi ha risc de "egagement" i luxacio
.
Defineix la zona del cap huemral on articula amb la glena en flexio rotacio externa com el glenoid Track i equival al 84% de l'amplada de la glena. en aquesta zona es on hi ha la lesio de Hill-Sachs ó de Malgaine per els Fracofons. Si la lesio de Hill - Sachs s'exten medialment al glenoid track hi ha risc de "egagement" i luxacio
Subscriure's a:
Missatges (Atom)