Navegando por Palavras-chave "Elbow"
Agora exibindo 1 - 7 de 7
Resultados por página
Opções de Ordenação
- ItemAcesso aberto (Open Access)ANALYSIS OF THE PATTERN AND MECHANISM OF ELBOW INJURIES RELATED TO ARMBAR-TYPE ARMLOCKS IN JIU-JITSU FIGHTERS(Atha Comunicacao & Editora, 2017) Carvalho de Almeida, Thiago Bernardo [UNIFESP]; Dobashi, Eiffel Tsuyoshi [UNIFESP]; Nishimi, Alexandre Yukio [UNIFESP]; de Almeida Junior, Eduardo Bernardo [UNIFESP]; Pascarelli, Luciano; Reis Rodrigues, Luciano MillerObjective: The objective of this study was to analyze elbow injuries and their probable mechanism in Jiu-Jitsu fighters resulting from the armbar-type armlock. Methods: We evaluated 5 high-performance Jiu-Jitsu fighters from the Gracie Elite gym who were injured during a tournament. All were healthy males with a mean age of 28.8 years. The right arm was involved in three patients (60%). The athletes were followed for approximately 4.6 months, and pain was present in all cases. Clinical examination of the elbow was performed immediately after the injury and when magnetic resonance imaging (MRI) was performed. The radiography showed no changes. Clinical examination detected specific tender points on the medial and anterior topography of the elbows, but no ligamentous instability of the elbow was seen during dynamic testing. Results: The main MRI findings were injury to the common flexor tendon and the ulnar collateral ligament, bone contusion of the distal humerus and olecranon, and joint effusion. Conclusion: The main pattern of injury indicated by the MRI in the athletes was injury to the medial elbow complex. The primary mechanism that determined the injury was most likely elbow hyperextension applied with the forearm in neutral position of forearm.
- ItemAcesso aberto (Open Access)Comparação entre DASH e SF-36 do cotovelo traumatizado reabilitado na terapia ocupacional(Sociedade Brasileira de Ortopedia e Traumatologia, 2011-01-01) Papp, Márcia Regina [UNIFESP]; Souza, Regyane Costa [UNIFESP]; Lima, Simone Maria Puresa Fonseca [UNIFESP]; Matsumoto, Marcelo Hide [UNIFESP]; Chamliam, Therezinha Rosane; Santos, João Baptista Gomes dos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Lar Escola São Francisco Centro de ReabilitaçãoOBJECTIVE: The objective of this study was to evaluate upper limb function and quality of life of patients who have suffered from traumatic elbow lesion, submitted to surgical treatment and rehabilitation. METHODS: Through a transversal study, 22 patients diagnosed with traumatic elbow lesion, treated surgically by the UNIFESP Shoulder and Elbow Surgery Group and rehabilitated at Lar Escola São Francisco, Occupational Therapy division, Hand and Upper Limb Therapy service, were evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) and SF-36 Short-Form questionnaires. Results: The average DASH score was 31.36. The average result of the SF-36 domains was 60.32, for functional capacity; 27.05 for the physical aspect; 59.19, for pain; 66.99 for general health; 59.95 for vitality; 73.75 for the social aspect; 38.18 for the emotional aspect and 62.43 for mental health. The results of the DASH were not statistically significant. CONCLUSION: Patients with elbow traumatic lesion are capable of carrying out daily activities, but show some level of reduced function of the damaged limb and impaired quality of life. Level of Evidence V, Therapeutic Studies investigating the results of treatment.
- ItemAcesso aberto (Open Access)Diagnóstico e tratamento da epicondilite lateral do cotovelo no Brasil. Estudo transversal(Universidade Federal de São Paulo (UNIFESP), 2021) Lazarini, Rafael Fuchs [UNIFESP]; Tamaoki, Marcel Jun Sugawara [UNIFESP]; Universidade Federal de São PauloPurpose: Lateral epicondylitis (LE) or tennis elbow is the most common elbow painful condition. There are various possibilities described in the literature, without evidence to support a gold standard management. Objective: To evaluate how the Brazilian orthopedist diagnoses and treats lateral epicondylitis. Methods: This is a cross-sectional study. A questionnaire has been prepared for information to the participants at three major Brazilian congresses of orthopedists in 2018, with eight specific questions about diagnosis and treatment. The results were analyzed in accordance with the overall number of responses, and were evaluated among three groups according to subspecialty. Results: We obtained a total of 468 valid questionnaires. For diagnosis, 24.4% have not initially requested any imaging method. The most requested exam was ultrasonography (54.9%). A non-surgical treatment was indicated for all the with great variability between their recommendations. For refractory cases, 78.3% of the respondents prefer doing a local infiltration. with corticosteroids (89.6%). Of the total respondents, 12.8% do not recommend surgical treatment for LE, and 75,8% of who does, indicate open techniques. Conclusion: Most orthopedists begin the treatment of lateral epicondylitis with the use of non-steroidal anti-inflammatory drugs, physical therapy, and an indication of rest, but there is great variability between their recommendations. The use of corticosteroids for infiltration remains the main choice among Brazilian orthopedists. Most of participants prefer the open technique for surgical treatment.
- ItemAcesso aberto (Open Access)Lesões do membro superior no esporte(Sociedade Brasileira de Ortopedia e Traumatologia, 2010-01-01) Silva, Rogerio Teixeira da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Sports injuries of the upper limbs are very common in physical activities, and need to be studied in detail, taking into consideration specific aspects of the types of sports practiced. Special attention should be paid to the dynamics of the shoulder girdle and scapular belt, as this will enable us to treat athletes more adequately, also helping prevent recurrences that can occur in some cases, due to the fact that the athlete always attempts to return to their pre-injury level of sport. This review focuses primarily on the management of upper limb tendon sports injuries, from the physiopathology through to the more common new methods of treatment in sports practice in our country.
- ItemSomente MetadadadosModelo de órtese de cotovelo para reabilitação de rigidez articular(Universidade Federal de São Paulo (UNIFESP), 2021) Cavalcanti, Alisson Martins Granja [UNIFESP]; Oliveira Filho, Renato Santos de [UNIFESP]; Universidade Federal de São PauloIntroduction: Joint stiffness is the most common complication in elbow injuries and may have several etiologies and pathophysiological mechanisms, affecting treatment and prognosis. The measures for prevention and treatment of joint contracture are based on the cause of stiffness, and early intervention should modify the course of this complication, bringing better results; Such methods may be conservative or surgical, isolated or combined, depending on each individual situation. Objective: To develop a device for use by patients in rehabilitation of elbow injuries. Method: The development of the device was approached through "Design Thinking", divided into four phases: "Discover", "Define", "Develop" and "Deliver". In the “Discover” phase, interviews were conducted with patients with elbow joint stiffness and professionals about the problem. Literature review and search for anteriority data collection was performed. In the “Define” stage, the anomaly to be included in the study was determined. In the stage “Develop”, search was held for ideas and prototypes and models. Brainstorming” meetings on the topic were scheduled. In the “Deliver” stage, adjustments and refinements and prototype production were performed, as well as testing for improvements and corrections to the project. Results: In the "Discover" phase, collected questionnaire responses from patients. In the "Define" phase, it was established that joint stiffness was the complaint to be treated. In the “Develop” phase, answers were collected from the questionnaires of the professional groups and “brainstorming” was performed among these collaborators. In the "Deliver" phase, a virtual orthotic model was created ready for three-dimensional printing. Conclusion: A prototype device was developed for individualized use and management, molded to each patient, to be used in the rehabilitation of elbow joint injuri.
- ItemAcesso aberto (Open Access)Resultados da artroplastia total do cotovelo Bi-Contact®: estudo multicêntrico(Sociedade Brasileira de Ortopedia e Traumatologia, 2011-10-01) Benegas, Eduardo; Malavolta, Eduardo Angeli; Gracitelli, Mauro Emilio Conforto; Sousa, Augusto Tadeu Barros De; Miyazaki, Alberto Naoki; Fregoneze, Marcelo; Ikemoto, Roberto Yukio; Murachovsky, Joel; Matsumoto, Marcelo Hide [UNIFESP]; Tamaoki, Marcel Jun Sugawara [UNIFESP]; Ferreira Neto, Arnaldo Amado; Universidade de São Paulo (USP); Instituto Dr. José Frota Serviço de Ortopedia e Traumatologia; Santa Casa de Misericórdia de São Paulo - Pavilhão Fernandinho Simonsen Departamento de Ortopedia e Traumatologia Grupo de Ombro e Cotovelo; Faculdade de Medicina do ABC Grupo de Ombro e Cotovelo; Hospital Estadual do Ipiranga; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To describe the initial experience of four orthopedic clinics from using Bi-Contact® total elbow arthroplasty (TEA), reporting the results and complications of the procedure. METHODS: This was a retrospective study, through analysis on the medical records of patients who underwent primary TEA using a prosthesis model developed in conjunction with IOT-HCFMUSP. Forty-six elbows (45 patients) that were operated at four orthopedic clinics between 2000 and 2009 were evaluated. RESULTS: The majority of the patients were female (74%), and the median age was 62.5 years. The diagnoses encountered were trauma sequelae (47.83%), rheumatoid arthritis (32.61%), primary osteoarthrosis (8.7%), acute fractures (6.52%) and heterotopic ossification (2.17%). The median length of follow-up was 2.08 years (0.25-9). The procedure significantly alleviated pain and improved range of motion. It was observed that at least one complication was present in 69.57% of the cases, and the main ones were infection (28.26%), need for revision (28.26%), intraoperative fracture (15.22%) and aseptic loosening (15.22%). CONCLUSION: Bi-Contact® TEA provided significant alleviation of pain and improvement of range of motion in the present series. The complication rate was high, and the most frequently observed complications were infection, aseptic loosening and intraoperative fracture.
- ItemSomente MetadadadosUltrasound characteristics of gouty tophi in the olecranon bursa and evaluation of their reproducibility(Elsevier B.V., 2012-02-01) Fernandes, Eloy de Avila [UNIFESP]; Lopes, Matheus G. [UNIFESP]; Mitraud, Sônia de Aguiar Vilela [UNIFESP]; Ferrari, Antonio Jose Lopes [UNIFESP]; Fernandes, Artur da Rocha Correa [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objectives: To describe the ultrasound characteristics of gouty tophi in the olecranon bursa and to evaluate their reproducibility.Methods: A prospective study of the ultrasound features of 35 sites of tophi nodulations in the elbows of 31 men (mean 54.6 years). the findings were evaluated dynamically following pre-established standards. the static images were evaluated by another radiologist and were reviewed by the first examiner.Results: the most frequent characteristics of tophi are: hyperechogenicity (91.7%), poorly defined contours (88.6%), multiple grouped nodules (85.6%) and heterogeneity (68.6%). Intra-observer agreement is almost perfect for echogenicity (K = 1.0), moderate for the involvement of the olecranon bursa (K = 0.47) and fair for other characteristics. Inter-observer agreement is substantial for the echogenicity (K = 0.65), fair for the echotexture (K = 0.27) and the presence of a perilesional hypoechoic halo (K = 0.34) and slight for other characteristics.Conclusions: the most frequent characteristic of tophi is hyperechogenicity. the intra-observer and inter-observer concordance for echogenicity are almost perfect and substantial, respectively. Knowledge of characteristics of the tophi in the elbow and their intra and inter-observer reproducibility may assist in establishing parameters for monitoring treatment and setting up criteria for differential diagnosis of processes involving the olecraneon bursa. (C) 2010 Elsevier Ireland Ltd. All rights reserved.