RESUMO
UNLABELLED: Epicondylitis is common in young patients and athletes. It is usually addressed with uneffective or very aggressive treatments. Due to the recurrence of the condition and the disability it causes its management is very demanding. METHODS: Five patients ages 30-45 years with diagnosis of epicondylitis were treated and followed-up. An outpatient procedure was performed under general anesthesia consisting of percutaneous release of the annular ligament and injection of 5cc of platelet rich plasma from the patient following the centrifugation of a blood sample. Following the injection the patient was referred to physical therapy and rehabilitation with a specific program consisting of isotonic exercises aimed at muscle strengthening. RESULTS: At the two-week follow-up, important subsidence of symptoms was reported, with full ranges of motion, intact muscle strength, and full resumption of daily life and sports activities. CONCLUSIONS: This alternative method is a good and not very invasive option for patients with epicondylitis, and it may help avoid surgical treatment. An appropriate rehabilitation program contributes to optimize the results and helps patients return sooner to their activities of daily living.
Assuntos
Plasma Rico em Plaquetas , Cotovelo de Tenista/terapia , Adulto , Humanos , Pessoa de Meia-Idade , Procedimentos Ortopédicos/métodos , Cotovelo de Tenista/cirurgiaRESUMO
UNLABELLED: An open fracture is one in which the bone segments penetrate into the skin leaving the bone in contact with the outer environment. Many microorganisms may cause wound infection in open fractures; the most common one is Staphyloccocus aureus. METHODS: This study included a group of 75 patients of both genders seen from November 1st, 2009 to April 30, 2010. A sample for culture was taken upon admission and incubated for 48 hours. RESULTS: A total of 75 patients were included, 62 males and 13 females. The age range was 18 to 83 years. The tibia and the fibula were the most commonly affected bones. The most common mechanisms of injury resulted from high energy. The most frequent grade of exposure was III B. Forty-six percent of the culture results were negative at 48 hours; the most frequent organisms found in the positive cultures were Staphylococcus aureus and Candida albicans. CONCLUSIONS: Males are the gender most affected by open fractures. This kind of condition occurs at productive ages. The time elapsed between the injury and the onset of treatment was significant. The culture results showed that the most frequent organism was Staphylococcus aureus, together with Candida albicans.
Assuntos
Fraturas Expostas/microbiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , México , Pessoa de Meia-Idade , Estudos Prospectivos , Adulto JovemRESUMO
We present the case of a child with a Gartland III humeral supracondylar fracture treated with a lateral external fixator and 1.6 mm Kirschner nails. The edema and postoperative pain subsided and the patient had early mobility, thus avoiding the use of cast immobilization. The patient was discharged with elbow mobility and no complications. Follow-up was conducted at weeks 1, 3, 6, 8, 12 and 16 with favorable results. The outcome was early mobility and the resulting shorter rehabilitation period, as well as better management of the skin and soft tissues, decreased muscle hypotrophy and appropriate healing.