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Background and Objectives: Latarjet is among the procedures indicated to treat shoulder instability, producing excellent results, including low instability rates and high patient satisfaction. The aim of this study was to report the characteristics of scientific articles that address the subject of the Latarjet procedure through the use of bibliometric analysis. Materials and Methods: Bibliographic searches were performed for original articles published in journals indexed by the Web of Science database until 2021, with no language restrictions. Results: A total of 668 articles published in 87 journals were included. The first publication was in 1981; the most registered publications were in 2018 and 2021 (89 articles), with an annual percentage growth rate of 11.9. Provencher MT was the author with the most published articles, and the institutional affiliation with the most original articles was the Steadman Philippon Research Institute. The most cited article was a study by Burkhart and Beer, and the scientific journal with the most publications on the subject was the Journal of Shoulder and Elbow Surgery. Most published studies included keywords such as dislocation, instability, and meta-analysis. Conclusion: There has been a sustained increase in original articles on the Latarjet procedure. However, the greatest growth in articles has occurred during the last decade, demonstrating the considerable interest among the world scientific community.
Assuntos
Instabilidade Articular , Articulação do Ombro , Bibliometria , Bases de Dados Factuais , Humanos , IdiomaRESUMO
BACKGROUND: The accessory head of the flexor pollicis longus (AHFPL) has an oblique trajectory from medial to lateral aspect of the forearm below the flexor digitorum superficialis muscle and then joins the flexor pollicis longus muscle. When the anterior interosseous nerve (AIN) courses underneath the muscle belly of the AHFPL an entrapment neuropathy may occur, known as anterior interosseous nerve syndrome (AINS). MATERIALS AND METHODS: This descriptive cross-sectional study evaluated 106 fresh upper extremities. When the AHFPL was present, its fascicle was traced up to evaluate the origin site. The morphometric variables were measured using a digital micrometre (Mitutoyo, Japan). The relationship between the AHFLP and the AIN was evaluated. RESULTS: The AHFPL was found in 34 (32.1%) of the 106 forearms. The AHFPL arose from the flexor digitorum superficialis muscle in 16 (47.1%) forearms, the medial epicondyle of the humerus in 10 (29.4%) forearms and the coronoid process of ulna in 8 (23.5%) forearms. The average total length of the AHFPL was 94.11 ± ± 10.33 mm. The AIN was located lateral to the AHFPL in 3 (8.8%) forearms, posterolateral in 7 (20.6%) forearms and posterior in 24 (70.6%) forearms. CONCLUSIONS: This study performed in a South American population sample revealed a prevalence of the AHFPL in a lower range compared to previous studies in North Americans and Asians. The AIN coursed more frequently underneath the muscle belly of AHFPL. This finding has clinical significance in the onset of the AINS and the subsequent surgical procedure for the AIN decompression.
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Músculo Esquelético/anatomia & histologia , Animais , Membro Anterior/anatomia & histologia , Humanos , MasculinoRESUMO
PURPOSE: To provide an anatomical and morphometric basis for the femoral insertions of the posterior cruciate ligament (PCL) in order to aid in the creation of anatomical femoral tunnels in ligament surgical reconstruction. Study design: laboratory controlled study. MATERIAL AND METHODS: The macroscopic details of the femoral insertions of the PCL's anterolateral (AL) and posteromedial (PM) bundles were analyzed in 24 cadaver knees. The specimens were photographed with a digital camera and the images obtained were studied using the software ImageJ. The bundles' insertion areas were measured in square millimeters, and the length of the structures and the distances between significant points were measured in millimeters. RESULTS: The PCL's femoral insertion average total area was 87.29 ± 31.42 mm².The mean insertion's areas of the AL and PM bundles were, respectively, 47.13 ± 19.14 and 40.67 ± 16.19 mm². In 95.8% of the examined knees was verified the presence of the medial intercondylar ridge and in 83.3% of the knees was noted the medial bifurcated ridge. The average length of the medial intercondylar ridge was 20.54 ± 2.26 mm and the medial bifurcated ridge's average length was 7.62 ± 2.35 mm. CONCLUSIONS: The AL had a femoral insertion area larger than the PM bundle; these bundles' insertion areas were lower than those previously described in the literature. There were important individual variations related to the area of the bundles in the samples, suggesting that there should be an individual recommendation for anatomical reconstructions of the PCL with single or double femoral tunnels. .
Assuntos
Humanos , Fêmur/cirurgia , Procedimentos Ortopédicos , Ligamento Cruzado PosteriorRESUMO
PURPOSE: To provide an anatomical and morphometric basis for the femoral insertions of the posterior cruciate ligament (PCL) in order to aid in the creation of anatomical femoral tunnels in ligament surgical reconstruction. Study design: laboratory controlled study. MATERIAL AND METHODS: The macroscopic details of the femoral insertions of the PCL's anterolateral (AL) and posteromedial (PM) bundles were analyzed in 24 cadaver knees. The specimens were photographed with a digital camera and the images obtained were studied using the software ImageJ. The bundles' insertion areas were measured in square millimeters, and the length of the structures and the distances between significant points were measured in millimeters. RESULTS: The PCL's femoral insertion average total area was 87.29 ± 31.42 mm2. The mean insertion's areas of the AL and PM bundles were, respectively, 47.13 ± 19.14 and 40.67 ± 16.19 mm2. In 95.8% of the examined knees was verified the presence of the medial intercondylar ridge and in 83.3% of the knees was noted the medial bifurcated ridge. The average length of the medial intercondylar ridge was 20.54 ± 2.26 mm and the medial bifurcated ridge's average length was 7.62 ± 2.35 mm. CONCLUSIONS: The AL had a femoral insertion area larger than the PM bundle; these bundles' insertion areas were lower than those previously described in the literature. There were important individual variations related to the area of the bundles in the samples, suggesting that there should be an individual recommendation for anatomical reconstructions of the PCL with single or double femoral tunnels.
RESUMO
Estudo de coorte histórica sobre infecções do sítio cirúrgico decorrentes das 3.543 cirurgias de pacientes ortopédicos constantes nos registros de banco de dados do Serviço de Controle de Infecção Hospitalar de um hospital geral, público e de grande porte de Minas Gerais. Os objetivos foram determinar a taxa de incidência de infecção de sítio cirúrgico e o tempo de manifestação da infecção, verificar a associação entre infecção e fatores de risco e identificar os microrganismos prevalentes. Encontrou-se a incidência de infecção de sítio cirúrgico de 1,8%. As variáveis potencial de contaminação da ferida cirúrgica, condições clínicas do paciente (ASA), duração da cirurgia e tipo de procedimento mostraram-se estatisticamente associadas à ISC. O tempo médio de manifestação das infecções após a cirurgia foi de 96 dias. O microrganismo mais frequente foi o Staphylococcus aureus.
This is a historic cohort study on surgical site infection occurred in 3,543 operations in orthopaedic patients. The surgical interventions were registered in the database of the Nosocomial Infection Control System of a Public General Hospital in Minas Gerais. Its objectives were to determine the incidence rate of surgery site infection, to verify the association between surgical site infection and some risk factors, to identify the prevalent microorganisms as well as the time for the infection's symptoms manifestation. The incidence rate of surgical site infection was 1.8%. The potential surgery wound infection, the patient's clinical condition (ASA), the surgery duration and the type of procedure were the variables statistically associated with SSI. After surgery the average time to the manifestation of infection was 96 days. The prevalent microorganism was Staphylococcus aureus.
Estudio tipo cohorte histórica sobre las infecciones de la herida quirúrgica como consecuencia de la cirugía ortopédica de 3543 pacientes incluidos en los registros de base de datos del Departamento de Control de Infecciones de un hospital general público de Belo Horizonte, Minas Gerais. Los objetivos fueron determinar la incidencia de la infección del sitio quirúrgico, determinar la asociación entre la infección y factores de riesgo, determinar el momento de aparición de la infección e identificar los microorganismos más prevalentes. Se ha encontrado una incidencia de infección del sitio quirúrgico de 1,8%. Las variables: potencial de contaminación de la herida quirúrgica, las condiciones clínicas del paciente (ASA), tiempo quirúrgico y tipo de procedimiento fueron estadísticamente asociados con la ISC. La infección se manifiesta en un plazo promedio de 96 días después de la cirugía. El microorganismo más frecuentes fue el Staphylococcus aureus.