Revista Colombiana de Ortopedia y Traumatología最新文献

{"title":"Subluxación rotatoria atloaxoidea o síndrome de Grisel. A propósito de un caso","authors":"Marta Molinedo Quílez,&nbsp;Amparo Fontestad Utrillas,&nbsp;Paúl Vicente Alonso de Armiño,&nbsp;Marta Sancho Rodrigo,&nbsp;Daniel Marín Puyalto,&nbsp;Iraia Berasategi Noriega","doi":"10.1016/j.rccot.2022.04.002","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.002","url":null,"abstract":"<div><p>Torticollis is an unilateral involuntary contracture of the sternocleidomastoid and posterior neck musculature that causes the head tilts to the one side. Multiple causes of torticolis have been described, one of them being the non-traumatic rotatory subluxation of the atlantoaxial joint associated with an inflammatory process in the head and neck region, called Grisel's syndrome.</p><p>Although most patients usually recover without sequels after medical treatment, there is the possibility of serious complications with functional deficits, that is why the importance of an early diagnosis and treatment of this potology.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 55-59"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisión narrativa: unidad de ortogeriatría, la propuesta para reducir los desenlaces adversos en adultos mayores con fracturas de cadera por fragilidad","authors":"Estephania Chacón-Valenzuela ,&nbsp;Carolina Muñoz-Muñetón ,&nbsp;Ana María Pardo-Amaya ,&nbsp;Sandra Milena Caicedo-Correa ,&nbsp;Diego Chavarro-Carvajal ,&nbsp;Efraín Leal-García","doi":"10.1016/j.rccot.2022.04.010","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.010","url":null,"abstract":"<div><h3>Introduction</h3><p>Hip fracture is a public health problem due to its association with high mortality rates at one year, functional decline and worsening of quality of life. A multidisciplinary approach improves outcomes for elderly patients with fragility fracture.</p></div><div><h3>Objective</h3><p>To carry out a narrative review to evaluate the evidence of orthogeriatric units as a strategy to reduce adverse outcomes in older adults with fragility hip fractures.</p></div><div><h3>Material and Methods</h3><p>A literature search was carried out in the following databases: PubMed, Cochrane and Scielo, with the terms: “hip fracture” or “fragility fracture” AND “multidisciplinary team” or “Geriatric co management” or AND “orthogeriatric” or “ortho-geriatric”.</p></div><div><h3>Results</h3><p>Care by orthogeriatrics reduces pre-operative surgical time, postoperative complications and hospital stay. Interdisciplinary assessment has been shown to be effective in reducing functional decline, in-hospital mortality, 30-day mortality, and the risk of institutionalization compared to other models of care. These factors impact on the optimization of resources, reducing health costs.</p></div><div><h3>Conclusion</h3><p>Orthogeriatric services are the ideal model to treat fragility fractures in older adults. In Colombia, more orthogeriatric units should be implemented to improve in-hospital care, create follow-up and rehabilitation programs.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 50-54"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluación funcional de la rodilla en reconstrucción del ligamento cruzado anterior al retorno al deporte: validación de la escala ACL-RSI modificada","authors":"Juan Herrera-Rodríguez ,&nbsp;Jorge Ortiz-Morales ,&nbsp;Richard Bastidas ,&nbsp;Jonathan Ambrosio-Alvear","doi":"10.1016/j.rccot.2022.04.003","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Reconstruction of the anterior cruciate ligament (ACL) can allow the athlete to return to the level prior to the injury, despite the success of the procedure, a high percentage does not achieve it due to physical and psychological factors. One of the most used methods for the subjective evaluation of knee functionality after resumption of physical activity is the ACL-RSI scale (Anterior Cruciate Ligament – Return to Sport injury).</p></div><div><h3>Objective</h3><p>To evaluate the functionality of the knee in the return to sport in patients with RLCA and to validate the modified ACL-RSI scale in athletes with recreational activity.</p></div><div><h3>Materials and methods</h3><p>Translation and re-translation of the modified ACL-RSI scale was performed, selected words on the scale were culturally adapted, and it was applied to 44 recreational athletes in the 9-month postoperative ACL with return to physical activity. performed descriptive analysis of the results, exploratory factorial analysis of the scale and application of Cronbach's alpha to assess the reliability of the scale.</p></div><div><h3>Results</h3><p>The mean age was 33.7 years. Cronbach's alpha obtained for the modified ACL-RSI scale was 0.928. The means of the answers show functional results between 4 and 6 on a scale of 10 in terms of physical and psychological factors related to RLCA, the worst result was related to jumping during sports activity (mean 4.1).</p></div><div><h3>Conclusions</h3><p>The modified, culturally adapted ACL-RSI scale is valid and applicable to assess knee function in RLCA on return to sport. The functional results of the RCLA show means less than 6 for all items, both physical and psychological.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 27-31"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medición de la pérdida ósea glenoidea y defecto de Hill-Sachs por resonancia magnética: estudio de correlación y concordancia con la medición por tomografía computarizada","authors":"Salvador José Gómez Bermúdez ,&nbsp;Andrés Julián Uribe Jimenez ,&nbsp;Jose Bareño Silva ,&nbsp;Mauricio Estrada Castrillón ,&nbsp;Juan Carlos Jaramillo Fernández","doi":"10.1016/j.rccot.2022.04.007","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The aim is to define whether the measurement of glenoid and Hill–Sachs defects by magnetic resonance imaging is equivalent to the measurement by simple tomography in patients with anterior shoulder instability.</p></div><div><h3>Materials and methods</h3><p>Descriptive, observational, cross-sectional study of a cohort of imaging studies of patients with a history of anterior shoulder dislocation, comprising magnetic resonance and simple tomography of the shoulder, performed in a fourth level hospital.</p></div><div><h3>Results</h3><p>The cohort consisted of 20 cases; a high and statistically significant correlation was found for the measurement of the glenoid diameter and defect, with a <em>p</em> <!-->&lt;<!--> <!-->0.05 between the MRI and simple tomography. In addition, the Hill–Sachs interval measurement was found to be statistically significant, but the correlation index was not high, 60%. For intraobserver agreement, a Kappa index was calculated for MRI of 0.8 compared to CT with <em>p</em>-value &lt;0.05 significant for engaging and non-engaging defects.</p></div><div><h3>Conclusion</h3><p>Simple MRI is a reliable imaging method with high correlation index for the measurement of diameter and glenoid defects with good agreement to establish whether Hill–Sachs defects are engaging or not.</p></div><div><h3>Level of Evidence</h3><p>Level III</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 9-15"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalencia de fracturas periprotésicas de fémur en una serie determinada de pacientes con reemplazo de cadera","authors":"Yesith F. Cristancho ,&nbsp;Angie K. Pacheco ,&nbsp;Anyi L. Páez ,&nbsp;Astrid N. Mariño ,&nbsp;Cesar M. González ,&nbsp;Jessica M. Alvarado ,&nbsp;Ledmar J. Vargas","doi":"10.1016/j.rccot.2022.04.009","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.009","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the prevalence of periprosthetic fractures in patients with a history of hip replacement admitted to an orthopedic service between 2010 and 2018.</p></div><div><h3>Materials and methods</h3><p>709 patients were seen, but only 15 patients had periprosthetic fractures.</p></div><div><h3>Results</h3><p>The prevalence of periprotic fractures was 2.1% (95% CI: 1.05; 3.17). The majority of cases occurred in females with a percentage of 53.3%, with an average age of 74.2 years. The main causes of periprotic fracture were hip trauma from falling from its own height. Only 12.12% presented some local or systemic complication.</p></div><div><h3>Conclusions</h3><p>The prevalence of periprosthetic fractures was less than 3%; this pathology depends on different factors that must be taken into account when performing surgical procedures.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 38-42"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinarity or transdisciplinarity","authors":"Juan Manuel Herrera-Arbelaez","doi":"10.1016/j.rccot.2022.01.002","DOIUrl":"10.1016/j.rccot.2022.01.002","url":null,"abstract":"","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"35 4","pages":"Page 302"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90425485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinariedad o transdiciplinariedad","authors":"Juan Manuel Herrera-Arbelaez","doi":"10.1016/j.rccot.2022.01.001","DOIUrl":"10.1016/j.rccot.2022.01.001","url":null,"abstract":"","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"35 4","pages":"Page 301"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88018758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recomendaciones de manejo del paciente con pie diabético. Curso de instrucción","authors":"Rodrigo Triana-Ricci ,&nbsp;Fermín Martinez-de-Jesús ,&nbsp;Maria Patricia Aragón-Carreño ,&nbsp;Rubén Saurral ,&nbsp;Carlos Andrés Tamayo-Acosta ,&nbsp;Melissa García-Puerta ,&nbsp;Pascual Vicente Bernal ,&nbsp;Keli Silva-Quiñonez ,&nbsp;Diego Felipe Feijo ,&nbsp;Claudia Reyes ,&nbsp;Juan Manuel Herrera-Arbeláez","doi":"10.1016/j.rccot.2021.12.001","DOIUrl":"10.1016/j.rccot.2021.12.001","url":null,"abstract":"<div><p>Diabetic foot is one of the most fatal outcomes for patients with diabetes; the importance of control in a disease that progresses until presenting important macroscopic changes in the lower limb is absolutely relevant. Along diabetes progression, the disease can lead to increased morbidity and invasive and limiting interventions for the patient, hence the importance of early and timely detection and intervention of the pathology by the medical team. These recommendations are addressed to general practitioners and specialized faculty in various medical branches, emphasizing how a comprehensive approach to the patient with diabetic foot should be carried out. Covering prevention, initial diagnosis, evaluation of the progression of the pathology, stratification with the proposed classifications, and finally the treatment according to the stage in which the patients are, is actually well described herein in order to minimize unsatisfactory outcomes, interventions and complications derived from the progression of diabetic foot. We are talking about recommendations and not guidelines due to the absence in a large number of opportunities of properly structured scientific evidence (I and II). Perhaps, the most important thing to emphasize in all these recommendations is to remind the reader that in cases of treating a diabetic foot, it should always be kept in mind that the contralateral foot is not healthy because it has also been subjected to the same disease, for the same period of time and stressed equally as well. Therefore, even if the contralateral foot does not have symptoms, it should be considered equally ill and should be examined and treated likewise.</p><p>Evidence level: IV.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"35 4","pages":"Pages 303-329"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87191294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management recommendations for diabetic foot patients. Instructional course","authors":"Rodrigo Triana-Ricci ,&nbsp;Fermín Martinez-de-Jesús ,&nbsp;Maria Patricia Aragón-Carreño ,&nbsp;Rubén Saurral ,&nbsp;Carlos Andrés Tamayo-Acosta ,&nbsp;Melissa García-Puerta ,&nbsp;Pascual Vicente Bernal ,&nbsp;Keli Silva-Quiñonez ,&nbsp;Diego Felipe Feijo ,&nbsp;Claudia Reyes ,&nbsp;Juan Manuel Herrera-Arbeláez","doi":"10.1016/j.rccot.2022.02.001","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.02.001","url":null,"abstract":"<div><p>Diabetic foot is one of the most fatal outcomes for patients with diabetes; the importance of control in a disease that progresses until presenting important macroscopic changes in the lower limb is absolutely relevant. Along diabetes progression, the disease can lead to increased morbidity and invasive and limiting interventions for the patient, hence the importance of early and timely detection and intervention of the pathology by the medical team. These recommendations are addressed to general practitioners and specialized faculty in various medical branches, emphasizing how a comprehensive approach to the patient with diabetic foot should be carried out. Covering prevention, initial diagnosis, evaluation of the progression of the pathology, stratification with the proposed classifications, and finally the treatment according to the stage in which the patients are, is actually well described herein in order to minimize unsatisfactory outcomes, interventions and complications derived from the progression of diabetic foot. We are talking about recommendations and not guidelines due to the absence in a large number of opportunities of properly structured scientific evidence (I and II). Perhaps, the most important thing to emphasize in all these recommendations is to remind the reader that in cases of treating a diabetic foot, it should always be kept in mind that the contralateral foot is not healthy because it has also been subjected to the same disease, for the same period of time and stressed equally as well. Therefore, even if the contralateral foot does not have symptoms, it should be considered equally ill and should be examined and treated likewise.</p><p>Evidence level: IV.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"35 4","pages":"Pages 330-357"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136850295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perfil clínico, epidemiológico y descripción de los resultados de la Tomografía ósea computarizada con emisión simple de fotones (SPECT) en pacientes con dolor de cuello y espalda. Estudio de cohorte transversal","authors":"Eloy Guillermo Barrios-Henao ,&nbsp;Emilio Gallego ,&nbsp;Alejandro Uribe ,&nbsp;Damián Martínez Soto ,&nbsp;Natalia Rodríguez","doi":"10.1016/j.rccot.2021.08.001","DOIUrl":"10.1016/j.rccot.2021.08.001","url":null,"abstract":"<div><h3>Background</h3><p>SPECT bone scan with is an important diagnostic tool in patients with neck and back pain. It is a functional test that anticipates structural changes in some spinal pathologies. Aim of study is to define the epidemiological profile of patients with chronic and/or subacute axial spine pain.</p></div><div><h3>Methods</h3><p>A retrospective descriptive study whose general objective is to present the clinical and sociodemographic characteristics, as well as the results of the SPECT scans of the patients who visited the Hospital in a period of time with a diagnosis of neck or back pain and were requested such an examination.</p></div><div><h3>Results</h3><p>Seventy-seven patients met the inclusion criteria. The median age was 48 years, 57.1% were men and 42.9% were women. Fifty-seven patients had a single location of pain (74%) and 20 patients had multiple location (26%), the affected segments were 57 lumbar (74%), cervical 15 (19.5%) and sacrum 1 (1.3%). The most common pre-examination diagnostic impression was facet disease in 25 cases for 32.5%. Regarding the SPECT results, the radiopharmaceutical captured on 48 occasions (62.3%) and the sites where it captured the radiopharmaceutical were distributed as follows: facets 13 (16.9%), vertebral body 28 (36.4%), pars interarticularis 3 (3.8%).), intervertebral disc 1 (1.3%), 3 (3.8%) captured in sites other than the spine. The diagnostic concordance index after SPECT occurred in 33 cases (42.85%).</p></div><div><h3>Discussion</h3><p>Most of the uptake scans were in the vertebral bodies, beneath the context of our hospital, as a trauma center, and that many of the patients had pain secondary to traffic accidents or work behavior accidents, they are correlated with micro-fractures or bone contusions. SPECT scintigraphy continues to be a functional test that can help us in the diagnosis, prognosis and therapeutic approach of patients with axial spinal pain in its different stages.</p></div><div><h3>Evidence Level</h3><p>III</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"35 3","pages":"Pages 236-243"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73140133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}