Revista médica del Instituto Mexicano del Seguro Social最新文献_第3页

[Hipersensibility to red tattoo ink, review of a case]. [对红色纹身墨水敏感，案例回顾]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-07-31 DOI: 10.5281/zenodo.8200559

Bárbara Isamara Rojo-Rodríguez, Blanca Elena Verazaluce-Rodríguez, Samira Viridiana Alcalá-Adame, José de Jesús Vargas-Montes, Yesica Guadalupe Barboza-García, Daniel Pascual-Jiménez

{"title":"[Hipersensibility to red tattoo ink, review of a case].","authors":"Bárbara Isamara Rojo-Rodríguez, Blanca Elena Verazaluce-Rodríguez, Samira Viridiana Alcalá-Adame, José de Jesús Vargas-Montes, Yesica Guadalupe Barboza-García, Daniel Pascual-Jiménez","doi":"10.5281/zenodo.8200559","DOIUrl":"https://doi.org/10.5281/zenodo.8200559","url":null,"abstract":"Introduction: The hypersensitivity reaction associated with tattoo ink and its management represent a growing challenge, despite having precedents in diagnostic and treatment experience in other reports or case series in recent decades, no one has been found homogeneous offer that is effective and safe. Therefore, a review is presented with what has been described in pathophysiological theories, as well as therapeutic proposals and the response found in related cases that have been reported to date.Clinical case: 30-year-old male, with dermatosis located on the right upper extremity, affecting the inner side of the forearm and the outer side of the arm, unilateral, asymmetric, monomorphic in appearance, made up of an artificial macula, caused by red ink (tattoo), with development of papular-like lesions in original trace, pruritic, referred evolution time of one month. Tattoo completion time of 5 and 2 years on the outer side of the right arm and inner side of the ipsilateral forearm, respectively.Conclusions: According to antecedents in other reports and case series, including the experience of our patient, there is no proven efficacy with the use of topical immunomodulators, in turn, patients who shows complete improvement until the elimination of the allergen, either from excisional or laser.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 4","pages":"509-515"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/4a/04435117-61-4-516.PMC10484541.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Academic satisfaction in residents of the north zone, Mexico City]. [墨西哥城北区居民学术满意度调查]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-07-31 DOI: 10.5281/zenodo.8200319

Víctor Manuel Camarillo-Nava, Miriam Ramirez-Cortez, Dánae Pérez-López, José Elpidio Andrade-Pineda, Sandra Hernández-Cid de León, Elizabeth López-Rojas

{"title":"[Academic satisfaction in residents of the north zone, Mexico City].","authors":"Víctor Manuel Camarillo-Nava, Miriam Ramirez-Cortez, Dánae Pérez-López, José Elpidio Andrade-Pineda, Sandra Hernández-Cid de León, Elizabeth López-Rojas","doi":"10.5281/zenodo.8200319","DOIUrl":"https://doi.org/10.5281/zenodo.8200319","url":null,"abstract":"Background: Resident academic satisfaction has been linked to academic performance and quality of care.Objective: To analyze the perception of academic satisfaction in medical residents of the North Decentralized Administrative Operation Body 2 of the Instituto Mexicano del Seguro Social (IMSS), north of Mexico City.Material and methods: Cross-sectional analytical study. A total of 346 resident physicians of different specialties and academic degrees were found, enrolled in the residence halls in the northern zone of the IMSS, Mexico City from January to February 2022. The dependent variable was the level of academic satisfaction. Descriptive and inferential statistics and p ≤ 0.05 were produced for statistical significance.Results: The level of high satisfaction was 80.6% and the level of poor or low satisfaction was 1.7%. The dimension most affected in the negative bases was that of \"Perception of teaching\" in which 13% of the doctors surveyed refer to the need for some retraining of teachers. The best qualified dimension was \"Perception of the role of autonomies\" where 35.3% have an excellent perception of their personal work. The highest degree of satisfaction decreased during the second year.Conclusion: There is a high degree of satisfaction among resident doctors, however it is necessary to work to improve satisfaction in the remaining 20%.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 4","pages":"457-465"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/ef/04435117-61-4-457.PMC10484548.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Rapunzel syndrome: Radiological diagnosis]. [长发公主综合征:影像学诊断]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-07-31 DOI: 10.5281/zenodo.8200619

Yhessica Yhazmin Lara-Zavala, Inés Álvarez-Ciaca, Álvaro José Montiel-Jarquin, Nancy Rosalía Bertado-Ramírez, Arturo García-Galicia, Gisela Alonso-Torres

{"title":"[Rapunzel syndrome: Radiological diagnosis].","authors":"Yhessica Yhazmin Lara-Zavala, Inés Álvarez-Ciaca, Álvaro José Montiel-Jarquin, Nancy Rosalía Bertado-Ramírez, Arturo García-Galicia, Gisela Alonso-Torres","doi":"10.5281/zenodo.8200619","DOIUrl":"https://doi.org/10.5281/zenodo.8200619","url":null,"abstract":"Background: Rapunzel syndrome is a rare presentation of trichobezoar, secondary to the ingestion of hair known as trichophagia. This bezoar has been found mainly in women, it invades the stomach and extends to the small intestine. Clinically, patients present weight loss and chronic obstructive symptoms at the intestinal level. A case of Rapunzel syndrome is presented.Clinical case: A 13-year-old female presented with a weight loss of 10kg in two months, chronic constipation, predominantly nocturnal vomiting, and abdominal pain of seven days' duration. Physical examination revealed decreased peristalsis and a palpable mass in the epigastrium. Laboratories taken on admission: normal blood count, kidney function tests, and liver function tests. The abdominal X-ray showed opacity in the fundus, body and gastric antrum, the abdominal ultrasound showed non-specific findings in the epigastrium, later an abdominal tomography was performed with a swallow of water-soluble contrast medium and showed occupation in the gastric lumen. She underwent exploratory laparotomy and the finding was a trichobezoar in the stomach with extension to the duodenum and part of the jejunum, which was removed without complications. The evolution of the patient was favorable.Conclusions: For the diagnosis of Rapunzel Syndrome, the use of contrast imaging studies is necessary, and the treatment of choice is surgical.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 4","pages":"539-542"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Intertwined long COVID theories to explain its etiopathogenesis]. [交织的长 COVID 理论解释其病因发病机制]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

Luis Del Carpio-Orantes, Andrés Aguilar-Silva

引用次数: 0

[Ultrasound-accelerated thrombolysis. Initial experience in patients with contraindications to systemic thrombolysis]. [Ultrasound-accelerated溶栓。全身性溶栓禁忌症患者的初步经验。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

Gustavo Inzunza-Cervantes, Daniel Velarde-Pérez, José Hernando Saldaña-García, Gabriela Espinoza-Escobar, Felipe de Jesús Velázquez-Mejía

{"title":"[Ultrasound-accelerated thrombolysis. Initial experience in patients with contraindications to systemic thrombolysis].","authors":"Gustavo Inzunza-Cervantes, Daniel Velarde-Pérez, José Hernando Saldaña-García, Gabriela Espinoza-Escobar, Felipe de Jesús Velázquez-Mejía","doi":"","DOIUrl":"","url":null,"abstract":"Background: acute pulmonary embolism (APE) is a complex and potentially deadly entity, with a variable clinical course, considered the third cardiovascular cause of death. Its management varies according to the stratified risk from anticoagulation to reperfusion therapy, suggesting systemic thrombolysis as a first-choice strategy; however, in a large group of patients their use will be contraindicated, discouraged or will have failed, thus recommending as options in such cases endovascular therapies or surgical embolectomy. With the presentation of 3 clinical cases and a review of the literature, we seek to communicate our initial experience in the use of ultrasound-accelerated thrombolysis with the EKOS system and to investigate key elements for its understanding and application.Clinical cases: the cases of 3 patients with APE of high and intermediate risk with contraindications for systemic thrombolysis taken to accelerated thrombolysis therapy by ultrasound are discussed. They presented adequate clinical and hemodynamic evolution in the short term, achieving a rapid decrease in thrombolysis, systolic and mean pulmonary arterial pressure, improvement of right ventricular function and reduction of thrombotic burden.Conclusion: Ultrasound-accelerated thrombolysis is a novel pharmaco-mechanical therapy that combines the emission of ultrasonic waves with the infusion of a local thrombolytic agent, a strategy that, according to different trials and clinical registries, has a high success rate and a good safety profile.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 3","pages":"370-379"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/96/e3/04435117-61-3-370.PMC10437234.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10043520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Motives for occasional and excessive alcohol consumption in Mexican high-school adolescents]. [墨西哥高中青少年偶尔和过度饮酒的动机]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

Ferran Padrós-Blázquez, Víctor Santos Acosta-Madueño

{"title":"[Motives for occasional and excessive alcohol consumption in Mexican high-school adolescents].","authors":"Ferran Padrós-Blázquez, Víctor Santos Acosta-Madueño","doi":"","DOIUrl":"","url":null,"abstract":"Background: In Mexico, alcohol consumption in adolescents has increased and the reasons why adolescents do that have hardly been studied. Likewise, studies on the possible differences in the reasons for consumption among adolescents who consume alcohol occasionally and excessively are scarce at the international level.Objective: To examine the reasons for consuming alcohol in adolescents, and to study if these differ depending on whether the consumption is occasional or excessive.Material and methods: The DMQ-R-SF (Drinking Motives Questionnaire Revised-Short-Form) and AUDIT (Alcohol Use Disorders Identification Test) scales were administered to Mexican adolescents from 4 schools (one middle-school and 3 high schools) who had ever consumed alcohol.Results: The sample consisted of 307 adolescents (mean 16.17 ± SD = 1.24), out of which 174 (56.7%) were female. It was observed that the most frequently mentioned reason was social, followed by improvement and coping, with conformity being the least recognized. In the results extracted from the multiple regression analyses, it was observed that alcohol consumption in the total sample is explained by three of the four reasons. However, occasional consumption is explained by the social and improvement reasons, but excessive consumption is only explained by coping with aversive experiences.Conclusions: These results suggest that it is very useful to detect those adolescents who consume as a way of coping, and offer them adaptive regulation strategies against anxiety and depression.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 3","pages":"321-326"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/03/27/04435117-61-3-321.PMC10437232.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Epidemiological characterization of COVID-2019 in Mexican pregnant women: a cohort study]. [墨西哥孕妇COVID-2019的流行病学特征:一项队列研究]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

María Guadalupe Berumen-Lechuga, Carlos José Molina-Pérez, Luis Rey García-Cortés, José Esteban Muñoz-Medina, Martín Rosas-Peralta, María de Los Ángeles Dichi-Romero, Yazmín Jocelyn Julián-Hernández, Alan Suresh Vázquez-Rasposo, Silvia Palomo-Piñón

{"title":"[Epidemiological characterization of COVID-2019 in Mexican pregnant women: a cohort study].","authors":"María Guadalupe Berumen-Lechuga, Carlos José Molina-Pérez, Luis Rey García-Cortés, José Esteban Muñoz-Medina, Martín Rosas-Peralta, María de Los Ángeles Dichi-Romero, Yazmín Jocelyn Julián-Hernández, Alan Suresh Vázquez-Rasposo, Silvia Palomo-Piñón","doi":"","DOIUrl":"","url":null,"abstract":"Background: COVID-19 in pregnancy can increase the risk of complications due to the cardiorespiratory and immunological changes typical of pregnancy.Objective: To report the epidemiological characterization of COVID-19 in Mexican pregnant women.Material and methods: Cohort study on pregnant women with a positive COVID-19 test, which were followed until delivery and one month later.Results: 758 pregnant women were included in the analysis. Mothers' mean age was 28.8 ± 6.1 years; the majority were workers 497 (65.6%) and with an urban origin (482, 63.6%); the most common blood group was O with 458 (63.0%); 478 (63.0%) were nulliparous women and more than 25% had some comorbidities; the average gestation weeks at infection were 34.4 ± 5.1 weeks; only 170 pregnant women (22.4%) received vaccination; the most frequent vaccine was BioNTech Pfizer (96, 60%); there were no serious adverse events attributed to vaccination. The mean gestational age at delivery was 35.4 ± 5.2 weeks; 85% of pregnancies were cesarean section; the most frequent complication was prematurity (406, 53.5%), followed by preeclampsia (199, 26.2%); there were 5 cases of maternal death and 39 cases of perinatal death.Conclusions: COVID-19 in pregnancy increases the risk of preterm birth, preeclampsia, and maternal death. Vaccination against COVID-19 in this series showed no risk for pregnant women and their newborns.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 3","pages":"314-320"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/13/04435117-61-3-314.PMC10437228.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10043521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Acute coronary syndrome provoked by a coronary intramural hematoma]. [由冠状动脉壁内血肿引起的急性冠状动脉综合征]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

Gonzalo Israel Gutiérrez-Díaz, Arturo David Buenrostro-Jiménez, Roberto Rojas-Castillo, Víctor Amador-Avendaño, Alma Yaneth Jaime-Zúñiga, Anahí de Jesús Zambada-Gamboa, Manuel Alejandro Velázquez-García, Diego Armando Gudiño-Amezcua

{"title":"[Acute coronary syndrome provoked by a coronary intramural hematoma].","authors":"Gonzalo Israel Gutiérrez-Díaz, Arturo David Buenrostro-Jiménez, Roberto Rojas-Castillo, Víctor Amador-Avendaño, Alma Yaneth Jaime-Zúñiga, Anahí de Jesús Zambada-Gamboa, Manuel Alejandro Velázquez-García, Diego Armando Gudiño-Amezcua","doi":"","DOIUrl":"","url":null,"abstract":"Background: Intramural coronary hematoma (ICH) is an unusual cause of acute coronary syndrome, and it represents a diagnostic challenge, especially in young patients in which it is not considered among the differential causes of acute myocardial ischemia.Clinical case: 40-year-old female, with type 2 diabetes and no other cardiovascular risk factors, who assisted to the Emergency Room with chest pain. In her first evaluation, electrocardiographic abnormalities, and troponin I elevation were found. A cardiac catheterization was performed, in which a proximal obstruction of the left anterior descending artery was observed, and then an optical coherence tomography (OCT) confirmed the presence of an ICH without a dissection flap. A stent was implanted in the obstruction area, with adequate angiographic outcome. The patient had a satisfactory evolution and was discharged to home without evidence of systolic dysfunction and is free of cardiovascular symptoms at 6-month follow-up.Conclusions: ICH must be considered within the differential diagnosis of acute myocardial ischemia in young patients, especially females. Intravascular image diagnosis is essential for the adequate diagnosis and treatment. Treatment must be individualized considering the extent of ischemia.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 3","pages":"380-385"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9d/43/04435117-61-3-380.PMC10437236.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10043522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Remitting seronegative symetrical synovitis with pitting edema. One case report]. 缓解血清阴性对称性滑膜炎伴凹陷性水肿。[1例报告]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

Rafael Rubén Pimentel-León, Margarita García-Chávez, Iliana Nelly Chávez-Sánchez

{"title":"[Remitting seronegative symetrical synovitis with pitting edema. One case report].","authors":"Rafael Rubén Pimentel-León, Margarita García-Chávez, Iliana Nelly Chávez-Sánchez","doi":"","DOIUrl":"","url":null,"abstract":"Background: RS3PE (remitting seronegative symmetrical synovitis with edema and pitting) is a rare entity of unknown etiology that has been related to genetic predisposition due to the presence of HLA-A2 in 50% of cases and less frequently HLA-B7. Its pathogenesis is unknown, but it has been related to growth factors, and some mediators (TNF, IL-6). It is common in elderly people and the course of this illness presents with acute symmetrical polyarthritis, accompanied by edema in hands and feet. The diagnosis requires a high index of suspicion and to differentiate it from other entities such as rheumatoid arthritis, complex regional pain syndrome, rheumatic polymyalgia, in addition to ruling out malignant neoplasms, since there are many reports of its association with both solid and hematological neoplasms, being of bad prognosis when there is association. When there is no association with cancer, it responds well to the use of low doses of steroids and its prognosis is usually favorable.Clinical case: 80-year-old woman with an acute onset with polyarthralgia, functional limitation associated with pitting edema in hands and feet. After approaching the patient and ruling out associated neoplasms, it was diagnosed RS3PE. It was managed with prednisone, observing a good response, with remission of the manifestations at 6 weeks and subsequent suspension of the steroid.Conclusions: RS3PE is a rare entity, and a high index of suspicion is required for the diagnosis. A complete approach is important to rule out cancer in patients affected with this syndrome. Prednisone continues to be the best therapeutic option.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 3","pages":"363-369"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/4c/04435117-61-3-363.PMC10437230.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10043526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Factors associated with functionality in patients with closed ankle fracture]. [闭合性踝关节骨折患者的功能相关因素]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

Daniel Martínez-Barro, Perla Karina Escalante-Montes, Nallely Contreras-Del Carmen, Claudia Stephane Cortes-Aguirre, Diana Peralta-Ildefonso, Hermelinda Hernández-Amaro, David Rojano-Mejía

{"title":"[Factors associated with functionality in patients with closed ankle fracture].","authors":"Daniel Martínez-Barro, Perla Karina Escalante-Montes, Nallely Contreras-Del Carmen, Claudia Stephane Cortes-Aguirre, Diana Peralta-Ildefonso, Hermelinda Hernández-Amaro, David Rojano-Mejía","doi":"","DOIUrl":"","url":null,"abstract":"Background: Ankle fractures are among the most frequent fractures in the lower limb, predominantly affecting young people and representing approximately 9% of all fractures.Objective: To identify the factors associated with functionality in patients with closed ankle fracture.Material and methods: Observational and retrospective study. Records of people with a diagnosis of ankle fractures admitted to rehabilitation between January to December 2020 in a Physical Medicine and Rehabilitation Unit of a third level hospital were included. Age, sex, body mass index (BMI), days of disability, mechanism of injury, type of treatment, length of stay in rehabilitation, type of fracture and functionality were captured. Chi-squared and Student's t test were used to determine the association. Subsequently a multivariate analysis with binary logistic regression was performed.Results: The average age of the subjects was 44.8 years, the female sex was presented in 54.7%, the average BMI was 28.8%, 66% carried out a paid work activity, 65% received surgical treatment, the average time of disability was 140 days, the factors associated with functionality independently were age, pain, dorsiflexion and plantar flexion upon admission to rehabilitation.Conclusions: Ankle fractures occur in a young population and the factors associated with functionality were age, dorsiflexion, plantar flexion, and pain upon admission to rehabilitation.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 3","pages":"283-288"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/bf/04435117-61-3-283.PMC10437224.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10034473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0