Acta Ortopedica Brasileira最新文献_第7页

ANEURYSMAL BONE CYST: A CASE SERIES OF AN AGGRESSIVE BENIGN TUMOR. 动脉瘤性骨囊肿：恶性肿瘤系列1例。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-02-13 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e283136

Caio Falk Giannotti, Nathalia Sundin Palmeira de Oliveira, Jairo Greco Garcia, Marcelo de Toledo Petrilli, Dan Carai Maia Viola, Reynaldo Jesus Garcia

{"title":"ANEURYSMAL BONE CYST: A CASE SERIES OF AN AGGRESSIVE BENIGN TUMOR.","authors":"Caio Falk Giannotti, Nathalia Sundin Palmeira de Oliveira, Jairo Greco Garcia, Marcelo de Toledo Petrilli, Dan Carai Maia Viola, Reynaldo Jesus Garcia","doi":"10.1590/1413-785220263401e283136","DOIUrl":"10.1590/1413-785220263401e283136","url":null,"abstract":"Objective: The Aneurysmal Bone Cyst (ABC) is a benign yet aggressive bone tumor. This study aimed to evaluate sex, age, tumor location, tumor size, type of treatment (surgical, infiltration, embolization), and recurrence.Methods: Descriptive and quantitative statistical analyses were applied. The prevalence ratio and 95% confidence interval were calculated for the association between recurrence and sex, age, tumor size, Capanna's classification, and treatment type.Results: Twenty-three cases of ABCs were included, eleven (47.8%) females and twelve (52.2%) males. The mean age of treated patients was 11.2±1.8 years. Most cysts were located in the lower limbs (56.5%). The mean follow-up time was 42.8±14.01 months. The mean cyst diameter at the beginning of treatment was 5.58± 1.04 cm; of these, 17.4% were up to 3 cm, 43.5% from 3.1 to 6 cm, and 39.1% over 6 cm. Regarding initial treatment, 6 (26%) patients received infiltration, and in total 20 (86.9%) underwent surgery with bone grafting. The overall recurrence rate was 30.4%. No association was identified between recurrence and the variables studied (p ≥ 0.05). The epidemiological data obtained are consistent with pediatric cohorts reported in the literature.Conclusion: All evaluated methods are suitable for treating aneurysmal bone cysts. Level of Evidence IV; Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e283136"},"PeriodicalIF":0.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ANALYSIS OF SHOULDER ROTATOR TRAINING BY ARM WRESTLERS. 扳手腕运动员肩转肌训练分析。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-02-13 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e296294

Luiz Leopoldo Silva Gonzaga, Mauro Alexandre Pascoa, Paulo Roberto Moreira, André Luís Lugnani de Andrade, Maurício Etchebehere

{"title":"ANALYSIS OF SHOULDER ROTATOR TRAINING BY ARM WRESTLERS.","authors":"Luiz Leopoldo Silva Gonzaga, Mauro Alexandre Pascoa, Paulo Roberto Moreira, André Luís Lugnani de Andrade, Maurício Etchebehere","doi":"10.1590/1413-785220263401e296294","DOIUrl":"10.1590/1413-785220263401e296294","url":null,"abstract":"Introduction: Armwrestling is officially recognized in 160 countries affiliated with the World Armwrestling Federation. The movements involve the upper limbs, with emphasis on shoulder rotators, elbow flexors and extensors, and wrist.Objective: To evaluate the balance of agonist/antagonist forces in shoulder rotation and to verify differences in relation to the normative value of 64% for strength and 66% for power in the ratio between internal and external rotators.Methods: Seventeen international-level athletes were selected. A Biodex isokinetic dynamometer was used to evaluate the balance in peak torque of agonists and antagonists in shoulder rotation with strength and power tests.Results: Significant differences were found in the agonist/antagonist ratio in the power tests, with an average of 57% (P-value = 0.001) versus 66% of the normative value, and in the strength test, 58% (P-value = 0.064) versus 64% of the normative value.Discussion: The muscular strength and power of the subjects were analyzed in relation to normative parameters for internal and external shoulder rotation. The results were significant in relation to the normative values, indicating muscular imbalance in this group of athletes.Conclusion: The results indicate that the training performed by armwrestlers promotes a greater gain in strength of the internal rotators of the shoulder than their antagonists. Level of Evidence I; Diagnostic criteria previously tested on consecutive patients (with a universally applied \"gold standard\").","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e296294"},"PeriodicalIF":0.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PREVALENCE OF PALMARIS LONGUS TENDON AGENESIS IN A POPULATION OF MEDICAL STUDENTS. 医学生掌长肌腱发育不全的患病率。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-02-13 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e297925

Paola Dias Tagliacozzo, Camila Cassillo, Julio Cesar Gali, Wallace Rodrigo Dantas, Leonardo Goya Machado, Edie Benedito Caetano

{"title":"PREVALENCE OF PALMARIS LONGUS TENDON AGENESIS IN A POPULATION OF MEDICAL STUDENTS.","authors":"Paola Dias Tagliacozzo, Camila Cassillo, Julio Cesar Gali, Wallace Rodrigo Dantas, Leonardo Goya Machado, Edie Benedito Caetano","doi":"10.1590/1413-785220263401e297925","DOIUrl":"10.1590/1413-785220263401e297925","url":null,"abstract":"Objective: To assess the prevalence of palmaris longus (PL) tendon agenesis in a population of medical students.Methods: The presence of the palmaris longus tendon was evaluated using Schaeffer's test, applied bilaterally in 100 medical students, totaling 200 evaluated antimeres. The data were analyzed for unilateral or bilateral presence of the tendon, in relation to gender, laterality (right or left), and the occurrence of agenesis.Results: Agenesis of the palmaris longus tendon was observed in 32 out of 200 evaluated antimeres (16%). Among female participants, agenesis was identified in 21 antimeres (21%), whereas in males it was observed in 11 antimeres (11%). Tendon absence was more frequent in the left upper limb, regardless of gender.Conclusion: The prevalence of palmaris longus tendon agenesis in the studied sample was 16%, with a higher frequency among females. Tendon absence was more common on the left side in both genders. Level of Evidence IV; Case series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e297925"},"PeriodicalIF":0.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HUMERAL SHAFT NONUNION. RETROSPECTIVE STUDY OF SEVERAL SURGICAL TECHNIQUES. 肱骨不连。几种手术技术的回顾性研究。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-02-13 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e296589

Victor Nagib Queiroz Balech, Rodrigo Emmanuel Leimig Telles Parente, Enzo Baldas Skuk, Ralph Walter Christian, José Octavio Soares Hungria, Caio Zamboni

{"title":"HUMERAL SHAFT NONUNION. RETROSPECTIVE STUDY OF SEVERAL SURGICAL TECHNIQUES.","authors":"Victor Nagib Queiroz Balech, Rodrigo Emmanuel Leimig Telles Parente, Enzo Baldas Skuk, Ralph Walter Christian, José Octavio Soares Hungria, Caio Zamboni","doi":"10.1590/1413-785220263401e296589","DOIUrl":"10.1590/1413-785220263401e296589","url":null,"abstract":"Objective: To evaluate demographic aspects, risk factors, trauma mechanisms, and therapeutic outcomes in humeral shaft nonunion.Methods: Retrospective analyzing of 14 patients treated between 2011 and 2024 at a quaternary hospital. Evaluating Demographic data, fracture characteristics, treatments, and outcomes were descriptively assessed.Results: The average patient's age was 51 years. Half of the patients were involved in domestic accidents, and half in traffic accidents. 58% of fractures occurred in the middle third of the shaft, and 93% were classified as atrophic nonunions. Healing failure was linked to lack of bone contact, implant loosening, and infection. After definitive treatment, 71% achieved union, 21% remained in nonunion. Bone grafting combined with compression was associated with superior outcomes.Conclusion: Trauma mechanism, AO classification, and comorbidities were not significant predictors of healing. Grafting associated with compression was crucial for union achievement. Level of Evidence IV; Case series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e296589"},"PeriodicalIF":0.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EVALUATION OF A DECADE OF ONCOLOGICAL-ORTHOPEDIC PROCEDURES IN BRAZIL (2015-2024) AND THE IMPACT OF COVID-19. 巴西肿瘤骨科手术十年（2015-2024）及covid-19影响的评估

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e297250

Alex Guedes, Olavo Pires de Camargo, Ediriomar Peixoto Matos, Mario Castro Carreiro, Felype Figueiredo Rios, Antônio Henrique Santos Guimarães, Kleber Antas Meyer, Nayara Fulgêncio Leite de Lima, Bruno Garcia Barreto, Enilton de Santana Ribeiro de Mattos, César Romero Antunes, Eduardo Silva Reis Barreto

{"title":"EVALUATION OF A DECADE OF ONCOLOGICAL-ORTHOPEDIC PROCEDURES IN BRAZIL (2015-2024) AND THE IMPACT OF COVID-19.","authors":"Alex Guedes, Olavo Pires de Camargo, Ediriomar Peixoto Matos, Mario Castro Carreiro, Felype Figueiredo Rios, Antônio Henrique Santos Guimarães, Kleber Antas Meyer, Nayara Fulgêncio Leite de Lima, Bruno Garcia Barreto, Enilton de Santana Ribeiro de Mattos, César Romero Antunes, Eduardo Silva Reis Barreto","doi":"10.1590/1413-785220253303e297250","DOIUrl":"10.1590/1413-785220253303e297250","url":null,"abstract":"Objective: To evaluate the regional distribution of hospital admission authorizations (AIH), total and average hospitalization cost (AHC), average length of stay, number of deaths and mortality rate related to oncological-orthopedic procedures funded by the Unified Health System (SUS) between 2015 and 2024, with an emphasis on the impact of the COVID-19 pandemic.Methods: Ecological study with time series based on data obtained from the SUS Hospital Information System, analyzed by Brazilian regions in the pre-pandemic, pandemic and post-pandemic periods. Regional differences were calculated using ANOVA or Kruskal-Wallis. The impact of the pandemic was analyzed using T-tests and ARIMA with intervention. Statistical analysis was performed in R.Results: 9,120 AIHs were recorded, mostly in the Southeast (4,375) and South (2,252) regions. Multiple regional variations were found for all the variables evaluated. Only the AHC was impacted - there was an increase in costs per procedure; The other variables maintained the trend after the beginning of the pandemic.Conclusions: Despite the increase in the AHC, we did not observe significant variation in the number of AIH, ALS, and MR when analyzing the pre-pandemic and pandemic periods, suggesting that there was no direct impact on the performance of the analyzed procedure. Level of Evidence III; Retrospective f comparative study e.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe3","pages":"e297250"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PREVALENCE OF INJURIES IN PROFESSIONAL FOOTVOLLEY ATHLETES. 职业足球运动员受伤的发生率。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e290454

Maria Eduarda Dequi Diniz, Lucas Melo Neves

{"title":"PREVALENCE OF INJURIES IN PROFESSIONAL FOOTVOLLEY ATHLETES.","authors":"Maria Eduarda Dequi Diniz, Lucas Melo Neves","doi":"10.1590/1413-785220253303e290454","DOIUrl":"10.1590/1413-785220253303e290454","url":null,"abstract":"Objective: Footvolley is a sport that have been gaining popularity, however, the literature on injuries in this modality is very scarce. Thus, this study aimed to describe the most common locations and types of injuries in professional footvolley athletes and compare the prevalence between male (M) and female (F).Methods: Observational, cross-sectional study, including the highest-ranked professional athletes in Brazil in the year 2023. The interviews took place during the national professional footvolley championship stages and included questions about sample characteristics, training history and routine, and injuries suffered throughout their career.Results: A total of 56 athletes, 36 F (26±5 years; 9±4 years of practice), and 20 F (28±6 years; 7±3 years of practice). Of this total, 95% reported some injury caused by playing footvolley, with knee injuries being the most prevalent (M/F=48%; M=44%; F=55%), and muscle pain (myalgia) being the most prevalent type (M/F=38%; M=39%; F=35%; p>0.05). M presented significant differences about M regarding the site of the injury (foot: M=6%; F=25%; p=0.035) and type of injury (intense nonspecific pain: M=28%; F=5%; p=0.040).Conclusion: Elite footvolley athletes in Brazil presented a high prevalence of injuries, with the most common injuries being in the knees. Level of Evidence IV; Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe3","pages":"e290454"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CONGENITAL ANOMALIES OF THE UPPER LIMBS IN A UNIVERSITY CENTER: A CROSS-SECTIONAL STUDY. 一所大学中心的上肢先天性畸形：横断面研究。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e292550

Danilo José Leite Gomes, Rodrigo Guerra Sabongi, Vinicius Ynoe de Moraes, Luis Renato Nakachima, João Carlos Belloti, Flavio Faloppa

{"title":"CONGENITAL ANOMALIES OF THE UPPER LIMBS IN A UNIVERSITY CENTER: A CROSS-SECTIONAL STUDY.","authors":"Danilo José Leite Gomes, Rodrigo Guerra Sabongi, Vinicius Ynoe de Moraes, Luis Renato Nakachima, João Carlos Belloti, Flavio Faloppa","doi":"10.1590/1413-785220253303e292550","DOIUrl":"10.1590/1413-785220253303e292550","url":null,"abstract":"Objective: To identify the prevalence and characteristics of CAULs treated at a university center, aiming to improve epidemiological understanding and management of these conditions.Methods: Study carried out at the Hand Surgery and Microsurgery Service of Hospital São Paulo, UNIFESP, between January 2014 and February 2023. The sample included 296 patients diagnosed with CAULs, whose data were obtained from medical records. Information on sex, type of anomaly, age at first consultation, laterality, time until surgery, number of procedures and consultations were collected. Descriptive statistical analyses and association tests were performed, considering a significance level of 0.05.Results: It was observed that 61.15% of the patients were from São Paulo, with a higher prevalence of syndactyly (20.3%), followed by preaxial polydactyly (17.9%) and camptodactyly (11.5%). The majority (35.1%) presented bilateral involvement. Conservative treatment was used in 50% of the cases, while surgical intervention, often the only one (34.46%), was necessary in the others.Conclusion: This study provides an overview of CAULs, with findings that reinforce the predominance of anomalies such as syndactyly and the importance of individualized treatment strategies. Level of Evidence II; Retrospective f Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe3","pages":"e292550"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

RETURN TO WORK AFTER CARPAL TUNNEL RELEASE SURGERY. 腕管松解手术后重返工作岗位。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e292278

Renata Gabriela Pereira Cunha Pontes, Anderson Clayton Cardeal, Mariana Avelino Dos Santos, Luís Guilherme Rosifini Alves Rezende, Nilton Mazzer, Edgard Eduard Engel

{"title":"RETURN TO WORK AFTER CARPAL TUNNEL RELEASE SURGERY.","authors":"Renata Gabriela Pereira Cunha Pontes, Anderson Clayton Cardeal, Mariana Avelino Dos Santos, Luís Guilherme Rosifini Alves Rezende, Nilton Mazzer, Edgard Eduard Engel","doi":"10.1590/1413-785220253303e292278","DOIUrl":"10.1590/1413-785220253303e292278","url":null,"abstract":"Objective: To clarify whether work-related factors influence the return to work after CTS surgery.Methods: Descriptive observational study that included 56 patients who underwent CTS surgery. The variables studied were profession, employment status, time off work after surgery, reason for returning to work, stress level, leave granted by the National Institute of Social Security (INSS), change in job function, and level of work effort.Results: The average time to return to work was 39.8 days (SD: 22.3). Self-employed individuals returned to work 6.5 days (SD: 22.3) earlier than salaried employees with a formal contract, who returned in 43.8 days (SD: 23.9; p=0.49). Most patients were on leave granted by the INSS, with an average of 47.8 days (SD: 23; p=0.003). Patients who had surgery on their left upper limb returned to work one week earlier than those who had surgery on their right (p=0.025).Conclusion: Coverage by INSS are associated with a delay of approximately two weeks in return to work compared to patients without this coverage. Level of Evidence II; Retrospective f Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe3","pages":"e292278"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ARTHROSCOPIC LATARJET WITH CORTICAL BUTTONS: CLINICAL AND RADIOLOGICAL OUTCOMES. 关节镜下带皮质钮扣的latarjet：临床和放射学结果。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e293793

Alexandre Tadeu do Nascimento, Caio Santos Checchia, Jorge Henrique Assunção, Mauro Emilio Conforto Gracitelli, Fernando Brandão de Andrade E Silva, Robson Massi Bastos, Arnaldo Amado Ferreira, Eduardo Angeli Malavolta

{"title":"ARTHROSCOPIC LATARJET WITH CORTICAL BUTTONS: CLINICAL AND RADIOLOGICAL OUTCOMES.","authors":"Alexandre Tadeu do Nascimento, Caio Santos Checchia, Jorge Henrique Assunção, Mauro Emilio Conforto Gracitelli, Fernando Brandão de Andrade E Silva, Robson Massi Bastos, Arnaldo Amado Ferreira, Eduardo Angeli Malavolta","doi":"10.1590/1413-785220253303e293793","DOIUrl":"10.1590/1413-785220253303e293793","url":null,"abstract":"Objective: To evaluate clinical and radiological outcomes of the arthroscopic Latarjet procedure with cortical buttons for traumatic anterior shoulder instability.Methods: Retrospective case series of medical reports and imaging studies of patients operated between April 2016 and September 2019 at a single hospital. Primary outcome was the Rowe score 24 months after surgery (MCID of 9.7 points). Secondary outcomes were the VAS, Rowe scores at other follow-up points, recurrence of instability, complications and tomographic evaluation of arthritis and graft healing, resorption and positioning.Results: 46 shoulders were evaluated. At 24 months, mean Rowe score increased from 34.4 ± 11.4 to 90.1 ± 12.2 (p<0.001) and VAS from 6.1 ± 2.0 to 1.2 ± 1.9 (p<0.001). Every patient achieved MCID. Over 90% of grafts were well positioned and approximately 85% of them healed. There was no redislocation and only one (2.2%) subluxation. There were complications in six patients (13%), and no reoperation was needed.Conclusion: At short-term, arthroscopic Latarjet procedure with cortical buttons provides good clinical outcomes, significant pain reduction and low recurrence rate. Graft healing and positioning were adequate. Complications were minor, with no reoperation needed. Level of Evidence IV; Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe3","pages":"e293793"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

THE EFFECTS OF ROCKER SOLE ON RUNNING KINEMATICS AND WEIGHT-BEARING COMPUTED TOMOGRAPHY: A 3D ANALYSIS STUDY. 摇臂底对跑步运动学和负重计算机断层扫描的影响：一项三维分析研究。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e292733

Rafael Barban Sposeto, Alexandre Leme Godoy-Santos, Albert DaCosta, Leonardo Metsavaht, Gustavo Leporace, Eric Ferkel, Cesar de Cesar Netto

{"title":"THE EFFECTS OF ROCKER SOLE ON RUNNING KINEMATICS AND WEIGHT-BEARING COMPUTED TOMOGRAPHY: A 3D ANALYSIS STUDY.","authors":"Rafael Barban Sposeto, Alexandre Leme Godoy-Santos, Albert DaCosta, Leonardo Metsavaht, Gustavo Leporace, Eric Ferkel, Cesar de Cesar Netto","doi":"10.1590/1413-785220253303e292733","DOIUrl":"10.1590/1413-785220253303e292733","url":null,"abstract":"Rocker sole footwear can be indicated as a treatment for forefoot load distribution disorders, such as diabetic ulcers, metatarsalgia, and hallux rigidus, among others, with favorable clinical outcomes. Pressure analysis studies on rocker sole footwear highlight results that explain their clinical benefits for forefoot conditions. There is insufficient data in the literature to understand the changes in foot mobility and anatomy caused by rocker sole footwear. This study proposes a methodology using weight-bearing computed tomography (WBCT) to evaluate the anatomical alterations in the forefoot associated with rocker sole footwear. The goal is to investigate morphological changes in the forefoot that explain the clinically established kinetic and kinematic effects of such footwear. Biomechanical analysis potentially enhances the understanding of kinetic and kinematic findings without the bias of rocker sole position or magnitude changes. Level of Evidence V; Expert Opinion.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe3","pages":"e292733"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0