Objective: To outline the epidemiological profile and prognosis for Ewing's sarcoma in the Brazilian population. Material and Methods: The medical records of 64 patients with intraosseous Ewing's sarcoma who were treated at the Pediatric Oncology Institute, IOP-GRAACC-Unifesp, between 1995 and 2010, were retrospectively evaluated. Results: The statistical analysis on the data obtained did not correlate factors such as sex, trauma, pathological fracture and time taken for case diagnosis with the treatment outcome. Factors such as initial metastasis, lung metastasis, tumor site, age, recurrence and type of surgery showed results corroborating what has been established in the literature. Conclusion: The prognosis in cases of Ewing's sarcoma was mainly influenced by the presence of metastases at the time of diagnosis.
Objetivo: Confirmar a importância terapêutica da artroscopia do quadril em atletas cuja dor impede a função desportiva da articulação do quadril, sendo capaz de minimizá-la a ponto de ajudar o retorno à atividade esportiva em níveis satisfatórios. Métodos: Foram analisados 49 pacientes que praticam esporte (51 quadris), submetidos à artroscopia do quadril que apresentavam dor e incapacidade para a prática esportiva. O seguimento mínimo foi de 12 meses e o máximo de 74 meses (média de 39,0 meses). No período pré-operatório avaliou-se a localização da dor, sua intensidade segundo a Escala de Expressão Facial (EEF) e o grau de incapacidade utilizando-se o critério de Harris Hip Score modificado (HHS). Anotaram-se diferentes diagnósticos que levaram à indicação da artroscopia, como impacto femoroacetabular, lesão do lábio acetabular não secundária ao impacto femoroacetabular e outros. No período pós-operatório, os pacientes foram avaliados pelos mesmos métodos do período pré-operatório e pela análise subjetiva de retorno ao esporte. Resultados: Baseando-se no HHS e EEF pré e pós-operatórios, a análise estatística mostrou significância entre os valores. Observou-se alguma melhora em todos os casos e retorno ao esporte, de forma satisfatória, na maioria deles. Conclusão: Diante do que foi estudado, confirmamos que a artroscopia em atletas com lesões localizadas no quadril é técnica eficaz, capaz de promover o retorno à prática esportiva na maioria dos casos, sem dor e com função articular efetiva, desde que bem indicada.
ObjectiveTo perform a retrospective radiographic assessment of the reduction and implant position in the femoral head in patients with pertrochanteric fractures treated with cephalomedullary nailing in the lateral position versus traction table.MethodsRadiographs of patients with pertrochanteric fracture of the femur treated with cephalomedullary nailing in the lateral position and traction table were retrospectively evaluated. For the evaluation we used the anteroposterior radiographic view of the pelvis and the lateral view of the affected side. The cervicodiaphyseal angle, the tip-apex distance (TAD), and the spatial position of the cephalic component in the head were measured. Two patient groups were created, one group operated on the traction table and another group operated in the lateral position.ResultsRegarding the cervicodiaphyseal angle observed in the traction table group, the results of 11 patients (61.1%) were outside the acceptable parameters proposed in the present study. Both groups were equivalent regarding TAD and the position of the cephalic component in the head.ConclusionA difference in the cervicodiaphyseal angle was observed; the group operated on the traction table had 11 patients (61.1%) whose measurements were outside the acceptable parameters.
To confirm the therapeutic importance of hip arthroplasty in athletes whose pain precludes sportive function of the hip joint, being able to minimize it to the extent of helping on the return of sports practice at satisfactory levels. Methods: 49 athlete patients (51 hips) submitted to hip arthroscopy complaining of pain and inability to practice sports were assessed. Follow-up time ranged from 12 to 74 months (mean: 39.0 months). Preoperatively, pain site, severity according to Facial Expression Scale (FES) and the degree of disability using the modified Harris Hip Score (HHS) were assessed. Different diagnoses were provided, which led to the indication of arthroscopy, such as femoralacetabular impact, acetabular lip injury not secondary to femoral-acetabular impact, etc. Postoperatively, the patients were assessed by using the same methods as used at baseline and by the subjective analysis of return to sports activities. Results: Based on pre-and postoperative HHS and FES, the statistical analysis showed significance between values. We found some improvement in all cases and return to sports activities at a satisfactory level in most of the cases. Conclusion: As a result of our study, we confirm that arthroscopy in athletes with local hip injuries is an effective technique, able to promote the return to sports practice in most of the cases, without pain, and with an effective joint function, provided well indicated.
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