Lumbar hernia is a rare condition whose diagnosis is hardly achieved. The prevalence is higher in elderly men. The present case report describes the case of a male, 78-year-old patient who underwent pleural effusion drainage 17 years before presenting with clinical manifestations and tomographic findings compatible with acquired secondary Grynfeltt's hernia. Keywords: Lumbar hernia; Grynfeltt's hernia; Superior lumbar hernia.A hérnia lombar é um diagnóstico infrequente e difícil. É mais prevalente em pessoas do sexo masculino e de idade avançada. Relatamos o caso de um paciente de 79 anos de idade, do sexo masculino, que realizou drenagem de derrame pleural há 17 anos e que apresentou quadro clínico e tomográfico de hérnia lombar adquirida secundária do tipo Grynfeltt. Unitermos: Hérnia lombar; Hérnia de Grynfeltt; Hérnia lombar superior.
AbstractResumo
OBJECTIVE: To evaluate the efficacy of a new method of provisional preoperative imobilization for patientes with transtrochanteric femoral fractures. METHODS: Over a three-month period, 33 patients were treated at the Orthopaedic Trauma Service for transtrochanteric femoral fracture. We selected 22 patients and they were divided into groups with and without the use of the developed imobilization. The patients were evaluated according to the Visual Analogue Scale for Pain (VAS) during the preoperative and postoperative period in order to verify the analgesic consume and clinical complications. RESULTS: The group that used the imobilization had lower pain, reduced analgesic consume and had less clinical complications. CONCLUSION: The new imobilization therefore presents good results, however not statistical significant. Level of Evidence II, Prospective Comparative Study.
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