To identify the mean normal length of the metatarsals and the most common metatarsal formulas through a simple measurement method, thereby providing surgeons with data for planning treatment on symptomatic individuals with biometric abnormalities of the foot. Methods: We evaluated and measured dorsoplantar weight-bearing radiographs of normal adult feet (83 males and 83 females). Results: We found relative mean lengths for metatarsus I of 125.4 mm for males and 115.1 mm for females; for metatarsus II, 127.8 mm for males and 117.3 mm for females; for metatarsus III, 123.4 mm for males and 113.5 mm for females; for metatarsus IV, 114.2 mm for males and 105.3 mm for females; for metatarsus V, 99.5 mm for males and 91.7 mm for females. The mean forefoot width was 87.1 mm for males and 80.8 mm for females. Conclusion: Feet with index minus occurred most frequently in both sexes, although all three metatarsal formulas can be considered to be normal patterns. The mean normal pattern for males and females respectively was the following: metatarsus I 2.4 mm and 2.2 mm shorter than metatarsus II; metatarsus III 4.4 mm and 3.8 mm shorter than metatarsus II; metatarsus IV 9.2 mm and 8.2 mm shorter than metatarsus III; metatarsus V 14.7 mm and 13.6 mm shorter than metatarsus IV.
Introduction: The spine is the most frequent area of bone metastasis in patients with systemic neoplastic disease. The goal of its treatment is immediate decompression, in order to prevent deterioration or reverse the deficit in neurological function. Objective: To analyze the characteristics of the scientific literature on the effectiveness of surgery associated with radiotherapy to improve the neurological deficit caused by metastatic spinal cord compression. Methods: Descriptive study based on bibliometric and scientometric methods. Using both, it is possible to qualify, verify and give meaning to the data and have, as a result, a broad study about the productions of the theme in question. Articles published in the National Library of Medicine (Pubmed), Web of Science and Virtual Health Library (VHL) were used, searched using keywords obtained from the Descriptors in Health Sciences (DeCS), of the VHL. Results: The searches resulted in 131 articles. After filtering by reading titles, 100 articles were selected for reading the abstract. At the end of the collection, 15 articles were selected. Of these, the year of publication was distributed every two years for analysis, with a significant growth in 2015 and 2016. As for the origin of the studies, 60% (n = 9) had data collection developed in China, Japan or the United States of America. Regarding the gender of the sample, 57.14% of them contained the predominantly or totally male sample and 42.85% female. Regarding the histological type of tumor, there was a wide variation between studies. In some of them, the sample contained different groups of tumor diagnosis. Conclusion: The combination of surgery with postoperative radiotherapy proved to be effective and more efficient than these alone for the treatment of patients affected by metastatic neurological compression.
Objective: To identify the mean normal length of the metatarsals and the most common metatarsal formulas through a simple measurement method, thereby providing surgeons with data for planning treatment on symptomatic individuals with biometric abnormalities of the foot. Methods: We evaluated and measured dorsoplantar weight-bearing radiographs of normal adult feet (83 males and 83 females). Results: We found relative mean lengths for metatarsus I of 125.4 mm for males and 115.1 mm for females; for metatarsus II, 127.8 mm for males and 117. 105.3 mm for females; for metatarsus V, 99.5 mm for males and 91.7 mm for females. The mean forefoot width was 87.1 mm for males and 80.8 mm for females. Conclusion: Feet with index minus occurred most frequently in both sexes, although all three metatarsal formulas can be considered to be normal patterns. The mean normal pattern for males and females respectively was the following: metatarsus I 2.4 mm and 2.2 mm shorter than metatarsus II; metatarsus III 4.4 mm and 3.8 mm shorter than metatarsus II; metatarsus IV 9.2 mm and 8.2 mm shorter than metatarsus III; metatarsus V 14.7 mm and 13.6 mm shorter than metatarsus IV.
Objectives:To compare the clinical outcomes and quality of life of patients surgically treated for lumbar spinal stenosis with decompression and posterolateral fusion, and decompression with interbody fusion.Methods:The study included 88 patients with lumbar canal stenosis who underwent surgery treatment (decompression and interbody fusion in 36 patients and decompression and posterolateral fusion [PL] in 52 patients). The clinical outcomes were assessed using the Oswestry Disability Index (ODI), Roland-Morris (RM) functional disability scale, and visual analog scale (VAS) for pain. These questionnaires were administered preoperatively and 1 month, 6 months, 1 year, and 2 years postoperatively.Results:Eighty-eight patients had surgery 2 years prior. The ODI and RM scale scores showed significant differences in the posterolateral group. In the interbody group, the ODI score showed a significant change only from before to 1 and 2 years after surgery. The VAS score significantly changed only from before to after surgery in the posterolateral group, but in the interbody group, the change was also observed at 1 month and 1 year after surgery.Conclusions:The two techniques are effective surgical treatment options for lumbar canal stenosis as long as they are well indicated. Level of evidence III, Comparative prospective case-control study.
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