ObjectiveClinical and functional assessment of the surgical treatment for acute injury of the distal insertion of the biceps brachial performed with a surgical technique using a single incision in proximal forearm and fixation with suture anchors in the radial tuberosity.MethodsThis study reviewed the medical records of patients who underwent surgical treatment of distal biceps injury during the period between January 2008 and July 2014. In a mean follow-up of 12 months, 22 patients with complete and acute injury, diagnosed through physical examination and imaging studies, were functionally assessed in the postoperative period regarding the range of motion (degrees of flexion-extension and pronation–supination), the presence of pain (VAS), the Andrews Carson-score, and the Mayo Elbow Performance Score (MEPS).ResultsDuring the postoperative follow-up assessment, no patient reported pain by VAS scale; all were satisfied with the esthetic appearance of the surgery. The range of articular movement remained unchanged at 95.4% of patients, with the loss of 8° of supination in one patient. No changes in muscle strength were observed. The results of the Andrews-Carson score were good in 4.6% and excellent in 95.4% of cases; the MEPS presented 100% of excellent results. The rate of complications was 27.2%, similar to the literature.ConclusionSurgical repair of acute injury of the distal biceps trough a single incision in the proximal forearm and fixation with two suture anchors in the radial tuberosity is an effective and safe therapeutic option, allowing early motion and good functional results.

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De finalidade inteiramente prática, foi pensado para quem procura se aprofundar nos conhecimentos sobre bombas de insulina. Todo o conteúdo, revisto e atualizado com os últimos recursos tecnológicos para a devida aplicação das bombas de insulina, abrange os seus diferentes tipos, programação, atendimento emergencial, orientação nutricional, higienização, atividade física e diversas outras situações, todas detalhadas por uma equipe reconhecida nacionalmente no tratamento do diabetes tipo 1.

RESUMOPara avaliar a influência da introdução da sacarose no controle glicêmi-co, dez adolescentes com diabetes tipo 1 foram acompanhados durante oito meses. Inicialmente, receberam orientação individualizada sobre dieta, automonitorização da glicemia, ajuste da dose de insulina e, a partir do quarto mês, iniciou-se a introdução de alimentos com sacarose, através da técnica de contagem de gramas de carboidratos, no lanche vespertino. O colesterol total e triglicérides foram dosados no início e no final do estudo e a hemoglobina A1C no início, após quatro meses sem e após quatro meses com consumo de sacarose. Todos os participantes apresentaram desenvolvimento puberal e crescimento adequados; dois possuíam sobrepeso e os demais eram eutróficos. A freqüência da automonitorização diminuiu após quatro meses de acompanhamento (p< 0,001). Os valores de colesterol total e triglicérides estiveram dentro da normalidade e os valores da A1C diminuíram durante o seguimento (p= 0,027). Conclusão: o consumo de alimentos com sacarose, utilizando a técnica de contagem de gramas de carboidratos, não comprometeu o controle metabólico dos adolescentes com diabetes tipo 1. To evaluate the influence of sucrose intake in the glycemic control, ten adolescents with type 1 diabetes were followed during eight months. Initially, they received personalized orientation on diet, self monitoring blood glucose and insulin dose adjustment; after four months, all patients introduced sucrose in their afternoon meals, throught the method of carbohydrate counting. Total cholesterol and triglycerides levels were measured in the beginning and in the final of the study. Hemoglobin A1C levels were measured in the beginning, after four months without and after four months with intake of foods with sucrose. All patients showed adequate pubertal development and growth; two had overweight and the others were eutrophic. After four mounths of follow up, the frequency of self monitoring blood glucose was reduced (p< 0.001). Total cholesterol and triglycerides values were in the normal range and A1C values decreased during the observed period (p= 0.027). Conclusion: the consumption of foods with sucrose, using the technique of carbohydrate counting, did not affect the metabolic control of adolescents with type 1 diabetes.