INTRODUÇÃO: Atualmente o desempenho esportivo tem se desenvolvido de forma rápida e concreta, exigindo, dessa forma, uma eficiente evolução das diferentes áreas das ciências do esporte, oferecendo o suporte cientifico necessário à continuidade desse fenômeno. OBJETIVO: O estudo em questão teve como objetivo desenvolver uma equação matemática preditora de idade óssea de jovens atletas, com base em variáveis antropométricas. MÉTODOS: Para se alcançar o resultado final foram medidas dobras cutâneas, perímetros corporais e diâmetros ósseos, idade cronológica e idade óssea. O tratamento estatístico utilizou a correlação entre as variáveis, a regressão linear múltipla com modelagem backward. RESULTADO: Se obteve como resultado final um modelo de equação que explica 75,4% da variação da idade óssea com r = 0,868 e R² = 0,754, utilizando idade cronológica, estatura, dobra tricipital, perímetro corrigido de braço e diâmetros de fêmur e úmero. CONCLUSÃO: Concluiu-se a partir dos resultados, que esse tipo de modelo revela valores aproximados aos observados através da radiografia de mão e punho, tornando-se importante na observação do estágio maturacional através de testes de fácil aplicabilidade por profissionais da área esportiva.

Calcinosis universalis is characterized by the deposit of calcium salts in skin, subcutaneous tissue, tendons and muscles. Most cases become apparent during the first decade of life. Clinical aspects may vary from arthralgia to movement limitation, with calcification of soft tissues. Differential diagnosis should exclude fibrodysplasia ossificans progressive, progressive osseous heterodysplasia, myositis ossificans and dermatopolymyositis. There is no specific treatment, but the use of calcium chelates (EDTA), biphosphonates (disodium etidronate) and steroids are mentioned. This paper presents a review of the literature and adds a new case of calcinosis universalis and its evolution in 28 months, describing laboratory and radiograph findings and suggesting the differential diagnosis among processes of soft tissue calcification.

Introduction This study aims to investigate the clinical-functional results of a new surgical technique, Percutaneous Endoscopic Lumbar Interbody Fusion (PELIF), in patients with a clinical diagnosis of low back or sciatic pain and segmental instability who were submitted to surgery using this technique assisted by the attending physician. Materials and methods Patients completed a consent form and were clinically and radiographically re-assessed by independent evaluators using the visual analog scale (VAS) for pain, the Oswestry Disability Index (ODI), and the SF-36 Quality of Life Score in the pre- and postoperative periods. Their medical records were also reviewed for surgical time, length of hospital stay, need for blood transfusion, return to work, and radiographic fusion evaluation. Results In the group of 19 patients with 33 levels operated, VAS and ODI decreased from 10.0 and 64% to 2.0 and 28%, respectively. The SF-36 showed significantly higher scores in 5 of its 7 domains at the end of the follow-up as compared to the preoperative period scores. Only 1 case of pseudoarthrosis was diagnosed radiographically. Conclusions Percutaneous Endoscopic Lumbar Interbody Fusion (PELIF) has been shown to be a safe and efficient technique for the treatment of patients with segmental instability associated with low back or sciatic pain. Level of Evidence VI; Therapeutic Study; Case Series.

Este estudo consiste na reavaliação ortopédica e psicossocial de crianças que sofreram fratura do fêmur até a idade dos três anos e objetiva a análise de suas causas prováveis e detecção de indícios de ocorrência de Síndrome de Maus Tratos. Trinta e cinco crianças menores de três anos de idade sofreram fratura diafisária de fêmur e foram atendidas no Pronto Socorro do Serviço de Ortopedia e Traumatologia da Santa Casa de São Paulo, no período de janeiro de 1996 a agosto de 2002, sendo que 18 compareceram para reavaliação. Como causa relatada das fraturas observamos: queda em 13 (72,2%) casos, queda de objetos sobre o membro em três (16,7%) e fratura no parto em dois (11,1%). Constatamos suspeita de Síndrome dos Maus Tratos em nove (maus tratos físicos em seis [33,3%] e negligência em três [16,7%]) casos, fratura patológica em quatro (22,2%), causa acidental em três (16,7%), e outras causas em dois (11,1%) casos. Maus tratos constituem uma importante causa a ser investigada nos casos de fratura do fêmur em crianças com menos de três anos de idade, sendo o provável mecanismo responsável por metade das fraturas aqui estudadas.

The degenerative spine changes, and its costs, have increased with high rates of work absenteeism and difficult clinical management. The search for minimally invasive treatments, with better results and early patients recover, with rapid hospital discharge are alternatives for these problems. The percutaneous endoscopic lumbar interbody fusion (PELIF) is a new and advanced option.

O objetivo deste estudo é analisar a evolução de crianças portadoras de fraturas diafisárias do fêmur tratadas conservadoramente, avaliando-se as complicações clínicas e radiográficas, as alterações emocionais e a estimativa dos custos desse tratamento. Foram avaliados 32 pacientes com idades entre seis e 16 anos, atendidos no período de janeiro de 1995 a agosto de 2001. Neste grupo seis eram do sexo feminino e 26 do sexo masculino, com média de idade de oito anos e cinco meses. Dezesseis pacientes foram reavaliados, com um tempo médio de seguimento de 42,2 meses. Nestes, foram observadas dez deformidades angulares e nove discrepâncias dos membros inferiores. Na avaliação psicológica, 15 referiram ansiedade e limitação da vida social durante o tratamento e dois perderam o ano letivo. Onze famílias relataram dificuldades para cuidar da criança, na fase domiciliar do tratamento. Na análise dos custos do tratamento com tração seguida por gesso foi 22,5% mais oneroso que o cirúrgico com hastes intramedulares flexíveis. Embora os resultados clínicos tenham sido satisfatórios, permitindo o rápido retorno às atividades normais, o tratamento incruento mostrou-se mais oneroso que outras formas de tratamento disponíveis e pode desencadear alterações emocionais na criança e para a família.

Background Intervertebral disc changes are a multi-factorial problem whose main clinical feature is pain. Studies show that when clinical treatments fail, the proposed surgical treatments frequently present unsatisfactory results. Traditional lumbar arthrodesis causes important clinical and functional changes that can result in complications and jeopardize the patients’ quality of life. Objectives This study aims to investigate the clinical and functional results of minimally invasive spine surgery in patients with a clinical diagnosis of low-back or sciatic pain and segmental instability, finally correlating these results with the patients’ return to work. Methods Patients signed an informed consent form and were clinical and radiographically re-evaluated by independent professionals in the pre- and postoperative periods. Evaluation methods used the Oswestry disability index, as well as visual analog scale and Medical Outcomes Short Form Health Survey (SF-36) scores. We also retrieved epidemiological data, information on work resumption, and bone consolidation evaluations from the medical records. Results We evaluated 19 patients who had been operated on 33 levels; visual analog scale and Oswestry disability index scores were initially reduced from 10% to 2% and from 64% to 28%, respectively. SF-36 scores were significantly higher in 5 of the 7 questionnaire scales at the end of the follow-up period. Most patients (68.4%) did not return to work after surgery; the others returned 2 to 67 months after the procedure. All patients received social security benefits after the surgery. Conclusion Although the procedure presented positive results, it did not result in a satisfactory return-to-work rate. Our results should be analyzed in view of the low educational level and income of the patients, the manual nature of their labor, and the validity of social security benefits.

BackgroundCongenital Zika Syndrome (CZS) has a broad spectrum of clinical presentations that are still being described. This cohort study aimed to describe the orthopedic complications in children with microcephaly (MCP) related to Zika virus (ZIKV).MethodsWe evaluated 36 children with CZS up to 17 months of age followed at a pediatric rehabilitation center in the northeast of Brazil. Cohort enrollment occurred with children born between January 2015 and May 2016. We assessed their social profiles and orthopedic findings.ResultsOf the 36 cases, 25 were male. All of them lived in rural area. 25 had at least one congenital orthopedic alteration. Hip subluxation was the most common problem detected (n = 15); other lower limb abnormalities included knee subluxation (n = 7), clubfoot (n = 7); congenital vertical talus (n = 4); plano-valgus foot (n = 5). In relation to the upper limbs, 11 children presented with some shoulder and/or elbow abnormality and 16 had some alteration in the hand and/or on the wrist.ConclusionOrthopedic problems appear to be common in children with CZS and should be a focus of larger clinical studies. An initial orthopedic assessment may provide a better quality of life by helping children avoid further complications/deformities. Our results emphasize the orthopedic problems associated with CZS and the need to better describe many complications in the natural history of this infection.Disclosures All authors: No reported disclosures.