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Instabilidade Subtalar: uma Entidade Subdiagnosticada?

Machado, M; Barreira, M; Pereira, B; Andrade, R; Espregueira-Mendes, J

A instabilidade subtalar continua a ser um tópico controverso e a sua causa está ainda por conhecer. O mecanismo de lesão e os sintomas clínicos da instabilidade do tornozelo e da instabilidade subtalar sobrepõem-se, resultando muitas vezes em casos de instabilidade subtalar, isolada ou combinada, que não são corretamente diagnosticados. Negligenciar a instabilidade subtalar associada à instabilidade do tornoze...


Medial Collateral Ligament Release During Knee Arthroscopy: Key Concepts

Silva Campos, V; Guerra Pinto, F; Constantino, D; Andrade, R; Espregueira-Mendes, J

Complete access to the posterior medial compartment of the knee may represent a technical challenge during arthroscopy in patients with a tight tibiofemoral joint space.Medial collateral release reduces direct iatrogenic cartilage damage in the medial compartment of the knee through manipulation with instruments.We recommend performing medial collateral release in surgeries that access the posteromedial compart...


Strength training to prevent falls in older adults: A systematic review with me...

Claudino, JG; Afonso, J; Sarvestan, J; Lanza, MB; Pennone, J; Filho, CAC; Serrão, JC; Espregueira-Mendes, J; Vasconcelos, ALV; Andrade, MP

We performed a systematic review with meta-analysis of randomized controlled trials (RCTs) to assess the effects of strength training (ST), as compared to alternative multimodal or unimodal exercise programs, on the number of falls in older adults (=60 years). Ten databases were consulted (CINAHL, Cochrane Library, EBSCO, EMBASE, PEDro, PubMed, Scielo, Scopus, SPORTDiscus and Web of Science), without limitation...


Modified Elmslie-Trillat Procedure for Distal Realignment of Patella Tendon

Filho, RB; Monteiro, AM; Andrade, R; Michael, MJ; Sevivas, N; Pereira, B; Sarmento, A; Espregueira-Mendes, J

Patellofemoral dysfunction, due to either a patellofemoral malalignment or patellar instability, is a complex and debilitating condition that significantly decreases the knee function. Conservative management may yield significant clinical outcomes; however, when morphologic anomalies are identified, the surgical approach should be employed. Hence, several surgical procedures have been described in the scientif...


Osteochondral transplantation using autografts from the upper tibio-fibular joi...

Espregueira-Mendes, J; Pereira, H; Sevivas, N; Varanda, P; Vieira da Silva, M; Monteiro, A; Oliveira, JM; Reis, RL

PURPOSE: Treatment of large cartilage lesions of the knee in weight-bearing areas is still a controversy and challenging topic. Autologous osteochondral mosaicplasty has proven to be a valid option for treatment but donor site morbidity with most frequently used autografts remains a source of concern. This study aims to assess clinical results and safety profile of autologous osteochondral graft from the upper ...


Assessment of rotatory laxity in anterior cruciate ligament-deficient knees usi...

Espregueira-Mendes, J; Pereira, H; Sevivas, N; Passos, C; Vasconcelos, JC; Monteiro, A; Oliveira, JM; Reis, RL

PURPOSE: Objective evaluation of both antero-posterior translation and rotatory laxity of the knee remains a target to be accomplished. This is true for both preoperative planning and postoperative assessment of different ACL reconstruction emerging techniques. The ideal measurement tool should be simple, accurate and reproducible, while enabling to assess both ‘‘anatomy’’ and ‘‘function’’ during the same exami...


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