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Is Bilateral Hallux Valgus Chevron Osteotomy a Safe Procedure for Ambulatory Su...

Morais, B; Botelho, T; Marques, N; Ferrão, A; Nóbrega, J; Teixeira, F; Grenho, A

Introduction: Several osteotomies of the first metatarsal have been described for treatment of hallux valgus but chevron osteotomy is one of the most common and well-established procedure for treating this deformity. Although there is a trend towards considering bilateral surgery there is lack of publications addressing bilateral treatment in ambulatory units. The aim of this study is to analyze results of bila...


Sternoclavicular Joint Septic Arthritis in a Healthy Adult: a Rare Diagnosis wi...

Barbeiro Gonçalves, R; Grenho, A; Correia, J; Reis, JE

We report a case of complicated sternoclavicular joint septic arthritis in a previously healthy adult with no risk factors. An 83-year-old female presented to the emergency with a 1-week history of right shoulder pain followed by fever and prostration in the last 48 h. Computed tomography (CT) scan findings were consistent with right sternoclavicular joint (SCJ) septic arthritis complicated by periarticular abs...


Peri-Prosthetic Bone Cysts After Total Ankle Replacement. A Systematic Review a...

Arcângelo, J; Guerra-Pinto, F; Pinto, A; Grenho, A; Navarro, A; Martin Oliva, X

Background: Periprosthetic cystic osteolysis is a well-known complication of total ankle replacement. Several theories have been proposed for its aetiology, based on individual biomechanical, radiological, histopathology and outcome studies. Methods: Studies that met predefined inclusion/exclusion criteria were analysed to identify literature describing the presence of peri-prosthetic ankle cystic osteolysis. Q...


Carpal Synovitis with Capitate Bone Tuberculosis in a Child

Grenho, A; Arcângelo, J; Jordão, P; Gouveia, C

We present a 10-year-old boy with 2-month duration non-traumatic wrist pain and inflammatory signs. Due to elevated inflammatory markers on blood tests, with an increase in radiocarpal and intercarpal joints synovial fluid and no bony lesions, the patient was submitted to wrist arthrocentesis for the suspicion of septic arthritis. The patient did not improve on conventional treatment, however. An MRI showed syn...


Atypical Presentation and Management of Fibrodysplasia Ossificans Progressiva

Grenho, A; Arcângelo, J; Martins, A

We report a case of an 18-year-old woman, with bilateral acute inflammatory pain on the hip area, during the premenstrual period, and progressive increase in volume and rigidity of both hips. Bilateral exuberant soft tissue calcifications were present on the radiographic exams, and the patient also presented with bilateral short-length hallux valgus. A heterozygous mutation in the protein kinase domain of ACVR1...


Aloenxerto de Tendão de Aquiles no Tratamento de Rotura Crónica do Tendão Rotul...

Arcângelo, J; Figueira, P; Grenho, A; Gomes, J

A disrupção do aparelho extensor, nomeadamente a rotura do tendão rotuliano, é uma complicação grave após artroplastia total do joelho. A sua reconstrução em roturas crónicas é tecnicamente exigente e, dada a sua raridade, carece de um gold standard estabelecido para o seu tratamento. Este artigo relata a técnica e resultados obtidos com a utilização de um aloenxerto de tendão de Aquiles, na reparação de uma ro...


Artroplastia Unicompartimental do Joelho Oxford Phase 3. Resultados a Médio Prazo

Falcão, P; Grenho, A; Homero Costa, J; Torrinha Jorge, J; Arcângelo, J; Catarino, P

Introdução: A artroplastia unicompartimental evoluiu nos últimos 40 anos, sendo hoje em dia considerada uma estratégia cirúrgica apropriada para a osteoartrose do compartimento interno da articulação do joelho. Desenvolvimentos nos instrumentos cirúrgicos, desenho do implante, abordagem cirúrgica e selecção dos doentes levaram a uma grande melhoria dos resultados pós-operatórios e aumento da longevidade das pró...


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