38 documents found, page 1 of 4
Current Options in Tendon Transfers for Irreparable Posterosuperior Rotator Cuf...
Checchia,Caio Santos; Silva,Luciana Andrade da; Sella,Guilherme do Val; Fregoneze,Marcelo; Miyazaki,Alberto NaokiAbstract Massive irreparable posterosuperior rotator-cuff tears are debilitating lesions that usually require surgical treatment. Even though there is no consensus regarding the best surgical technique, tendinous transfers around the shoulder are the most commonly performed procedures. The latissimus dorsi tendon remains the most commonly used, but different modifications to the original technique have been sho...
Infections after shoulder arthroplasty are correlated with higher anesthetic ri...
Nagaya,Leonardo Hideto; Salles,Mauro José Costa; Takikawa,Lucas Sadawo Chagas; Fregoneze,Marcelo; Doneux,Pedro; Silva,Luciana Andrade daABSTRACT Purposes: Shoulder arthroplasty (SA) has been performed by many years for the treatment of several conditions, including osteoarthritis and proximal humeral fractures following trauma. Surgical site infection (SSI) following Shoulder arthroplasty remains a challenge, contributing to increased morbidity and costs. Identification of risk factors may help implementing adequate strategies to prevent infect...
Brachial artery injury due to closed posterior elbow dislocation: case report☆
Miyazaki,Alberto Naoki; Fregoneze,Marcelo; Santos,Pedro Doneux; Sella,Guilherme do Val; Checchia,Caio Santos; Checchia,Sergio LuizAn association between closed posterior elbow dislocation and traumatic brachial artery injury is rare. Absence of radial pulse on palpation is an important warning sign and arteriography is the gold-standard diagnostic test. Early diagnosis is essential for appropriate treatment to be provided. This consists of joint reduction and immobilization, along with urgent surgical restoration of arterial flow. Here, a...
Obstetric paralysis: anterior arthroscopic release of the shoulder and transfer...
Miyazaki,Alberto Naoki; Checchia,Caio Santos; Checchia,Sergio Luiz; Fregoneze,Marcelo; Santos,Pedro Doneux; Sella,Guilherme do ValABSTRACT OBJECTIVE: Description of a new surgical technique for treating the shoulders of patients with sequelae of obstetric paralysis. Preliminary analysis on the results obtained from this technique. METHODS: Five consecutive patients underwent the proposed surgical procedure, consisting of arthroscopic anterior joint release followed by transfer of the latissimus dorsi tendon (elongated and reinforced with ...
Axillary artery lesion secondary to fracturing of the proximal third of the hum...
Miyazaki,Alberto Naoki; Fregoneze,Marcelo; Santos,Pedro Doneux dos; Silva,Luciana Andrade da; Sella,Guilherme do Val; Checchia,Sergio LuizLesions of the axillary artery are rare in patients with fracturing of the proximal third of the humerus and may have greatly varying clinical manifestations. They are responsible for 15% and 20% of upper-limb artery injuries and the commonest mechanism is a fall to the ground, which accounts for 79% of such injuries. In some cases, the signs only appear later on. It is important to bear this association in min...
Evaluation of the results from non-arthroplastic treatment (arthroscopy) for sh...
Miyazaki,Alberto Naoki; Fregoneze,Marcelo; Silva,Luciana Andrade da; Sella,Guilherme do Val; Garotti,José Eduardo Rosseto; Checchia,Sergio LuizABSTRACTOBJECTIVES: To evaluate the functional results from patients with arthrosis who underwent an arthroscopic procedure, in an attempt to correlate these results with the patients' epidemiological profile, surgical technique used, possible complications and postoperative protocol. METHODS: Between 1998 and 2011, 31 patients (32 shoulders) with shoulder arthrosis underwent arthroscopic treatment performed by...
Avaliação dos resultados da redução aberta e da fixação interna das fraturas gr...
Miyazaki,Alberto Naoki; Fregoneze,Marcelo; Santos,Pedro Doneux; Silva,Luciana Andrade da; Val Sella,Guilherme do; Fonseca Filho,João ManoelObjetivo: avaliar clinica e radiologicamente os resultados obtidos com a redução aberta e a fixação interna das fraturas graves da extremidade proximal do úmero (FGEPU) na população com idade igual ou superior a 60 anos. Métodos: entre junho de 1992 e fevereiro de 2011, o Grupo de Ombro e Cotovelo do Departamento de Ortopedia e Traumatologia da Faculdade de Ciências Médicas da Santa Casa de São Paulo tratou, co...
Osteoma osteóide de acrômio que simula dor acrômio-clavicular
Miyazaki,Alberto Naoki; Fregoneze,Marcelo; Santos,Pedro Doneux; Silva,Luciana Andrade da; Val Sella,Guilherme do; Lopes Neto,Douglas LobatoO osteoma osteóide é um tumor ósseo benigno que se apresenta geralmente em adultos jovens com dor noturna, aliviada por repouso e anti-inflamatórios. Pode acometer qualquer osso. Entretanto, sua ocorrência no acrômio é rara. Os autores descrevem um caso de osteoma osteóide localizado no acrômio, com sintomas que simulavam artrose acrômio-clavicular. O diagnóstico foi feito por meio de tomografia computadorizada...
Functional evaluation of patients with injury of the distal insertion of the bi...
Miyazaki,Alberto Naoki; Fregoneze,Marcelo; Santos,Pedro Doneux; Silva,Luciana Andrade da; Sella,Guilherme do Val; Duarte,Denis CabralOBJECTIVE: to functionally evaluate patients with injury of the distal insertion of the biceps brachii muscle that was treated surgically.METHODS: between April 2002 and June 2011, 15 elbows of 14 patients underwent surgical treatment performed by the Shoulder and Elbow Surgery Group, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo. The minimum follow-up was six m...
Functional evaluation of arthroscopic repair of rotator cuff injuries in patien...
Miyazaki,Alberto Naoki; Fregoneze,Marcelo; Santos,Pedro Doneux; Silva,Luciana Andrade da; Sella,Guilherme do Val; Lopes Neto,Douglas LobatoOBJECTIVE: to evaluate the functional result from arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis, defined as incapacity to actively raise the arm above 90◦ , while complete passive elevation was possible.METHODS: we reevaluated 38 patients with a mean follow-up of 51 months (minimum of 24). We analyzed the pseudoparalysis reversion rate and the functional result obtained.RESULTS: ...