le fratture prossimali dell'omero. complicanze neurologiche: diagnosi e trattamento

Peripheral nerve damage in proximal humeral head fractures is not rare. It is more frequentin 2-part of the surgical neck, 3- and 4-part fractures and in fracture-dislocations involvingthe axillary nerve. It is possible to cause a iatrogenic nerve lesion while performing reductionand synthesis of the fracture.We have to evaluate movement and sensibility after thetrauma, before and after the treatment of the fracture.More than 90% of these peripheralnerve lesions have a spontaneous recovery. If there isn’t clinical and EMG recovery after 4-6months, there is the indication to surgical revision and reconstruction by 2 or 3 autologoussural grafts, with a percentage of good results of 74% (deltoid in M4- M5)

Transplant of the teres major in the treatment of irreparable injuries of the rotator cuff (long-term analysis of results).

Purpose of this study is to evaluate the effectiveness of muscle transfer of the teres major in the treatment of irreparable posterosuperior injuries of the rotator cuff. Long-term monitoring of the results obtained in 20 patients treated at our clinic using this method are reported, comparing the data obtained in evaluations of results with preoperative values. Clinical evaluations were obtained using the Constant Score System, while X-ray examination showed the presence of osteoarticular modifications, and MRI and electromyography the preserved morphology and function of transplant. The mean Constant Score increased from 31.6 points preoperatively to 66.1 points postoperatively at the time of follow-up. At follow-up, MRI allowed us to evaluate any fatty degeneration of the muscle fibers of transfer and the integrity of tendinous insertion on the humeral greater tuberosity. The obtained results allowed us to reveal the advantages and the disadvantages of teres major transplant in irreparable posterosuperior ruptures of the cuff

Os acromiale: frequency and a review of 726 shoulder MRI

Os acromiale consist in a lack of fusion between the different ossification spots of the acromial side of scapula from the age of 23-25 years. A relation between os acromiale and some shoulder pathology like impingement syndrome, cuff tear and subacromial bursitis has been described. The etiology is not already known. The aim of this study was to evaluate the frequency of os acromiale in our population, the link between os acromiale and sex, side and shoulder pathology. 1042 shoulder MRI were evaluated to find out os acromiale and the linked cuff pathology. In our population, the frequency of os acromiale was 3.44% without differences between sexes, with prevalence on the right shoulder. No differences in cuff and bursa pathology were present between affected and unaffected subjects. Os acromiale is an anomaly still underdiagnosed. It is important to be recognized because it allows to make an accurate pre-surgical plan. To make a correct diagnosis, axial MRI cut or TC is necessary

Traumatic isolated lesions of musculocutaneous nerve

Didactic description of the different pathologies of the elbow and of their surgical treatment More than 150 color figures, numerous tables and original line drawings illustrate the content and enhance understanding Written by world-renowned elbow orthopaedic surgeons A useful tool for practitioners, students, and medical residents alike The complexity of elbow anatomy and function often leads to an adverse response to traumatic and inflammatory conditions. For this reason, many standard orthopaedic texts advise caution regarding the surgical management of traumatic and degenerative lesions.The aim of this book is to didactically describe the different pathologies of the elbow and their surgical treatment, thus helping to reduce the incidence of complications such as stiff elbow, heterotypic bone and joint instability, and degenerative arthritis. The volume, written by world-renowned elbow orthopaedic surgeons and enhanced by colour images and tables, will be warmly welcomed not only by practitioners, but also by students and medical residents.Content Level » Professional/practitioner Keywords » arthroplasty - fractures - imaging and clinical evaluation - instability - prosthesis Related subjects » Medicine - Orthopedic

Traduzione in lingua italiana e validazione del questionario Work, Osteoarthritis and joint-Replacement Questionnaire (WORQ): dati preliminari.

Traduzione in lingua italiana e validazione del questionario Work, Osteoarthritis and joint-Replacement Questionnaire (WORQ): dati preliminari