Annali storici di Principato Citra A. 4, n. 1.1 (2006)

A. 4, n. 1.1 (2006): G. Guardia, Editoriale, P. 3 ; D. Ienna, Menhir a "la Mannina". Un sito megalitico a San Nazario di San Mauro La Bruca? Materiali e ipotesi interpretative, P. 5 ; A. Tierno, Il Vaticano Borgiano gr 27: un rotolo liturgico in lingua greca prodotto a Salerno, P. 44 ; G. Palmisciano, Baronissi nei moti del 1848, P. 54 ; C. Cerone, L’'arrivo dell'illuminazione a Capaccio e Agropoli. Dalle lampade a gas alla nazionalizzazione dell'energia. La centrale idroelettrica Maida, P. 68 ; F. La Greca, Paestanae valles: un antico nome per il Cilento?, P. 104 ; A. Giudice, Da Capo Palinuro alla conca di Sapri: la romanizzazione di un territorio, P. 110 ; Pietro III Paleologo di Bisanzio, Note storiche sulla vita del Sacro Militare Ordine Costantiniano di S. Giorgio, con la Regola di S. Basilio, dalla sua fondazione al gran magistero della Imperiale Famiglia dei Paleologo di Bisanzio, P. 124 ; M. Cerrato – P. Zoccoli, Elementi per la gestione del marketing strategico del prodotto tipico. Il caso di un formaggio caprino, P. 140 ; E. Frescani, "Lò scritto meno del successo". I racconti di Antonio Sessa, un notaio salernitano del XVII secolo, P. 153 ; A. Capano, Sapri, note storiche e il suo Catasto "provvisorio" del 1815, P. 162 ; M. Di Pasquale, 1815 - San Martino Cilento. Un processo per tentato omicidio, P. 178 ; A. Tortorella Bracco, Da un cassettone dell'800 una romantica storia d'amore, P. 202

Is it really advantageous to operate proximal femoral fractures within 48 h from diagnosis? – A multicentric retrospective study exploiting COVID pandemic-related delays in time to surgery

Objectives: Hip fractures in the elderly are common injuries that need timely surgical management. Since the beginning of the pandemic, patients with a proximal femoral fracture (PFF) experienced a delay in time to surgery. The primary aim of this study was to evaluate a possible variation in mortality in patients with PFF when comparing COVID-19 negative versus positive. Methods: This is a multicentric and retrospective study including 3232 patients with PFF who underwent surgical management. The variables taken into account were age, gender, the time elapsed between arrival at the emergency room and intervention, pre-operative American Society of Anesthesiology score, pre-operative cardiovascular and respiratory disease, and 10-day/1-month/6-month mortality. For 2020, we had an additional column, “COVID-19 swab positivity.” Results: COVID-19 infection represents an independent mortality risk factor in patients with PFFs. Despite the delay in time-to-surgery occurring in 2020, no statistically significant variation in terms of mortality was detected. Within our sample, a statistically significant difference was not detected in terms of mortality at 6 months, in patients operated within and beyond 48 h, as well as no difference between those operated within or after 12/24/72 h. The mortality rate among subjects with PFF who tested positive for COVID-19 was statistically significantly higher than in patients with PFF who tested. COVID-19 positivity resulted in an independent factor for mortality after PFF. Conclusion: Despite the most recent literature recommending operating PFF patients as soon as possible, no significant difference in mortality was found among patients operated before or after 48 h from diagnosis

Acrometastases to the Hand: A Systematic Review

Background and Objectives: The term acrometastases (AM) refers to secondary lesions sited distally to the elbow and knee, representing 0.1% of all bony metastases. By frequency, pulmonary cancer and gastrointestinal and genitourinary tract neoplasms are the most responsible for the reported AM. Improvements in oncologic patient care favor an increase in the incidence of such rare cases. We performed a systematic review of acrometastases to the hand to provide further insight into the management of these fragile patients. We also present a peculiar case of simultaneous acrometastasis to the ring finger and pathological vertebral fracture. Material and Methods: A literature search according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement was conducted using the PubMed, Google Scholar, and Scopus databases in December 2020 on metastasis to the hand and wrist, from 1986 to 2020. MeSH terms included acrometastasis, carpal metastasis, hand metastasis, finger metastasis, phalangeal metastasis, and wrist metastasis. Results: In total, 215 studies reporting the follow-up of 247 patients were analyzed, with a median age of 62 years (range 10–91 years). Overall, 162 out of 247 patients were males (65.6%) and 85 were females (34.4%). The median reported follow-up was 5 months (range 0.5–39). The median time from primary tumor diagnosis to acrometastasis was 24 months (range 0.7–156). Acrometastases were located at the finger/phalanx (68.4%), carpal (14.2%), metacarpal (14.2%), or other sites (3.2%). The primary tumors were pulmonary in 91 patients (36.8%). The average interval from primary tumor diagnosis to acrometastasis varied according to the primary tumor type from 2 months (in patients with mesenchymal tumors) to 64.0 months (in patients with breast cancer). Conclusions: Acrometastases usually develop in the late stage of oncologic disease and are associated with short life expectancy. Their occurrence can no longer be considered rare; physicians should thus be updated on their surgical management and their impact on prognosis and survival