Dr Michell Ruiz

Dr Michell Ruiz
Cirugía de hombro y del Manguito rotador

lunes, 27 de abril de 2015

Arthroscopic Shoulder & Rotator Cuff Surgery | OACM

#arthroscopic shoulder #rotatorcuff #artroscopia de hombro #manguito rotador


Fuente
Este artículo es originalmente publicado en:
https://www.youtube.com/watch?v=nCJjRtne1PY&list=TLF0mEFo-P2BI
https://www.youtube.com/user/OACMorthopedics
http://www.mdbonedocs.com/ContactUs/RequestanAppointment
https://youtu.be/nCJjRtne1PY
De:
OACMorthopedics


Publicado el 20/04/2015
http://www.mdbonedocs.com/OurSpecialt... A torn rotator cuff can be mended with arthroscopic surgery if physical therapy, medication, and other forms of treatment do not relieve the pain. Keep the following details in mind when considering shoulder or rotator cuff surgery.

The first step is a diagnosis, which includes detailing the patient’s history, a physical examination, and possibly imaging such as X-rays or an MRI. A treatment in line with the diagnosis will be created, and if all other treatment does not suffice, surgery may be recommended.

The rotator cuff may have been torn due to a muscle abnormality or spurs that have formed along the surface bones. Pain in the front of the shoulder can be caused by damage to the bicep’s tendon. Even scarring can cause pain and a limited range of movement. To correct these issues, punctures are made into the shoulder so that the surgeon can properly assess the tears’ features. Stitches are then used to affix the muscle back down to the bone.

Recovery time can vary wildly depending on the severity of the tears and damage to the rotator cuff. The first step is treating the shoulder with ice and pain management, allowing it to heal after surgery. Next, passive range of motion, where a physical therapist moves your arm, helps you back on the road to restoring your range of motion. Once the muscle is adequately healed, active assisted range of motion is put into practice. Strengthening is the final step to recovery.

To learn more about arthroscopic shoulder or rotator cuff surgery and OACM, click the link above.
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lunes, 20 de abril de 2015

Así es una prótesis de hombro ¿sabes qué permite solucionar?

Fuente
Este artículo es originalmente publicado en:
http://www.clinicacemtro.com/es/biblioteca/biblioteca-traumatologia-ortopedia-y-medicina-del-deporte/774-protesis-de-hombro

Todos los derechos reservados para:
©2014 Clinica CEMTRO, S.A. Nº. de registro de centro autorizado por la Cons.Sanidad de la CAM CH0079   




El doctor Arauz, habla sobre dolencias de hombro en La Mañana de TVE - See more at: http://www.clinicacemtro.com/es/sala-de-prensa/noticias/1067-el-doctor-arauz-de-robles-en-la-manana-de-tve#sthash.mSzPsLNg.dpuf

#hombro #shoulder

Fuente
Este artículo es originalmente publicado en:
http://www.clinicacemtro.com/es/sala-de-prensa/noticias/1067-el-doctor-arauz-de-robles-en-la-manana-de-tve

De:
doctor Santiago Arauz de Robles

Todos los derechos reservados para:
©2014 Clinica CEMTRO, S.A. Nº. de registro de centro autorizado por la Cons.Sanidad de la CAM CH0079   




domingo, 19 de abril de 2015

Tipos de cirugías de reemplazo de hombro / Types of Shoulder Replacement Surgeries

#cirugíasdereemplazohombro #ShoulderReplacementSurgeries

Fuente
Este artículo es originalmente publicado en:
http://www.arthritis-health.com/surgery/shoulder-surgery/types-shoulder-replacement-surgeries
De:
Arthritis-health publishes original, informative content written for patients by physician authors and peer-reviewed by our Medical Advisory Board.
Todos los derechos reservados para:
1999-2015 Veritashealth.com. All rights reserved.





Did you know a reverse shoulder replacement surgery is one in which the ball and socket configuration of the shoulder is reversed? Learn more about shoulder replacement surgery options.
Posted by Arthritis-health on Domingo, 19 de abril de 2015

miércoles, 15 de abril de 2015

CUAL ES EL MEJOR EN EL TRATAMIENTO DE FRACTURAS PROXIMALES DE HUMERO? / WHO’S BETTER AT TREATING PROXIMAL HUMERUS FRACTURES?

#FRACTURASPROXIMALES #HUMERO #HUMERUSFRACTURES

Fuente
Este artículo es originalmente publicado en:
http://icjr.net/report_338_humerus_fracture#.VS6lKfmG9EO

De:
Surena Namdari, MD, from The Rothman Institute, Philadelphia, Pennsylvania, examines the question “Proximal Humerus Fractures - Who Does it Better? Practice Variability Across Shoulder Surgeons and Traumatologists”

Todos los derechos reservados para:
Producer: Susan Doan-Johnson; Director and Post Production: Charles Maynard





Dr. Surena Namdari examines the question “Proximal Humerus Fractures - Who Does it Better? Practice Variability Across...
Posted by International Congress for Joint Reconstruction on Miércoles, 15 de abril de 2015

lunes, 13 de abril de 2015

La artroplastia invertida de hombro ante defectos óseos glenoideos / Reverse shoulder arthroplasty due to glenoid bone defects

#artroplastiainvertidadehombro #defectosóseosglenoideos #Reverseshoulderarthroplasty #glenoidbonedefects

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25435292
http://www.elsevier.es/es-revista-revista-espanola-cirugia-ortopedica-traumatologia-129-avance-resumen-la-artroplastia-invertida-hombro-ante-S1888441514002045
De:
Díaz Miñarro JC1, Izquierdo Fernández A2, Muñoz Reyes F2, Carpintero Lluch R2, Uceda Carrascosa P2, Muñoz Luna F2, López Jordán A2, Carpintero Benítez P2.
Rev Esp Cir Ortop Traumatol. 2014 Nov 26. pii: S1888-4415(14)00204-5. doi: 10.1016/j.recot.2014.10.001. [Epub ahead of print]
Todos los derechos reservados para:
Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.
© 2015, Elsevier España S.L.

Abstract

OBJECTIVE:

Reverse shoulder arthroplasty is becoming a useful tool for many diseases of the shoulder. Any severe glenoid bone defect may affect the fixing of the glenoid component. The aim of this paper is to evaluate the medium-term outcomes of reverse shoulder arthroplasty associated with a glenoplasty.

MATERIALS AND METHODS:

A retrospective study was conducted on 5 patients from our hospital, selected due to glenoid defects of different etiology. All of them where treated with reverse shoulder arthroplasty associated with glenoplasty with bone graft.

RESULTS:

The minimum follow-up was one year (mean 30.4 months). All grafts were radiologically integrated, with no signs of resorption or necrosis being observed. At 12 months, the Constant score was 66.75 and the mean EVA score was 1.

DISCUSSION:

Glenoplasty surgery is technically demanding for restoring original bone size in patients with glenoid structural defects, enabling areverse shoulder arthroplasty to be implanted. Thus improving both the function and clinical outcomes in selected patients with glenohumeral pathology and providing them with a solution.

Resumen

Objetivo
La artroplastia invertida se está convirtiendo en una herramienta útil para afecciones muy variadas en el hombro. Un defecto óseo importante de la glena puede afectar a la fijación del componente glenoideo. El propósito de nuestro estudio es evaluar a medio plazo los resultados de la artroplastia invertida de hombro asociados a una glenoplastia.

Material y métodos
Se realizó un estudio retrospectivo de 5 pacientes de nuestro hospital con defectos glenoideos de distinta etiología que fueron tratados mediante artroplastia invertida de hombro asociada a glenoplastia.

Resultados
El seguimiento mínimo de estos pacientes fue de un año (con una media de 30,4 meses). Todos los injertos estaban radiológicamente integrados, sin observarse signos de resorción o necrosis. A los 12 meses el test de Constant era de 66,75 de media y el EVA medio era de 1.

Discusión
La glenoplastia es una intervención de alta demanda técnica que consigue restaurar el remanente óseo en pacientes con defectos estructurales, permitiendo así implantar una artroplastia invertida. De esa forma podemos mejorar la función y la clínica en pacientes con diversas afecciones glenohumerales, proporcionándoles una solución.


Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

KEYWORDS:

Bone graft; Defecto glenoideo; Glenoid defect; Injerto óseo; Prótesis invertida de hombro; Reverse shoulder arthroplasty
PMID:
 
25435292
 
[PubMed - as supplied by publisher]

Fracturas de estrés de la escápula tras artroplastia invertida en artropatía de manguito: ¿cuál es su repercusión funcional? / Scapula insufficiency fractures after reverse total shoulder arthroplasty in rotator cuff arthropathy: What is their functional impact?

#Fracturasdeestrés #escápula #artroplastiainvertida #manguitorotadorScapula insufficiency fractures after #reversetotalshoulderarthroplasty #rotatorcuffarthropathy

Fuente
Este artículo es originalmente publicado en:
De:
 2015 Mar 25. pii: S1888-4415(15)00022-3. doi: 10.1016/j.recot.2015.01.003. [Epub ahead of print]
Todos los derechos reservados para:
© 2015, Elsevier España S.L.
Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.


Abstract

INTRODUCTION-OBJECTIVES:

To describe the incidence, etiological factors, functional impairment and therapeutic management of scapular fractures after reverse shoulder arthroplasty (RSA) in rotator cuff arthropathy.

MATERIAL AND METHOD:

A retrospective study was conducted on 126 RSA between 2009 and 2011, in which 4 fractures were identified that were compared with a control group of 40 patients. An analysis was performed on the variables related to the surgical technique, functional results, and quality of life (Constant scale, EQ-5D).

RESULTS:

The fracture incidence was 3.28% with a mean age of 74.7 years. The mean time until diagnosis was 11.9 months. The preoperative Constant score in the control group was 37.3%, and 34.7% in the fracture group (P>.05); postoperative Constant score: 81.2 and 66.5%, respectively (P>.001). Forward elevation and abduction in fracture patients decreased by 39° (P=.02), and 34° (P=.057) respectively. The perceived quality of life (EQ-VAS) was lower in the fracture group (60 vs. 76) (P=.002). There were no instability cases, and no revision surgery was required. The union rate was 50% after a mean follow-up 39.6 months.

CONCLUSIONS:

Scapular fracture after RSA is a rare complication. Despite its presence, the functional outcomes and quality of life of these patients are higher than preoperatively; however, they are lower than that obtained in patients with RSA without this complication. More prospective studies are needed to define guidelines for therapeutic action against this complication.
Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

KEYWORDS:

Acromial base fractures; Acromial fractures; Artroplastia invertida; Fracturas de acromion; Fracturas de escápula; Fracturas de la base del acromion; Fracturas por insuficiencia; Insufficiency Fracture; Reverse shoulder arthroplasty; Scapular fracture
PMID:
 
25818527
 
[PubMed - as supplied by publisher]


Introducción-objetivos
Describir la incidencia, factores etiológicos, repercusión funcional y actitud terapéutica de las fracturas de acromion y espina de la escápula tras artroplastia invertida por artropatía de manguito rotador.

Material y método
Análisis retrospectivo de 126 artroplastias inversas entre los años 2009-2011. Se identificaron 4 fracturas que se compararon con un grupo control de 40 pacientes. Se analizan variables relacionadas con el proceso quirúrgico, funcionales y de calidad de vida (escala Constant, EQ-5D).

Resultados
La incidencia de la fractura fue 3,28% (4 pacientes), edad media 74,7 años y tiempo medio hasta el diagnóstico 11,9 meses.

Conclusiones
La fractura de escápula tras artroplastia invertida es una complicación poco frecuente. A pesar de su aparición los resultados funcionales y de calidad de vida de estos pacientes son superiores a los presentes preoperatoriamente, sin embargo, resultan inferiores a los de los pacientes intervenidos en los que no se encuentra dicha complicación. Son necesarios más estudios prospectivos que nos ayuden a definir las pautas de actuación terapéutica ante esta complicación.