首页 > 最新文献

Acta Ortopedica Brasileira最新文献

英文 中文
CORRELATION BETWEEN THE SEVERITY AND BLOOD ALCOHOL LEVEL OF TRAFFIC ACCIDENTS VICTIMS. 交通事故的严重程度与受害者血液中的酒精含量之间存在相关性。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e271878
Andressa Cruz Gonçalves, Henrique Silva Bombana, Alexandra Carolina Canonica, João Carlos Geber-Junior, Vilma Leyton, Julia Maria D'Andrea Greve

Objective: To evaluate the correlation between blood alcohol levels and the severity of injuries assessed by the Injury Severity Score (ISS) in patients who were victims of traffic accidents admitted to the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo (HCFMUSP).

Methods: Cross-sectional study carried out between July 2018 and June 2019, at the Central Emergency Room of the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo (PSC-HCFMUSP). A total of 172 hospitalized patients victims of traffic accidents were included in this study. Blood samples were analyzed by the FMUSP Toxicology Laboratory.

Results: 36 patients (20.9%) had positive BAC (≥ 0.2 g/L) with a mean of 1.21 g/L. Overall, patients had a mean age of 37.2 years old, and 136 (79.1%) were men. The ISS of the total casuistry was 15.6; regarding the external cause, the motorcycle was ranked first with 100 cases (58.1%), and drivers were the majority with 57.4% of the sample.

Conclusion: There was no correlation between the severity of the injuries and the blood alcohol levels of traffic accident victims admitted to a reference hospital. Level of Evidence II, Cross-Sectional Study.

目的评估圣保罗大学医学院附属医院(HCFMUSP)收治的交通事故患者血液中酒精含量与伤害严重程度评分(ISS)之间的相关性:2018年7月至2019年6月在圣保罗大学医学院附属医院(PSC-HCFMUSP)中心急诊室进行的横断面研究。本研究共纳入了172名住院的交通事故受害者。血液样本由圣保罗大学医学院毒理学实验室进行分析:36 名患者(20.9%)的 BAC 呈阳性(≥ 0.2 克/升),平均为 1.21 克/升。总体而言,患者的平均年龄为 37.2 岁,136 人(79.1%)为男性。总病例的 ISS 为 15.6;在外部原因方面,摩托车位居首位,有 100 例(58.1%),司机占多数,占样本的 57.4%:结论:在参考医院住院的交通事故受害者的受伤严重程度与血液酒精含量之间没有相关性。证据等级 II,横断面研究。
{"title":"CORRELATION BETWEEN THE SEVERITY AND BLOOD ALCOHOL LEVEL OF TRAFFIC ACCIDENTS VICTIMS.","authors":"Andressa Cruz Gonçalves, Henrique Silva Bombana, Alexandra Carolina Canonica, João Carlos Geber-Junior, Vilma Leyton, Julia Maria D'Andrea Greve","doi":"10.1590/1413-785220243201e271878","DOIUrl":"10.1590/1413-785220243201e271878","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the correlation between blood alcohol levels and the severity of injuries assessed by the Injury Severity Score (ISS) in patients who were victims of traffic accidents admitted to the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo (HCFMUSP).</p><p><strong>Methods: </strong>Cross-sectional study carried out between July 2018 and June 2019, at the Central Emergency Room of the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo (PSC-HCFMUSP). A total of 172 hospitalized patients victims of traffic accidents were included in this study. Blood samples were analyzed by the FMUSP Toxicology Laboratory.</p><p><strong>Results: </strong>36 patients (20.9%) had positive BAC (≥ 0.2 g/L) with a mean of 1.21 g/L. Overall, patients had a mean age of 37.2 years old, and 136 (79.1%) were men. The ISS of the total casuistry was 15.6; regarding the external cause, the motorcycle was ranked first with 100 cases (58.1%), and drivers were the majority with 57.4% of the sample.</p><p><strong>Conclusion: </strong>There was no correlation between the severity of the injuries and the blood alcohol levels of traffic accident victims admitted to a reference hospital. <b><i>Level of Evidence II, Cross-Sectional Study.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e271878"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
WHAT IS THE EPIDEMIOLOGICAL PROFILE OF ACUTE HAND INFECTIONS AT A HOSPITAL IN SAO PAULO? 圣保罗一家医院急性手部感染的流行病学特征是什么?
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e277229
Thomas Yi Teh Lee, Lucas Alves Nemer, Alessandro Ayres Vianna, Yussef Ali Abdouni, Fabrício Luz Cardoso, Antonio Carlos da Costa

Objective: To determine the epidemiological profile of patients treated at a philanthropic hospital specialized in Orthopedics and Traumatology, located in a significant urban center, and evaluate the efficacy of initial empirical antibiotic treatment.

Methods: Patients diagnosed with hand infections from September 2020 to September 2022 were included, excluding cases related to open fractures or post-surgical infections and those with incomplete medical records. The chi-square test was performed using STATISTICA ® software to correlate various variables.

Results: A total of 34 patients participated, including 24 men and 10 women, with an average age of 41.9 years. Most male patients had Diabetes Mellitus, HIV, and drug addiction, and they resided in urban areas. Half of the patients did not report any apparent trauma. The most common infectious agent was Staphylococcus aureus*. Nearly 62% of patients required a change in the initial antibiotic regimen, with Penicillin being the most frequently substituted medication. Beta-lactam antibiotics and Quinolones were the most effective.

Conclusion: These results suggest the importance of carefully evaluating the epidemiological profile of patients with acute hand infections and improving initial empirical treatment to ensure appropriate and effective therapy. Level of Evidence IV, Cross-Sectional Observational Study.

目的确定在一家位于重要城市中心的骨科和创伤科专科慈善医院接受治疗的患者的流行病学概况,并评估初始经验性抗生素治疗的疗效:方法:纳入 2020 年 9 月至 2022 年 9 月期间诊断为手部感染的患者,排除与开放性骨折或手术后感染有关的病例以及病历不完整的病例。使用 STATISTICA ® 软件进行卡方检验,对各种变量进行相关性分析:共有 34 名患者参与研究,包括 24 名男性和 10 名女性,平均年龄为 41.9 岁。大多数男性患者患有糖尿病、艾滋病和毒瘾,居住在城市地区。半数患者未报告任何明显外伤。最常见的感染病原体是金黄色葡萄球菌*。近 62% 的患者需要改变最初的抗生素治疗方案,其中青霉素是最常用的替代药物。β-内酰胺类抗生素和喹诺酮类药物最为有效:这些结果表明,仔细评估急性手部感染患者的流行病学特征并改进初始经验性治疗以确保治疗适当有效非常重要。证据等级 IV,横断面观察研究。
{"title":"WHAT IS THE EPIDEMIOLOGICAL PROFILE OF ACUTE HAND INFECTIONS AT A HOSPITAL IN SAO PAULO?","authors":"Thomas Yi Teh Lee, Lucas Alves Nemer, Alessandro Ayres Vianna, Yussef Ali Abdouni, Fabrício Luz Cardoso, Antonio Carlos da Costa","doi":"10.1590/1413-785220243201e277229","DOIUrl":"10.1590/1413-785220243201e277229","url":null,"abstract":"<p><strong>Objective: </strong>To determine the epidemiological profile of patients treated at a philanthropic hospital specialized in Orthopedics and Traumatology, located in a significant urban center, and evaluate the efficacy of initial empirical antibiotic treatment.</p><p><strong>Methods: </strong>Patients diagnosed with hand infections from September 2020 to September 2022 were included, excluding cases related to open fractures or post-surgical infections and those with incomplete medical records. The chi-square test was performed using STATISTICA <sup>®</sup> software to correlate various variables.</p><p><strong>Results: </strong>A total of 34 patients participated, including 24 men and 10 women, with an average age of 41.9 years. Most male patients had Diabetes Mellitus, HIV, and drug addiction, and they resided in urban areas. Half of the patients did not report any apparent trauma. The most common infectious agent was Staphylococcus aureus*. Nearly 62% of patients required a change in the initial antibiotic regimen, with Penicillin being the most frequently substituted medication. Beta-lactam antibiotics and Quinolones were the most effective.</p><p><strong>Conclusion: </strong>These results suggest the importance of carefully evaluating the epidemiological profile of patients with acute hand infections and improving initial empirical treatment to ensure appropriate and effective therapy. <b><i>Level of Evidence IV, Cross-Sectional Observational Study.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e277229"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CLINICAL AND FUNCTIONAL EVALUATION OF WRISTS AND HANDS OF SPINAL CORD INJURED PATIENTS. 对脊髓损伤患者的腕部和手部进行临床和功能评估。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e264175
Cíntia Kelly Bittar, Isabela Ferreira Perucci, Danillo Nagel Signorini, Mariana Buratti Mascarenhas, Orcizo Francisco Silvestre, Alberto Cliquet

Introduction: The inability of the spinal cord to propagate sensory and motor stimuli as a result of the disruption of the nerve tracts is called spinal cord injury.

Objective: This study analyzes clinically and radiologically the hands and wrists of spinal cord injured patients, evaluating their motor and sensitive functionality, in order to determine if these patients are more likely to develop degenerative alterations.

Methods: 14 patients (8 paraplegics and 6 tetraplegics) were evaluated, undergoing anamnesis and clinical examination - a scale of muscular strength (MRC - Medical Research Council) and the amplitude measurement of the movement with a manual goniometer (ROM), were used for objective evaluation - and x-ray exams. The results were compared with pre-existing data from other studies.

Results: When asked, only one of the 14 observed patients complained about constant wrist pain, described as level 3 (weak to moderate), based on the visual analog scale (VAS). The motor evaluation, MRC and ROM divided the group of patients into two subgroups: paraplegic and tetraplegic patients. The x-ray analysis showed, based on Kellgren and Lawrence classification, that all exam images fit grades 1 or 2 of osteoarthritis and osteoarthrosis.

Conclusion: In conclusion, spinal cord injured patients showed none or minimal clinical and radiological signs of osteoarthritis on hands or wrists. Overall, the hands and wrists of spinal cord-injured patients behave similarly to noninjured patients. Level of Evidence III; Retrospective Comparative Study.

简介:脊髓损伤因神经束中断而导致脊髓无法传播感觉和运动刺激的现象被称为脊髓损伤:方法:对14名脊髓损伤患者(8名截瘫患者和6名四肢瘫痪患者)进行了评估,包括病史和临床检查--肌肉力量量表(MRC--医学研究委员会)和手动量角器运动幅度测量(ROM)用于客观评估--以及X光检查。结果与其他研究的已有数据进行了比较:当被问及此事时,14 名被观察的患者中只有一人抱怨手腕持续疼痛,根据视觉模拟量表(VAS),描述为 3 级(弱至中度)。运动评估、MRC 和 ROM 将这组患者分为两个亚组:截瘫患者和四肢瘫痪患者。根据 Kellgren 和 Lawrence 的分类,X 光分析显示所有检查图像均符合骨关节炎和骨关节病的 1 级或 2 级:总之,脊髓损伤患者的手部或腕部没有或极少出现骨关节炎的临床和放射学症状。总体而言,脊髓损伤患者的手部和腕部表现与非损伤患者相似。证据等级 III;回顾性比较研究。
{"title":"CLINICAL AND FUNCTIONAL EVALUATION OF WRISTS AND HANDS OF SPINAL CORD INJURED PATIENTS.","authors":"Cíntia Kelly Bittar, Isabela Ferreira Perucci, Danillo Nagel Signorini, Mariana Buratti Mascarenhas, Orcizo Francisco Silvestre, Alberto Cliquet","doi":"10.1590/1413-785220243201e264175","DOIUrl":"10.1590/1413-785220243201e264175","url":null,"abstract":"<p><strong>Introduction: </strong>The inability of the spinal cord to propagate sensory and motor stimuli as a result of the disruption of the nerve tracts is called spinal cord injury.</p><p><strong>Objective: </strong>This study analyzes clinically and radiologically the hands and wrists of spinal cord injured patients, evaluating their motor and sensitive functionality, in order to determine if these patients are more likely to develop degenerative alterations.</p><p><strong>Methods: </strong>14 patients (8 paraplegics and 6 tetraplegics) were evaluated, undergoing anamnesis and clinical examination - a scale of muscular strength (MRC - Medical Research Council) and the amplitude measurement of the movement with a manual goniometer (ROM), were used for objective evaluation - and x-ray exams. The results were compared with pre-existing data from other studies.</p><p><strong>Results: </strong>When asked, only one of the 14 observed patients complained about constant wrist pain, described as level 3 (weak to moderate), based on the visual analog scale (VAS). The motor evaluation, MRC and ROM divided the group of patients into two subgroups: paraplegic and tetraplegic patients. The x-ray analysis showed, based on Kellgren and Lawrence classification, that all exam images fit grades 1 or 2 of osteoarthritis and osteoarthrosis.</p><p><strong>Conclusion: </strong>In conclusion, spinal cord injured patients showed none or minimal clinical and radiological signs of osteoarthritis on hands or wrists. Overall, the hands and wrists of spinal cord-injured patients behave similarly to noninjured patients. <b><i>Level of Evidence III; Retrospective Comparative Study</i></b>.</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 1","pages":"e264175"},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ASSESSMENT OF INTEROBSERVER RELIABILITY FOR THE LETOURNEL AND JUDET CLASSIFICATION. 评估 LETOURNEL 和 JUDET 分类法的观察者间可靠性。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e267640
Mehmet Yucens, Ahmet Nadir Aydemir, Ahmet Fahir Demirkan

Introduction: The Judet and Letournel classification is the most widely used classification system for acetabular fractures. Some complex fractures couldn't be classified according to this classification. The main purpose of this study was to evaluate the reliability of the Letournel and Judet classification system for acetabular fractures.

Material and methods: 10 acetabular fractures were analyzed among 17 orthopedic surgeons. The surgeons were asked to classify the fractures according to the Judet and Letournel classification. Their experience, the number of surgeries, and the incision type that the surgeon uses for the anterior part of the acetabulum were recorded.

Results: The overall interobserver agreement for the Letournel classification was found to be poor, with a Kappa value of 0.287. The Kappa value for interobserver agreement was 0.224 for plain radiographs, 0.293 for 2D-CT, and 0.321 for 3D-CT scans. There was no significant difference between the incision types used by the surgeons. The highest reliability was determined among the surgeons who operate on 10-20 acetabular fractures per year, with a Kappa value of 0.309.

Conclusion: This results revealed that the Judet and Letournel Judet classification is not sufficient to classify acetabular fractures because of unclassified fractures and the complex algorithm of the system. Level of Evidence III; Comparative Retrospective Study.

简介Judet 和 Letournel 分类法是最广泛使用的髋臼骨折分类系统。一些复杂骨折无法按照该分类法进行分类。本研究的主要目的是评估 Letournel 和 Judet 分类系统对髋臼骨折的可靠性。要求外科医生根据 Judet 和 Letournel 分类法对骨折进行分类。他们的经验、手术次数以及外科医生在髋臼前部使用的切口类型都被记录在案:Letournel分类法的总体观察者间一致性较差,Kappa值为0.287。平片的观察者间一致性 Kappa 值为 0.224,2D-CT 为 0.293,3D-CT 扫描为 0.321。外科医生使用的切口类型之间没有明显差异。每年对 10-20 例髋臼骨折进行手术的外科医生的可靠性最高,Kappa 值为 0.309:这一结果表明,Judet 和 Letournel Judet 分类法不足以对髋臼骨折进行分类,因为存在未分类的骨折和该系统的复杂算法。证据等级 III;比较性回顾研究。
{"title":"ASSESSMENT OF INTEROBSERVER RELIABILITY FOR THE LETOURNEL AND JUDET CLASSIFICATION.","authors":"Mehmet Yucens, Ahmet Nadir Aydemir, Ahmet Fahir Demirkan","doi":"10.1590/1413-785220243201e267640","DOIUrl":"10.1590/1413-785220243201e267640","url":null,"abstract":"<p><strong>Introduction: </strong>The Judet and Letournel classification is the most widely used classification system for acetabular fractures. Some complex fractures couldn't be classified according to this classification. The main purpose of this study was to evaluate the reliability of the Letournel and Judet classification system for acetabular fractures.</p><p><strong>Material and methods: </strong>10 acetabular fractures were analyzed among 17 orthopedic surgeons. The surgeons were asked to classify the fractures according to the Judet and Letournel classification. Their experience, the number of surgeries, and the incision type that the surgeon uses for the anterior part of the acetabulum were recorded.</p><p><strong>Results: </strong>The overall interobserver agreement for the Letournel classification was found to be poor, with a Kappa value of 0.287. The Kappa value for interobserver agreement was 0.224 for plain radiographs, 0.293 for 2D-CT, and 0.321 for 3D-CT scans. There was no significant difference between the incision types used by the surgeons. The highest reliability was determined among the surgeons who operate on 10-20 acetabular fractures per year, with a Kappa value of 0.309.</p><p><strong>Conclusion: </strong>This results revealed that the Judet and Letournel Judet classification is not sufficient to classify acetabular fractures because of unclassified fractures and the complex algorithm of the system. <b><i>Level of Evidence III; Comparative Retrospective Study</i></b>.</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 1","pages":"e267640"},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DOPING CONTROL IN MALE SOCCER PLAYERS IN BRAZIL: 10 YEARS OF FOLLOW-UP. 巴西男子足球运动员的兴奋剂控制:10 年的跟踪调查。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e273282
Herman Fabian Moscovici, Paulo Henrique Schmidt Lara, Fernando Antonio Gaya Solera, Moisés Cohen, Jorge Roberto Pagura, Gustavo Gonçalves Arliani

Objective: To understand the Adverse Analytical Finding (AAF) that have occurred in Brazilian soccer in a recent 10-year period, comparing them to international data, to know the Brazilian profile.

Methods: A review of the AAR in the Doping Control Commission database of the Brazilian Football Association from 2008 to 2017. The AAR in professional male soccer players between 2008 and 2017 were considered.

Results: The sample selected in this research was composed of 40,092 doping tests, with 113 AAR, identified in 18 different competitions (0.28%) in the professional category, in Brazilian national and state competitions between 2008 and 2017, flagged in doping control exams through urine samples. Stimulants were detected most frequently (31.0%), followed by glucocorticoids (21.2%), diuretics, and masking agents (19.5%). The Brazilian Championship series did not show a relationship with any of the World Anti-Doping Agency (WADA) groups of substances. Series A showed 0.07% of AAR, Series B 0.21%, Series C 0.75% and Series D 1.49.

Conclusion: The rate of AAR in Brazilian soccer was 0.28%, lower than the average for all soccer worldwide, and shows similar percentages among field positions. Stimulants were the most prevalent drugs. The national elite soccer competitions showed significantly fewer cases than the lower divisions. Level of Evidence II; Retrospective Study.

目的了解近十年来巴西足球运动中出现的阳性分析结果(AAF),并将其与国际数据进行比较,以了解巴西的概况:对 2008 年至 2017 年巴西足协兴奋剂控制委员会数据库中的阳性检测结果进行回顾。结果:本研究选取的样本由巴西足球协会兴奋剂控制委员会数据库中 2008 年至 2017 年的 AAR 数据组成:本研究选取的样本由 40 092 次兴奋剂检测组成,其中有 113 次 AAR,是在 2008 年至 2017 年间巴西国家级和州级比赛的 18 场不同比赛中(0.28%),通过尿样在兴奋剂检查中发现的。兴奋剂检出率最高(31.0%),其次是糖皮质激素(21.2%)、利尿剂和掩蔽剂(19.5%)。巴西锦标赛系列没有显示出与世界反兴奋剂机构(WADA)的任何一组物质有关系。A 系列的 AAR 含量为 0.07%,B 系列为 0.21%,C 系列为 0.75%,D 系列为 1.49%:巴西足球运动员的 AAR 感染率为 0.28%,低于全球足球运动员的平均水平,各位置球员的 AAR 感染率相近。兴奋剂是最常见的药物。全国精英足球比赛中的病例明显少于低级别联赛。证据等级 II;回顾性研究。
{"title":"DOPING CONTROL IN MALE SOCCER PLAYERS IN BRAZIL: 10 YEARS OF FOLLOW-UP.","authors":"Herman Fabian Moscovici, Paulo Henrique Schmidt Lara, Fernando Antonio Gaya Solera, Moisés Cohen, Jorge Roberto Pagura, Gustavo Gonçalves Arliani","doi":"10.1590/1413-785220243201e273282","DOIUrl":"10.1590/1413-785220243201e273282","url":null,"abstract":"<p><strong>Objective: </strong>To understand the Adverse Analytical Finding (AAF) that have occurred in Brazilian soccer in a recent 10-year period, comparing them to international data, to know the Brazilian profile.</p><p><strong>Methods: </strong>A review of the AAR in the Doping Control Commission database of the Brazilian Football Association from 2008 to 2017. The AAR in professional male soccer players between 2008 and 2017 were considered.</p><p><strong>Results: </strong>The sample selected in this research was composed of 40,092 doping tests, with 113 AAR, identified in 18 different competitions (0.28%) in the professional category, in Brazilian national and state competitions between 2008 and 2017, flagged in doping control exams through urine samples. Stimulants were detected most frequently (31.0%), followed by glucocorticoids (21.2%), diuretics, and masking agents (19.5%). The Brazilian Championship series did not show a relationship with any of the World Anti-Doping Agency (WADA) groups of substances. Series A showed 0.07% of AAR, Series B 0.21%, Series C 0.75% and Series D 1.49.</p><p><strong>Conclusion: </strong>The rate of AAR in Brazilian soccer was 0.28%, lower than the average for all soccer worldwide, and shows similar percentages among field positions. Stimulants were the most prevalent drugs. The national elite soccer competitions showed significantly fewer cases than the lower divisions. <i><b>Level of Evidence II; Retrospective Study.</b></i></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 1","pages":"e273282"},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW. legg-calvé-perthes 病的髋关节骨软骨炎:病例报告和综述。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e277177
Luiz Renato Agrizzi de Angeli, Bárbara Lívia Corrêa Serafim, Felippi Guizardi Cordeiro, Felipe Spinelli Bessa, Daniel Augusto Carvalho Maranho

Introduction: Legg-Calvé-Perthes disease (LCPD) is the idiopathic osteonecrosis of the capital femoral epiphysis in children. It is a self-healing condition, and the morphology of the hip may vary according to the severity of the disease, among several other factors. The treatment focuses on attempts to prevent femoral head collapse, obtain functional hip motion recovery, and reduce pain. Osteochondritis Dissecans (OCD) of the femoral head has been reported in 2% to 7% of patients diagnosed with healed LCPD. Although OCD may remain asymptomatic, the osteochondral fragment has the potential to become unstable, evolving into symptoms of pain, locking, catching, and snapping.

Case report: We present a case report of a ten-year-old boy with an OCD lesion following LCPD who underwent effective osteochondral fixation through the surgical hip dislocation approach. The patient evolved to excellent functional recovery at 1 year post-operatively.

Discussion: The surgical hip dislocation approach allows anatomical fixation of the OCD fragment, as well as improvement of hip biomechanics, decreasing pain, improving range of motion and joint congruency, and preserving the native articular cartilage. It also gives the surgeon the opportunity to assess hip stability, femoroacetabular impingement and labral tears, allowing a wide variety of options for the treatment of the healed LCPD. Level of Evidence IV; Type of study Case Report.

简介Legg-Calvé-Perthes病(LCPD)是一种儿童股骨头骨骺特发性骨坏死。它是一种自愈性疾病,髋关节的形态会因疾病的严重程度和其他一些因素而变化。治疗的重点是防止股骨头塌陷、恢复髋关节的功能性运动和减轻疼痛。据报道,在确诊治愈的 LCPD 患者中,有 2% 至 7% 患有股骨头骨软骨炎 (OCD)。虽然 OCD 可能没有症状,但骨软骨碎片有可能变得不稳定,进而演变成疼痛、锁定、卡住和折断等症状:我们报告了一例 10 岁男孩的病例,他在 LCPD 后出现 OCD 病变,通过髋关节脱位手术方法进行了有效的骨软骨固定。术后一年,患者功能恢复良好:讨论:手术髋关节脱位方法可对OCD片段进行解剖固定,改善髋关节生物力学,减轻疼痛,改善活动范围和关节一致性,并保留原生关节软骨。它还为外科医生提供了评估髋关节稳定性、股骨髋臼撞击和唇裂的机会,为治疗愈合的 LCPD 提供了多种选择。证据等级 IV;研究类型 病例报告。
{"title":"OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW.","authors":"Luiz Renato Agrizzi de Angeli, Bárbara Lívia Corrêa Serafim, Felippi Guizardi Cordeiro, Felipe Spinelli Bessa, Daniel Augusto Carvalho Maranho","doi":"10.1590/1413-785220243201e277177","DOIUrl":"10.1590/1413-785220243201e277177","url":null,"abstract":"<p><strong>Introduction: </strong>Legg-Calvé-Perthes disease (LCPD) is the idiopathic osteonecrosis of the capital femoral epiphysis in children. It is a self-healing condition, and the morphology of the hip may vary according to the severity of the disease, among several other factors. The treatment focuses on attempts to prevent femoral head collapse, obtain functional hip motion recovery, and reduce pain. Osteochondritis Dissecans (OCD) of the femoral head has been reported in 2% to 7% of patients diagnosed with healed LCPD. Although OCD may remain asymptomatic, the osteochondral fragment has the potential to become unstable, evolving into symptoms of pain, locking, catching, and snapping.</p><p><strong>Case report: </strong>We present a case report of a ten-year-old boy with an OCD lesion following LCPD who underwent effective osteochondral fixation through the surgical hip dislocation approach. The patient evolved to excellent functional recovery at 1 year post-operatively.</p><p><strong>Discussion: </strong>The surgical hip dislocation approach allows anatomical fixation of the OCD fragment, as well as improvement of hip biomechanics, decreasing pain, improving range of motion and joint congruency, and preserving the native articular cartilage. It also gives the surgeon the opportunity to assess hip stability, femoroacetabular impingement and labral tears, allowing a wide variety of options for the treatment of the healed LCPD. <i><b>Level of Evidence IV; Type of study Case Report.</b></i></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 1","pages":"e277177"},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ORTHOSTATIC SUPPORT IN PARAPLEGIC AND AMPUTEE PATIENTS: A CONTROLLED TRIAL. 为截瘫和截肢患者提供正压支持:对照试验。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e271849
Gisele Harumi Hotta, Débora Pinheiro Aguiar, Gabriella Coelho Vieira de Melo Alves, Liana Praça Oliveira, Marie Aquino Melo de Leopoldino, Jefferson Pacheco Amaral Fortes, Francisco Carlos de Mattos Brito Oliveira, Francisco Fleury Uchoa Santos

Introduction: Functional incapacity caused by physical alterations leads to significant limitations in daily activities and has a major impact on the return of people with disabilities to the social space and the workplace. This calls for an evaluation of the long-term influence of the use of a device specially developed for orthostatic posture on the physiological, biomechanical and functional parameters of amputees and spinal cord patients.

Objective: The objective was evaluate the effect of postural support device use on function, pain, and biomechanical and cardiologic parameters in spinal cord injury and amputees patients compared to a control group.

Methods: The orthostatic device was used by the participants for a period of ten consecutive days, for three cycles of 50 minutes each day, and a 15-day follow-up. Participants were positioned and stabilized using adjustable straps on the shoulders, trunk, and hips. The primary outcome was brief pain inventory. Fifteen participants were included the control group, 15 in the amputee group, and 15 in the spinal cord group.

Results: Our results demonstrate that the use of the device allows the orthostatic position of amputees and spinal cord patients evaluated for ten days, leading to improved functionality and pain in the spinal cord and amputee groups compared to the control group. In addition, no changes were observed for secondary outcomes, indicating that the use of the device did not cause harm interference to patients.

Conclusion: The long-term use of the orthostatic device is beneficial for improving functionality, reduce pain in amputees and spinal cord injury patients. Level of evidence II; Therapeutic Studies - Investigating the results of treatment.

导言:因身体机能改变而导致的功能障碍会严重限制残疾人的日常活动,并对他们重返社会空间和工作场所产生重大影响。这就需要评估使用专门为正静态姿势开发的装置对截肢者和脊髓患者的生理、生物力学和功能参数的长期影响:目的:与对照组相比,评估使用姿势支持装置对脊髓损伤和截肢患者的功能、疼痛、生物力学和心脏参数的影响:方法:参与者连续十天使用体位支撑装置,每天使用三个周期,每个周期 50 分钟,并进行为期 15 天的随访。参与者使用肩部、躯干和臀部的可调节带进行定位和稳定。主要结果是简短疼痛量表。对照组有 15 人,截肢者组有 15 人,脊髓组有 15 人:结果:我们的研究结果表明,使用该装置可对截肢者和脊髓患者进行为期十天的正位评估,与对照组相比,脊髓组和截肢者的功能和疼痛均有所改善。此外,次要结果没有发生变化,表明使用该装置不会对患者造成伤害:结论:长期使用正静态装置有利于改善截肢者和脊髓损伤患者的功能,减轻其疼痛。证据等级 II;治疗研究--调查治疗结果。
{"title":"ORTHOSTATIC SUPPORT IN PARAPLEGIC AND AMPUTEE PATIENTS: A CONTROLLED TRIAL.","authors":"Gisele Harumi Hotta, Débora Pinheiro Aguiar, Gabriella Coelho Vieira de Melo Alves, Liana Praça Oliveira, Marie Aquino Melo de Leopoldino, Jefferson Pacheco Amaral Fortes, Francisco Carlos de Mattos Brito Oliveira, Francisco Fleury Uchoa Santos","doi":"10.1590/1413-785220243201e271849","DOIUrl":"10.1590/1413-785220243201e271849","url":null,"abstract":"<p><strong>Introduction: </strong>Functional incapacity caused by physical alterations leads to significant limitations in daily activities and has a major impact on the return of people with disabilities to the social space and the workplace. This calls for an evaluation of the long-term influence of the use of a device specially developed for orthostatic posture on the physiological, biomechanical and functional parameters of amputees and spinal cord patients.</p><p><strong>Objective: </strong>The objective was evaluate the effect of postural support device use on function, pain, and biomechanical and cardiologic parameters in spinal cord injury and amputees patients compared to a control group.</p><p><strong>Methods: </strong>The orthostatic device was used by the participants for a period of ten consecutive days, for three cycles of 50 minutes each day, and a 15-day follow-up. Participants were positioned and stabilized using adjustable straps on the shoulders, trunk, and hips. The primary outcome was brief pain inventory. Fifteen participants were included the control group, 15 in the amputee group, and 15 in the spinal cord group.</p><p><strong>Results: </strong>Our results demonstrate that the use of the device allows the orthostatic position of amputees and spinal cord patients evaluated for ten days, leading to improved functionality and pain in the spinal cord and amputee groups compared to the control group. In addition, no changes were observed for secondary outcomes, indicating that the use of the device did not cause harm interference to patients.</p><p><strong>Conclusion: </strong>The long-term use of the orthostatic device is beneficial for improving functionality, reduce pain in amputees and spinal cord injury patients. <b><i>Level of evidence II; Therapeutic Studies - Investigating the results of treatment</i></b>.</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 1","pages":"e271849"},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CORRELATION OF THE SAGITTAL BALANCE WITH POSTURAL ANALYSIS OF THE PELVIS AND LUMBAR SPINE. 矢状平衡与骨盆和腰椎姿势分析的相关性。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e274089
Marília Simões Lopes Quintana, Angelica Castilho Alonso, Natália Mariana Silva Luna, Jessica Paulino da Silva, Matheus Henrique Dos Santos Lino, Guilherme Carlos Brech, Júlia Maria D'Andrea Greve

Objective: Evaluate and correlate the sagittal balance parameters with the postural of the pelvis and lumbar spine.

Methods: 80 individuals of both sexes, aged between 20 and 35 years, were evaluated. Biophotogrammetry was done with the SAPO software program. Measurements of the sagittal balance parameters were obtained by analyzing a lateral view panoramic radiography of the vertebral column, in which the anatomical points of reference were digitally marked. The calculation of the angles was done automatically by the Keops program.

Results: In Keops assessment, 17.5% of the sample had high pelvic incidence angles (> 60°), 31.5% had low pelvic incidence angles (< 45°), and 51.2% had medium pelvic incidence angles (between 46° and 59°). SAPO showed 12,5% lordosis, 40% retroversion, and 47,5% normal curvature. In the right lateral view, pelvic incidence angle had a moderate and positive correlation with vertical alignment of the trunk and with vertical alignment of the body, and a negative and moderate correlation with horizontal alignment of the pelvis.

Conclusion: Differences were found between vertical alignment measurements from the postural evaluation system (SAPO). A positive correlation was found between PI from Keops and pelvic anteversion from SAPO. Level of Evidence II; Prospective Study.

目的:评估矢状体平衡参数与骨盆和腰椎姿势的关系:评估矢状面平衡参数与骨盆和腰椎姿势之间的关系。使用 SAPO 软件程序进行生物摄影测量。矢状面平衡参数的测量是通过分析椎体的侧视全景X光片获得的,其中的解剖参考点是用数字标记的。角度的计算由 Keops 程序自动完成:在 Keops 评估中,17.5% 的样本骨盆入射角度较高(大于 60°),31.5% 的样本骨盆入射角度较低(小于 45°),51.2% 的样本骨盆入射角度中等(介于 46°和 59°之间)。SAPO显示12.5%的骨盆前凸,40%的骨盆后倾,47.5%的骨盆弯曲正常。在右侧视图中,骨盆入射角与躯干的垂直排列和身体的垂直排列呈中度正相关,与骨盆的水平排列呈中度负相关:结论:姿势评估系统(SAPO)的垂直排列测量结果之间存在差异。结论:体位评估系统(SAPO)的垂直排列测量值之间存在差异,Keops的垂直排列测量值与SAPO的骨盆前倾测量值之间存在正相关。证据等级 II;前瞻性研究。
{"title":"CORRELATION OF THE SAGITTAL BALANCE WITH POSTURAL ANALYSIS OF THE PELVIS AND LUMBAR SPINE.","authors":"Marília Simões Lopes Quintana, Angelica Castilho Alonso, Natália Mariana Silva Luna, Jessica Paulino da Silva, Matheus Henrique Dos Santos Lino, Guilherme Carlos Brech, Júlia Maria D'Andrea Greve","doi":"10.1590/1413-785220243201e274089","DOIUrl":"10.1590/1413-785220243201e274089","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate and correlate the sagittal balance parameters with the postural of the pelvis and lumbar spine.</p><p><strong>Methods: </strong>80 individuals of both sexes, aged between 20 and 35 years, were evaluated. Biophotogrammetry was done with the SAPO software program. Measurements of the sagittal balance parameters were obtained by analyzing a lateral view panoramic radiography of the vertebral column, in which the anatomical points of reference were digitally marked. The calculation of the angles was done automatically by the Keops program.</p><p><strong>Results: </strong>In Keops assessment, 17.5% of the sample had high pelvic incidence angles (> 60°), 31.5% had low pelvic incidence angles (< 45°), and 51.2% had medium pelvic incidence angles (between 46° and 59°). SAPO showed 12,5% lordosis, 40% retroversion, and 47,5% normal curvature. In the right lateral view, pelvic incidence angle had a moderate and positive correlation with vertical alignment of the trunk and with vertical alignment of the body, and a negative and moderate correlation with horizontal alignment of the pelvis.</p><p><strong>Conclusion: </strong>Differences were found between vertical alignment measurements from the postural evaluation system (SAPO). A positive correlation was found between PI from Keops and pelvic anteversion from SAPO. <i><b>Level of Evidence II; Prospective Study</b></i>.</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 1","pages":"e274089"},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
BENEFITS OF A CLINICAL PATHWAY IN TOTAL KNEE ARTHROPLASTY. 临床路径对全膝关节置换术的益处。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e269506
Márcio de Castro Ferreira, Gilvânia Silva, Carolina Padrão Amorim Marinelli, Julia Souza de Oliveira, Pedro Aurélio Mathiasi, Gilberto Luis Camanho

Objective: Demonstrate whether a multiprofessional Clinical Pathway Program in Total Knee Arthroplasty (CPPA) contributesto optimizing hospital care.

Method: Retrospective study of medical data of care indicators in 310 patients divided into two groups: A- who underwent arthroplasty in the last biennium before the introduction of the CPPA (n=144) and group B- who underwent TKA in the biennium after the introduction of the CPPA (n=166).

Results: Postoperative showed a significant difference in favor of group B over group A for hospitalization time in days 4.33 ± 2.79 and 5.4 ± 1.67 (p<0.001), time of prophylactic antibiotic in hours 28.13 ± 33.77 and 81.49 ± 40.91 (p<0.001), referral to the intensive care unit 40.9% and 73.4% (p<0.001), initiation of thromboprophylaxis within 24 hours 97.9% and 82.5% (p<0.001), use of elastic stockings and/or intermittent compression prescribed for thromboprophylaxis 89.5% and 31.2% (p<0.001), initiation of rehabilitation within 24 hours 90.1% and 66.1% (p<0.001), readmissions within 30 days 4.1% and 3% (p = 0.76), readmissions 90 days 2.7% and 6.6% (p = 0.183), transfusions 5.5% and 15.2% (p = 0.033).

Conclusion: The implementation of a multiprofessional CPPA contributed to the implementation of care protocols, favoring greater patient safety. Level of Evidence III; Retrospective Comparative Study.

目的:证明多专业全膝关节置换术临床路径计划(CPPA)是否有助于优化医院护理:证明多专业全膝关节置换术临床路径计划(CPPA)是否有助于优化医院护理:对 310 名患者的医疗数据和护理指标进行回顾性研究,分为两组:方法:对 310 名患者的医疗数据和护理指标进行回顾性研究,分为两组:A 组--在引入 CPPA 之前的上一个两年期接受关节置换术的患者(144 人);B 组--在引入 CPPA 之后的两年期接受 TKA 的患者(166 人):结果显示,术后住院时间(4.33±2.79 天)和(5.4±1.67 天)方面,B 组与 A 组相比存在明显差异(p):多专业 CPPA 的实施有助于护理协议的实施,有利于提高患者安全。证据等级 III;回顾性比较研究。
{"title":"BENEFITS OF A CLINICAL PATHWAY IN TOTAL KNEE ARTHROPLASTY.","authors":"Márcio de Castro Ferreira, Gilvânia Silva, Carolina Padrão Amorim Marinelli, Julia Souza de Oliveira, Pedro Aurélio Mathiasi, Gilberto Luis Camanho","doi":"10.1590/1413-785220243201e269506","DOIUrl":"10.1590/1413-785220243201e269506","url":null,"abstract":"<p><strong>Objective: </strong>Demonstrate whether a multiprofessional Clinical Pathway Program in Total Knee Arthroplasty (CPPA) contributesto optimizing hospital care.</p><p><strong>Method: </strong>Retrospective study of medical data of care indicators in 310 patients divided into two groups: A- who underwent arthroplasty in the last biennium before the introduction of the CPPA (n=144) and group B- who underwent TKA in the biennium after the introduction of the CPPA (n=166).</p><p><strong>Results: </strong>Postoperative showed a significant difference in favor of group B over group A for hospitalization time in days 4.33 ± 2.79 and 5.4 ± 1.67 (p<0.001), time of prophylactic antibiotic in hours 28.13 ± 33.77 and 81.49 ± 40.91 (p<0.001), referral to the intensive care unit 40.9% and 73.4% (p<0.001), initiation of thromboprophylaxis within 24 hours 97.9% and 82.5% (p<0.001), use of elastic stockings and/or intermittent compression prescribed for thromboprophylaxis 89.5% and 31.2% (p<0.001), initiation of rehabilitation within 24 hours 90.1% and 66.1% (p<0.001), readmissions within 30 days 4.1% and 3% (p = 0.76), readmissions 90 days 2.7% and 6.6% (p = 0.183), transfusions 5.5% and 15.2% (p = 0.033).</p><p><strong>Conclusion: </strong>The implementation of a multiprofessional CPPA contributed to the implementation of care protocols, favoring greater patient safety. <b><i>Level of Evidence III; Retrospective Comparative Study.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 1","pages":"e269506"},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
INJURY EPIDEMIOLOGY IN BEACH TENNIS: INCIDENCE AND RISK FACTORS. 沙滩网球运动损伤流行病学:发病率和风险因素。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e268301
Fabio Lucas Rodrigues, Paulo Sergio Barone, Ramylla Saldanha Penha, Isabela Pagliaro Franco

Introduction: Due to the growing increase in beach tennis practice in Brazil and the lack of studies on the injuries that occur in this sport, it has become necessary to develop more research on the subject.

Objective: to identify risk and protection factors for injuries in beach tennis, in order to generate prevention strategies for musculoskeletal injuries.

Method: A cross-sectional epidemiological study, level 3 of evidence, was carried out through an electronic form with 698 Beach Tennis players, who answered questions about their relationship with the practice of the sport and occurrences of injuries. We researched the prevalence of injuries, their types, and their relation with personal physical characteristics and the practice of other sports.

Results: We found a positive relationship between injuries when associated with longer exposure time and the presence of a previous injury. We did not find differences regarding BMI, gender, and stretching and muscle strengthening performance.

Conclusion: the most frequent non-traumatic injuries were to the elbow and shoulder (tendonitis) and traumatic (sprain) injuries to the knee and ankle. Level of Evidence II; Cohort Study.

导言:目的:确定沙滩网球运动中受伤的风险因素和保护因素,以制定肌肉骨骼损伤的预防策略:方法:通过电子表格对 698 名沙滩网球运动员进行了一项横断面流行病学研究(证据等级为 3 级)。我们研究了受伤的发生率、类型及其与个人身体特征和从事其他运动的关系:结果:我们发现,受伤与接触时间较长和以前受过伤之间存在正相关关系。结论:最常见的非创伤性损伤是肘关节和肩关节(肌腱炎),创伤性损伤(扭伤)是膝关节和踝关节。证据等级 II;队列研究。
{"title":"INJURY EPIDEMIOLOGY IN BEACH TENNIS: INCIDENCE AND RISK FACTORS.","authors":"Fabio Lucas Rodrigues, Paulo Sergio Barone, Ramylla Saldanha Penha, Isabela Pagliaro Franco","doi":"10.1590/1413-785220243201e268301","DOIUrl":"10.1590/1413-785220243201e268301","url":null,"abstract":"<p><strong>Introduction: </strong>Due to the growing increase in beach tennis practice in Brazil and the lack of studies on the injuries that occur in this sport, it has become necessary to develop more research on the subject.</p><p><strong>Objective: </strong>to identify risk and protection factors for injuries in beach tennis, in order to generate prevention strategies for musculoskeletal injuries.</p><p><strong>Method: </strong>A cross-sectional epidemiological study, level 3 of evidence, was carried out through an electronic form with 698 Beach Tennis players, who answered questions about their relationship with the practice of the sport and occurrences of injuries. We researched the prevalence of injuries, their types, and their relation with personal physical characteristics and the practice of other sports.</p><p><strong>Results: </strong>We found a positive relationship between injuries when associated with longer exposure time and the presence of a previous injury. We did not find differences regarding BMI, gender, and stretching and muscle strengthening performance.</p><p><strong>Conclusion: </strong>the most frequent non-traumatic injuries were to the elbow and shoulder (tendonitis) and traumatic (sprain) injuries to the knee and ankle. <b><i>Level of Evidence II; Cohort Study.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 1","pages":"e268301"},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Acta Ortopedica Brasileira
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1