Ansatznahe Erkrankungen der Achillessehne - Ein Überblick über die operativen Therapieoptionen

Publication date: Available online 15 November 2019Source: Fuß &SprunggelenkAuthor(s): Hubert Hörterer, Sebastian Felix Baumbach, Mareen Braunstein, Ulrike Szeimies, Wolfgang Böcker, Markus Walther, Hans PolzerZusammenfassungSchmerzen am Ansatz der Achillessehne stellen mit einer Lebenszeitinzidenz von 6% ein häufiges Krankheitsbild dar. Mittels klinischer Untersuchung, Röntgen und MRT können die Pathologien entsprechend ihrer Lokalisation in drei verschiedene Kompartimente (retro-, intra-, prä-achillär) eingeteilt werden. Führt die konservative Therapie nicht zu einer ausreichenden Besserung der Beschwerden, sollte die Operation erwogen werden.Am häufigsten wird das offene, vollständige Debridement sämtlicher im Röntgen und MRT identifizierter Pathologien über einen transachillären Zugang mit türflügelartigen Ablösen des Achillessehnenansatzes durchgeführt. Auch wenn die meisten Autoren bei einer Ablösung der Achillessehne von mehr als 50% die Refixation der Achillessehne mittels Anker empfehlen, fehlen hierfür valide Daten. Ebenso limitiert ist die Studienlage für einen zusätzlichen Transfer der Flexor Hallucis Longus (FHL) Sehne bei Sehnendebridement von mehr als 50% des Sehnendurchmessers oder höherem Patientenalter. In dem einzigen vorhandenen RCT wurden ausschließlich Patienten > 50 Jahre eingeschlossen unabhängig vom Ausma&szli...
Source: Fuss and Sprunggelenk - Category: Podiatry Source Type: research

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ABSTRACT OBJECTIVE To evaluate the factors associated with tooth loss in adults from the position and number of teeth lost in the dental arches. METHODS This is a cross-sectional, population-based study with adults participating in the epidemiological survey of oral health of S ão Paulo in 2015. The outcome of the study was tooth loss, assessed by the proposed classification, namely: I) lost up to 12 back teeth; II) lost up to 12 teeth (including front teeth); and III) lost more than 12 teeth. A four-block analysis was conducted, supported by a conceptual theoretical mode l adapted for tooth loss. For the multinomia...
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
ConclusionA long history of shoulder pain that is not responsive to conservative management in young patients should raise the suspicion of an "OO", and physicians should be encouraged to use early advanced imaging modalities in order to confirm it.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionGiven the increasing number of such surgeries performed the recognition of acute and chronic complications, and their optimal management is of great importance. Although performing a Roux-en-Y fistulojejunostomy was recommended in the literature, conservative and endoscopic treatment should be considered before.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
We present this case for the uniqueness of the bilateral ovarian pathology as well as to show that robotic-assisted resection of ovarian tumors in certain children is safe and feasible.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 9 December 2019Source: Annals of Physical and Rehabilitation MedicineAuthor(s): I Laffont, J Froger, C Jourdan, K Bakhti, LEH Van Dokkum, A Gouaich, HY Bonnin, P Armingaud, A Jaussent, MC Picot, E Le Bars, A Dupeyron, C Arquizan, A Gelis, D MottetAbstractBackground. Few rehabilitation methods have proven their efficacy in increasing sensori-motor recovery and/or function of the upper limb (UL) after stroke. Video games (VGs) are promising tools in this indication.Objective. To compare UL rehabilitation by using VGs and conventional rehabilitation (CR) in patients with sub-acute stroke.Des...
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research
Insomnia and co-existing sleeplessness and musculoskeletal pain were inversely related to long-term recovery from chronic low back pain, a study found; relieving sleep problems may improve recovery.Medscape Medical News
Source: Medscape FamilyMedicine Headlines - Category: Primary Care Tags: Internal Medicine News Source Type: news
The bill aims to “provide Medicare support for an additional 1,000 graduate medical education (GME) positions over five years in hospitals that have, or are in the process of establishing, accredited residency programs in addiction medicine, addiction psychiatry, or pain medicine.”
Source: Forbes.com Healthcare News - Category: Pharmaceuticals Authors: Source Type: news
ConclusionAs rare as this pathology is, this article aims to improve the available data and provide useful information regarding diagnosis and therapy.ResumoIntroduçãoO linfoma do TGI pode ser dividido entre primário e secundário, com importância diagnóstica e terapêutica. O linfoma primário de reto é patologia rara, pouco relatada em literatura médica. Sua incidência tem aumentado e possivelmente esse fenômeno esteja associado ao aumento no numero de pacientes com imunossupressão (seja por SIDA ou drogas imunossupressoras).MetodologiaFo...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
Condition:   Low Back Pain Interventions:   Other: Pain Neuroscience Education and gradual exposure;   Other: Pilates and postural education Sponsor:   Aveiro University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Chronic Pain Intervention:   Device: Wearing the rigid brace Sponsor:   University Hospital, Clermont-Ferrand Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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