A5031323328- Nerve Injury and Rehabilitation
- Orthopedic Surgery and Rehabilitation
- Peripheral Nerve Disorders
- Reconstructive Surgery and Microvascular Techniques
- Shoulder and Clavicle Injuries
- Shoulder Injury and Treatment
- Cardiac Structural Anomalies and Repair
- Cardiovascular Issues in Pregnancy
- Sports Performance and Training
- Medical Malpractice and Liability Issues
- Spine and Intervertebral Disc Pathology
- Hip disorders and treatments
- Rabies epidemiology and control
- Nausea and vomiting management
- Sports injuries and prevention
- Streptococcal Infections and Treatments
- Antimicrobial Resistance in Staphylococcus
- Elbow and Forearm Trauma Treatment
- Occupational Health and Performance
- Aortic Disease and Treatment Approaches
- Peripheral Neuropathies and Disorders
- Cardiac Valve Diseases and Treatments
- Neural and Behavioral Psychology Studies
- Nail Diseases and Treatments
- Reconstructive Facial Surgery Techniques
Irmandade da Santa Casa de Misericórdia de São Paulo
2012-2024
Universidade de São Paulo
2022-2024
Faculdade de Ciências Médicas da Santa Casa de São Paulo
2017-2022
Santa Casa Hospital
2018
Faculdade de Medicina do ABC
2010
To assess the frequency of physeal injuries and wrist pain in young competitive gymnasts according to their training characteristics .This is a cross-sectional study (January-June 2015) male gymnastics team São Paulo, SP, Brazil. Nineteen gymnasts, mean age 13.3 years, were evaluated three ways: questionnaire, physical examination radiographs .On average, they trained since 6 years-old during hours per week. Eighty-two percent had 65% injury. The was worse practitioners (82%) soil (17%)...
Objective: The aim of this study is to evaluate the prevalence, topography and morphometry sensitive nervous anastomoses in hand. Methods: Thirty anatomic parts irrespective race, gender age have been dissected. Measurements anastomoses' length, origin terminus regarding transverse carpal ligament were noted. classified according scheme proposed by Meals & Shaner modified Bas Kleinert. Results: Type 1 anastomosis was most prevalent. distance between distal limit 0.7 cm average. Conclusion:...
Objective: To evaluate upper-limb function by means of the Mallet score, in patients with medial rotation contracture shoulder who underwent modified Sever-L'Episcopo procedure, and to correlate evolution age length postoperative follow-up. Methods: Sixteen were assessed comparing pre scores correlating differences between these at time surgery Results: A statistically significant improvement score was observed. The correlations follow-up not significant. Conclusion: procedure led improved...
To evaluate the functional outcome of patients with traumatic brachial plexus injury undergoing Oberlin procedure.Eighteen were assessed, comprising 17 men (94.4%) and 1 woman (5.6%), mean age 29.5 years (range 17-46 years), upper (C5-C6 C5-C7). We assessed active range motion elbow, elbow flexion muscle strength hand-grip strength, applied DASH (Disabilities Arm, Shoulder Hand) questionnaire.Four (22.2%) did not achieve effective (BMRC Grade 3). Mean was 100.2° (±45.6°), we observed a...
OBJETIVO: Avaliar a função do membro superior acometido, por meio escore de Mallet, nos pacientes com contratura em rotação medial ombro submetidos à cirurgia Sever-L'Episcopo modificada, e correlacionar evolução idade o tempo seguimento pós-operatório. MÉTODOS: Dezesseis foram avaliados, sendo comparadas as medidas pré pós-operatórias correlacionada diferença entre esses valores no momento da seguimento. RESULTADO: Observou-se melhora Mallet pós-operatório estatisticamente significante,...
To evaluate the arc of forearm pronosupination patients with sequelae birth paralysis and correlate these variables.32 children aged between 4 14 years total or partial lesions brachial plexus were evaluated; measurements pronation supination, active passive, made, both on injured side unaffected side.A statistically significant difference was observed normal side, but there no groups regarding age type injury.The injury did not impact limitation in paralysis.Avaliar o arco de...
ABSTRACT Objective: Nerve transfers are an alternative in the reconstruction of traumatic brachial plexus injuries. In this study, we report results branchial using accessory to suprascapular nerve transfer. Methods: Thirty-three patients with injuries underwent surgical transfers. The were divided into groups which surgery was performed either within 6 months after injury or more than injury. Results assessed Constant score. Results: There no significant difference between respect...
Objective To evaluate elbow flexion in children with obstetric brachial plexus paralysis submitted to Oberlin transfer. Methods Retrospective study 11 patients affected by due labor who did not present spontaneous recovery from until 12 months of life, operated between 2010 and 2018. Results The were 5 a mean 7.9 months, the follow-up time was 133.2 ranging 37 238 months. Six (54.5%) presented degree muscle strength ≥ 3, measured scale Medical Research Council (MRC) and, according active...
ABSTRACT Objective: To determine the epidemiological profile of patients treated at a philanthropic hospital specialized in Orthopedics and Traumatology, located significant urban center, evaluate efficacy initial empirical antibiotic treatment. Methods: Patients diagnosed with hand infections from September 2020 to 2022 were included, excluding cases related open fractures or post-surgical those incomplete medical records. The chi-square test was performed using STATISTICA ® software...
To evaluate the pregabalin adjuvant effect in patients with carpal tunnel syndrome (CTS) surgically treated, analyzing postoperative pain and incidence of complex regional (CRPS).
ABSTRACT Objective: To evaluate the pregabalins adjuvant effect in patients with carpal tunnel syndrome (CTS) surgically treated, analyzing postoperative pain and incidence of complex regional (CRPS). Methods: Outpatient surgical candidates CTS were selected followed for 12 months, divided into three groups. The Control Group received a placebo, Pregabalin 75 mg daily dose, 150 dose medication. Patient progress was evaluated using visual analog scale (VAS) DN4 neuropathic score before...
Resumo A neurite braquial, ou síndrome de Parsonage-Turner, é uma doença rara caracterizada por quadro doloroso e súbito no membro superior, autolimitado, seguido fraqueza atrofia da musculatura cintura escapular. Ocorre envolvimento bilateral do plexo braquial em 10 a 30% dos pacientes, porém os sintomas geralmente são assimétricos. Infecção viral (25 55%) alterações autoimunes têm sido descritas como fatores causais mais comuns. Uma nova variante coronavírus (SARS-CoV2) provocou pandemia...
ABSTRACT Objective: To analyze the satisfaction of patients who underwent hand surgical treatment with wide-awake local anesthesia no tourniquet (WALANT) technique. Methods: This is a cross-sectional study on WALANT These were treated at Hand and Microsurgery outpatient clinic public hospital from March 2020 to 2022. They assessed by modified Heidelberg questionnaire. Results: The overall average totaled 3.27 (maximum value 4, SD 0.52, p-value 0.04), representing good result. Patients’...
Avaliar o arco de pronossupinação do antebraço dos pacientes com sequela paralisia obstétrica plexo braquial e correlacionar essas variáveis. Foram avaliadas 32 crianças entre 4 14 anos, lesões totais ou parciais braquial, foram tiradas as medidas pronação supinação, ativa passiva, tanto lado lesionado quanto não afetado. Observou‐se diferença estatisticamente significativa normal, porém houve os grupos por faixas etárias, nem ao tipo lesão. Os fatores idade lesão tiveram efeito sobre a nas...
Resumo A síndrome do túnel carpo é a neuropatia compressiva mais comum membro superior, afetando ∼ 4% da população geral. O quadro clínico caracteriza-se por dor e, principalmente, parestesia no território nervo mediano, de início insidioso nos casos graves, observa-se perda força e atrofia musculatura tenar. Trata-se patologia extremamente na prática diária cirurgia mão, maior parte dos pode ser tratada com métodos conservadores. Apresentamos aqui um caso atípico carpo, surgimento agudo,...
O enxerto ósseo vascularizado tem sido utilizado com mais frequência nas últimas duas décadas, principalmente no tratamento de perdas ósseas extensas difíceis serem tratadas métodos convencionais. A viabilidade e a consequente hipertrofia do depende da presença microanastomoses pérvias. monitoração das é extremamente importante período pós-operatório para se identificar eventuais tromboses dessa forma poder planejar exploração cirúrgica precoce. Dentre os disponíveis esta avaliação...
Objective This is an anatomical study of C4 and C5 roots for nerve transfers in upper brachial plexus injuries, with surgical technique demonstration. Methods Fifteen plexuses from both male female cadavers were dissected. Morphological features recorded analyzed, followed by a neurotization simulation. Results In all dissections, morphological allowed their mobilization no need graft. The spared important regional branches. Conclusion Based on these data, we conclude that C4-C5 are feasible...
Transverse carpal ligament (TCL) opening is the treatment of choice for tunnel syndrome. However, complications such as loss grip strength and anterior displacement median nerve are described common associated with this technique. Thus, techniques that reconstruct or extend TCL to reduce incidence these complications.To evaluate effectiveness enlargement through Z-plasty reduction by comparing it complete ligament.A prospective randomized intervention study was conducted in 56 patients. They...
OBJETIVO: Avaliar o efeito adjuvante da pregabalina em pacientes com síndrome do túnel carpo (STC), tratados cirurgicamente, analisando a dor pós-operatória e incidência complexa regional (SDCR). MÉTODOS: Foram selecionados acompanhamento ambulatorial, indicação de tratamento cirúrgico para STC, acompanhados ao longo 12 meses, divididos três grupos. O Grupo Controle recebeu placebo, Pregabalina 75mg tomou uma dose diária 150mg medicação. A evolução dos foi avaliada mediante aplicação escala...
A restauração de lesões nos tendões flexores da zona II é um procedimento difícil devido à sua complexidade anatômica, facilidade formar aderências e dificuldade estabelecer protocolos reabilitação que reduzam o número rupturas. O objetivo deste trabalho foi atualizar tratamento cirúrgico das II. Foram analisados cinco artigos, três sobre avaliação diferentes técnicas sutura dois pós-operatória. No estudo Buendia et al., os valores absolutos mostraram a técnica ancoragem como sendo melhor,...
Introdução: A sindrome do tunel carpal e constituida por um conjunto de sinais sintomas caracteristicos como parestesia, formigamento, dor perda da forca nas maos. Inicialmente os sao brandos, progredindo ao longo tempo. Objetivo: Apresentar resultados tratamento cirurgico com mini-incisao, bem discutir a relacao entre tecnica cirurgica utilizada. Método: Esta pesquisa foi realizada na Faculdade Medicina ABC, onde foram avaliados 79 punhos 71 pacientes, todos submetidos “mini-incisao”,...