Este artículo es publicado originalmente en:
http://www.elhospital.com/temas/Colombia-avanza-en-el-desarrollo-de-protesis-mioelectricas+102438
Con biotecnología e impresión 3D, ingenieros mecatrónicos de la Universidad Nacional de Colombia han avanzado en el diseño de prótesis mioeléctricas...
Ortopedia y Traumatología

Cirugía de Tumores Óseos
viernes, 26 de diciembre de 2014
Grant Funds Research on Chromosomal Instability in Osteosarcoma
Este artículo es originalmente publicado en.
http://sarcomahelp.org/research/osteosarcoma-CIN.html
http://sarcomahelp.org/translate/es-sarcoma.html
http://sarcomahelp.org/research/osteosarcoma-CIN.html
http://sarcomahelp.org/translate/es-sarcoma.html
¿Qué es un sarcoma?
Es un cáncer del tejido conectivo, que incluye estructuras como los nervios, los músculos, el cartílago, las articulaciones, los huesos y los vasos sanguíneos. Puede presentarse en cualquier lugar del cuerpo, pero frecuentemente se oculta en la profundidad de las extremidades.
¿Cuál es la prevalencia de los sarcomas?
Cerca de 1% de los tumores de adultos son sarcomas. Entre 15 y 20% de los tumores de niños son sarcomas. En el mundo existen cientos de miles de pacientes que, junto a sus familias, están luchando contra los sarcomas.
¿Cómo se tratan los sarcomas?
Cuando es posible, los pacientes son operados para extirpar el tumor. La cirugía se combina con quimioterapia y radioterapia.
¿Por qué los sarcomas son peligrosos?
Frecuentemente son diagnosticados erróneamente. Algunas veces son confundidos con lesiones deportivas. Cuando son diagnosticados, estos tumores son demasiado grandes para ser extirpados quirúrgicamente y por lo general han metastatizado. Muchos de los sarcomas son resistentes a los tratamientos utilizados actualmente.
Ayudas y Recursos
En España, coexiste el Sistema Nacional de Salud con una red importante de hospitales privados. Aunque existen centros privados para el tratamiento del cáncer de mucho prestigio (Clínica Universitaria de Navarra, Hospital de San Rafael, etc), la mayor parte de los casos de cáncer, adultos o pediátricos, son tratados en la red de Hospitales públicos, donde, con frecuencia, se encuentra la mejor combinación de medios, tecnología y enfoques específicos multidisciplinares (cirujanos, oncólogos, radiólogos, patólogos, enfermería,...) para el tratamiento del cáncer.
- Grupo de Estudio de Sarcomas (Spanish Group for Research on Sarcomas)
- Asociación Infantil Oncológica de la Comunidad de Madrid (ASION)
- Sociedad Española de Oncología Médica (SEOM)
- Centro Nacional de Investigaciones Oncológicas (CNIO)
- Grupo de Estudio de los Tumores del Aparato Locomotor
- Sociedad Española de Oncología Pediatrica
- Asociación Española Contra el Cáncer (AECC)
- Federación Española de Padres de Niños con Cáncer (FEPNC)
- Fundación de Oncología Infantil Enriqueta Villavecchia
jueves, 25 de diciembre de 2014
Tamim to go to Melbourne for knee-injury treatment
Tamim to go to Melbourne for knee-injury treatment http://t.co/5Jv82wIHMD vía @espncricinfo
— Victor Ravens (@bibliomanazteca) diciembre 25, 2014
miércoles, 24 de diciembre de 2014
Demystifying Physeal Fractures
https://www.youtube.com/watch?v=g8wo8LozA6Q
This episode of Grand Rounds focuses on pediatric orthopaedics, specifically physeal injuries (growth plate injuries) common in childhood. UW Medicine physician Dr. Ted Sousa discusses the epidemiology, basic science of the growth plate, classification of physeal injuries, as well as the classification and science behind growth arrest. Dr. Antoinette Lindberg, assistant professor of orthopaedics at Seattle Children's, follows with a discussion of the basic principles of the acute management of these injuries and goes into detail about the treatment of the most common fractures. Finally, Dr. Mark Dales, chief of the fracture clinic at Seattle Children's, discusses the chronic management of these injuries with regards to growth arrest, limb deformity, shortening, and disability.
Ernest U. Conrad, MD Chairman of Pediatric Orthopaedics
Children's Hospital & Regional Medical Center
Ted C. Sousa, MD Orthopaedic Surgery Resident (R4)
UW Medicine
Mark C. Dales, MD Chief, Fracture Clinic, Dept. of Orthopaedic Seattle Children's Hospital
Antoinette W. Lindberg, MD Assistant Professor, Dept. of Orthopaedics Seattle Children's Hospital
4/3/2013
Ernest U. Conrad, MD Chairman of Pediatric Orthopaedics
Children's Hospital & Regional Medical Center
Ted C. Sousa, MD Orthopaedic Surgery Resident (R4)
UW Medicine
Mark C. Dales, MD Chief, Fracture Clinic, Dept. of Orthopaedic Seattle Children's Hospital
Antoinette W. Lindberg, MD Assistant Professor, Dept. of Orthopaedics Seattle Children's Hospital
4/3/2013
Categoría
Formación
Licencia
Licencia de YouTube estándar
Rotura del Manguito Rotador Supraespinoso
Este artículo es publicado originalmente en:
http://news.doccheck.com/es/blog/post/1985-rotura-del-manguito-rotador-supraespinoso/
http://news.doccheck.com/es/blog/post/1985-rotura-del-manguito-rotador-supraespinoso/
Rotura del Manguito Rotador Supraespinoso
Una de las afecciones más comunes en los pacientes de mediana edad que acuden a mi consulta es el dolor de hombros. Y una causa frecuente de ese dolor es la rotura del manguito rotador, fundamentalmente del tendón Supraespinoso. más...
Panel discusses conversion to ICD-10
Este artículo es originalmente publicado en:
http://www.healio.com/orthopedics/business-of-orthopedics/news/print/orthopedics-today/%7B0395433e-f2dd-4ddd-aa9f-b241c2bd0703%7D/panel-discusses-conversion-to-icd-10
http://www.healio.com/orthopedics/business-of-orthopedics/news/print/orthopedics-today/%7B0395433e-f2dd-4ddd-aa9f-b241c2bd0703%7D/panel-discusses-conversion-to-icd-10
ROUND TABLES
Panel discusses conversion to ICD-10
Orthopedics Today, March 2014
Panel discusses conversion to ICD-10
Members of the American Academy of Orthopaedic Surgeons Coding Coverage & Reimbursement Committee and a national compliance expert discuss what the ICD-10 coding conversion means to private practice and hospital-employed orthopedic surgeons. Read more |
domingo, 21 de diciembre de 2014
Spine tumors
Este vídeo es originalmente publicado en:
https://www.youtube.com/watch?v=FTimKJlhFbY&index=3
http://youtu.be/FTimKJlhFbY
https://www.youtube.com/watch?v=FTimKJlhFbY&index=3
http://youtu.be/FTimKJlhFbY
Publicado el 12/11/2014
Dr. John Hain of the Nebraska Spine Hospital explains spine tumors and how they can be treated. For more videos and information - visit our website http://nebraskaspinehospital.com/
Categoría
Licencia
- Licencia estándar de YouTube
martes, 16 de diciembre de 2014
domingo, 14 de diciembre de 2014
Cirugía adecuada y QT consiguen buen resultado en tumores óseos
Cirugía adecuada y QT consiguen buen resultado en tumores óseos http://t.co/wBIxCko4Xg #gethi #onmedic #oncologia
— Grupo Gethi (@GrupoGethi) noviembre 16, 2014
Abajo en una rodilla: las lesiones de rodilla en tejidos blandos durante toda la vida / Down on one knee: soft tissue knee injuries across the lifespan
Este artículo es publicado originalmente en:
http://arthritis-research.com/content/16/6/499
De:
http://arthritis-research.com/content/16/6/499
De:
Date: 08 Dec 2014
Down on one knee: soft tissue knee injuries across the lifespan
- Jonas B Thorlund,
- Adam G Culvenor,
- Charles Ratzlaff
- Arthritis Research & Therapy 2014, 16:499 doi:10.1186/s13075-014-0499-8The electronic version of this article is the complete one and can be found online at:http://arthritis-research.com/content/16/6/499
Published: 8 December 2014 © 2014 Thorlund et al.; licensee BioMed Central Ltd.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Editorial
Joint injury is a potent risk factor for osteoarthritis (OA), the most important musculoskeletal disease affecting humankind. Although evidence is mounting that knee joint injury rates are high and increasing, it is also perhaps the lowest hanging fruit for primary OA prevention; several randomized clinical trials have shown that knee injuries can be dramatically reduced with relatively straightforward interventions. Yet outside of anterior cruciate ligament (ACL) injury and despite its potential public health impact, the population incidence of soft tissue knee injury requiring medical attention is not well documented: we have not known the extent or the nature of the problem, until now.In a recent issue of Arthritis Research & Therapy, Peat and colleagues [1] provided population-wide estimates of clinically diagnosed soft tissue knee injuries across all ages on the basis of an entire region of Sweden (approximately 1.3 million people). The opportunity to report and classify all clinically diagnosed knee injuries across the lifespan arises from unique and detailed health-care registries typical to Scandinavian countries. This overcomes weaknesses of previous epidemiological evaluations of knee injuries, which are limited to specific health-care settings, subgroups of people, and specific injury types. Of note, the findings of Peat and colleagues [1] have convergent validity - largely agreeing with previous reports of incidence for specific injury types and subgroups where data overlap.What emerges is that population exposure to soft tissue knee injury is a common problem; the annual incidences for males and females are 766 and 676 per 100,000 persons per year, respectively. This is approximately 10 times higher than ACL injuries alone. If these ‘less catastrophic’ but more common injuries are a risk for OA development (as risk factor studies measuring self-reported injury suggest [2]), then this study may be uncovering and detailing critical new exposure data. They are clearly more numerous though more difficult to accurately diagnose. This study begins to shed light on this challenge.Also revealed is new information on age and gender differences. The incidence of soft tissue knee injuries peaks in adolescence and early adulthood and is likely sports-related, matching seasonal fluctuations in popular sports in Sweden. The rates after this period decline over the lifespan with a notable exception: females from 35 to 49 experience a second peak. This is intriguing and the reasons are not clear, although the authors propose that the previously reported link between parity/child-bearing and knee OA may be mediated by injury. Although the reasons remain obscure, the finding is compelling and may help elucidate the consistently reported, but unexplained, higher prevalence of knee OA in females.Peat and colleagues [1] show that, although incidence rates are highest in the second and third decades of life, considerable rates of contusion, collateral ligament sprain, and other soft tissue strains continue into middle and old age. These injuries coincide with the age of onset of knee OA symptoms and illustrate the challenge of differentiating what is truly an injury from what is part of a previously latent or degenerative process or both. This also applies to meniscal injuries. Surgeries for meniscal tears peak in the mid to late 40s [3]–[5]. In contrast, Peat and colleagues [1] report a high incidence of meniscal tears in adolescents and young adults. As acknowledged by the authors, less severe injuries such as meniscal tears likely suffer from some misclassification. However, the relationship between diagnosis and surgery for meniscal tears requires further investigation.The high injury incidence among adolescents and young adults, together with the known risk of OA incidence from ACL and meniscal injuries, provides further impetus for implementing knee injury prevention programs, for which there is a strong body of level 1 evidence [6]–[11]. Efficacy has been demonstrated primarily in the sports team setting, implemented as novel 10- to 15-minute team warm-ups consisting of neuromuscular exercises to train athletes to land, decelerate, and push off with better lower limb alignment and improved trunk control, balance, and proprioception. The reported risk reductions range from 41% to 88% [7],[8],[11]. Given the age and frequency at which these injuries most often occur and their potential sequelae, perhaps targeting injury prevention programs to physical education classes in public schools could address a growing public health problem.The study by Peat and colleagues highlights several areas for further study. Knowledge is needed on the natural history of knee injuries in the development of knee OA as well as the potential for prevention programs to reduce the incidence. The spike of injuries in females between 35 and 49 requires confirmation and further investigation as to its causes, prevention, and potential role in OA development or progression. The same is true for injuries that occur in middle and older age, often coinciding with a time when knee OA has been diagnosed. Further clarity is needed around meniscal injury: what is traumatic injury and what is degenerative knee disease? There is still much to discover about the different knee injury types throughout the lifespan and the initiation and progression of knee OA. The study by Peat and colleagues [1] provides a good platform for this to be pursued.
sábado, 13 de diciembre de 2014
RADIOLOGÍA EN LA RED: PAGET’S DISEASE COMPLICATED BY OSTEOSARCOMA
RADIOLOGÍA EN LA RED: PAGET’S DISEASE COMPLICATED BY OSTEOSARCOMA – WHICH OCCURS…
Estándar
Paget’s disease complicated by osteosarcoma – which occurs in as many as 1% of cases. Note the dense osteoid matrix and the ‘hair-on-end’ type of aggressive periosteal reaction superimposed on cortical thickening and a coarsened trabecular pattern.
via Radiology Signs http://ift.tt/1zfoOnE
viernes, 12 de diciembre de 2014
Clasificación del fracaso de salvamento de la extremidad después de la cirugía reconstructiva para los tumores óseos: un sistema modificado que incluye reconstrucciones biológicas y expandibles
http://www.ncbi.nlm.nih.gov/pubmed/25371453
http://www.bjj.boneandjoint.org.uk/content/96-B/11/1436.abstract
De:
Bone Joint J. 2014 Nov;96-B(11):1436-1440.
Classification of failure of limb salvage after reconstructive surgery for bone tumours : a modified system Including biological and expandable reconstructions.
Henderson ER1, O'Connor MI2, Ruggieri P3, Windhager R4, Funovics PT4, Gibbons CL5, Guo W6, Hornicek FJ7, Temple HT8, Letson GD9.
Abstract
©2014 The British Editorial Society of Bone & Joint Surgery.
Sistemas de clasificación anteriores de fracaso de salvamento de la extremidad se centraron principalmente en los fracasos endoprotésicos y carecían de suficiente profundidad para el estudio eficaz de las causas del fracaso. Para hacer frente a estas deficiencias, la Sociedad Internacional de Salvamento Limb (ISOLS) formó un comité para recomendar revisiones de los sistemas anteriores. El propósito de este estudio fue el de informar sobre sus recomendaciones. Las modificaciones se prepararon utilizando un modelo anterior, basado en la evidencia con la subclasificación basada en la literatura médica existente. Subclasificación para los cinco tipos principales de fracaso de salvamento de la extremidad después de una reconstrucción endoprotésica se formularon y un sistema complementario se deriva del fracaso de la reconstrucción biológica. También se describe una clasificación adicional de fracaso en pacientes pediátricos. Cirugía de salvamento de la extremidad presenta un complejo conjunto de mecanismos de fallo potenciales, y se requiere una clasificación completa y precisa de los tipos de fallo. Sistemas de clasificación anteriores carecían de especificidad, y el sistema basado en la evidencia indica aquí está diseñado para corregir estas debilidades y proporcionar un medio de errores de notificación de salvamento de la extremidad con el fin de permitir la interpretación de los resultados después de la cirugía reconstructiva.
KEYWORDS:
Limb salvage; Endoprosthesis; Allograft; Classification; Failure
miércoles, 10 de diciembre de 2014
Lesiones Multiligamentarias de rodilla pueden ocurrir con mayor frecuencia en pacientes obesos / Multiligamentous knee injuries can occur more frequently in obese patients
Este artículo es publicado originalmente en:
http://www.healio.com/orthopedics/arthroscopy/news/online/%7B7fa92bb9-b2d9-460b-97b8-7dd716fdc271%7D/multiligamentous-knee-injuries-can-occur-more-frequently-in-obese-patients
http://www.healio.com/orthopedics/arthroscopy/news/online/%7B7fa92bb9-b2d9-460b-97b8-7dd716fdc271%7D/multiligamentous-knee-injuries-can-occur-more-frequently-in-obese-patients
IN THE JOURNALS
Multiligamentous knee injuries can occur more frequently in obese patients
martes, 9 de diciembre de 2014
jueves, 4 de diciembre de 2014
miércoles, 3 de diciembre de 2014
Rare Cancer Leads to Rare Rotationplasty Surgery
Este artículo es publicado originalmente en:
http://newsnetwork.mayoclinic.org/discussion/rare-cancer-leads-to-rare-rotationplasty-surgery/?linkId=10972724
Posted by Dana Sparks (@danasparks) · 5 hour(s) ago
http://newsnetwork.mayoclinic.org/discussion/rare-cancer-leads-to-rare-rotationplasty-surgery/?linkId=10972724
Posted by Dana Sparks (@danasparks) · 5 hour(s) ago
lunes, 1 de diciembre de 2014
Discusión entre pares / 3 yrs old baby with pain in Rt leg . H/O minor trauma . Per op nothing significant in the lesion
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