The Importance of the Early Recognition of Acute Arthritis of the Hip-Joint in Infants

SummaryTreatment of canine hip dysplasia (CHD) via triple pelvic osteotomy (TPO) is widely accepted as the treatment that best preserves the existing hip joint. TPO, however, has several important disadvantages. In an effort to avoid some of the difficulties associated with TPO an alternative method of creating acetabular ventroversion (AW) was sought. The purpose of this study was to explore the effects of placement of a wedge in the sacroiliac (SI) joint on A W and to compare this to the effect of TPO on A W . On one hemipelvis a 30° pelvic osteotomy plate was used for TPO. The contralateral hemipelvis had a 28° SI wedge inserted into the SI joint. Pre- and postsurgical radiographs of each pelvis were taken and the angular measurements were recorded. On average, the 28° SI wedge resulted in 20.9° of A W, the 30° canine pelvic osteotomy plate resulted in 24.9° A W . Significant differences were not found (p >0.05) between the two techniques. Sacroiliac wedge rotation effectively creates A W and has several theoretical advantages when compared to TPO. The in vivo effects of sacroiliac wedge rotation should be studied in order to evaluate the clinical effect of the technique.Sacroiliac wedge rotation was tested as an alternative method to increase the angle of acetabular ventroversion. This technique effectively rotated the acetabulum and has several theoretical advantages when compared to triple pelvic osteotomy.

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Review of Flap Monitoring Technology in 2020

Facial Plastic Surgery ◽

10.1055/s-0040-1721105 ◽

2020 ◽

Vol 36 (06) ◽

pp. 722-726

Author(s):

Adam Jacobson ◽

Oriana Cohen

Keyword(s):

Head And Neck ◽

Free Flap ◽

Loss Rate ◽

Early Recognition ◽

Postoperative Patient ◽

Free Flap Monitoring ◽

Improved Outcomes ◽

Vascular Compromise ◽

Flap Monitoring ◽

Multiple Levels

AbstractAdvances in free flap reconstruction of complex head and neck defects have allowed for improved outcomes in the management of head and neck cancer. Technical refinements have decreased flap loss rate to less than 4%. However, the potential for flap failure exists at multiple levels, ranging from flap harvest and inset to pedicle lay and postoperative patient and positioning factors. While conventional methods of free flap monitoring (reliant on physical examination) remain the most frequently used, additional adjunctive methods have been developed. Herein we describe the various modalities of both invasive and noninvasive free flap monitoring available to date. Still, further prospective studies are needed to compare the various invasive and noninvasive technologies and to propel innovations to support the early recognition of vascular compromise with the goal of even greater rates of flap salvage.

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Seizure from hyponatremia in infants. Early recognition and treatment

Archives of Family Medicine ◽

10.1001/archfami.2.6.647 ◽

1993 ◽

Vol 2 (6) ◽

pp. 647-652 ◽

Cited By ~ 12

Author(s):

R. E. Sharf

Keyword(s):

Early Recognition

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Cardiogenic Shock – Developments and Treatment Strategies

European Cardiology Review ◽

10.15420/ecr.2009.5.2.48 ◽

2009 ◽

Vol 5 (2) ◽

pp. 48 ◽

Cited By ~ 1

Author(s):

Ricardo Seabra-Gomes ◽

Jorge Ferreira ◽

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Keyword(s):

Cardiogenic Shock ◽

Early Recognition ◽

Treatment Strategies ◽

Left Ventricular ◽

Ventricular Assist Devices ◽

Left Ventricular Assist Devices ◽

Significant Treatment ◽

Ventricular Assist ◽

Hard Data ◽

Oxide Synthase

Cardiogenic shock remains one of the most serious and challenging conditions in cardiology and is responsible for the highest in-hospital mortality associated with ST-elevation myocardial infarction. The only significant treatment strategy that has been shown to reduce its incidence and inherent mortality is emergent coronary revascularisation. Prevention should aim at early recognition of symptoms, appropriate pre-hospital emergency medical care and prompt primary revascularisation. Once established, cardiogenic shock still has an unacceptably high mortality rate. Approaches that include new pharmacological therapies and other forms of mechanical haemodynamic support are under investigation. The possible role of systemic inflammatory response has led to the investigation of nitric oxide synthase inhibition, although initial results with tilarginine were disappointing. The use of percutaneous left ventricular assist devices looks promising, but hard data regarding mortality benefit are still missing. Cardiogenic shock remains a perplexing and often fatal condition. The future may require more basic, translational and clinical research.

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Síndrome da Anca de Ressalto

Revista de Medicina Desportiva ◽

10.23911/rmd.vol9.iss1.pp8-11 ◽

2018 ◽

Vol 9 (1) ◽

pp. 8

Author(s):

Bernardo Almeida

Keyword(s):

Surgical Treatment ◽

Hip Joint ◽

Scientific Literature ◽

Therapeutic Targets ◽

Clinical History ◽

Disease Diagnosis ◽

Diagnosis And Treatment ◽

Snapping Hip ◽

Predominant Symptom ◽

Snapping Hip Syndrome

Snapping hip syndrome is a condition in which the predominant symptom is the snapping feelingaround the hip joint caused by a dynamic impingement between muscles or tendons and boneprominences. The etiology of the snapping hip types and consequently the therapeutic targets havebeen subjects of discussion and controversy along the years. A careful clinical history and physicalexamination is frequently enough for this disease diagnosis. Treatment is typically conservative,however when it is not successful surgical treatment is indicated, consisting on the snapping muscleor tendons lengthening. The authors review in this paper the current scientific literature about functionalanatomy, physiopathology, symptoms, diagnosis and treatment of snapping hip.

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