Dr. Carlos Cortés

Av. Guadalupe # 4560 int.12 Jardines de Guadalupe CP 45030, Zapopan, Jalisco. México

+52 3334840022 y 3312040143

WHATSAPP: 3331769945

Lunes - Viernes: 9:00 - 17:30

drcortes@hombroycodo.com.mx

Uncategorized

Anatomía del nervio de la extremidad superior y la patología / Upper extremity nerve anatomy and pathology

Uncategorized / /

#Upper extremity nerve #ultrasonography #sonographyFuente
Este artículo es originalmente publicado en:
http://www.anatomy-physiotherapy.com/21-systems/musculoskeletal/upper-extremity/1189-upper-extremity-nerve-anatomy-and-pathology

Todos los derechos reservados para:
This lecture is presented by Stefano Bianchi MD. [Director, CIM SA Cabinet Imagerie Medicale, Geneva, Switserland; Author of the book: Ultrasound of the Musculoskeletal System (2007)] during the International Conference of Musculoskeletal Ultrasound (icmsu.com) in Amsterdam 28th march 2015.

Upper extremity nerve anatomy and pathology – : http://t.co/OwR2JexAiZ pic.twitter.com/bJH2hZLuXt

— A&P (@evbasedphysio) junio 12, 2015

Anatomía del nervio de la extremidad superior y la patología / Upper extremity nerve anatomy and pathology Leer más »

Avances en cirugía de hombro / Shoulder Surgery Advances

Uncategorized / /

#shoulder surgery #cirugía de hombro

Fuente
Este artículo es originalmente publicado en:
http://orthopaedicprinciples.com/2015/06/shoulder-surgery-advances/

De:
Prof Lennard Funk

Todos los derechos reservados para:
Courtesy: Prof Lennard Funk, Wrigthington Upper Limb Unit, Wrightington, United Kingdom

 

Avances en cirugía de hombro / Shoulder Surgery Advances Leer más »

Ultrasonido musculoesqueletico de codo en un niño con subluxación radial / Elbow MSK ultrasound in children with radial subluxation

Uncategorized / /

#Elbow MSK ultrasound  #radial subluxation

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25875991
http://journals.lww.com/pec-online/pages/articleviewer.aspx?year=2015&issue=05000&article=00003&type=abstract
http://www.anatomy-physiotherapy.com/23-systems/musculoskeletal/upper-extremity/elbow/1158-elbow-msk-ultrasound-in-children-with-radial-subluxation?utm_content=bufferb7c74&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer
De:
Rabiner JE1, Khine H, Avner JR, Tsung JW.
Pediatr Emerg Care. 2015 May;31(5):327-30. doi: 10.1097/PEC.0000000000000420.
Todos los derechos reservados para:
Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. Lippincott Williams & Wilkins

Abstract

OBJECTIVE:

The aim of this study was to determine whether elbow ultrasound findings of the posterior fat pad (PFP) are present in patients with diagnosis of radial head subluxation (RHS).

METHODS:

This was a prospective study of children presenting to an urban pediatric emergency department diagnosed clinically with RHS. Physicians received a 1-hour training session on musculoskeletal ultrasound including the elbow. Before performing reduction for RHS, the physicians performed a brief, point-of-care elbow ultrasound using a high-frequency linear transducer probe in both longitudinal and transverse views to evaluate for PFP elevation and lipohemarthrosis (LH). Successful clinical reduction with spontaneous movement of injured extremity served as the criterion standard for RHS. Clinical telephone follow-up was performed to ascertain outcomes.

RESULTS:

Forty-two patients were enrolled with a mean age of 22.3 (11.8) months. The mean time to presentation was 7 (9.2) hours, and 9/42 (21%) children had previous history of RHS. The majority of patients (35/42, 83%; 95% confidence interval (CI), 69%-92%) had a normal elbowultrasound. Of 42 patients, 6 (14%; 95% CI 6%-28%) had an elevated PFP and 2 (5%; 95% CI, 0.5%-17%) had LH. Clinical reduction was successful in 100% of patients, and there were no complications reported on follow-up.

CONCLUSIONS:

The majority of children with RHS have a normal PFP on elbow ultrasound, but elevated PFP and LH are possible findings. Reduction maneuvers for RHS may be attempted in patients with a normal elbow ultrasound when the diagnosis of RHS or elbow fracture is uncertain.
PMID:

 

25875991

 

[PubMed – in process]
 
 

Elbow MSK ultrasound in children with radial subluxation

In radial head subluxations (RHS), which is one of the most common elbow injuries in children, the annular ligament slips into the radiohumeral articular space. History taking and physical examination are often not sufficient to differentiate RHS from elbow fractures. However, MSK ultrasound provides the possibility to detect an elevated posterior fat pad (PFP) or lipohemarthrosis of the PFP, findings that are highly sensitive for fracture at the elbow. It is not clear though whether the same findings are also present in children with RHS. 
Therefore, this study has the aim to determine the MSK ultrasound findings of the elbow PFP in children with RHS.
The authors found that in the majority of children with RHS (83%), the MSK ultrasound findings were normal. Only 17 % of the children tested had a minimally elevated elbow PFP. Thus, elevated elbow PFP and lipohemarthrosis can be possible findings in children with RHS, but normal MSK ultrasound findings may encourage the clinician’s choice for reduction of the RHS. The use of MSK ultrasound might consequently also decrease the number of unnecessary radiographs.
> From: Rabiner et al., Pediatr Emerg Care 31 (2015) 1-5. All rights reserved to Wolters Kluwer Health, Inc. Click here for the Pubmed summary.

Ultrasonido musculoesqueletico de codo en un niño con subluxación radial / Elbow MSK ultrasound in children with radial subluxation Leer más »

Comportamiento escapular en individuos con epicondilitis / Scapular muscle performance in individuals with lateral epicondylalgia

Uncategorized / /

#epicondylalgia #epicondilitis #Scapular muscle

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25579691
http://www.jospt.org/doi/abs/10.2519/jospt.2015.5290?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed#.VXS5LM9_Oko

http://www.anatomia-fisioterapia.es/23-systems/musculoskeletal/upper-extremity/elbow/1135-comportamiento-escapular-en-individuos-con-epicondilitis
De:
Day JM1, Bush H, Nitz AJ, Uhl TL.
J Orthop Sports Phys Ther. 2015 May;45(5):414-24. doi: 10.2519/jospt.2015.5290. Epub 2015 Jan 10.
Todos los derechos reservados para:
©2015 Journal of Orthopaedic & Sports Physical Therapy

Abstract

Study Design Descriptive, laboratory-based, cross-sectional study. Objectives To describe scapular musculature strength, endurance, and change in thickness in individuals with unilateral lateral epicondylalgia (LE) compared to the uninvolved limb and the corresponding limb of a matched comparison group. Background Reported poor long-term outcomes for the nonsurgical management of individuals with LE suggest a less-than-optimal rehabilitation process. Knowledge of scapular muscle function in a working population of individuals with LE may help to further refine conservative management of this condition. Methods Twenty-eight patients with symptomatic LE and 28 controls matched by age and sex were recruited to participate in the study. Strength of the middle trapezius (MT), lower trapezius (LT), and serratus anterior (SA) was measured with a handheld dynamometer. A scapular isometric muscle endurance task was performed in prone. Changes in muscle thickness of the SA and LT were measured with ultrasound imaging. Analysis-of-variance models were used to determine within- and between-group differences. Results The involved side of the group with LE had significantly lower values for MT strength (P = .031), SA strength (P<.001), LT strength (P = .006), endurance (P = .003), and change in SA thickness (P = .028) when compared to the corresponding limb of the control group. The involved side of the group with LE had significantly lower strength of the LT (P = .023) and SA (P = .016) when compared to the uninvolved limb; however, these differences were small and of potentially limited clinical significance. Conclusion When compared to a matched comparison group, there were impairments of scapular musculature strength and endurance in patients with LE, suggesting that the scapular musculature should be assessed and potentially treated in this population. Cause and effect cannot be established, as the weakness of the scapular musculature could be a result of LE. J Orthop Sports Phys Ther 2015;45(5):414-424. Epub 10 Jan 2015. doi:10.2519/jospt.2015.5290.

KEYWORDS:

serratus anterior; strength; trapezius; ultrasound imaging
PMID:

 

25579691

 

[PubMed – in process]
 

Comportamiento escapular en individuos con epicondilitis

El tratamiento conservador de los individuos con epicondilalgia lateral está asociado desafortunadamente con pobres resultados a largo plazo, sugiriendo un proceso recuperador por debajo de lo óptimo. Se ha postulado durante algún tiempo que la función muscular escapular está correlacionada con los síntomas de la cara lateral del codo. El objetivo del siguiente estudio fue determinar la fuerza muscular escapular, la resistencia y el cambio en grosor entre individuos con epicondilalgia lateral, comparado con el contralateral, así como con el miembro correspondiente del grupo control emparejado.
28 pacientes con epicondilalgia lateral se emparejaron con 28 controles sanos. El lado sintomático del grupo con epicondilalgia tuvo valores significativamente menores de fuerza en el trapecio medio, serrato anterior, trapecio inferior junto con menos resistencia y grosor del serrato anterior comparado con el grupo control. Además, el codo implicado era más débil en el trapecio inferior y serrato anterior comparado con el lado no implicado del grupo con epicondilalgia lateral.
Estos resultados sugieren que la musculatura escapular debe ser valorada y potencialmente tratada en esta población de pacientes con epicondilalgia lateral.
> De: Day et al., J Orthop Sports Phys Ther (2015) (Publ. antes de impresión). Todos los derechos reservados: Journal of Orthopaedic & Sports Physical Therapy. Pincha aquí para acceder al resumen de Pubmed.. Traducido por Francisco Jimeno Serrano.

 

Comportamiento escapular en individuos con epicondilitis / Scapular muscle performance in individuals with lateral epicondylalgia Leer más »

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