Request PDF on ResearchGate | On Jan 1, , C.R. Schwartsmann and others published Ortopedia e traumatologia: Princípios e prática 4. Ed. Porto Alegre. PDF | On Nov 4, , Gilberto Luis Camanho and others published The Sociedade Brasileira de Ortopedia e Traumatologia turns ortopedia e traumatologia - sizinio hebert 2a muscpertastsunear.tk - Ebook download as PDF File .pdf) or read book online.

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DOT-UNIFESP+Classificações+em+Ortopedia+e+muscpertastsunear.tk Uploaded by Estevão All Rights Reserved. Download as PDF or read online from Scribd. Read the latest articles of Revista Brasileira de Ortopedia (English Edition) at Karim Daliri. In Press, Corrected Proof, Available online 27 March ; Download PDF Copyright © Sociedade Brasileira de Ortopedia e Traumatologia. Brochure ortopedia e traumatologiapdf. Modified by on Tue 8 Jul Download. Brochure ortopedia e traumatologiapdf. Alfresco Share.

The dislocations were subsequently reduced, with the patient under narcosis, with use of the traditional method.

Of the six patients treated with premedication, three had a successful reduction and reported mild or moderate pain. Of the 25 patients treated without premedication who had a successful reduction six patients reported severe pain.

All patients with a history of recurrent dislocation of the shoulder Discussion Recently, Kuhn [ 8 ] presented the best available evidence to answer questions regarding the treatment of patients with an initial anterior shoulder dislocation, reporting that, of the many methods to reduce the dislocated shoulder, little data exist to identify the best method and that premedication with intra-articular lidocaine has fewer complications and requires a shorter time in the emergency room than intravenous sedation, with no detectable differences in reduction success rates.

In the literature numerous techniques for treating anterior shoulder dislocation have been reported, such as traction—countertraction, and the Milch [ 10 ] and modified Stimson [ 11 ] manoeuvres. More traditional techniques Hippocratic method and the Kocher manoeuvre are no longer recommended because of a high incidence of associated complications, such as axillary nerve injury, humeral shaft and neck fractures, and capsular damage [ 14 ].

Because ideal reduction methods should be quick and effective, painless reduction of acute anterior shoulder dislocations without anesthesia gained popularity. Baykal [ 16 ] and colleagues reported the experiences of using the scapular manipulation technique to reduce traumatic anterior shoulder dislocations.

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They reported a success rate of All 76 shoulders were reduced on first attempt. No anesthesia was used, and no complications were reported from the reduction manoeuvre.

Our success rate is similar to that reported by Mirick [ 12 ] and Eachempati [ 18 ]. Finally, external rotation was used to neutralize the medially directed contraction force of the subscapularis and the pectoralis major muscle [ 20 ]. Various methods of anesthesia are available for reduction.

However, in our series, in 25 patients who had a dislocation for the first time Two subglenoid dislocations could not be reduced successfully.

They had severe muscle spasm and pain and patients were very apprehensive with poor compliance. Reduction was achieved with use of the traction—countertraction method under narcosis.


ERM for the reduction of an acute anterior dislocation of the shoulder is a safe and reliable method, mainly without requirement for any sedatives or opiate analgesics, that can be performed relatively painlessly for anterior shoulder dislocations.

Notes Conflict of interest statement Authors deny any commercial associations they have that might give rise to a conflict of interest in connection with the submitted article. References 1.

Blake R, Hoffman J Emergency department evaluation and treatment of the shoulder and humerus. Hill JA Epidemiologic perspective on shoulder injuries. Clin Sports Med — Google Scholar 3. Janecki CJ, Shahcheragh GH The forward elevation maneuver for reduction of anterior dislocations of the shoulder. Manes HR A new method of shoulder reduction in the elderly.

Noticias y Actividades Realizadas

Plummer D, Clinton J The external rotation method for reduction of acute anterior shoulder dislocation. Kuhn JE Treating the initial anterior shoulder dislocation——an evidence-based medicine approach. Milch H Treatment of dislocation of the shoulder. Surgery — Google Scholar Stimson LA An easy method of reduction dislocation of the shoulder and hip.

Med Record Google Scholar Daya M Shoulder. Mosby Inc, Missouri, pp — Google Scholar Baykal B, Sener S, Turkan H Scapular manipulation technique for reduction of traumatic anterior shoulder dislocations: experiences of an academic emergency department.

Orthopedics 29 6 — PubMed Google Scholar The AMB is a body that protects and brings together the medical profession and acts in all fields of medical activity whenever requested. The congresses of the AMB used to be excellent and there was even a department of congresses within the AMB, headed by Silvia Mangabeira Albernaz and by Celina Fleury, who defined practically everything that exists today with regard to organizing congresses in Brazil.

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Today, AMB congresses no longer take place, and there is no doubt that this has weakened the institution and has distanced us from our professional activity. We are physicians before we are orthopedists, but we are unaware of what is going on in other specialties, regardless of how much these might influence our patients and consequently our professional activity. We even have difficulty in recommending a colleague in another field for our clients. Today, orthopedics is a specialty with many subdivisions, and these sub-specialties have a very solid structure.

In a few years from now, we are likely to have an SBOT that is dedicated to selecting new members and defending and preserving ethics and responsibilities in the specific field of orthopedics. When all the specialties reach majority and autonomy, the CBOT will probably have to change its focus.

The Day of the Specialty, an idea imported from the American Association of Orthopedic Surgeons AAOS , needs to be given due value, so that we can attract specialists and complement generalists' training.

We cannot neglect matters of general interest, since these maintain the unity of the specialties and thus make the CBOT viable.

The survival of the CBOT will depend on scientific and commercial factors.Blake R, Hoffman J Emergency department evaluation and treatment of the shoulder and humerus. Only five patients reported severe pain during the process of reduction. The symptoms start to appear before the age of 20 years, and frequently before the age of Published by Elsevier Editora Ltda. No sedative or any opiate analgesic was needed for 25 patients Abstract Primary osseous angiosarcoma is a rare entity with variable biological behavior and poor prognosis.