Ortopedia Pediatrica Isunza

Ortopedia Pediatrica Isunza
Ortopedistas pediatras

viernes, 25 de septiembre de 2015

miércoles, 29 de julio de 2015

Lisfranc Joint Injuries

#Lisfranc #Joint Injuries

Fuente
Este artículo es originalmente publicado en:
http://orthopaedicprinciples.com/2012/05/lisfranc-joint-injuries/
https://youtu.be/f26KukNYsWA
De:
Dr. Nabil Ebraheim

Todos los derechos reservados para:
Copyright@orthopaedicprinciples.com. All right rerserved.

Educational video describing the classifications of lisfranc fractures.

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http://www.facebook.com/drebraheim

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    • Licencia de YouTube estándar

viernes, 17 de julio de 2015

EMBRIOLOGÍA DE LA MANO Dr. Agustín Isunza Ramírez

http://amcmano.org/congreso2015/

REUNIÓN BIANUAL DE LA ASOCIACIÓN MEXICANA DE CIRUGÍA DE LA MANO A.C. 2015

“34 AÑOS CRECIENDO”

El jueves 3 de septiembre tendremos la siguiente ponencia:

10:40 A 11:00 EMBRIOLOGÍA DE LA MANO Dr. Agustín Isunza Ramírez

AUDITORIO DE LA UNIVERSIDAD AUTÓNOMA DEL ESTADO DE MORELOS,
CUERNAVACA, MORELOS.


Dificultades en el diagnóstico de tumores óseos benignos en la infancia / Pitfalls in the diagnosis of common benign bone tumours in children. Insight into Imaging



Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25256565
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263798/
http://cbseram.com/2014/12/19/dificultades-en-el-diagnostico-de-tumores-oseos-benignos-en-la-infancia/
http://link.springer.com/article/10.1007%2Fs13244-014-0356-y
De:
Dumitriu DI1Menten RClapuyt P.
 2014 Dec;5(6):645-55. doi: 10.1007/s13244-014-0356-y. Epub 2014 Sep 26.
Todos los derechos reservados para:
© Springer International Publishing AG, Part of Springer Science+Business Media



lunes, 13 de julio de 2015

Fracture Fixation Animation

#fijación de fracturas  #fixation fractures

Fuente
Este artículo es originalmente publicado en:
https://www.youtube.com/watch?v=21plYYmaxi8
https://youtu.be/21plYYmaxi8
De:

Dr. Nabil Ebraheim

This educational material provides detailed descriptions of fracture related to different parts of the body. The program also illustrates how surgeons treat and repair these fractures by a variety of surgical techniques.After obtaining x rays usually in the ER , all injuries are adressed .in high energy fractures rule out compartment syndrome AND bone healing is monitored FOR UNION .bone graft may be needed
stress fracture and its fixation is another important topic .
A VIDEO FRACTURE TRAILER IS PRESENTED .see my ankle fracture video
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    • Licencia estándar de YouTube




Metabolic and metagenomic outcomes from early-life pulsed antibiotic treatment / Child development may be affected by early antibiotic use, study finds



Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/?term=Metabolic+and+metagenomic+outcomes+from+early-life+pulsed+antibiotic+treatment
http://www.nature.com/ncomms/2015/150630/ncomms8486/full/ncomms8486.html

De:
Nobel YR1Cox LM2Kirigin FF1Bokulich NA1Yamanishi S1Teitler I1Chung J1Sohn J1Barber CM1Goldfarb DS3Raju K1Abubucker S4Zhou Y5Ruiz VE1Li H6Mitreva M7Alekseyenko AV8Weinstock GM9Sodergren E9Blaser MJ10.
 2015 Jun 30;6:7486. doi: 10.1038/ncomms8486.

Todos los derechos reservados para:
© 2015 Macmillan Publishers Limited. All Rights Reserved.





Multiple antibiotic use in early childhood has been linked to weight gain, increased bone growth and altered gut bacteria according to a new study.Read more here: http://bit.ly/1M6bTy3
Posted by Pediatric Orthopedics on Lunes, 13 de julio de 2015

domingo, 12 de julio de 2015

Anestesia espinal para cirugía ortopédica en niños con parálisis cerebral. Análisis de 36 pacientes
Spinal anaesthesia for orthopaedic surgery in children with cerebral palsy: Analysis of 36 patients.
Onal O, Apiliogullari S, Gunduz E, Celik JB, Senaran H.
Pak J Med Sci. 2015 Jan-Feb;31(1):189-93. doi: 10.12669/pjms.311.5709.
Abstract
BACKGROUND AND OBJECTIVE: Cerebral palsy is one of the most common childhood neuromuscular diseases in the world. Spinal anaesthesia in children is an evolving technique with many advantages in perioperative management. The aim of this retrospective study was to provide first-hand reports of children with cerebral palsy who underwent orthopaedic surgery under spinal anaesthesia. METHODS: Records of the children with cerebral palsy who underwent orthopaedic surgery under spinal anaesthesia between May 2012 and June 2013 at Selcuk University Hospital were investigated. In all patients, lumbar puncture was performed in lateral decubitus position with mask sevoflurane-nitrous oxide anaesthesia. In patients who were calm prior the spinal block, inhalation anaesthesia was terminated. In patients who were restless before the spinal block, anaesthesia was combined with light sevoflurane anaesthesia and a laryngeal mask. From anaesthesia records, the number of attempts required to complete the lumbar puncture, and the success rates of spinal anaesthesia and perioperative complications were noted. Data were expressed as numbers and percentages. RESULTS: The study included 36 patients (20 girls and 16 boys). The mean age was 71 months. The rate of reaching subarachnoid space on first attempt was 86%. In all patients, spinal anaesthesia was considered successful. In 26 patients, laryngeal mask and light sevoflurane anaesthesia were required to maintain ideal surgical conditions. No major perioperative complications were observed. CONCLUSION: Spinal anaesthesia alone or combined with light sevoflurane anaesthesia is a reliable technique with high success rates in children with cerebral palsy undergoing orthopaedic surgery.
KEYWORDS: Cerebral palsy; Orthopaedic Surgery; Pediatric; Spinal anesthesia
PDF
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Anestesia y Medicina del Dolor

viernes, 10 de julio de 2015

miércoles, 8 de julio de 2015

Differences in childhood adiposity influence upper limb fracture site

#childhood adiposity #upper limb fracture site

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/26027507
http://www.thebonejournal.com/article/S8756-3282(15)00212-4/abstract
De:
Moon RJ1Lim A2Farmer M2Segaran A2Clarke NM3Dennison EM4Harvey NC5Cooper C6Davies JH2.
 2015 May 29;79:88-93. doi: 10.1016/j.bone.2015.05.031. [Epub ahead of print]
Todos los derechos reservados para:
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.


jueves, 2 de julio de 2015

Para quien cree que los métodos de tratamiento de pie bot congênito es largo, sufrido y doloroso


Para quien cree que los métodos de tratamiento de pie bot congênito es largo, sufrido y doloroso.De un vistazo como...
Posted by PIE BOT Y Ponseti on Jueves, 7 de mayo de 2015

miércoles, 1 de julio de 2015

martes, 30 de junio de 2015

La escena y estrategias de investigación en ortopédia para mejorarla / The orthopaedic research scene and strategies to improve it

#investigación ortopédica #orthopaedic research

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25452358?dopt=Abstract
http://www.bjj.boneandjoint.org.uk/content/96-B/12/1578.abstract
De:
Rankin KS1Sprowson AP2McNamara I3Akiyama T4Buchbinder R5Costa ML6Rasmussen S7Nathan SS8Kumta S9Rangan A10.
 2014 Dec;96-B(12):1578-85. doi: 10.1302/0301-620X.96B12.33990.

Todos los derechos reservados para:
Copyright © 2015 THE BRITISH EDITORIAL SOCIETY OF BONE & JOINT SURGERY All Rights Reserved.

Abstract

Trauma and orthopaedics is the largest of the surgical specialties and yet attracts a disproportionately small fraction of available national and international funding for health research. With the burden of musculoskeletal disease increasing, high-quality research is required to improve the evidence base for orthopaedic practice. Using the current research landscape in the United Kingdom as an example, but also addressing the international perspective, we highlight the issues surrounding poor levels of research funding in trauma and orthopaedics and indicate avenues for improving the impact and success of surgical musculoskeletal research.
Resumen
Trauma y ortopedia es la mayor de las especialidades quirúrgicas y sin embargo atrae una fracción, una  parte desproporcionadamente pequeña de los fondos nacionales e internacionales están disponibles para la investigación en salud. Con la carga de las enfermedades músculo-esquelético aumentando, se requiere la investigación de alta calidad para mejorar la base de evidencia para la práctica ortopédica. Utilizando el panorama de la investigación actual en el Reino Unido como un ejemplo, pero también frente a la perspectiva internacional, se destacan las cuestiones relacionadas con los bajos niveles de financiación de la investigación en trauma y ortopedia e indicamos vías para mejorar el impacto y el éxito de la investigación musculoesquelética quirúrgica.
©2014 The British Editorial Society of Bone & Joint Surgery.

KEYWORDS:

Funding; Orthopaedic; Research
PMID:
 
25452358
 
[PubMed - indexed for MEDLINE]

domingo, 28 de junio de 2015

Patología traumática de tobillo y pie en el paciente pediatrico


Día Académico del INP con el Presidente de la Sociedad Mexicana de Ortopedia Pediátrica el Dr Carlos Cuevas de Alba, el cual compartió sus conocimientos en la patología traumática de tobillo y pie en el paciente pediatrico.


viernes, 26 de junio de 2015

INJURY PREVENTION: THE SUMMER CAMP EDITION

Fuente
Este artículo es originalmente publicado en:

http://hss.edu/onthemove/injury-prevention-the-summer-camp-edition/#.VY4Vbvl_Okp
Here are some tips to help keep your child safe at camp to insure those lifelong memories are happy ones!
Estos son algunos consejos para ayudar a mantener seguro a su hijo en el campamento para asegurar esos recuerdos para toda la vida son los felices!

jueves, 25 de junio de 2015

martes, 2 de junio de 2015

sábado, 30 de mayo de 2015

Dolor neuropatico en niños

Las conexiones cerebrales intrínsecas se normalizan con el tratamiento en el síndrome de dolor regional complejo pediátrica.
Intrinsic brain networks normalize with treatment in pediatric complex regional pain syndrome.
Becerra L, Sava S, Simons LE, Drosos AM, Sethna N, Berde C, Lebel AA, Borsook D.
Neuroimage Clin. 2014 Aug 10;6:347-69. doi: 10.1016/j.nicl.2014.07.012. eCollection 2014.
Abstract
Pediatric complex regional pain syndrome (P-CRPS) offers a unique model of chronic neuropathic pain as it either resolves spontaneously or through therapeutic interventions in most patients. Here we evaluated brain changes in well-characterized children and adolescents with P-CRPS by measuring resting state networks before and following a brief (median = 3 weeks) but intensive physical and psychological treatment program, and compared them to matched healthy controls. Differences in intrinsic brain networks were observed in P-CRPS compared to controls before treatment (disease state) with the most prominent differences in the fronto-parietal, salience, default mode, central executive, and sensorimotor networks. Following treatment, behavioral measures demonstrated a reduction of symptoms and improvement of physical state (pain levels and motor functioning). Correlation of network connectivities with spontaneous pain measures pre- and post-treatment indicated concomitant reductions in connectivity in salience, central executive, default mode and sensorimotor networks (treatment effects). These results suggest a rapid alteration in global brain networks with treatment and provide a venue to assess brain changes in CRPS pre- and post-treatment, and to evaluate therapeutic effects.
KEYWORDS: Children; Pain; Resting state; Salience; fMR
PDF
Referencias de dolor neuropático a un servicio de dolor por cáncer pediátrico multidisciplinario.
Neuropathic pain referrals to a multidisciplinary pediatric cancer pain service.
Anghelescu DL, Faughnan LG, Popenhagen MP, Oakes LL, Pei D, Burgoyne LL.
Pain Manag Nurs. 2014 Mar;15(1):126-31. doi: 10.1016/j.pmn.2012.07.006. Epub 2012 Aug 25.
Abstract
Neuropathic pain (NP) in children with cancer is not well characterized. In a retrospective review of patient data from a 3.5-year period, we describe the prevalence of NP and the characteristics, duration of follow-up, and interventions provided for NP among patients referred to a pediatric oncology center's pain management service. Fifteen percent (66/439) of all referrals to our pain service were for NP (56/323 patients [17%]; 34 male, 22 female). The NP patient group had 1,401 clinical visits (778 inpatient visits [55.5%] and 623 outpatient visits [44.5%]). Patients with NP had a significantly greater mean number of pain visits per consultation (p = .008) and significantly more days of pain service follow-up (p < .001) than did other patients. The most common cause of NP was cancer treatment rather than the underlying malignancy. Pharmacologic management of NP was complex, often comprising three medications. Nonpharmacologic approaches were used for 57.6% of NP referrals. Neuropathic pain is less frequently encountered than non-NP in children with cancer; nevertheless, it is more difficult to treat, requiring longer follow-up, more clinical visits, complex pharmacologic management, and the frequent addition of nonpharmacologic interventions.
PDF
Las consecuencias del dolor en la edad temprana. Plasticidad inducida por daño en las vías del dolor
The consequences of pain in early life: injury-induced plasticity in developing pain pathways.
Schwaller F, Fitzgerald M.
Eur J Neurosci. 2014 Feb;39(3):344-52. doi: 10.1111/ejn.12414.
Abstract
Pain in infancy influences pain reactivity in later life, but how and why this occurs is poorly understood. Here we review the evidence for developmental plasticity of nociceptive pathways in animal models and discuss the peripheral and central mechanisms that underlie this plasticity. Adults who have experienced neonatal injury display increased pain and injury-induced hyperalgesia in the affected region but mild injury can also induce widespread baseline hyposensitivity across the rest of the body surface, suggesting the involvement of several underlying mechanisms, depending upon the type of early life experience. Peripheral nerve sprouting and dorsal horn central sensitization, disinhibition and neuroimmune priming are discussed in relation to the increased pain and hyperalgesia, while altered descending pain control systems driven, in part, by changes in the stress/HPA axis are discussed in relation to the widespread hypoalgesia. Finally, it is proposed that the endocannabinoid system deserves further attention in the search for mechanisms underlying injury-induced changes in pain processing in infants and children.
PDF
Dolor neuropático en niños. Consideraciones especiales
Neuropathic pain in children: Special considerations.
Walco GA, Dworkin RH, Krane EJ, LeBel AA, Treede RD.
Mayo Clin Proc. 2010 Mar;85(3 Suppl):S33-41. doi: 10.4065/mcp.2009.0647.
Abstract
Neuropathic pain is relatively uncommon in children. Although some syndromes closely resemble those found in adults, the incidence and course of the condition can vary substantially in children, depending on developmental status and contextual factors. There are some neuropathic painsyndromes that are rare and relatively unique to the pediatric population. This article discusses the array of neuropathic pain conditions in childrenand available treatment strategies. Data are limited by small numbers and few randomized controlled trials. Research and clinical implications are discussed.
PDF
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Anestesia y Medicina del Dolor

viernes, 22 de mayo de 2015

Más de 20 países confirman asistir a Congreso de Ortopedia

Fuente
Este artículo es originalmente publicado en:
http://www.adelante.cu/index.php/es/noticias/de-camagueey/3670-mas-de-20-paises-confirman-asistir-a-congreso-de-ortopedia
De:
Escrito por Olga Lilia Vilató de Varona / Foto: Otilio Rivero Delgado
Todos los derechos reservados para:
Copyright © 2014 Adelante.Todos los derechos reservados.

Más de 20 países confirman asistir a Congreso de Ortopedia
Camagüey.- Con vista al XXVI Congreso Cubano de Ortopedia y Traumatología, a efectuarse en Camagüey del 21 al 26 de septiembre del año en curso, ya han confirmado la asistencia especialistas de más de 20 países, y similar número de empresas comercializadoras, entre ellas lo intentan poco más de diez norteamericanas, según dio a conocer el Profesor Rodrigo José Álvarez Cambras, director general Complejo Científico Ortopédico Internacional Frank País, de La Habana, a su paso por territorio camagüeyano....