Notes

Carbapenem-resistant Pseudomonas aeruginosa stresses: the having to worry health issue inside intensive care models.
Bone infection and implants are a real problem in orthopedics. The formation of biofilm as well as multi-existing pathogens to antibiotics, make fighting them a difficult challenge with the tools we have today. With the aim of knowing the current state of nanotechnology applied to the transport of antibiotics in traumatology and orthopedics, and their projection in the future. We conducted a bibliographic review in June 2019. While much development of the topic and work on humans is lacking, experimental studies show that nanotechnology applied to antibiotic transport promises to be an important weapon in the treatment of bone infections in the future.
The painful shoulder is an entity that generates much of the orthopedic consultations worldwide, although it can affect at any stage of life, its prevalence is higher as age increases. Rotator cuff condition is often the most relevant cause of pain and dysfunction. Two common consequences of rotator cuff condition are pseudoparesis and pseudoparalysis, and even though they share similar etiology and symptomatology, their clinical differentiation is critical for optimal management and timely resolution.

To review the theoretical and clinical bases for the differentiation and management of pseudoparesis and pseudoparalysis due to rotator cuff pathology.

Descriptive review of the concepts of pseudoparesis and pseudoparalysis from the orthopedic, physiotherapy and rehabilitation perspective.

Once the differences in rotator cuff injury mechanisms and how they translate into painful shoulder semiology are understood, it is possible to integrate a differential diagnosis between pseudoparesia and pseudoparalysis. Diagnosis should integrate specific evaluations and exercises to identify both conditions and, once distinguished and identified, allow optimal guidance of therapeutic approach.

The differentiation between pseudoparalysis and pseudoparesis allows us to understand the mechanisms of injury and, finally, to provide the optimal treatment for patients with painful shoulder due to rotator cuff pathology.
The differentiation between pseudoparalysis and pseudoparesis allows us to understand the mechanisms of injury and, finally, to provide the optimal treatment for patients with painful shoulder due to rotator cuff pathology.
Anterior cruciate ligament injuries are common, however, tibial avulsions in adults are rare. The gold standard continues to be reconstruction either by allograft or autologous graft. MYF-01-37 concentration Primary repairs in femoral side lesions have been reported in recent years by bioabsorbable anchors.

We present the case of a primary repair of anterior cruciate ligament due to tibial avulsion in a patient 19 years after presenting direct trauma with added lesions of posterior cruciate ligament and posterolateral corner. Primary repair was performed by trans-tendon portal with suture of the anterior cruciate ligament crossed by FiberTape and FiberWire with a SwiveLock anchor (4.75 mm) in tibial footprint.

Twelve months after surgery is with independent gait, full range of movement, with clinical rating scales, Tegner before injury and post-injury at 6, Lysholm 91, 73.6 subjective IKDC, objective IKDC in C and EQ-5D 0.79.

Fixation with bioabsorbable anchor is possible in the avulsion of the post-traumatic tibial spine.
Fixation with bioabsorbable anchor is possible in the avulsion of the post-traumatic tibial spine.The Os odontoideum is a variable oval or round ossicle with a smooth cortical border, which partially corresponds to the odontoid process, without having continuity with the rest of C2 bone. The multifactorial etiology causes instability and clinically translates into pain and compression data into neural structures. The treatment of choice is surgical and techniques have been developed that focus on preserving the stability of the segment. We present the case of a 23-year-old female patient, who begins to suffer at 8 years of age, refers to moderate to severe cervicalgia, which develops with paresthesias in the left hemisphere and later paresis of the left thoracic limb. Physical examination showed hypoaesthesia of the left hemisphere, as well as paresis of the left thoracic limb. Extension studies demonstrate chronic axonal lesion from C1 to C3, predominantly left, imaging studies showing axial instability and magnetic resonance bulbar compression. The patient receives surgical treatment consisting of posterior fixation C1-C2, evolving satisfactorily.Massive rotator cuff injuries (LMMRs) are those breaks of more than 5 cm either the anteroposterior plane, or lateromedial plane. Some authors consider them to be complete ruptures of at least two rotator cuff tendons. The clinical case of a 63-year-old man with this type of injury that was resolved by the superior capsule reconstruction technique is presented, technical details and some of the literature review to carry out the procedure are shown.Arthroscopic surgery of the hip has evolved significantly over the last years, offering an opportunity of treatment in several intra-articular pathologies. Recent methods and instrumental advances have allowed more frequent use of this procedure, with various indications such as hip pain, acetabular labrum lesions, extraction of foreign bodies, debridement in septic arthritis, pincer impingement, and some extra-articular injuries. Another intra-articular hip pathology that benefits from arthroscopic assistance could be found in the management of simple acetabular fractures. Therefore, this report presents the case of a patient with a posterior column fracture treated with an arthroscopic approach. Arthroscopic techniques for the fixation of intra-articular fractures offer the advantage of a direct visualization of the articular surface, which results in an anatomical reduction. In addition, arthroscopic techniques also present a benefit for intra-articular injuries such as the posterior labral lesion in this case. In simple fractures of the posterior acetabular column with minimum displacement, where percutaneous screw fixation is useful as a definitive fixation method, hip arthroscopy is useful for the reduction process and verifies the extra-articular screw trajectory.
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