Papers by Angel M Hidalgo Ovejero
Lumbar L5 Burst Fracture in a Child
Orthopedics, 1998
Tratamiento de la enfermedad de Kienbock avanzada mediante la técnica de Graner
espanolLos autores realizan una revision de 16 pacientes afectos de la enfermedad de Kienbock en ... more espanolLos autores realizan una revision de 16 pacientes afectos de la enfermedad de Kienbock en estadios avanzados (IIl-IV) segun la clasificacion de Decoulx, intervenidos mediante tecnica de Graner, obteniendo un excelente resultado en cuanto a dolor, buen resultado en fuerza y pobre en movilidad. En su opinion es una intervencion que ofrece buenos resultados en dichos estadios para trabajadores manuales de fuerza. EnglishThe authors made a review about 16 patients with Kienbock disease, in late stage (III-IV of de Decoulx clasification), operated by Graner's procedure, this results was excellent about pain, good strength and poor movility. They beleave is a good procedure in that stage for strengh manual workers.
Tratamiento del hallux rigidus mediante protesis de swanson para articulacion metacarpofalangica
espanolLos autores, tras exponer la etiopatogenia del Hallux Rigidus y los tratamientos quirurgic... more espanolLos autores, tras exponer la etiopatogenia del Hallux Rigidus y los tratamientos quirurgicos preconizados, aportan su experiencia de 29 casos tratados con una artroplastia de interposicion utilizando una protesis de Swanson de las disenadas para ser utilizadas en la artroplastia de la articulacion meta-carpo falangica de los dedos de la mano. EnglishThe authors report their experiencie in 29 cases of Hallux Rigidus treated with resectlon arthroplasty using an interpositional meta-carpo phalangeal Swanson's prothesis. The authors suggest this surgical method as adviceable.
Our experience on the management of 6 cases with bilateral chronic exertional compartment syndrom... more Our experience on the management of 6 cases with bilateral chronic exertional compartment syndrome of the legs is presented. The diagnosis was confirmed by the measurement of the compartment pressure with slit catheter. Intramuscular pressure was considered abnormal when the basal pressure was not regained 15 minutes after the exercise with consistent symtomatology. Double complete subcutaneous fasciotomy was performed in the 6 patients obtaining complete recovery of the symtoms and improvement of the performance in all of them. Patients started training six weeks after surgery. Neither complication or relapse was found during a mean follow-up of 2 years (1-3).
Twenty-nine patients with recurrent shoulder dislocation trailed surgicaly by modified Magnuson-S... more Twenty-nine patients with recurrent shoulder dislocation trailed surgicaly by modified Magnuson-Stack procedure are colected. The authors made a long-term versus short-term review of results. They have found a worsening of results in the total longterm review. They observe a worsening of the stability (90.47% excellent results in short-term but 58.62% in long-term) (9.52% bad results in short-term but 31.03% in long-term). There are an increase of range mobility (57.14% excellent in short-term versus 82.75% in long-term). The function remain unchanged.
espanolLos autores presentan un estudio comparativo de E.M.G. y Saculorradiculografia en relacion... more espanolLos autores presentan un estudio comparativo de E.M.G. y Saculorradiculografia en relacion con los hallazgos quirurgicos de 100 Hernias Discales intervenidas. Para el E.M.G. se ha conseguido una exactitud global del 83% y para la saculorradiculografia del 79%. La saculorradiculografia ha demostrado mayor exactitud para la raiz S1 que paral a L5 (85,7% frente a 70,4%) y el E.M.G. mayor para la L5 que para la S1 (88,6% frente a 78,5%). El E.M.G. tiene una especial utilidad para el diagnostico y despistaje de neuropatias y para la comprobacion de recuperacion post-quirurgica de lesiones sin axonotmesis. La exactitud de los resultados en el E.M.G. estan en relacion directa con la habilidad del examinador a la hora de conseguir e interpretar los resultados. EnglishThe authors made a comparative study between the Electromyography (EMG) and the radiculography with the surgical findings in 100 Herniated intervertebral disk (H.I.D.) operated on. With the E.M.G. they had obtained a cor...
Posteriormedial dislocation of the talus. A case report and review of the literature
Acta orthopaedica Belgica, 1991
The authors present the case of a closed posteriomedial enucleation of the talus, which is the fi... more The authors present the case of a closed posteriomedial enucleation of the talus, which is the first ever reported in the literature. The patient's course is described and available publications are fully reviewed. The authors believe that in spite of the high rate of necrosis observed in talus enucleations, it is valid to attempt treatment designed to prevent necrosis, reserving arthrodesis for those cases where necrosis has already occurred or where walking is impaired.
Postgraduate Medical Journal, 2017
BackgroundAccidental falls have a significant economic and human impact. The use of certain drugs... more BackgroundAccidental falls have a significant economic and human impact. The use of certain drugs is one of the modifiable risk factors associated with these events.ObjectiveThe aim of this study was to determine the prevalence of use and to explore changes in treatment with fall-related drugs in patients over 65 years of age admitted as a result of a fall-related fracture.MethodsObservational and prospective study performed in a tertiary level hospital. A list of fall risk-increasing drugs (FRIDs) was drawn up. The main study variables were number and type of FRIDs prescribed at admission and 1 month after the fracture and number, type, treating physician and place where changes in FRIDs were implemented.ResultsIn total, 252 patients were included. At admission, 91.3% were receiving at least one FRID, mean daily use was 3.1 FRIDs and the most frequently prescribed FRIDs were diuretics (18%), renin–angiotensin system-acting agents (15.8%) and antidepressants (15%). One month later, ...
Anales del Sistema Sanitario de Navarra, 2015
artículos originales0 cross-cultural adaptation of the Zurich claudication Questionnaire. Validat... more artículos originales0 cross-cultural adaptation of the Zurich claudication Questionnaire. Validation study of the spanish version
Posterior sternoclavicular dislocation. Report of two cases
Acta orthopaedica Belgica, 2003
Posterior sternoclavicular dislocation is a relatively uncommon lesion, but must always be consid... more Posterior sternoclavicular dislocation is a relatively uncommon lesion, but must always be considered in the event of trauma to the scapulothoracic area in which initial radiology does not show signs of fracture. Its diagnosis and treatment must be carried out promptly because of the possible serious complications that may occur through the clavicle compressing nearby structures. The authors report two cases, which were diagnosed by CT-scan. In the first case, treatment consisted in orthopedic reduction, while in the second case open reduction and fixation with Kirschner wires was required. The result was satisfactory in both cases, and the patients remain asymptomatic three and five years after trauma.
Intermittent priapism in spinal stenosis
Acta orthopaedica Belgica, 1991
A case of intermittent priapism with neurogenic claudication caused by spinal stenosis is reporte... more A case of intermittent priapism with neurogenic claudication caused by spinal stenosis is reported. The symptoms disappeared completely after decompressive laminectomy.
Anales del Sistema Sanitario de Navarra, 2009
We report an eight year-old female with trisomy 21 referred to our clinic for limitation of wrist... more We report an eight year-old female with trisomy 21 referred to our clinic for limitation of wrist mobility. The patient had been diagnosed and treated by polyarticular juvenile chronic arthritis for six months. Clinical and radiological study revealed volar radiocarpal dislocation of the left wrist. She was treated surgically by open reduction, temporary K-w fixation with six weeks of immobilization. The dislocation relapsed but the joint remained painless. One year later she had 5º of dorsal flexion and 25º of volar flexion and absence of pain. In spite of this situation the family said that the girl lived normal life without any limitation because of her condition, refusing further treatment. Eight years later the girl remains asymptomatic and does a normal life without limitation because of her condition. The patient and her family refused any treatment. Based in the failure of surgical treatment performed in our case we think that abstention could be the most reasonable option, mainly in the immature patients.
Anales Del Sistema Sanitario De Navarra, Mar 1, 2015
artículos originales0 cross-cultural adaptation of the Zurich claudication Questionnaire. Validat... more artículos originales0 cross-cultural adaptation of the Zurich claudication Questionnaire. Validation study of the spanish version
Revista Espanola De Cirugia Osteoarticular, 1996
Resumen.-El objetivo del presente trabajo es valorar clínica y radiológicamente la evolución de 1... more Resumen.-El objetivo del presente trabajo es valorar clínica y radiológicamente la evolución de 125 cotilos de Mittelmeier implantados en nuestro servicio, con un seguimiento medio de 8 años (5,5-14). En toda la serie se ha utilizado un mismo tipo de cotilos, aunque se han utilizado 2 vástagos, los de segunda y los de tercera generación. El comportamiento ha sido satisfactorio en el 91% de los de tercera generación y el 57% en los de segunda. Se comprobó una inclinación y recubrimientos progresivos y una emigración horizontal y vertical significativas de los cotilos. No se encontró relación entre los resultados clínicos y las alteraciones posicionales. La movilización del cotilo aparece en nuestra serie mucho más frecuentemente que en la mayor parte de la literatura. Las emigraciones horizontal y vertical pueden ser debidas a los diferentes coeficientes de elasticidad de la cerámica y el hueso sin implicar necesariamente malos resultados. Como conclusión, el comportamiento de los cotilos de Mittelmeier ha sido en general satisfactorio a pesar de las emigraciones, que han tenido escasa repercusión clínica. MEDIUM TO LONG-TERM RESULTS OF MITTELMEIER CUPS Summary.-This study was aimed at evaluating clinically and radiologically the results of 125 Mittelmeier cups implanted in our institution, with a mean follow-up of 8 years (5.5-14). The same type of cup was used in the whole series, combined with two types of femoral stem from the 2 nd and 3 rd generations. The results were satisfactory in 91 % of cases treated with the 3 rd generation and 57% in those cases treated with the 2 nd generation of implants. Progressive inclination and coverage were detected with both horizontal and vertical migration of the cups. No relationship was found between clinical results and the displacements observed. In this series, migrations of the cup were more frequent than those published by other authors. Horizontal and vertical migratrion may be due to the difference between the coefficients of elasticity of ceramic and bone. Cup migration did not imply poor results. In conclusion, the overall results obtained with the Mittelmeier cups were satisfactory, in spite of migration. The clinical repercussion of cup migrations was minimal. VOLUMEN 31; N.° 182 MARZO-ABRIL, 1996 brought to you by CORE View metadata, citation and similar papers at core.ac.uk provided by Repositori d'Objectes Digitals per a l'Ensenyament la Recerca i la Cultura
Chronic exertional compartment syndrome of the leg in athletes: evaluation and management
The Physician and sportsmedicine, 2010
Chronic exertional compartment syndrome (CECS) is a well-known cause of activity-related lower le... more Chronic exertional compartment syndrome (CECS) is a well-known cause of activity-related lower leg pain in both athletes and nonathletes. In contrast to acute compartment syndrome, CECS is generally not related to trauma, and is often suspected in the outpatient setting by primary care physicians, podiatrists, sports medicine clinicians, and orthopedic surgeons. The diagnosis of CECS is often overlooked because patients avoid or withdraw from exacerbating physical activities instead of seeking treatment for their symptoms from a health care professional. A thorough history and physical examination of an individual with activity-related lower leg pain is necessary for correct diagnosis to occur. Appropriate diagnostic testing with measurement of intracompartmental pressures reliably confirms the diagnosis of CECS. Nonoperative treatments of CECS rarely leads to complete resolution of symptoms or an individual's ability to return to previous levels of recreational or athletic act...
Anales del Sistema Sanitario de Navarra, 2006
Spine, Jan 15, 2008
A retrospective study of the clinical results of conservative treatment of patients with acute po... more A retrospective study of the clinical results of conservative treatment of patients with acute postoperative deep spinal infection. To determine the efficacy of antibiotic only treatment of postoperative deep spinal infection. Traditionally, aggressive surgical treatment combined with antibiotics has been viewed as the gold standard for treating postoperative deep spinal infection. There are, however, disadvantages to surgical treatment including higher treatment cost, multiple anesthesia and surgeries, and the risk of perioperative morbidity and mortality particularly in immunocompromised patients. Although many new antibiotics and new methods of antibiotic treatment have recently become available, the role of conservative treatment using antibiotics alone to treat postoperative acute infection has not yet been determined. Ten consecutive patients with acute postoperative spinal infection were treated using antibiotics alone. The mean onset of the symptoms of infection after surger...
Fibrous dysplasia of both alae of the sacrum
American journal of orthopedics (Belle Mead, N.J.), 2001
A case of monostotic fibrous dysplasia involving both alae of the sacrum is reported. Only 2 case... more A case of monostotic fibrous dysplasia involving both alae of the sacrum is reported. Only 2 cases of monostotic sacral involvement were published previously. The lesion was detected in a 42-year-old man suffering from lumbosacral pain after minimal trauma. Radiographic studies revealed cystic images on both alae of the sacrum, with internal condensations and some liquid contents. A trephine biopsy did not produce enough diagnostic data, and a posterior surgical approach was elected. Curettage and refilling with allograft were performed. The pathologic anatomy study diagnosed a fibrous dysplasia. Two years after surgery, the patient was asymptomatic.
Intradural Disc Herniation and Epidural Gas: Something More Than a Casual Association?
Spine, 2004
The case of a patient with an intradural disc herniation associated with gas in the spinal canal ... more The case of a patient with an intradural disc herniation associated with gas in the spinal canal is presented. To alert spine surgeons to this potential association. This association was described previously in five patients, a fact that seems surprising given the relative rarity of both intraspinal gas and intradural herniations. The case is presented of a female patient with lumbosciatic pain who developed an incomplete cauda equina syndrome. An asymmetric discopathy of the L2-L3 space and a gas bubble with disc material within the spinal canal was noticed in the radiologic explorations. The literature and the authors' experience are reviewed with the aim of confirming the frequency of intradural herniation in association with gas in the spinal canal. A laminoarthrectomy of the involved space was performed followed by direct intradural examination, which revealed a disc fragment that was excised. An instrumented L2-L3 arthrodesis was performed. Postoperative evolution was satisfactory. To date, the authors have found this association in 2% of the patients with intraspinal gas. The potential presence of an intradural disc herniation must always be considered when performing an open discectomy on a patient whose CT scan study shows the presence of epidural gas. This association is particularly striking given the relative rarity of intradural herniations and intraspinal gas. In the event that no clear disc herniation was found, an intradural examination may be indicated to justify clinical signs and symptoms or previous radiologic studies.
Spine, 1994
of Background Data, InLradlecal gas is associated with tumors, infection, trauma, therarJeulic in... more of Background Data, InLradlecal gas is associated with tumors, infection, trauma, therarJeulic ind-iM|;••<•••! < spinal ijrDoeduros, deposit Illnesses, and disc degeneration. The existence <jf ges-within tha spinal esnat has been seen an 17 occasions, of which 13 were associated with disc a I hs'niBH. Methods. Ir-this study, 19 additional patients with intraspinfll gas correspond ing to dismal Iwflias are presented, six of whom required surgical treatment. The Hgaociation of mtraspinel gas with intrddural hernias frequently is reported in the literature, although this has not boon proven In our group. Intrahernlal gas is associated with patienta who neve chronic problems and with advanced age. Conclusion. Intrahemial gas is much more common than is indicated in the literalure, This finding often goes unnoticed,, and Ihe association between intradiscal gas and intradural hernias should i >B kepi in mind.
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Papers by Angel M Hidalgo Ovejero