Os aparelhos gessados são dispositivos rígidos de imobilização externa que envolvem uma região do corpo, de forma a mantê-la numa posição adequada. Estudo mecânico comparativo entre aparelhos gessados clássicos e de material sintético. JDMBA Rossi, FAS Caffali, TP Leivas, LA Menezes Filho, AA Quintela. Avaliação do aparelho gessado cruro-podálico articulado como complementação do tratamento cirúrgico do “genu valgum.” Front Cover. Hélio Lúcio de Souza.

Author: Junris Garamar
Country: Saudi Arabia
Language: English (Spanish)
Genre: Politics
Published (Last): 13 June 2017
Pages: 325
PDF File Size: 20.84 Mb
ePub File Size: 17.72 Mb
ISBN: 685-4-93899-970-4
Downloads: 35317
Price: Free* [*Free Regsitration Required]
Uploader: Dazilkree

The right and left hips presented, respectively, flexion: The treatment of HO is often conservative and aparehlos is the most appropriate conduct; however, surgical intervention may be necessary.

In this case, the full leg plaster cast allowed the patient to walk, despite the ROM limitation.

Rede Médica | Medicare

After 2 weeks, the patient returned to the outpatient clinic to change aparelhoss cast; and had no complaints. Aparelgos after the manipulation, in the operation room, the right hip’s range of motion ROM was measured: In some cases, it can present moderate fever, severe spasticity, and even ankylosis in more advanced stages of the disease. A year-old male patient was treated in at the orthopedic outpatient clinic of a public university hospital, complaining of pain and gessadow limitation of movement in the hips, as well as loss of right lower limb RLL muscle strength after suffering physical aggression approximately 8 months earlier.

Heterotopic ossification can be defined as the formation of bone in tissues that have no ossification properties, such as in muscles and connective tissue of a periarticular region, without invasion of the joint capsule. Thus, surgery should be performed months after the end of the active stage of the injury.

  22B D1P4N104 PDF

Rev Col Bras Cir. It is believed that recurrence is associated with the presence of osteoblastic activity aarelhos the HO site at the time of resection. Surgical resection often leads to increased aggression and, consequently, to new areas of tissue ossification. Naproxen in prevention of heterotopic ossification after total hip replacement. Appearance 2 years after treatment.

The diagnosis is made through conventional radiography. Still, the best treatment is prevention.

The patient was able to improve the movements of extension, gesssados, and adduction of the right hip, which allowed gait without the risks of resection surgery.

Heterotopic ossification HO is a process of abnormal osteogenesis in non-skeletal tissues, due to an initial metaplastic and inflammatory process, through bone neoformation in soft tissues; it is not considered a neoplasia.

#cuidafos hashtag on Instagram • Photos and Videos

Treatment through hip manipulation associated with a plaster cast showed excellent results. Among its clinical manifestations, it may present pain and limitation of joint movement, heat, edema, and local flushing. Treatment is based on resection of the ossification, with adjuvant measures such as non-steroidal anti-inflammatory drugs, bisphosphonate, radiotherapy, and physical therapy.

Computed tomography CT can also be used. It may involve one or more joints in the same patient; in this case, the involvement is usually bilateral. Thus, surgical excision must be carefully and individually considered and reserved for fully matured HO cases in patients with severe functional joint impairment.


Two years after the manipulation, the following right hip ROM values were registered: HO presents with elevated serum alkaline phosphatase AP levels, and a transient decrease in serum calcium levels preceding the first event. Hip ROM improvement was observed in general and mainly in flexion, abduction, and internal rotation movements Figs. A clinical perspective on common forms qparelhos acquired heterotopic ossification.

Treatment of heterotopic ossification of the hip with use of a plaster cast: case report

Risk factors of heterotopic ossification in traumatic spinal cord injury. Any treatment option that improves the quality of life of the patient mitigates the negative impact of this disease. Shortly after its removal, the patient began walking with crutches for short distances and later, after several physical therapy sessions, without crutches.

Increased AP is also observed in the presence of fractures and liver diseases.

On physical examination, he was in good general condition and was afebrile. It should only be performed in aparelhso with hip movement restrictions, in order to release the ankylosed joints and entrapped nerves.

Rehabilitation medicine plays an important role in approaching these patients by addressing the symptoms and improving the function of the affected body areas, allowing family, social, and occupational reintegration of these patients.