Revista de la Asociación Argentina de Traumatología del Deporte

INTRODUCCIÓN
La parálisis del nervio circunflejo es la más frecuente entre los nervios periféricos del hombro. Esta lesión de difícil diagnóstico, implica una seria complicación en los deportes de contacto.
El objetivo de éste trabajo es reportar los resultados del tratamiento conservador de 18 casos de parálisis aislada del nervio circunflejo causada por traumatismos directos del hombro en deportistas de contacto, sin luxación glenohumeral.
MATERIAL Y MÉTODO
Se evaluaron retrospectivamente con un seguimiento mínimo de 2 años, 18 jugadores de rugby, con diagnóstico de parálisis post traumática del nervio circunflejo.
Se evaluó la recuperación de la función, la fuerza y sensibilidad del músculo deltoides y el tiempo en retorno a la actividad deportiva. Todos los pacientes fueron evaluados con el score de ASES.
RESULTADOS
La función y la fuerza del músculo deltoides se recuperaron totalmente en 13 pacientes (72,2%). Doce pacientes (66.66%) recuperaron totalmente la sensibilidad. El promedio de los resultados del score de ASES fue de 97,5% (85-100%). Dieciséis de los 18 pacientes (88.88%) retomaron la práctica de rugby.
CONCLUSIONES
Es de suma importancia sospechar esta lesión cuando luego de un traumatismo directo en el hombro, el paciente manifieste parestesias, debilidad del miembro y dolor quemante. También debemos realizar un diagnóstico diferencial con lesiones de las raíces cervicales.
Los resultados del tratamiento conservador, de las parálisis aisladas del nervio circunflejo por traumatismos directos del hombro, son excelentes teniendo en cuenta la recuperación funcional del hombro, la recuperación de la fuerza y el retorno al deporte.

INTRODUCCIÓN
Presentar los resultados a corto plazo de la inyección de ácido hialurónico (AH) en 20 pacientes seleccionados de forma retrospectiva y realizar una revisión de la literatura.
MATERIALES Y MÉTODOS
Se tomó retrospectivamente una serie de 20 pacientes que fueron sometidos a viscosuplementación de rodilla entre agosto y noviembre de 2012. Diecisiete mujeres y 3 hombres. Edad promedio de 75 años. Evaluamos a los pacientes previa infiltración con AH y 6 meses posteriores a la misma con el score de Lequesne y la escala numérica para el dolor.
RESULTADOS
La escala numérica del dolor (EN) fue 7,4 en promedio pre infiltración y 5,6 post infiltración. El score de Lequesne fue en promedio 12 pre infiltración y 9 post infiltración. Cinco pacientes empeoraron su sintomatología (3 de estos pacientes requirieron reemplazo total de rodilla)
CONCLUSIÓN
La viscosuplementación con ácido hialurónico mostró una mejoría en la sintomatología de nuestra serie de pacientes con artrosis de rodilla a corto plazo. Siendo un procedimiento con bajo riesgo. Estos resultados, junto con la revisión literaria, nos impulsan a realizar un estudio de mayor rigor metodológico.
NIVEL DE EVIDENCIA: IV. Estudio de serie de casos.

INTRODUCTION
The aim of this work is to restrospectively describe injuries in lateral knee, behaviour seen in professional basketball players. 
MATERIAL AND METHODS
Six professional basketball players from Centro Juventud Sionista (CJS) were presented as study cases during six National Basketball League seasons. These patients were assessed using the following criteria: physical check-up, additional studies (XR and MRI) and arthroscopy.
Outerbridge classification was applied to stage the osteochondral injuries.6
RESULTS
3 patients were diagnosed and treated for simple meniscal injuries and took up competition 40 days after post operative period.
Those who did present osteochondral injuries, followed the same rehabilitation protocole carried out by the club (CJS) physiotherapist team, back in competition 90 days after post operative period. 
All the 6 players came back to competiton at the same level and category (NBL) as before having been operated on.
CONCLUSION
Our findings coincide with the scarce international bibliography about meniscal injuries analised in professional basketball players in comparison to the highest incidente of external meniscal injuries versus the internal ones.
We believe the specific movements carried out in this particular sport contribute to develop injuries due to the external behavior.

SUMMARY

Treatment of posterior cruciate ligament (PCL) lesions is still controversial. It is the biggest and strongest ligament of the knee. Consists of two fiber bundles, a relatively thick anterolateral bundle, which is taut during flexion, and a thinner posteromedial that is taut during extension, and is less resistant to tearing. Isolated lesions of the PCL are relatively rare, accounting for approximately 3 % of all acute ligament injuries around the knee. Traditionally conservative treatment has been favored, with relatively good results. Better understanding of the anatomy and biomechanics, as well as graft selection and fixation, made reconstruction a more desirable treatment choice when clinical signs of instability are present.

OBJECTIVE

To demonstrate usefulness of Arthroscopic reconstruction of the anterolateral bundle of the PCL, in isolated lesions.

MATERIAL AND METHODS

A total of 17 patients with isolated tears of the PCL were surgically treated at our institution from January 2008 until December 2012. The procedure performed was an arthroscopic single bundle PCL reconstruction. Case series, level IV evidence report.

RESULTS

Fourteen patients (82,3%) reported an IKDC score of 90 points, and were able to return to sports or vigorous activities, maintaining stability until the last follow up evaluation.

CONCLUTION

We believe that surgical stabilization is indicated in those patients with isolated tears of the PCL, with symptoms of instability, and that arthroscopic reconstruction of the anterolateral bundle of the PCL is a reproducible, with relatively good results, low morbidity, and maintain stability with time.

Stress fractures predominate in the lower limb. They were described first time in 1855 prior to the discovery of X Rays and related to different physical recreational or professional activities. They are caused by repetitive stress on a normal bone elastic resistance. Stress fractures of the calcaneus are unusual and considered of low risk. In MR imaging bone marrow edema with characteristic pattern in early stage prior to the commitment of the cortex was found. MRI should be the diagnostic method of choice for the diagnosis of stress fractures of the calcaneus in acute stage.

INTRODUCTION: A controlled, prospective, nonrandomized unblinded and patients in athletes with lumbar disc herniation (HDL) with or without radiation clinical trial, treated with medication and the method of postural Reeducation MTE, Three Squares method was performed. OBJECTIVE: To determine the existence and magnitude of the difference between the final and initial VAS, the final and initial lumbar flexibility, and the final and initial functionality in each of the groups. MATERIAL AND METHODS: This study was conducted from April 2009 to April 2014, in patients with lumbar disc herniation diagnosed by MRI. The initial N was 126 patients, of whom 26 were eliminated, final N: 100 patients; with an age group of 18-65 years. All the patients sport. They were divided into three groups, some performing competitive sport and other recreational sports. Specifying that sports performed in each age range. The variables analyzed were the VAS, the lumbar Schoeber, total Schoeber test and Oswestry. They were evaluated in session 1 and 10. Patients were treated with weekly sessions with MTE. RESULTS: A decrease in VAS post intervention of 83.33% compared to baseline. An increase was seen in the lumbar schoeber of 3.57% compared to baseline. An increase was seen in the toal shoeber 28.57% compared to baseline. He showed a decrease in the Oswestry 20% compared to baseline. CONCLUSION: There is a statistically significant difference in VAS, lumbar Schoeber, Total Schoeber and Oswestry test, pre and post – intervention (p value = <0.001)