Meniscal suture

Meniscal suture is a surgical technique that aims to repair meniscal lesions instead of removing the area of the injured meniscus. However, we know, and this recent study confirms, that the rate of complications and failures is high: 25%, in addition to significant differences in results depending on the instruments used. In this case, two types of sutures were compared: Fast-Fix and Biofix, the first being superior to the second.

Plantar fasciitis

Plantar fasciitis is a common problem in the pathology of the foot. It is characterized by a pain in the base of the heel that radiates to the fingers. The pain typically appears after rest.

It is caused by an inflammation of the plantar fascia and for its diagnosis, performing an ultrasound is useful. For the treatment it is recommended to use silicone heels, anti-inflammatories and physiotherapy. On this last point, an interesting study has been published that highlights the usefulness of stretching exercises, and demonstrates that these exercises are superior to the use of shock waves.

Treatment for osteoporosis with bisphosphonates and atypical femur fractures

Treatment with bisphosphonates (Alendronate, Risedronate, etc.) has been linked in some studies with the appearance of fractures in the femur of atypical features. This fact has raised concern in patients and doctors. An interesting article published this month in the prestigious medical journal New England Journal of Medicine teaches us that although this type of fractures may appear in patients treated with bisphosphonates, their appearance is very rare and the benefits obtained in the prevention of fractures with These drugs are far superior to the possible risk of suffering this undesirable effect. (n engl j med 364; May 18, 2011)

Arthroscopic treatment of meniscal lesions

A recent article published in the prestigious OC magazine confirms the benefits of arthroscopic treatment of meniscal lesions in middle-aged patients. Being the combination of surgical and physiotherapy treatment superior to treatment only with physiotherapy.

Scaphoid fracture and its diagnosis

The scaphoid is one of the bones of the wrist. Its fracture occurs in falls on the extended hand, and is characterized by pain located in the radial area of the wrist, and more specifically in the area called “anatomical snuffbox.” This type of fracture can go unnoticed when there are no alterations in the radiographic images.

Improper treatment can lead to pseudoatrosis (non-repair of the fracture by keeping the two fragments separated) which leads to chronic pain and the appearance of degenerative joint phenomena (osteoarthritis). Recent studies have demonstrated the efficacy of the most modern imaging techniques to avoid this problem, having demonstrated both magnetic resonance imaging and CT (computerized axial tomography) its diagnostic value.

Calcific tendonitis of the rotator cuff

Injuries to the tendons of the rotator cuff of the shoulder are a common problem that causes significant pain and limited mobility. The presence of calcifications defines calcifying tendinitis, a type of tendinopathy. The treatment of these types of problems is initially non-surgical, with anti-inflammatory and rehabilitation. In cases resistant to initial treatment, arthroscopic surgery may be indicated. In an interesting study published recently, the efficacy of bursa resection (membrane lining the tendons) and the removal of calcification in cases of calcifying tendinitis have been demonstrated. It has been assessed in this study if the performance of a subacromial decompression (milling of the bone that can close the space through which the tendons of the rotator cuff run to expand said space) brings some benefit. The conclusion is that the result is comparable by doing or not doing such decompression.