ItemHallux Rigidus de grado medio : nuestra técnica quirúrgica de elección(2017) Navarrete Faubel, Francisco Enrique; Part Soriano, J.; Sánchez González, M.; Vicent Carsí, V.Hallux rigidus is the result of a degenerative process of the metatarsophalangeal joint of the hallux. In the intermediate stages there are controversies in the type of treatments and different types of osteotomies can be performed. Objective. To analyze cases of moderate grade hallux rigidus that have undergone surgery at out center with a chevron-type modified osteotomy. Material and methods. We conducted a retrospective study between January 2013 and December 2015 of 21 hallux rigidus with a minimum follow-up of 12 months. To evaluate the results we used the AOFAS questionnaire and the visual analogue scale (VAS). At the end of the follow-up we also conducted a satisfaction questionnaire. Results. The postoperative results show a considerable increase in the average mean of the AOFAS questionnaire from 61,3 before surgery to 92,1 at 12 months after surgery. The VAS improved 6 points and 18 patients were very satisfied with the results. There were no cases of nonunion, avascular necrosis, MTF stiffness, failed implants or infection. No patient was reoperated. Conclusion. We believe that our technique can be useful nowadays. This technique is easy to perform and reproducible ItemInfiltración de PRP autólogo como tratamiento de las tendinopatías crónicas del tendón de Aquiles(2017) Tormo Collado, F.; Mifsut Miedes, DamianChronic Achilles tendinopathy is responsable for a severe reduction in physical performance and persistent pain. There is currently a number of therapeutic options and the local administration of growth factors is an emerging treatment strategy. Platelet-rich plasma (PRP) has been introduced in the clinical practice to treat a growing number of different musculoskeletal pathologies. It is the most exploited strategy to provide a regenerative stimulus for tendon healing. The aim of this bibliographic and case review is analyse its effectiveness in the chronic Achilles tendinose. ItemDisplasia congénita de tibia : 12 años de seguimiento(2017) Luque Valenzuela, María; Ayllón Barranco, R.; López Molina, Inmaculada; Meziyanne, A.; López Morcillo, JesúsCongenital dysplasia of the tibia, previously named congenital pseudoarthrosis, is a very rare disorder, affecting 1 in 140,000 live-born children. Some of those cases are associated with neurofibromatosis or Von Recklinghausen disease and involvement of the fibula has been reported in 62% of cases . The diagnosis is usually made at birth. The natural history of the disease is extremely dark and once a fracture occurs, there is no tendency to heal spontaneously. We would like to report a 12 years followed-up case, treated with different methods with the aim of revise different treatment techniques depending on the age of the patient and the kind of fracture. ItemFracturas de estrés en la escápula y factores de riesgo : a propósito de un caso y revisión de la literatura(2017) Salvador Marín, Jorge; Vargas Prieto, J. F.; Barceló Bañuls, J. M.; Martínez López, J.F.Scapula stress fracture is an uncommon injury. Some cases have been described in sportsmen, handworkers, rotator cuff arthropathy and reversed shoulder arthroplasty; being infrequent the association with crutch´s repetitive load. Treatment should be individualized and depends of patient characteristics, comorbidities and displacement. The article describes a case of a scapular spine´s stress fracture, and a literature review is being performed. Case Report is an 86 year old woman with corticoids treatment history and ilio-pubic ramus fracture. She walked with a crutch since that fractures. Patient begins gradually with pain and limited mobility in shoulder without trauma. CT scan showed fracture of the scapula spine suggesting a stress fracture as the main diagnostic option. Conservative treatment was performed, obtaining good functional results and a DASH of 21.6 points. ItemTrombosis de la arteria humeral secundaria a malformación de la primera costilla(2017) Machado, V.; Montiel, V.; Amillo Garayoa, SantiagoWe present a case of a healthy 52-year-old man who came to our clinic because he suffered fatigue in the upper left limb during the past 4 months. Progressively he developed claudication with minimum efforts and nocturnal pain that awoke him, tingles, coldness and pallor in the whole hand. Cervical, shoulder, elbow, and wrist mobility and muscle power were normal. There was absence of left axillary, humeral, radial and ulnar pulses, with a left subclavian pulse present. Echo-Doppler and CT angiography revealed axillary and brachial artery thrombosis secondary to a narrow left intercostoscalenic space due to agenesis of the first ribs? anterior arch and synchorosis of the costal remnant with the second rib. The first two ribs were resected, and an axillary artery endoprosthesis and an axillary-radial bypass were implanted, achieving adequate distal reperfusion. Eight months later, the patient has no pain and is asymptomatic. ItemEpidemiología descriptiva de una cohorte con choque femoroacetabular y tratamiento con cirugía artroscópica de cadera(2017) Más Martínez, Jesús J.; Sanz Reig, J.; Sánchez del Campo, Francisco; Fernández Jover, EduardoThe purpose of the study was to report the clinical epidemiology for patients with symptomatic femoroacetabular impingement undergoing hip arthroscopy. A total of 112 patients were enrolled. In this cohort, femoroacetabular impingement occurred predominantly in young patients, with normal BMI, more male than female, high level of sports activity, duration of symptoms prior to surgery time longer than 12 months, with a pattern of cam type, labrum and acetabular rim injury in arthroscopic procedure.