Hugo Machado Sanchez

Anteversão do colo do fêmur: avaliação clínica versus radiológica

The purpose of the present study was to verify the correlation between the femoral anteversion angle measured by biplanes radiography and the values of internal and external rotation of the hip obtained by clinical assessment. Sixty-four hips of 32 individuals with no previous coxofemoral pathologies were studied by taking their hip rotation values with a proper instrument - the fleximeter - and taking radiographic images using the Rippstein- Muller method. The results obtained were statistically analyzed and it was concluded that there was no statistically significant correlation and that it is possible that other factors, in addition to the femoral anteversion angle, may be important in determining the range of rotation of the hip joint.

Low progesterone levels and ovulation by ultrasound assessment in infertile patients.

OBJECTIVE To assess the correlation between low levels of progesterone and ovulation by ultrasound monitoring in infertile patients with regular menstrual cycles. METHODS Case-control study. The sample consisted of 302 women aged 20-40 years, treated from 2000 to 2014 in the Human Reproduction Laboratory of the University Hospital of the Federal University of Goiás and in the Department of Gynecology and Obstetrics in Goiânia, Goiás. Data collection was performed by analysis of physical records (Medical Records and Health Information Services) and electronic ones (Sisfert©, 2004) after approval by a Human Research Ethics Committee. Patients were classified according to their ovulatory status, evaluated by progesterone levels and ultrasound monitoring and divided into two groups: Group I (anovulatory cycle patients, n=74) and Group II (ovulatory patients, n=228). In both groups associations were made between the percentage of patients with normal progesterone (≥ 10 ng/ml) and percentage of patients with low progesterone (5.65 - 9.9 ng/ml). The groups were paired for comparisons related to age, body mass index, duration of infertility, follicle stimulating hormone (FSH), thyroid stimulating hormone (TSH), luteinizing hormone (LH) and estradiol (E2). RESULTS There was a significant association between the percentage of ovulation by ultrasound monitoring and the percentages of patients who presented low levels of progesterone. CONCLUSION The study suggests that low serum levels of progesterone are associated with low percentage of ovulation in infertile women with regular menstrual cycles and women with unexplained infertility.

Avaliação da qualidade de vida de médicos clínicos e cirurgiões

Objective: To evaluate the quality of life (QOL) of medical practitioners according to the chosen specialty (non-surgical or surgery). Methods: Cross-sectional analytical study performed in 2016 with physicians working in clinics and hospitals of Rio Verde, Goias, Brazil. Two questionnaires were used: one on sociodemographic aspects and the second one, for quality of life evaluation, the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Out of 287 questionnaires that were delivered, 144 were answered. Comparative data regarding the domains received analysis with use of ANOVA, MANOVA, MANCOVA, Pearsons correlation and linear regression, considering p˂0.05. Results: The findings showed mean age of 37.7±10.09 years and a majority of men (63.1%; n=91). The physical domain was significantly better evaluated in the mean values of QOL by men (p=0.002), as well as the environmental domain (p=0.031). When comparing the mean values of the QOL and their domains according to the clinical and/or surgical practice of the physicians, there was no significant difference. When comparing physicians that work alternative shifts to those working regular day shifts, it was found that the domains of social relationships (p=0.049) and environment (p=0.001), and the global QOL (p=0.024) as well, regardless of the workload, were worsened among the shift workers. The longer the length of time since graduating from college, the greater the perception of the environmental domain (p=0.02). There was no significant difference as for the salary range. Conclusion: There was no difference in the global quality of life between the evaluated non-surgical physicians and surgeons. However, when compared by sex, men achieved a more satisfactory performance in terms of the physical and environmental domains. It was evidenced that the salary range does not influence the quality of life of these professionals.

Influence of the treatment of the Kinesio-taping® technique on pain and functionality in patients with Patellofemoral Pain Syndrome

A Síndrome da disfunção Femoropatelar (SDFP) é definida como uma dor anterior ou retro patelar na ausência de outra comorbidade do joelho. É uma patologia com alta incidência, afetando 20% da população em geral. A técnica de Knesio-Taping® (KT), também conhecida como bandagem elástica é um método que se tornou popular nos últimos 10 anos e, desde então tem sido utilizado como proposta terapêutica tanto na prevenção, como atuando diretamente nos sintomas de lesões esportivas e naquelas que acometem o joelho. O estudo teve como objetivo avaliar a influência da técnica Kinesio-Taping® na sintomatologia e funcionalidade de indivíduos com síndrome de Disfunção Femoropatelar (SDFP). A população envolvida neste estudo foi de 32 indivíduos do sexo feminino, diagnosticados clinicamente com a referida síndrome, as quais foram divididas aleatoriamente em dois grupos, o primeiro grupo recebeu o tratamento com Kinesio-Taping® e fisioterapia convencional e o outro grupo recebeu tratamento fisioterapêutico convencional. Ambos os grupos foram submetidos ao HOPTEST, escala de EVA e o questionário Lysholm antes e depois da intervenção, a qual foi realizada por 1 mês. Verificou-se que a Kinesio-Taping® teve uma melhora significativa na EVA ao concluir o ensaio (p=0,012), no entanto, para a funcionalidade e o equilíbrio, na comparação entre os grupos controle e experimental, não foi verificada diferença significativos. Diante do exposto conclui-se que a técnica Kinesio-Taping(KT) associada ao tratamento fisioterapêutico convencional proporciona maior conforto álgico aos pacientes com SDFP.

Correlation between anterior knee pain with changes in bone morphology of the hip

The patellofemoral pain syndrome (PFPS) is one of the most common disorders of the knee, and there is still unclear etiology. The aim of this study was to correlate patellofemoral pain syndrome with the bone morphology of hip. For this, this study evaluated 31 studied volunteers with aged between 18 and 30 years, which analyzed the distance of anterior superior iliac spines (ASIS), asymmetry of the pelvis, lower limb length (LL), distance from the ASIS bilaterally of the patella, lateral tilt and iliac inclination, this by computerized biophotogrammetry. After collecting the data and consequent tabulation, it was found that were no changes in the data collected except in the lateral tilt, so the volunteers who had anterior knee pain also had lateral pelvic tilt. That said, we can infer that there is little relationship between the morphological changes of the hip with the PFPS, whereas found only one was in lateral pelvic tilt voluntary group who complained of pain above the knee.

Influência das alterações na morfologia do osso do quadril e dor anterior do joelho

The patellofemoral pain syndrome (PFPS) is one of the most common disorders of the knee, and there is still unclear etiology. The aim of this study was to correlate patellofemoral pain syndrome with the bone morphology of hip. For this, this study evaluated 31 studied volunteers with aged between 18 and 30 years, which analyzed the distance of anterior superior iliac spines (ASIS), asymmetry of the pelvis, lower limb length (LL), distance from the ASIS bilaterally of the patella, lateral tilt and iliac inclination, this by computerized biophotogrammetry. After collecting the data and consequent tabulation, it was found that were no changes in the data collected except in the lateral tilt, so the volunteers who had anterior knee pain also had lateral pelvic tilt. That said, we can infer that there is little relationship between the morphological changes of the hip with the PFPS, whereas found only one was in lateral pelvic tilt voluntary group who complained of pain above the knee.

Influence of changes in hip bone morphology and anterior knee pain

The patellofemoral pain syndrome (PFPS) is one of the most common disorders of the knee, and there is still unclear etiology. The aim of this study was to correlate patellofemoral pain syndrome with the bone morphology of hip. For this, this study evaluated 31 studied volunteers with aged between 18 and 30 years, which analyzed the distance of anterior superior iliac spines (ASIS), asymmetry of the pelvis, lower limb length (LL), distance from the ASIS bilaterally of the patella, lateral tilt and iliac inclination, this by computerized biophotogrammetry. After collecting the data and consequent tabulation, it was found that were no changes in the data collected except in the lateral tilt, so the volunteers who had anterior knee pain also had lateral pelvic tilt. That said, we can infer that there is little relationship between the morphological changes of the hip with the PFPS, whereas found only one was in lateral pelvic tilt voluntary group who complained of pain above the knee.

Correlation between anterior knee pain with flexibility muscles hip

Introduction: the syndrome Femoropatellar pain (PFPS) is one of the most common disorders of the knee and has as one of its main functions human locomotion, while the hip is the largest spherical fit joint of the human body. Objective: the aim of this study is to know the correlation of knee pain prior to the flexibility and range of motion (ROM) of the hip in college women. Method: for this was made a descriptive cross-sectional study with a population composed of 40 academic, divided into two equal-sized groups, one composed of voluntary with PFPS and the other without the syndrome. The voluntary were aged between 18 and 30 years. To evaluate the flexibility we used a fleximeter and ADM universal goniometer. Results: After statistical analysis, it was found that ADM hip abduction appeared was reduced, probably due to the retraction of the adductor muscles of the hip in the PFPS group, or even the loss of muscle strength own abductors. With regard to flexibility, it was found the retraction of the flexor muscles of the hip, a significant difference comparing the group with pain and the group without previous knee pain. Conclusion: it can be concluded that there are muscle changes for flexibility and ADM, the flexors and abductors of the hip groups respectively, in subjects with presence of patellofemoral pain syndrome.

Association between patellofemoral pain syndrome and hip morphology.

Background: Patellofemoral pain syndrome (PFPS) is one of the most common conditions in the knee joint, there still unclear etiology. Objective: The objective of this study was to investigate the association of PFPS with the morphology of the hip. Method/Design: For this study were evaluated 41 university students aged between 18 and 30 years divided into group with PFPS and control group, in which we analyzed the distance from the anterior superior iliac spine (ASIS), length of the lower limbs (LL) away from the patella ASIS bilaterally, lateral bending and iliac slope. Results: After data collection and subsequent tabulation, it was found that the group with PFPS showed contralateral iliac increase the pain (p = 0.01), moreover, was also found to the side of prevalence of pain is the side not dominant (p = 0.00). Conclusions: It can be inferred that there is little relationship between the morphological changes of the hip with the PFPS, as only found a side tilt of the pelvis in volunteer group that reported a previous knee pain.