Cited by 37Open Access
Hospital Universitario Virgen del Rocío
Publishes on Pelvic and Acetabular Injuries, Pregnancy-related medical research, Abdominal Trauma and Injuries. 5 papers and 72 citations.
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The multidisciplinary management of patients with pelvic trauma has improved prognosis, but mortality is still very high. The appropriate treatment strategy remains controversial, especially regarding the control of bleeding in patients whose clinical situation is extreme by using angiography or pelvic packing. We propose using a tool of evidence-based medicine (CAT) the benefit of the completion of pelvic packing in relation to a specific clinical question from a specific situation. What is best for the management of bleeding, extraperitoneal pelvic packing or angiography, in patients with hemodynamically unstable pelvic fracture in extremis? From this study we can conclude that angiography may improve control of bleeding in patients with arterial bleeding and hemodynamically stable but the packing has priority in patients with pelvic fractures and hemodynamic instability. El manejo multidisciplinar de los pacientes con traumatismo pélvico ha mejorado su pronóstico, sin embargo la mortalidad sigue siendo muy elevada. La estrategia de un tratamiento adecuado es aún controvertida, sobre todo respecto al control de la hemorragia en pacientes cuya situación clínica es extrema mediante el uso de arteriografía o packing pélvico. Planteamos mediante una herramienta de medicina basada en evidencia (CAT) el beneficio de la realización del packing pélvico en relación a una pregunta clínica específica desde una situación concreta, ¿qué es mejor para el manejo del sangrado, packing pélvico extraperitoneal o arteriografía, en pacientes con fractura de pelvis inestables hemodinámicamente in extremis? De este estudio podemos concluir que la arteriografía puede mejorar el control de la hemorragia en los pacientes con sangrado arterial y hemodinámicamente estables, pero el packing tiene prioridad en los pacientes con fracturas de pelvis e inestabilidad hemodinámica.
Objective: To assess the causes and the ulnar nerve compression areas in Guyon’s canal.Material and method: A retrospective study, with a mean follow-up of 9 months, was conducted on 12 patients intervened due to cubital tunnel syndrome. An electrophysiological study was performed on all cases and it was observed if there was a relationship with the presence of carpal tunnel syndrome. Results: A clear origin of the nerve compression was only found in 3 cases. There is a higher presence of carpal tunnel syndrome in those cases of with idiopathic ulnar nerve compression, but it is not statistically significant.Conclusions: In our experience, the majority of ulnar nerve compressions in the wrist are of idiopathic origin. There is a clinical improvement of the symptoms with surgery.