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Shoulder Arthroscopy: Complications
What complications can result?
Sometimes treatment is started arthroscopic shoulder but the conditions require the surgeon to replace it with “open” technique.
Most commonly, postoperative pain, more pronounced after reaming of the acromion.
Other complications have been reported infrequently (approximately 6% of operated with this technique):
- Joint infection.
- Drilling of the lung by the instrument, causing “pneumothorax” (the pleural space is filled with air and pushes the lung).
- Injuries to the shoulder of nearby nerves, usually due to excessive traction of the limb (brachial plexus injury) and that usually recover well. Evolution is not usually good if the cause is due to accidental puncture of the nerve when we introduce the instruments for the first time, and may be affected then the sensitive branches of the axillary nerve or brachial plexus. Read the rest of this entry »
Hip Prosthesis: Dislocation of The Prosthesis
The femoral part is separated from the pelvis.
- It occurs in 5% of cases and is usually associated more about the posterolateral approach (although it has other advantages), a prosthetic socket the wrong position, a short neck prosthesis and a scar tension or muscle insufficient . In other cases, due to a blow or twist that disengages.
- The first episode required to anesthetize the patient and reposition it without opening (with exceptions).
- If the prosthesis is luxando will be changed, either some or all of its components.
Deep vein thrombosis
Involves the formation of thrombi in the deep veins of the legs (although prophylaxis may appear). The risk is that thrombi are dislodged and migrate to the lungs as emboli, causing a pulmonary embolism. Read the rest of this entry »
Type of Prosthesis Best for Patient
When shown the implantation of a hip prosthesis?
When treatment with medication, physiotherapy or previous operations fails to improve a state of severe pain or disability, caused by lesions of the hip joint:
- Coxarthrosis (osteoarthritis of the hip)
- Rheumatoid arthritis (rheumatoid arthritis, etc.).
- Femoral head necrosis (loss of vitality of the bone)
- Displaced femoral neck fractures. Are common in the elderly from falls to the ground. When the fracture fragments are slightly displaced may attempt an operation of fixing fragments (osteosynthesis) but usually are very displaced, as indicated by the prosthesis and its implantation in the early days to avoid a prolonged stay in bed for the elderly. Read the rest of this entry »
Dangers of Being Overweight in Old Age
Obesity and overweight are defined as excessive body energy reserves, mainly as fat, although it is known that in both cases the health is at risk, older adults increases the risk. This may be the time to take action to prevent future problems, do not you think?
Increased body fat is always manifested by weight gain, but this does not mean that all people who weigh more than what is considered normal to be obese. To find anthropometric indicators have been established as weight, height, thickness of skin folds and circumferences (waist and hip).
However, body mass index (BMI) is a medical tool that determines how much a person has exceeded the reserves of energy as fat. For BMI, divide the number of its weight in kilograms by the result of his height squared, if the shunt is less than 24.9 kg/m2 your weight is normal, if it goes from 25 to 29.9 kg/m2 means overweight. On the other hand, obesity is defined in three classes: the first corresponds to a BMI between 30 and 34.9 kg/m2, second, or risk, 35 to 39.9 kg/m2 and the latter in the sounding the alarm of danger, the index exceeds 40. Read the rest of this entry »
Symptoms and treatment of osteoporosis in men and women
Osteoporosis arises due to a decrease in bone mass in the skeleton, causing a deterioration of bone tissue resulting in weaker bones (the bones are less compact) and making them more prone to fracture.
Osteoporosis is the main cause of broken bones in women after menopause and some elders in general.
Osteoporosis symptoms
Osteoporosis itself does not cause pain or noticeable symptoms, but frequent bone fractures that can alert us about this disease. The most common fractures in the elderly are the wrist and hip in postmenopausal women are prevalent vertebral fractures that cause a major back pain and deformities, together with loss of height due to reduced bone mass in the spine.
Diagnosis of osteoporosis
The diagnosis is made by densitometry that measures bone mineral content in order to determine its density and calcium content. It is therefore necessary densimetry adults ages 45 to 50 years, especially in menopausal women due to hormonal changes that lose more bone.
To diagnose osteoporosis is measured bone density in spine and hip, but can also be measured in the forearm.
Osteoporosis Treatment
To treat osteoporosis can go to pharmacological measures such as antiresorptive drugs (bisphosphonates, raloxifene, calcitonin, parathyroid hormone, strontium salts) Nonpharmacologic measures consist of a diet rich in calcium and vitamin D, physical exercise and smoking cessation if applicable. Read the rest of this entry »
Osteoporosis Treatment
Once diagnosed, the main form of treatment is the use of medication to prevent or delay the continued loss of bone or more rarely, increase bone mass.
Medical treatment is most commonly prescribed hormone replacement therapy. Prescribed estrogen with or without progestins, at low doses with the idea of recovering the lost endogenous hormone levels with menopause or after surgery in which the ovaries have been removed. Other treatments include calcitonin, bisphosphonates, vitamin D and PTH.
The best treatment for osteoporosis is prevention. An adequate intake of calcium and physical activity during adolescence and youth, may increase the peak bone mass, resulting in reduced bone loss and lower fracture risk in later years. Adequate intake of calcium and vitamins during maturation is essential for bone health.
In cases of early menopause, women should take estrogen to prevent post-menopausal loss of bone is due to add a progestogen if uterus is intact.
Estrogen replacement therapy is effective in preventing post-menopausal loss of bone and is also effective in preventing osteoporotic fractures. Hormone replacement therapy requires close monitoring and careful gynecologic patient selection.
Post-menopausal women with low bone mass or osteoporosis and have established contraindication to hormone replacement therapy, bisphosphonates (alendronate or etidronate) and calcitonin are effective medications to prevent bone loss. Read the rest of this entry »
Ways of Avoiding Anemia

Having anemia means that your blood does not carry enough oxygen to the rest of your body. This may cause you to feel weak, you feel very cold, suffering from dizziness and you’re irritable.
If you submit one or more of these symptoms and want to know if you have anemia, you have to do is visit your doctor and a blood-fulfillment. Confirmed the diagnosis and the type of anemia you have, you will be prompted to continue treatment.
The main cause of anemia is lack of iron in the body, and it can occur at any age. Women and people with chronic illnesses are most at risk for osteoporosis.
Why may be low iron levels in your body?
Because your periods are very abundant
Because you’re pregnant
Because you have ulcers or polyps in the colon
Because a diet low in iron
Vegetarian Diet and Bone Health
This feeding is associated with lower bone mineral density, but no cause for clinical concern. The association between vegetarian diets and bone mineral density is controversial.
The debate centers on the possibility that this type of food results in a lower bone mass, as some studies, compared to other investigations that have found no statistical significance in this relationship.
The issue concerned because BMD is the strongest and most consistent predictor of fractures associated with osteoporosis.
In Western countries, a considerable proportion of the population has adopted a vegetarian diet that includes foods not found in traditional diets as the best for the formation and growth of bones.
The quality and quantity of ingested nutrients (calcium, phosphorus, magnesium, vitamin D, A, K) and the consumption of other dietary elements that promote or hinder the absorption of minerals that nourish the bone, have a significant imprint on health marrow.
These factors add up to each individual’s genetic predisposition to develop bone disorders.
The latest review on the possible association between diet and bone mineral density, a controversial issue, is a meta-analysis conducted by the Bone and Mineral Research Program Garvan Institute of Medical Research, picked up this October in the American Journal of Clinical Nutrition.
Prevention for Good Bone Health

It is estimated that osteoporosis affects 3.5 million people in Spain and more than 200 million people worldwide. In our country every year is responsible for at least 100,000 bone fractures.
“It is a major problem for its prevalence, morbidity and mortality caused by it and by the consumption of medical resources involved,” specifies Manuel Diaz Curiel, president of the Hispanic Foundation for Osteoporosis and Metabolic Bone Diseases (FHOEMO).
To combat its consequences, this organization has promoted a campaign in collaboration with the pharmaceutical industry and throughout the Spanish territory, which emphasizes the need to maintain adequate levels of vitamin D and calcium to maintain good bone health .
Aware of their magnitude
Supplementation of therapies that prevent bone resorption (total or partial loss of bone tissue) vitamin D dramatically reduces the risk of bone fractures in the elderly as a result of osteoporosis.
Read the rest of this entry »
Suffer a Bone Fracture Due to Osteoporosis

One in two women and one in four men over age 50 will suffer a bone fracture due to osteoporosis
A quarter of people who break a hip die within the first anniversary of the injury. A study of the Spanish Society of Orthopedics and Traumatology warns that one in two women and one in four men over age 50 will suffer a bone fracture due to osteoporosis. The broken bone is the result “more serious” of this disease as “one of every four people who fracture a hip die before the year,” said study coordinator, Dr. Manuel Mesa Ramos.
The researchers stressed the importance of preventing a disorder that affects a majority of females from menopause. Once menstruation is lost, it creates a deficit in the production of estrogen or female hormones that, among other functions, has a mission to fix calcium to the bones. This explains why the patient type of osteoporosis is a woman who is over 60 years and goes to the consultation because it hurts his back, in the area of the dorsal vertebrae, the height of the blades, detailed the department head of Orthopedic Surgery Chiron and Traumatology Hospital of Bilbao, Inaki MÃnguez. Read the rest of this entry »