Browsing by Author "Carvalho, P"
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- Are Ankylosing Spondylitis Patients at Risk for Poor Total Hip Replacement OutcomesPublication . Costa, C; Alegre, C; Carvalho, M; Rodrigues, M; Carvalho, P; Judas, FHip involvement in Ankylosing Spondylitis is common and leads to physical and function restriction. Hip replacement surgery is a successful and effective treatment for end-stage hip involvement; however in Ankylosing Spondylitis patient’s prosthesis long-term survival is lesser than other causes of hip osteoarthritis. We report a case of 61-year old Ankylosing Spondylitis male patient with bilateral cementless hip replacement with 26-year and 25-year follow-up.
- Ecological Contexts in Adolescent Pregnancy: The Role of Individual, Sociodemographic, Familial and Relational Variables in Understanding Risk of Occurrence and Adjustment PatternsPublication . Araújo-Pedrosa, A; Pires, R; Carvalho, P; Canavarro, MC; Dattilio, FAdolescent pregnancy appears today as an intricate tapestry where different dimensions interact. In our study we examined the associations between individual, sociodemographic, familial, and relational variables and their impact on the occurrence of pregnancy and adolescents’ adjustment to it. Participants were Portuguese pregnant and non-pregnant adolescents (N = 833). Ecological contexts were characterized, and individual and relational adjustment (depressive symptoms and quality of life; perceived quality of relationship with significant others—parents, romantic partner and friends) were evaluated. Differences between the ecologies of adolescents in both groups were identified. Familial and relational variables were significantly associated with both the risk of pregnancy and more difficulties in adjustment. Implications for preventive intervention are discussed.
- Iliopsoas Release for Internal Snapping Hip using a Minimally Open Medial Hip Approach-Case ReportPublication . Judas, F; Eugénio, G; Carvalho, P; Carvalho, M; Faísca, JInternal snapping hip is a recognized cause of hip pain caused by recurrent subluxation of the iliopsoas tendon. When conservative treatment fails, surgical release of the iliopsoas tendon may be indicated using an arthroscopic or open hip approach. Results have been better with arthroscopic release. We report a case of a 32-year-old active female with a painful internal snapping hip. The right hip extension from a flexed position produced a strong and audible snap. A tenotomy of the iliopsoas in combination with a resection of the lesser trochanter was performed, using a limited medial hip approach different than the one described by Ludloff or Ferguson. The pain and snapping phenomenon were solved; however, a slight heterotopic ossification, as well as a weakness in the flexion of the hip was noted after the procedure, with no functional limitation. The minimally invasive medial hip approach appears to be a simple, reproducible and successful operation for the treatment of an internal snapping hip caused by the iliopsoas tendon, namely in orthopaedics departments with limited experience in hip arthroscopic approach, but it is not superior to arthroscopic release.
- Thyroid dysfunction and amiodaronePublication . Lima, J; Carvalho, P; Molina, MA; Rebelo, M; Dias, P; Vieira, JD; Nascimento-Costa, JMAlthough most patients remain clinically euthyroid, some develop amiodarone-induced hyperthyroidism (HPEAI) or hypothyroidism (HPOAI). The authors present a retrospective analysis of ten patients with amiodarone-induced thyroid dysfunction. Six patients were female and mean amiodarone intake was 17.7 months. HPOIA was more common (six patients). From all the patients with HPEAI, two had type 2, one had type 1, and one had type 3 hyperthyroidism. Symptoms suggestive of thyroid dysfunction occurred in five patients, most of them with HPOAI. In HPEAI, the most frequent symptom was exacerbation of arrhythmia (three patients). Discontinuation of amiodarone and treatment with levothyroxine was chosen in 83.3% of the HPOAI cases, while thyonamide treatment with corticosteroids and without amiodarone was the option in 75% of the HPEAI cases. There were three deaths, all in patients with HPEAI. HPEAI is potentially fatal. The clinical picture may be vague, so the thyroid monitoring is mandatory.