objective: thoracic trauma may be a life-threatening condition. flail chest is a severe chest injury with high mortality rates. surgery is not frequently performed and, in literature, data are controversial. the authors report their experience in the treatment of flail chest by an extracortical internal-external stabilization technique with kirshner’s wires (k-wires). methods: from 2010 to 2015...

OBJECTIVE To verify if stabilizing the scapulothoracic joint without arthrodesis could lead to functional improvement of shoulder range of motion and clinical improvement of winged scapula, we incorporated four additional patients into our previous analysis to determine if the results obtained were long lasting, and to compare this fixation with the other techniques described in the literature,...

Studies of genetic diversity in plant species present in the remaining fragments of the Atlantic Forest are very important for understanding their resilience to such a degraded ecosystem. We analyzed the genetic diversity of 3 populations of the high-density understory species Metrodorea nigra St. Hill. (Rutaceae) located in forest remnants in the region of Ribeirão Preto, SP, Brazil (M13-Rib, ...

a seven year-old boy with several painless masses on the ribs and shoulder was referred to our hospital. the masses were so prominent that they prevented the child’s sleep. since the patient had been ridiculed by his friends due to the rib prominences, he had refused to attend school. after clinical and radiological evaluations, the masses were diagnosed as hereditary multiple exostoses of the ...

Objective: The efficacy of cardiomyoplasty depends upon a complete wrapping of the heart with the latissimus dorsi muscle flap (LDM). This is not possible with extremely dilated hearts. The goal of our experimental study was to increase the length of the LDM neurovascular pedicle to obtain a maximal LDM surface area and, hence, to perform a complete cardiac wrap. Three techniques were used in v...