La luxación congénita de la articulación gleno-humeral de hombro, es un cuadro muy raro; por esa razón incluso causa problemas en su diagnóstico. Presentamos el caso de una niña de 5 meses de edad, portadora de una luxación congénita gleno-humeral; reportamos los hallazgos clínicos, el procedimiento quirúrgico empleado; con el resultado final parcialmente satisfactorio

It is reviewed the actual concepts about concepts about legg-Calvé-Perthes disease, and observe that too long period of inmovilization of the affected hip produces psychologic problems in the patients and their family, and the functional results are not supperior compared with other methods.  In this work we compare the personal results of three methods of containment of the femoral head within the acetabulum using abduction casts in patients with Catterall III-IV Perthes disease: Inhauser in 27 patients (32 hips), Petrie in 10 patients (11 hips), Broom Stick in 8 patients (9 hips); despite the short period of follow up we obtained better results with Petrie and Broom Stick casts, Improving first the motion with skin traction and physical therapy. The results were rated using the system of Stulberg.

En éste trabajo definimos pinzamiento como el impacto del arco córaco acromial (acromion, ligamento córacoacromial, apófisis coracoides y articulación acromioclavicular) con el manguito rotador al producirse la movilización de la articulación gleno humeral, sobre todo la elevación; reposo articular, medicamentos anti-inflamatorios no esteroides, restablecimiento de flexibilidad con ejercicios pasivos, restablecimiento de fuerza muscular con programa de ejercicios activos, modificación de trabajo o deporte original) en 25 hombros con síndrome de pinzamiento, logrando 85% de buenos resultados; no recomendando la infiltración con corticoides por sus efectos colaterales.

It is reviewed the actual concepts about concepts about legg-Calvé-Perthes disease, and observe that too long period of inmovilization of the affected hip produces psychologic problems in the patients and their family, and the functional results are not supperior compared with other methods.  In this work we compare the personal results of three methods of containment of the femoral head within the acetabulum using abduction casts in patients with Catterall III-IV Perthes disease: Inhauser in 27 patients (32 hips), Petrie in 10 patients (11 hips), Broom Stick in 8 patients (9 hips); despite the short period of follow up we obtained better results with Petrie and Broom Stick casts, Improving first the motion with skin traction and physical therapy. The results were rated using the system of Stulberg.

In cerebral palsy there is an imbalance of muscle power in the hips, that cause adduction deformity followed by flexion and Internal rotation. lf the imbalance is marked and if the faulty postural habits are allowed to continue, adaptative changes develop in the soft tissue and bones increasing the anteversion and valgus of the femoral neck and thc hip may eventually subluxnte or dislocate. In patients with cerebral palsy we realized 302 surgical procedures in hip. In this work we evaluate 46 patients with 92 hips operated wlth adductor tenotomy, gracilis tenotomy and or anterior branch obturator neurectomy, continuing wlth active and passive exercise of the hips and knees. In nonambulators patients the nursing care were improved in 9S per cent of hips, and in ambulators the gait lmproved in 92 per cent; and the index of migration in 70 per cent.

Considerando las frecuentes dificultades en la interpretación de las radiografías tradicionales o clásicas de hombro; planteamos algunas técnicas seleccionadas, sencillas y, que ya se están aplicando en el Hospital Regional Alberto Sabogal del Callao como posiciones básicas; hasta el momento en 44 pacientes con 157 tomas radiográficas, habiéndose logrado radiografías claras, sin superposición de estructuras, que permiten estudiar las características de los componentes óseos, facilitando un diagnóstico y tratamiento más preciso que antes no se lograba con las radiografías tradicionales.