José Ángel Santos-Sánchez

Universidad de Salamanca · Ciencias Biomédicas y del Diagnóstico

Psychomotor agitation is characterised by an increase in psychomotor activity, restlessness and irritability. People with psychomotor agitation respond by over-reacting to both intrinsic and extrinsic stimuli, experiencing stress and/or altered cognition. The objective of this study is to assess the clinical and sociodemographic profile of psychomo...

(1) Background: Providing the patient with the health care they need in a personalized and appropriate manner and without adverse effects (AEs) is a part of quality of care and patient safety. The aim of this applied research project was the assessment of AEs as a clinical risk in patients with high social vulnerability such as persons with intelle...

Chronic lymphocytic leukemia (CLL) is a lymphoid neoplasm characterized by the accumulation of mature B cells. The diagnosis is established by the detection of monoclonal B lymphocytes in peripheral blood, even in early stages [monoclonal B-cell lymphocytosis (MBLhi)], and its clinical course is highly heterogeneous. In fact, there are well-charact...

There is no universal postoperative classification of extracapsular hip fractures (ECFs). We wondered if infection (according to infection after fracture fixation criteria (IAFF)), immediate partial weight bearing (PWB) and/or the new GammaTScore tool could predict early cut-out. We also examined the correlation between GammaTScore and time to cons...

During hospital admissions, the union of various factors, those related to acute pathology, dependency conditions, cognitive impairment, change of habitual environment, and others, can cause delirium. Acute delirium in the elderly (ADE) occurs in around a third of patients over 70 years of age. The syndrome generates serious complications that incr...

Critically ill polytrauma patients with hemorrhage require a rapid assessment to initiate hemostatic resuscitation in the shortest possible time with the activation of a massive transfusion or a critical hemorrhage management protocol. The hospital reality experienced during the COVID-19 pandemic in all countries was critical, as it was in Spain; a...

Back pain and its ailments are the main cause of absenteeism and sick leave. Furthermore, the cause of pain and disability in a large number of workers is unknown, and treatments are not effective in controlling it. For this reason, the Back Schools (BSs) provide theoretical and practical training to workers so that they can acquire knowledge and s...

Background Few publications have assessed long-term results of distal locking of short endomedullary nails for extracapsular hip fracture. Virtually all of them focus on immediate differences. Criteria for the use of static or dynamic locking are unclear in most nailing systems, and use is advised in unstable fracture patterns or with risk of bell-...

OBJECTIVES 1) to set a reminder of the diagnostic approach to osteoid osteomas (OOs) of the foot; 2) to define the indications of treatment for hindfoot OOs. MATERIAL AND METHOD 5 OOs were checked (3 cases located in the talus and two cases in calcaneus). The diagnosis was established by clinical and imaging data. In all cases, a calcified nidus w...

Objectives (1) to set a reminder of the diagnostic approach to osteoid osteomas (OOs) of the foot; (2) to define the indications of treatment for hindfoot OOs. Material and method 5 OOs were checked (3 cases located in the talus and two cases in calcaneus). The diagnosis was established by clinical and imaging data. In all cases, a calcified nidus...

We presented three patients with trochanteric tuberculosis and described the clinical and imaging findings of the infection. Histology revealed a necrotizing granulomatous bursitis and microbiology confirmed tuberculosis. All cases were successfully treated with bursectomy and curettage of the trochanteric lesion and antituberculous chemotherapy in...

Purpose: To review symptoms and imaging findings of proximal femoral osteoid osteomas (OO); to analyse the results of a thermal ablation technique for radiofrequency of the nidus in this location; and to describe usefulness of ultrasound guidance in selected cases. Material and method: Descriptive and retrospective study consisting of 8 patients...

To review symptoms and imaging findings of proximal femoral osteoid osteomas (OO); to analyse the results of a thermal ablation technique for radiofrequency of the nidus in this location; and to describe usefulness of ultrasound guidance in selected cases.

Introduction: There is no consensus on when and how to treat unicameral bone cysts (UBCs), partly because of a lack of knowledge of the aetiology. Purpose: To review the different treatment techniques for UBCs and to describe our results with a single injection of autogenous bone marrow (BM) mixed with demineralised bone matrix (DBM) in very you...

The treatment of choice in Perthes disease is still controversial. Although there is no evidence in the literature that Rehabilitation modifies the natural history of disease, published studies have oriented towards benefits in terms of improvement in joint range, muscle strength and gait training. We report a case of an 8-year male patient with Pe...

Ewing sarcoma is a primary bone tumor that rarely occurs in the hand. We present a case involving the thumb metacarpal with long-term follow-up. Carpometacarpal and metacarpophalangeal arthrodeses with autograft are relatively simple procedures that stabilized the thumb and preserved satisfactory function.

Calcification in the soft tissue next to the medial femoral condyle after a history of trauma around the knee is a recognized radiographic finding-PS (Pellegrini-Stieda) sign. When this is associated with pain and a restricted range of motion it is known as the PS syndrome. We describe two cases of PS syndrome, treated conservatively with rest and...

Objective The aim of this study was to study the viability and multipotential capacity of adipose derived mesenchymal stem cells, after being labelled with superparamagnetic iron oxide particles. The final aim is to monitor stem cells after being implanted by cellular therapy and tissue engineering techniques in the field of Orthopaedics and Trauma...

The aim of this study was to study the viability and multipotential capacity of adipose derived mesenchymal stem cells, after being labelled with superparamagnetic iron oxide particles. The final aim is to monitor stem cells after being implanted by cellular therapy and tissue engineering techniques in the field of Orthopaedics and Traumatology. Me...

We report 2 cases of dorsal dislocation of the second metatarsophalangeal joint, a source of forefoot pain. Although clinically they could be mistaken for other pathologies, such as interdigital neuroma, the knowledge of the entity, and simple roentgenographic examination, should diagnose them without the need for other complementary tests. Surgica...

A 37-year-old man presented with forefoot pain present with walking. The pain was located in the plantar zone of the first metatarsophalangeal joint. Plain film radiographs revealed fragmentation and heterogeneous sclerosis. Magnetic resonance imaging confirmed the diagnosis of avascular necrosis of the medial sesamoid. He was treated conservativel...

We present a case of muscular dystrophic calcification after repeated traumas and review the different cases of calcifications of the soft parts and heterotopic ossification.

We present a case of acute idiopathic dilatation of the colon –Ogilvie's syndrome– in an elderly patient. This not infrequent clinical entity is characterized by marked dilatation of the colon in the absence of demonstrable intestinal obstruction, and is usually associated with severe medical or surgical disease, especially after obstetric, orthopa...

A bezoar is a ball of swallowed foreign material that is usually vegetable fibers or hairs, in the digestive tract. Trichobezoars are rare and normally appear in individuals with mental disorders. We present the case of a 16 year old woman with emotional disorders who consulted due to abdominal pain, two-day long vomiting and mass in upper abdomina...

This is a case study of a patient with a intertrochanteric femoral fracture treated by gamma nailing with favourable evolution for a period of one year that subsequently developed avascular necrosis of the femoral head. The possible cause is discussed and a good surgical fixation technique is recommended to prevent this outcome. It is advisable to...

We present a case of a 19 year old male patient with subacute symptoms of backache associated to gait disorder. In the examination, spastic paraparesis with sensitive level was observed. The chest X-ray showed a posterior mediastinic mass. Magnetic Resonance Imaging of the dorsal spine confirmed the presence of an expansive bone lesion in the D3 ve...

Spinal subdural hematoma is extremely rare. It is normally associated to lumbar puncture and/or blood disorders. We present the case of 78-year-old man with a history of oral anticoagulant treatment that presented with a sudden neurologic motor deficit in the lower limbs. We describe the MRI findings, which were confirmed at surgery. We emphasize t...

Emphysematous cystitis is a rare complication of urinary tract infection, characterized by spontaneous gas presentation in the urinary bladder due to bacterial fermentation. Approximately 50 to 80% of patients with this disease are diabetic, and there is a higher incidence in females. This clinical entity is associated with urinary retention too, l...

A rare case of elastofibroma dorsi is presented. It is considered a slow growing reactive lesion included in the heterogeneous group of benign fibroblastic proliferations. Knowledge of the entity and its clinical data and image characteristics permit its diagnosis and, in the asymptomatic form, its treatment in the Primary Health Care clinic.

Cystitis emphysemalous. The role of imaging studies Emphysematous cystitis is a rare complication of urinary tract infection, characterized by spontaneous gas presentation in the urinary bladder due to bacterial fermentation. Approximately 50 to 80% of patients with this disease are diabetic, and there is a higher incidence in females. This clinica...

Hip fractures are common in the elderly and are a serious health problem due to their high and growing frequency. After recording the etiopathogenesis, classification, and diagnosis, a review was made of nonoperative and surgical therapeutic models. These models include extramedullary and intramedullary osteosynthesis methods, which were compared u...

Hip fractures are common in the elderly and are a serious health problem due to their high and growing frequency. After recording the etiopathogenesis, classification, and diagnosis, a review was made of nonoperative and surgical therapeutic models. These models include extramedullary and intramedullary osteosynthesis methods, which were compared u...

A retrospective study was made of unpaired cases and controls of 624 trochanteric fractures of the femur treated by endomedullary nailing techniques using Ender rods, often with the Kempf and Bitard modifications. Aside from the patient's personal and social data, functional information and a description of the fracture itself were recorded, in add...

They have been revised in a retrospective way the clinical histories of 608 patients, intervened of extracapsular fractures of the upper end of the femur, treatment with Ender's intramedullary rods. 352 of them were revised directly, in the hospital or in the home of the same ones, atter the surgical intervention. 78.5% of the patients was women an...

They have been revised in a retrospective way the clinical histories of 608 patients affections of extracapsular fracture of the upper extremity of the femur, being picked up filiation data, social, functional and those corresponding to the own fracture. The variables were studied in the statistical program SPSS 7.5 for their analysis. Of all they...

The authors present a case of intramuscular lipoma of the deltoid, one of the largest ever to be described in the literature, clinically confused with a sarcoma.

A patient with osteoid osteoma of the femoral neck was treated by thermocoagulation of the nidus using radiofrequency waves. The postoperative hospital stay was 1 day, limb loading was immediate, and the patient obtained medical release with excellent results after three months. Thirteen months later, the patient remains symptom-free.

A retrospective study was made of 49 thalamic comminuted calcaneal fractures (Duparc Grade IV) with an average follow-up of 7 years. Conservative treatments were: immediate mobilization and weight-bearing (26 cases); immobilization with weight-bearing deferred for 8 weeks (11 cases). Surgical treatments were: percutaneous elevation of the thalamus...