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Objective: To review the anatomy, clinical classification and compare the effectiveness of the Valsalva maneuver vs. decompression maneuvers to demonstrate reflux in the SFJ (USF) in patients with venous insufficiency of lower limbs (IVMsPs). Material and methods: Prospective study of 96 limbs in 49 patients with IVMsPs sent by the Angiology Service of June 2008 to June 2009. Cutting time to consider positive reflux was 2 seconds Valsalva maneuver and 0.5 seconds with decompression maneuver. Results: Of the patients studied by CEAP classification, Class 3 (34.69%) was the most prevalent, Class 2 (32.65%) was the second and showed that 23.7% of patients leaving negative reflux USF preterminal valve after the Valsalva maneuver, were positive for reflux relief maneuver. Also according to the CEAP classification 1, 2, 3, decompression maneuver was more sensitive to demonstrate reflux. Conclusion: When scanning in patients with IVMsPs in CEAP class 1, 2 and 3, should give priority to perform the maneuver of decompression, which is more sensitive in detecting reflux in the SFJ in this group of patients. SFJ (USF), APEC, pelvic venous insufficiency (IVMsPs), renal venous (IV). [ABSTRACT FROM AUTHOR]

Background: The pain of cervical and lumbar spine is usually benign and self-limiting in 90% of cases of complex etiology, high frequency and tendency to chronicity. Lumbar disk herniation and degenerative disc disease is one of the most common causes of back pain Objectives: 1. Compare the findings from MRI studies neutral and modifications to the component level of the column to the application of flexion and extension movements in the evaluation of kinetic-dependent disease. 2. Emphasize the importance of dynamic MRI studies for better evaluation of the quantitative nature of the hernia. Material and methods: A descriptive and transversal study in which the team used 1.5 Tesla, Siemens Symphony. The routine examination and conventional MRI sequences included in dynamic position: Flexion and Extension Axial and sagittal. T2 Spin Echo sequence: TR: 4000. Comprendidkkgfggfo During the period between March-June 2009 20 Dynamic MRI of lumbar spine and cervical 17. The patient group included 17 men and 21 women ranging in age from 18 to 87 years in the male population and between 25 and 87 in the female population. Results: All cases showed fluctuating disc herniation in MRI signal loss compatible with dehydration, and morphological alteration of the intervertebral space with height reduction. Magnetic Resonance in size tends to show greater degrees of central canal stenosis and decreased the amplitude of the neural foramina of unilateral or bilateral, while bending images show a small decrease in dural contact generated by the disc herniation and increase in amplitude of the neural foramina. herniated disc. Conclusions: 1. Diagnose the effects of maneuvers cineticodinámicas level degenerative disc disease, dysfunctional intersegmental motion and hypermobile intersegmental instability as a result of ligamentopatía translational intersegmental (laxity or rupture). 2. It can identify the effects of maneuvers cineticodinámicas in spinal neural foramina and compromise the neurovascular pop. 3. Adequate exploration potential of the patient in the position of clinically relevant signs and symptoms. 4. This study allows examination of the patient in a different position, allowing the surgeon to have a true picture of the morphology preoperative intraoperative. [ABSTRACT FROM AUTHOR]

Objective: To review the anatomy, clinical classification and compare the effectiveness of the Valsalva maneuver vs. decompression maneuver to demonstrate reflux in the saphenofemoral junction (SFU) in patients with pelvic limb venous insufficiency (PsLsVI). Methods: A prospective study of 96 limbs in 49 patients with IVMsPs sent by the Service of Angiology in June 2008 to June 2009. The cutoff time to consider positive reflux was 2 seconds and Valsalva maneuver with 0.5 seconds decompression. Results: Of the patients studied by CEAP classification, class 3 (34.69%) was the most prevalent, class 2 (32.65%) was the second and showed that 23.7% of patients leaving negative reflux USF after the preterminal valve with Valsalva maneuver, were positive for reflux with decompression maneuver. Also according to the CEAP classification 1, 2, 3, decompression maneuver was more sensitive to demonstrate reflux. Conclusion: By doing exploration in patients with CEAP PsLsVI in class 1, 2 and 3, it should give priority to perform the maneuver of decompression, it is more sensitive in detecting reflux at the saphenofemoral junction in this patient group. [ABSTRACT FROM AUTHOR]