Fractura De Escafoide Jess. 1. FRACTURA DE ESCAFOIDE Jessica Cruz Muños ; 2. Generalidades Después de la fractura de Colles. A fratura do punho – rádio distal – é uma das mais frequentes do esqueleto. Não raro as fraturas acabam consolidando com deformidade. throsis. Cross-sectional studies. RESUMO. Objetivo: Verificar como os cirurgiões da mão conduzem o trat- amento da fratura de escafoide e suas complicações.
|Published (Last):||2 June 2012|
|PDF File Size:||3.84 Mb|
|ePub File Size:||4.77 Mb|
|Price:||Free* [*Free Regsitration Required]|
A review of fifty-five cases. Magnetic resonance imaging MRI was performed and revealed a complete scaphoid waist fracture and a representative sign of bone marrow edema in the proximal and distal poles. The most common clinical sign of scaphoid nonunion is restricted wrist mobility.
Grip strength assessment of the right hand showed frratura Minimally invasive techniques may limit the arterial damage escafoid in open surgeries, and would theoretically increase the chance of fracture union. An anatomic and radiographic study. Results Twenty-eight patients were selected, with a mean of eight weeks of follow-up. A patient with four weeks of evolution, after a fall to the ground, presented pain at palpation of the anatomical snuffbox and with the Watson test. Percutaneous method for scaphoid waist fracture.
Am J Sports Med. The incision is then closed Fig. Finally, proximal pole fractures may have the greatest risk of nonunion or avascular necrosis. Matzkin E, Singer DI.
Tratamento percutâneo para fraturas do terço médio e proximal do escafoide
This principle holds true for stress fractures through repetitive forces applied in a lesser degree than those needed to trigger an acute fracture. Inoue and Shionoya, 24 in their retrospective analyses of acute scaphoid fractures with a minimum follow-up of six months, demonstrated that patients treated fratuura percutaneous screws presented fracture consolidation at six weeks vs.
These data are very similar to those presented in the study by Severo et al. This article has been cited by other articles in PMC. Figure 4 – Posteroanterior radiograph showing percutaneous fixation and in situ fixation of the radial styloid process eight weeks after surgery. Only a dressing and an elastic bandage is applied postoperatively Fig. In both cases of nonunion, this follow-up was longer than 24 weeks, and a new surgical intervention was required.
Hyperextension trauma edcafoide ulnar deviation is the most common mechanism of injury. The surgical method was as follows: The radiograph is the initial examination of choice, but is often not capable of revealing injury. Treatment of scaphoid fractures and nonunions. Diagnostic time and consolidation time evaluations were analyzed using SPSS v.
After surgery, fracture consolidation was demonstrated at seven weeks Fig. J Bone Joint Surg Br. A randomized controlled trial. Surgery was performed with percutaneous fixation using the dorsal access; at ten weeks, consolidation was demonstrated by radiographic images in anteroposterior Fig.
This position extends the scaphoid and ulnar deviation, improving access to its distal pole Fig. This time of immobilization causes muscular atrophy and a decrease in strength, leading to an increase in the degree of joint stiffness of the wrist, which in turn requires a longer rehabilitation time.
Herein we report the case of a gymnast who had a stress fracture of the scaphoid associated with epiphysiolysis of the distal radius. Author information Article notes Copyright and License information Disclaimer.
Fratura de Bennett – Wikipédia, a enciclopédia livre
Figures 2 and 3 – Magnetic resonance escafoiide in T1 and T2. Comparison of short and long thumb-spica casts for non-displaced fractures of the carpal eecafoide.
Percutaneous fixation technique for scaphoid waist fractures The patient is placed in a supine recumbent position, and under fluoroscopy the hand is tractioned in hyperextension. Hand therapy sought to optimize rehabilitation as much as possible, to allow for an early return to sports activities in the shortest time possible.
Clinical case of fracture of the proximal third of the scaphoid A patient with three weeks of evolution, after a fall to the ground in a soccer game, presented pain at palpation of the anatomical snuffbox and with the Watson test. Displaced fractures of the scaphoid.
Patients who have similar complaints without a history of acute injury, but perform activities involving repetitive stress should be examined carefully and the hypothesis of stress fracture of the scaphoid should be investigated 1,4. Of the total fractures, 24 cases were of the scaphoid waist In the first week after surgery, we used a long orthesis, which immobilized the metacarpophalangeal joint of the thumb, and began rehabilitation in order to control swelling, treat scarring and increase movement.