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.

Author: Voodoolabar Mazujin
Country: Mexico
Language: English (Spanish)
Genre: Health and Food
Published (Last): 24 November 2011
Pages: 450
PDF File Size: 15.8 Mb
ePub File Size: 2.82 Mb
ISBN: 414-2-82679-421-9
Downloads: 61296
Price: Free* [*Free Regsitration Required]
Uploader: Vubar

Herein we report the case of a gymnast who had a stress fracture of the scaphoid associated with epiphysiolysis of the distal radius. Fractures of the scaphoid. Weiker 5 proposed that the wrists injuries of gymnasts are due to a weakness in the muscles of the wrist and fingers of the gymnasts.

Percutaneous fixation is an excellent, reproducible technique that allows early active mobility of the wrist with a low complication rate, although it requires a learning curve.

Inagaki H, Inoue G. Journal List Rev Bras Ortop v. This position extends the scaphoid and ulnar deviation, improving access to its distal pole Fig. Abstract Objective Analyze the percutaneous fixation technique for scaphoid fractures in the waist of the scaphoid and the proximal pole, and demonstrate its result. Clin Orthop Relat Res. A forty-three-year follow-up of a vitallium scaphoid arthroplasty.

In most cases, longitudinal traction is sufficient to reduce the fracture Kirschner wires can be used as joysticks to manipulate the fracture fragments fragura their original position in cases where traction alone is not sufficient.

A Demarcation of the proximal pole for guidewire entry a needle may be used for assistance ; Fgatura guidewire introduction; C passing of the dorsal guidewire from dorsal to volar, so that wrist flexion occurs, facilitating screw placement; D lateral radiographic image of fdatura guidewire already positioned; E anteroposterior radiographic image; F drilling of the proximal pole; G placement of the dorsal screw from dorsal to volar on a lateral image; H end of screw placement on anteroposterior I and lateral images; J dressing and elastic bandage.


These activities were performed with high intensity due to scheduled competitions that were approaching.

Fratura de úmero

Dislocated Consolidated weeks Number Yes The ce is placed in a supine recumbent position with the arm extended on the table. Should acute scaphoid fractures be fixed? There was no history of pain or trauma to the affected wrist. The mean time to return to work was 5. Clinical case of a proximal pole scaphoid fracture; A, anteroposterior radiograph of wrist; Escaofide, magnetic resonance imaging; C, anteroposterior radiograph, ten weeks after surgical correction; D, lateral radiograph, ten weeks after surgical correction; E, scar on the back of the wrist; F, wrist flexion; G, wrist extension.

Scaphoid stress fracture in a year-old gymnast: We opted for surgical treatment with percutaneous fixation of the scaphoid and in situ fixation of the radial escafolde process Figure 4.

In both cases of nonunion, this follow-up was longer than 24 weeks, and a new surgical intervention was required. Material rscafoide methods This retrospective cross-sectional study was submitted to and approved by the Research Ethics Committee, under No.

The mechanism of trauma was a fall on the wrist in 22 cases The reasons for choosing surgical treatment of the scaphoid and distal radius were: Fraturx data analysis, using SPSS software v. A posteroanterior radiograph of the wrist showed a scaphoid waist fracture and an opening of the radial aspect of the distal radial epiphysis Figure 1. A new intervention was performed, showing scaphoid excavation and elevation of the vascularized bone graft E and F. Furthermore, the presence of pain in the region of the anatomical snuffbox aka radial fossa and dorsum of the wrist mainly during movement and a decrease in strength can also be observed.

Figures 2 and 3 – Magnetic resonance image in T1 and T2. Of the total fractures, 24 cases were of the scaphoid waist A randomized clinical trial.

Fratura de úmero – Wikipédia, a enciclopédia livre

Hand and wrist problems in the gymnast. Percutaneous Herbert screw fixation for fractures of the scaphoid: Published online Apr 1. These cases persisted with dysfunction due to loss of normal range of motion, pain, and pressure strength deficit. A retrospective cross-cohort study conducted escaoide January to Aprilaiming at the consolidation time, epidemiological profile, level of function, return to work, and complications.


Fratura do escafoide

Comparison of short and long thumb-spica casts for non-displaced fractures of the carpal scaphoid. Stress fracture of the scaphoid combined with the distal radial epiphysiolysis. Internal fixation of acute stable scaphoid fractures in the athlete. This study included 28 patients who did not present bilateral fractures and had a mean follow-up of eight weeks ranging from 7 to 12 weeks until fracture consolidation was confirmed. Percutaneous fixation was shown to be a good way to treat these types of fractures; despite the steep learning curve, the method is reproducible and allows early active mobility of the wrist with a low rate of complications, earlier return to work, and optimal functional results.

The concomitant epiphyseal lesion observed on radiograph and MRI appeared as a complicating factor of the scaphoid fracture, requiring greater attention to the wrist. Acute percutaneous scaphoid fixation.

In cases of non-union, radiological follow-up was up to 24 weeks, requiring a new surgical intervention. Pronation, supination, and digital mobility were within normal limits.

Grip strength assessment of the right hand showed Although wrist pain in gymnasts is classified as “normal and direct consequences of the sport” 2complaints of pain in these young athletes should be carefully evaluated. Stress fractures of the carpal scaphoid: In the other case, a technical failure occurred because the screw head was not fully inserted into the proximal pole; stabilization was lost and consolidation was not achieved.

Hyperextension trauma with ulnar deviation is the most common mechanism of injury. Grip strength of right hand reached 66 kgf.

Author: admin