Peña ML, López DH, Álvarez CRJ, Mirandez OHA, Entenza SJN, Marrero RLO

Idioma: Español
Referencias bibliográficas: 30
Paginas: 103-115
Archivo PDF: 247.76 Kb.

RESUMEN

La osteolisis postraumática de la clavícula es una entidad de presentación rara que consiste en una osteopenia severa del extremo distal de este hueso, causada por un trauma agudo o por microtraumas a repetición. Se presenta un caso de osteolisis postraumática de la clavícula en deportista de alto rendimiento practicante de lucha grecorromana al que se realizó como tratamiento una resección del extremo distal de la clavícula. La evolución del paciente fue muy satisfactoria, recuperó íntegramente el movimiento del hombro, y el dolor desapareció. A los 2 meses de la cirugía comenzó el entrenamiento progresivo y a los 4 meses ya estaba incorporado totalmente al programa de competencias de su deporte.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998;57:649-55.

2. Shaffer BS. Painful conditions of the acromioclavicular joint. J Am Acad Orthop Surg. 1999,7:176-88.

3. Terry G, Chopp T. Functional anatomy of the shoulder. J Athl Train. 2000;35(3):248-55.

4. Petersson CJ. Degeneration of the acromioclavicular joint: a morphological study. Acta Orthop Scand. 1983;54:434-8.

5. Deitch JR: Acromioclavicular joint injuries. Curr Opin Orthop. 2004;15:261-6.

6. Johansen JA, Grutter PW, McFarland EG, Petersen SA. Acromioclavicular joint injuries: indications for treatment and treatment options. J Shoulder Elbow Surg. 2011;20:S70-82.

7. Hakozaki M, Kikuchi S, Otani K, Tajino T, Konno S: Pseudogout of the acromioclavicular joint: report of two cases and review of the literature. Mod Rheumatol. 2011;21:440-3.

8. Wright AP, MacLeod IAR, Talwalker SC. Disorders of the acromioclavicular joint and distal clavicle. Orthopaedics and Trauma. 2011;25:30-6.

9. Madsen B. Osteolysis of the acromial end of the clavicle following trauma. Br J Radiol. 1963;36:822-8.

10. Cahill BR. Osteolysis of the distal part of the clavicle in male athletes. J Bone Joint Surg Am. 1982;64:1053-8.

11. Jacobs P. Post-traumatic osteolysis of the outer end of the clavicle. J Bone Joint Surg Br. 1964;46:705-7.

12. De la Puente R, Boutin RD, Theodorou DJ, Hooper A, Schweitzer M, Resnick D. Post-traumatic and stress-induced osteolysis of the distal clavicle: MR imaging findings in 17 patients. Skeletal Radiology. 1999;28(4):202-8.

13. Eskola A, Vainionpää S, Korkala O, Rokkanen P. Acute complete acromioclavicular dislocation: a prospective randomized trial of fixation with smooth or threaded Kirschner wires or cortical screw. Annales Chirurgiae et Gynaecologiae. 1987;76(6):323-6.

14. Stewart AM, Ahmad CS. Failure of acromioclavicular reconstruction using Gore- Tex graft due to aseptic foreign-body reaction and clavicle osteolysis: a case report. Journal of Shoulder and Elbow Surgery. 2004;13(5):558-61. doi: 10.1016/j.jse.2004.01.027.

15. Cahill BR. A traumatic osteolysis of the distal clavicle. A review. Sports Medicine. 1992;13(3):214-22.

16. Levine AH, Pais MJ, Schwartz EE. Post-traumatic osteolysis of the distal clavicle with emphasis on early radiologic changes. Am J Roentgenol. 1976;127:781-4.

17. Kaplan PA, Resnick D. Stress-induced osteolysis of the clavicle. Radiology. 1986;158(1):139-40. doi: 10.1148/radiology.158.1.3940371.

18. Zawadsky M, Marra G, Wiater JM, Levine WN, Pollock RG, Flatow EL, et al.Osteolysis of the distal clavicle: long-term results of arthroscopic resection . Arthroscopy. 2000;16(6):600-5.

19. O'Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB: The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med. 1998;26:610-3.

20. Chronopoulos E, Kim TK, Park HB, Ashenbrenner D, McFarland EG. Diagnostic value of physical tests for isolated chronic acromioclavicular lesions. Am J Sports Med. 2004;32:655-61.

21. Walton J, Mahajan S, Paxinos A, Marshall J, Bryant C, Shnier R, et al. Diagnostic values of tests for acromioclavicular joint pain. J Bone Joint Surg Am. 2004;86:807-12.

22. Rabalais RD, McCarty E. Surgical treatment of symptomatic acromioclavicular joint problems. Clin Orthop Relat Res. 2006;455:30-7.

23. Knudsen FW, Andersen M, Krag C. The arterial supply of the clavicle. Surgical and Radiologic Anatomy. 1989;11(3):211-4.

24. Buttaci CJ, Stitik TP, Yonclas PP, Foye PM. Osteoarthritis of the acromioclavicular joint: a review of anatomy, biomechanics, diagnosis, and treatment. Am J Phys Med Rehabil. 2004;83(10):791-7.

25. Orava S, Virtanen K, Holopainen YV. Post-traumatic osteolysis of the distal end of the clavicle. Annales Chirurgiae et Gynaecologiae Fenniae. 1984;73(2):83-6.

26. Shubin SBE, Ahmad CS, Pfaff C, Bigliani LU, Levine WN. A comparison of MRI findings of the acromioclavicular joint in symptomatic versus asymptomation patients. Presented at American Orthpaedic Society for Sports Medicine Meeting. Orlando, FL. June 30-July 3, 2002.

27. Griffiths CJ, Glucksman E. Post-traumatic osteolysis of the clavicle: A case report. Archives of emergency medicine. 1986;3:129-32.

28. Alentorn-Geli E, Santana F, Mingo F, Piñol l, Solano A, Puig-Verdié Ll, et al. Distal Clavicle Osteolysis after Modified Weaver-Dunn's Procedure for Chronic Acromioclavicular Dislocation: A Case Report and Review of Complications. Case Rep Orthop. 2014; doi:10.1155/2014/953578

29. Dearden PMC, Ferran NA, Morris EW. Distal clavicle osteolysis following fixation with a synthetic ligament. Int J Shoulder Surg. 2011 Oct-Dec;5(4):101-4.

30. Nuber GW, Bowen MK. Arthroscopic treatment of acromioclavicular joint injuries and results. Clin Sports Med. 2003;22:301-17.