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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 4

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Rev Esp Med Quir 2014; 19 (4)

Instability of radiocarpal fractures of distal metaphysis of radio; clinical and radiological diagnosis

Flores-Ocampo B, Mejía-Rohenes LC, Pérez-Solares A, Suárez-Mora Á

Language: Spanish
References: 15
Page: 431-437
PDF size: 543.68 Kb.


ABSTRACT

Metaphyseal distal radius fracture is one of the areas of the upper limb that are injured more frequently in adults, usually fall on the same limb.
Objective: to characterize the distal radius fractures and possible subsequent instability.
Methods: A clinical, prospective, observational study was performed in patient solder than 18 years seen in emergency department “ISSSTE Zaragoza” fracture of the distal metaphysis of radio, they were classified according to Fernández, monitoring was external consultation with Review clinic, through stability testing: anteroposterior Log, Test Watson, Kleinman maneuver, and Reagan Test wobble plus radiographic measurement sin anteroposterior and lateral projections: scapholunate angle, capitolunar, radio semilunar scapholunate angle and range.
Results: Fractures occur more frequently in females, the average age is 40 to 60 years, the fracture type V Fernandez with 50% of cases of instability, most patients with unstable data(88.3%) were under 40years.
Conclusion: in older adults possibly the degree of osteopenia or osteoporosis condition that in a traumatic event bone tissue is the first to be injured and that soft tissues like ligaments and joint capsule not injured; by contrast, in patients with low degree of osteopenia (young and young adult) bone tissue will be which resist the forces of the accident affecting ligaments, tendons and capsule articulate before fracturing the bone tissue.


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