ABSTRACT
Resumen La Fractura de Monteggia es una lesión caracterizada por una fractura del cúbito en su porción proximal o media junto con una luxación de la cabeza del radio. (1) Es una lesión poco frecuente que representa entre el 5 y el 7% de las fracturas del antebrazo, a pesar de su rareza, siempre ha sido considerada de gran importancia por las comorbilidades que pueden acompañarla, bien por ser tratadas de forma inadecuada o por retraso en su tratamiento médico. Cuando no se diagnostica y trata a tiempo, puede quedar como secuela una limitación de la movilidad articular y una incapacidad funcional importante en la extremidad traumatizada. (2) Es por esta razón que se decide realizar el presente artículo el cual pretende reflejar la importancia de las complicaciones presentadas en la Fractura de Monteggia, al momento de la valoración médico legal, pudiendo requerir incapacidad temporal y permanente dado al tiempo que toma su recuperación, la limitación a la movilización posterior al manejo médico y el dolor residual que puede presentar.
Abstract The Monteggia Fracture is an injury characterized by a fracture of the proximal or middle portion of the ulna with a dislocation of the head of the radius. (1) It is a rare injury and represents between 5 and 7% of forearm fractures. Despite its rarity, it has always been considered of great importance due to the comorbidities that can accompany it, either due to being treated inadequately or due to delay in your medical treatment. When it is not diagnosed and treated in time, a limitation of joint mobility and a significant functional disability in the traumatized limb can remain as a consequence. (2) It is for this reason that we decided to carry out this article which reflect the importance of the complication of the Monteggia Fracture, at the time of the legal evaluation, which may require temporary and permanent disability given to the time it takes its recovery, the limitation to mobilization after medical management and the residual pain that it may present.
Subject(s)
Humans , Male , Adult , Monteggia's Fracture/complications , Costa RicaABSTRACT
PURPOSE: Patients who have a elbow flexion limitation from burn often contend with a severe functional problem in activity of daily living. Positional splint or serial casting have been invented to prevent from elbow contracture, which splint could not improved the range of motion more than 90 flexion. The purpose of this article is to present a dynamic forced elbow flexion orthosis with limited motion joint to overcome the problem of less effective function of correctability of conventional splints. METHODS: The cases were 3rd degree burned patients of upper extremities who had a elbow joint flexion limitation from the post burn skin or joint contracture. This dynamic elbow flexion brace device was fabricated with the dynamic force of the elbow joint, which was induced by a rubber band or spring device into the orthotic joint. The orthosis kept a lower grade constant corrective force with coustom made design and strong strap fixation with comfortable material. RESULTS: This dynamic elbow flexion brace device was fabricated for two burn patients who had 24% and 37% TBSA in a flame burn with extensive involvement of the upper extremities. They developed hypertrophic scar and skin contracture around both elbow joint. Both patients had moderate to severe elbow joint limitation of motion. Patients with elbow limitation had improved the range of motion more than 90 flexion by this dynamic elbow flexion brace. CONCLUSION: The dynamic forced elbow flexion orthosis with limited motion joint had improved the range of motion more than 90 flexion, however those has some problems which ought to be improved to more effective and comfortable function.