ABSTRACT
La luxación radiocarpiana es una entidad extremadamente infrecuente y se produce habitualmente por traumatismos de alta energía. Se distinguen 2 tipos, tipo I: luxación radiocarpiana pura, y tipo II: con fractura asociada. El tratamiento de elección según la literatura es quirúrgico con osteosíntesis de las fracturas y reparación ligamentosa siendo el pronóstico pobre. Presentamos el caso un varón de 19 años que presentó luxación radio carpiana pura tras un traumatismo banal. Tras la reducción urgente fue tratado de forma ortopédica con un yeso antebraquiopalmar obteniéndose buen resultado funcional a los 12 meses de la lesión (AU)
Radiocarpal dislocation is an extremely uncommon injury in Traumatology, and is usually produced by high energy trauma. There are two types of dislocation, type I: pure radiocarpal dislocation and type II: fracture-dislocation. The gold standard treatment according to the literature is surgical treatment fixing the fractures and repairing the injured ligaments. We report a clinical case of radiocarpal dislocation type I in a healthy 19 year-old male after a minor trauma. The dislocation was reduced by traction, and the wrist immobilized in a plaster cast. The functional outcome 12 months after the injury was excellent (AU)
Subject(s)
Humans , Male , Adult , Wrist Injuries/complications , Wrist Injuries/diagnosis , Wrist Injuries/surgery , Fracture Fixation, Internal/instrumentation , Fracture Fixation, Internal/methods , Wrist Injuries , Orthopedic Procedures/methods , Wrist Joint/surgery , Wrist JointABSTRACT
Radiocarpal dislocation is an extremely uncommon injury in Traumatology, and is usually produced by high energy trauma. There are two types of dislocation, type I: pure radiocarpal dislocation and type II: fracture-dislocation. The gold standard treatment according to the literature is surgical treatment fixing the fractures and repairing the injured ligaments. We report a clinical case of radiocarpal dislocation type I in a healthy 19 year-old male after a minor trauma. The dislocation was reduced by traction, and the wrist immobilized in a plaster cast. The functional outcome 12 months after the injury was excellent.
Subject(s)
Joint Dislocations/etiology , Wrist Injuries/etiology , Wrist Joint , Casts, Surgical , Humans , Joint Dislocations/diagnosis , Joint Dislocations/therapy , Male , Traction , Wrist Injuries/diagnosis , Wrist Injuries/therapy , Young AdultABSTRACT
Se presenta un estudio anatomopatológico que demuestra la relación existente entre la rotura iterativa distal del tendón del tríceps y la historia previa de varias infiltraciones de corticoides para el tratamiento de una bursitis olecraniana, así como los resultados satisfactorios obtenidos tras la reparación primaria mediante sutura transósea en el olécranon a las 6 semanas de la rotura. El tratamiento de los tejidos inflamados con inyecciones locales de esteroides presenta riesgos, sobre todo si se hacen de forma repetida y directamente sobre el tendón, especialmente en atletas de fuerza, y por extensión en trabajadores de fuerza, quienes hacen una alta demanda de su estructura músculoesquelética
An anatomopatologic study appears that demonstrates the existing relation between the iterative distal triceps tendon rupture and the previous history of several steroid injections for the treatment of olecranon bursitis, as well as the obtained satisfactory results after the primary repair through drill holes in the olecranon to the 6 weeks of the rupture. The treatment of weaves inflamed with local steroid injections present risks, mainly if they become of repeated form and directly of the tendon, specialing in athletes of force and, by they extension in working of force, who make a high demand of their musculoesqueletic structure
