RESUMEN
The reverse shoulder arthroplasty indications are cuff tears arthropaty, revision of anatomic prosthesis and traumatology. The reverse shoulder arthroplasty doesn't need a rotator cuff integrity to be functional. However, complications are not rare (dislocation, descellement, infection...). The patient selection has to be rigorous. In any case, patient must be older than seventy years.
Asunto(s)
Prótesis Articulares , Articulación del Hombro/cirugía , Humanos , Prótesis Articulares/efectos adversos , Diseño de Prótesis , Lesiones del HombroRESUMEN
Carpal perilunate dislocations are rare and underdiagnosed because of an ignorance of the pathology and an inappropriate incidence of radiography. The carpus is composed of two rows of bones and 33 ligaments. These ligaments are fundamental for wrist stability. Typically, the injury occurs in young male adults exposed to high-energy trauma with a wrist in hyperextension. The diagnosis is easy with a physical examen and standard postero-anterior and lateral radiographs. The Witvoët and Allieu classification of the perilunate dislocations is the most used. This classification is composed of three grades. The treatment is usually surgical and has to be realised in a short delay to minimize the important complications.
Asunto(s)
Luxaciones Articulares/diagnóstico , Hueso Semilunar/lesiones , Hueso Escafoides/lesiones , Hueso Piramidal/lesiones , Accidentes por Caídas , Accidentes de Tránsito , Adulto , Anciano , Traumatismos en Atletas/diagnóstico , Hueso Grande del Carpo/diagnóstico por imagen , Hueso Grande del Carpo/lesiones , Niño , Femenino , Humanos , Luxaciones Articulares/clasificación , Luxaciones Articulares/diagnóstico por imagen , Luxaciones Articulares/cirugía , Ligamentos Articulares/diagnóstico por imagen , Ligamentos Articulares/lesiones , Hueso Semilunar/diagnóstico por imagen , Masculino , Procedimientos Ortopédicos , Examen Físico , Radiografía , Hueso Escafoides/diagnóstico por imagen , Hueso Piramidal/diagnóstico por imagenRESUMEN
The cuff tears are frequent. The cuff has a fundamental role for the shoulder stabilisation. Shoulder impingement causes pathologies from simple tendinosis to rupture with excentric arthritis. Classicaly, we describe three stades. It is fundamental to have a good knowledge of the stades and to evaluate them with clinical examination and provocating tests. The radiologic examen is very important to confirm the pathology and to evaluate the lesions. Each stade has a surgical treatment if the conservative treatment gives bad results. Choice of the surgical procedure depends of the patient age and lesion types. Most of surgical procedures are arthroscopics techniques. Open surgery is reserved to massive or arthritis lesions.