RESUMO
BACKGROUND: Distal radius fractures are common and traditionally these injuries are treated non-operatively. Percutaneous wiring has been recommended as simple method to provide extra stability in distal radius fractures but their exact role is uncertain. The aim of this study was to retrospectively compare the radiographic and functional outcomes following cast immobilisation and those following wire fixation in the management of distal radius fractures and investigate which method produced better outcomes. METHODS: A retrospective parallel case series was performed between April 2011 and April 2013 of patients over 50 years treated with either cast immobilisation or wire fixation. Both intra- and extra-articular fractures were included. Radiographic measurements were made pre-operatively and at three months follow up. The QuickDASH was recorded by postal questionnaire at a mean of 2 years. RESULTS: 159 patients were included; 85 cast immobilisation group and 74 wire fixation group. Improvement in radiological parameters was seen in both groups but this was significantly better after wire fixation ([Formula: see text]). QuickDASH scores were available in 64%; no significant difference in mean scores was seen after (p = 0.147); cast immobilisation 27.1 and wire fixation 26.6. CONCLUSIONS: Cast immobilisation can produce comparable functional results to wire fixation despite worse radiological outcomes.
Assuntos
Fios Ortopédicos , Moldes Cirúrgicos , Fraturas do Rádio/terapia , Contenções , Fatores Etários , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Fraturas do Rádio/diagnóstico por imagem , Recuperação de Função Fisiológica , Estudos Retrospectivos , Inquéritos e Questionários , Resultado do TratamentoAssuntos
Mãos/patologia , Ossos Metacarpais/patologia , Tuberculose Osteoarticular/patologia , Adulto , Antituberculosos/uso terapêutico , Feminino , Mãos/diagnóstico por imagem , Mãos/microbiologia , Humanos , Ossos Metacarpais/diagnóstico por imagem , Ossos Metacarpais/microbiologia , Radiografia , Tuberculose Osteoarticular/tratamento farmacológicoRESUMO
The Camitz procedure is a simple tendon transfer for patients who have loss of opposition in longstanding carpal tunnel syndrome. Historically, the Camitz procedure restored abduction only. However, through modification with the use of a pulley, the ideal axis of opposition can be achieved. The purpose of this article was to revisit an established method of the modified Camitz transfer in 6 patients with severe thenar wasting and weakness resulting from median nerve compression, identified between 2010 and 2012. We review the indications, contraindications, surgical technique, complications, and postoperative rehabilitation.
