RESUMO
We carried out X-rays and computed tomography in 59 wrists in patients who had previous surgical intercarpal fusions. 1.2 mm thick axial images were obtained perpendicular to the axis of the joint. CT showed whether or not the carpal fusions were united. Compared with CT, plain radiography yielded a 25% false negative and 6% false positive rate. We conclude that CT is more useful than plain X-rays for evaluating partial carpal arthrodesis.
Assuntos
Artrodese , Ossos do Carpo/cirurgia , Tomografia Computadorizada por Raios X , Adolescente , Adulto , Idoso , Ossos do Carpo/diagnóstico por imagem , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Symptomatic Madelung's disease does not respond to conservative treatment and the objectives of surgical treatment are essentially to obtain a congruent and correctly oriented radio-carpal joint line in order to preserve maximal and painless range of joint movement. The various surgical treatment modalities proposed to date have been essentially cosmetic and are not sufficient to achieve these objectives. The authors propose a new therapeutic approach to this deformity: radiolunate and inferior radio-ulnar arthrodesis with Kapandji's technique associated with radio-carpal reorientation osteotomy, as required. The results obtained in the first four cases are evaluated with a clinical follow-up of eighteen months to five years.
